Obstetrics
General Information
Common Problems in Pregnancy
Food Related Illness
Viral Illness
Childbirth Education
Obstetrical Services Directory
Pediatricians
Common Problems in Pregnancy
Food Related Illness
Viral Illness
Childbirth Education
Obstetrical Services Directory
Pediatricians
General Information
We are honored to care for you at this most important time. Our goal is healthy mom/healthy baby and our mission is to keep you informed and comfortable during the amazing experience that is pregnancy. We strive for personalized care in a safe supportive environment for the duration of pregnancy, labor, delivery and post partum. We feel that Beaumont is well aligned with our goals and Dr. Gruskin has been delivering babies at William Beaumont in Royal Oak since 1990.
At your first visit our goal is to become acquainted with both you and your partner and to begin to screen for health and pregnancy risks. We will discuss your medical history, perform a complete physical, Pap smear and vaginal cultures as indicated. We perform lab tests to screen for Hepatitis, Syphilis, HIV, Rubella immunity, anemia, blood typing, thyroid screening and other tests as dictated by your personal history. We will also discuss diet and exercise habits, vitamins and routine living during pregnancy and answer any questions you may have. Feel free to list your questions on paper for us. We agree with most information from What to Expect When You Are Expecting but also love the lighthearted approach of The Girlfriend's Guide to Pregnancy (Happy reading). As you will find out, pregnancy is far from glamorous and a good sense of humor will go a long way.
Dating a pregnancy is important and we will use information about your periods to date your pregnancy. (Bring whatever information you recall about your cycle, when your pregnancy test was positive and when you think you conceived with you to your appointment.) You will have an ultrasound early on in the office to confirm your dates.
We see pregnant patients monthly until 32 weeks, then every other week until 36 weeks and then weekly until delivery. Most patients will be delivered prior to 41 completed weeks. (There is an end in sight.) At each appointment we will monitor your weight, blood pressure, urine glucose and protein, fetal heart rate and fetal growth. Please bring a list of any unusual occurrences or questions to your appointments.
We offer optional non-invasive evaluations for chromosomal problems (such as Down's syndrome) and screening for neural tube defects including Spina Bifida. This testing is typically done after 10 weeks and allows us to grow free fetal DNA from the mother's blood with a 99% accuracy at detection for Down's and other common trisomies and many microdeletions. We are very excited about this non invasive advancement to health care. It also allows you to know gender early on if desired. We will also discuss options for Cystic Fibrosis, a genetic disease for which one in thirty Caucasians are carriers, Spinal Muscle Atrophy (SMA), a common genetic cause of SIDS, and Fragile X, a cause of autism in boys. For Ashkenazi Jewish women of European Jewish descent, a special panel of genetic test including Tay Sachs, Canavan, and Familial Dysautonomia is available. M
Please read the information booklet on this topic given to you at your first visit to help you decide whether you would like to pursue this testing.
We also will discuss optional testing for Cystic Fibrosis, a genetic disease for which one in thirty Caucasians are carriers. For Ashkenazi Jewish women of European Jewish descent, a special panel of genetic tests including Tay Sachs, Canavan and Familial Dysautonomia is now available. Most testing is not covered by your insurance carrier so please check with your carrier to know your coverage.
Again, normal testing by no means excludes all genetic variation or abnormality.
At 19 weeks, we will be referring you for a formal ultrasound at the Fetal Imaging Unit at Beaumont Hospital in Royal Oak (248-899-2070). Please bring your request form to the hospital for this appointment. We will receive a written report about the ultrasound findings by fax the day after your appointment. Any significant concerns will trigger an immediate phone call from fetal imaging and we will try to talk to you by phone prior to your leaving the hospital. Often small anatomic variations are found such as choroid plexus cysts of the brain, single umbilical artery, or echogenic cardiac foci. These variations are common in normal babies but also seen in Down's syndrome. You will then have the opportunity to elect for further genetic testing with blood work or amniocentesis for definitive diagnosis if desired.
At 26 weeks we will be screening for diabetes, urine infection and anemia. We will give you specific instructions prior to this appointment for the Glucola test. (Cheers!) An alternative to the glucola drink is the Jelly Bean test, which involves eating 17 non black Brach's Beans. This is a good time to pre-register with the hospital by completing our forms. We can also refer you for childbirth education, breast feeding class, and infant CPR. We recommend all three programs to new parents.
