New OB Patients
Welcome — and congratulations on your pregnancy.
We’re glad you’re here.
Pregnancy comes with a lot of questions, and our goal is to provide clear guidance, thoughtful care, and open communication from your very first visit.
Dr. Katelyn Twist provides personalized obstetric care as part of Associates in Women’s Health, working closely with you throughout pregnancy, delivery, and the postpartum period.
What to Expect at Your First Prenatal Visit
Your initial OB visit typically occurs between 8–12 weeks of pregnancy.
At this visit, we will:
- Review your medical, surgical, and pregnancy history
- Confirm your pregnancy and estimate your due date
- Order prenatal lab work
- Perform a pelvic exam if indicated
- Review genetic screening options
- Answer questions and discuss what to expect moving forward
Every pregnancy is different, and your care plan will be tailored to you.
Prenatal Visit Schedule (Typical)
While this may vary based on your pregnancy, most patients can expect:
- 8–12 weeks: Initial prenatal visit
- Every 4 weeks: Until 28 weeks
- Every 2 weeks: 28–36 weeks
- Weekly visits: 36 weeks until delivery
Additional visits or ultrasounds may be recommended if there are medical concerns or risk factors.
Genetic Testing & Screening Options
Genetic testing is optional and available to all patients.
We’ll review available options, including:
- Cell‑free fetal DNA (blood test)
- First trimester screening
- Carrier screening (such as cystic fibrosis or SMA)
The decision to pursue genetic testing is personal — our role is to explain your options and support whatever choice is right for you.
Day‑to‑Day Pregnancy Guidance
Many common questions come up early in pregnancy. We routinely review topics such as:
- Safe medications in pregnancy
- Exercise and activity recommendations
- Nutrition and hydration
- Caffeine intake
- Food safety (including listeria concerns)
- Managing common pregnancy symptoms
These topics will be revisited throughout pregnancy, and you’re always encouraged to ask questions.
When to Call Our Office
Please contact our office if you experience:
- Fever over 100.4°F
- Vaginal bleeding
- Severe abdominal pain or cramping
- Severe or persistent headache not relieved with Tylenol
- Vision changes
- Burning or pain with urination
- Persistent nausea, vomiting, or diarrhea
- Decreased fetal movement after 24 weeks
- Regular painful contractions, leaking fluid, or signs of preterm labor
- Thoughts of harming yourself or others
If you believe you are experiencing an emergency, please go to the nearest emergency room or Labor & Delivery.
Planning for Delivery
Throughout pregnancy, we will discuss:
- Labor and delivery expectations
- Pain management options
- Vaginal delivery and cesarean delivery considerations
- Birth preferences and goals
All interventions are discussed and require your consent. Our focus is a healthy parent, a healthy baby, and clear communication every step of the way.
Trusted Medical Resources
Mayo Clinic – Prenatal care overview
Mayo Clinic – Pregnancy weight gain
ACOG – Pregnancy information & medication safety
CDC – Medication use during pregnancy