We can also help you select a Pediatrician at this time.
Many couples have strong preferences regarding labor management from their reading, classes and talking to friends, relatives etc. Indeed, when you begin to show, everyone can't wait to tell you their birthing story and to give you unsolicited advice. Keep in mind that this is typically a less 24 hour experience and put that into the context of your life and that of your baby. Having said that, we want your birthing story to be great and we strive really hard to meet your expectations within the concept of Healthy Mom/Healthy Baby. We do not routinely shave, give enemas, mandate monitoring or perform episiotomies.
Epidurals are available and safe and are typically given during active labor as desired. I enjoy working with birthing balls and squat bars and these are available in the labor suites. Cesarean sections are done for emergencies or problems in labor such as fetal distress, bleeding or babies that are breech. On occasion some moms may elect cesarean section for personal preference and we will support that decision. Vaginal birth after cesarean section is also offered and will be discussed extensively with you if desired.
We are pleased to see the Karmanos Natural Birth Center now open to moms requesting birth without intervention. This beautiful facility features lovely walking paths, Jacuzzi tubs, and massage therapy. This option is offered to uncomplicated pregnancy patients in the low risk population, and allows the safety net of our Family Birth Center, which is just down the hall. Please ask us for a referral to the nurse manager at Beaumont by 30 weeks if you would like to birth in the Natural Center.For more information on the Karmanos Natural Birth Center, please click here: http://www.beaumont.edu/natural-birth-center/
Babies stay with their parents after birth unless they need special observation and the family will go up to post partum together. The baby will room in with the parents during the hospital stay. Most moms typically stay 2 days after a vaginal birth and 3 days after a c-section.
For boys circumcision is as optional procedure done the day following birth at the parent's request. A numbing shot is used and babies tolerate this well. Please try to decide whether you will want this for your son prior to the birth and ask us about it if you have questions. If you have Medicaid insurance please register your baby and insure them immediately so their healthcare including their circumcision will be covered. Otherwise you will be billed for this procedure.
Every labor is different. Typical warnings at the onset of labor include regular, strong and unfortunately painful uterine contractions every 5-10 minutes, a gush of fluid or bleeding.
Please call the office immediate with labor or water breakage. At night please call our answering service at 248 544 6923 to page the on call physician. Please do not go to the hospital without calling our office or the answering service, as the on call doctor needs to be prepared for your arrival.
Some patients will note a "mucus" plug or slight "bloody show" but these do not necessary predict labor and do not mandate a phone call. Please track your baby's movement with a kick count. Most women should feel at least 6 movements in an hour during the second half of pregnancy.
Call us immediately if you have any concerns. If you are in a car accident or have a fall in the second half of pregnancy, please call immediately. We will refer you to labor and delivery for a 4 hour trauma in pregnancy protocol to make sure you and baby are fine.
Dr. Payson will be seeing you in the office 6 weeks post partum and 2 weeks post op after a cesarean. Please call us if you have any unusual post partum symptoms or concerns (or if you miss us.) Please do not suffer from blues or depression alone as we can help with this challenging transition.
For additional information about William Beaumont Hospitals, please see www.beaumonthospitals.com.
Again, congratulations. We look forward to getting to know you, answering your questions, helping you stay healthy and celebrating the new addition to your family.
At your first visit our goal is to become acquainted with both you and your partner and to begin to screen for health and pregnancy risks. We will discuss your medical history, perform a complete physical, Pap smear and vaginal cultures as indicated. We perform lab tests to screen for Hepatitis, Syphilis, HIV, Rubella immunity, anemia, blood typing, thyroid screening and other tests as dictated by your personal history. We will also discuss diet and exercise habits, vitamins and routine living during pregnancy and answer any questions you may have. Feel free to list your questions on paper for us. We agree with most information from What to Expect When You Are Expecting but also love the lighthearted approach of The Girlfriend's Guide to Pregnancy (Happy reading). As you will find out, pregnancy is far from glamorous and a good sense of humor will go a long way.
Dating a pregnancy is important and we will use information about your periods to date your pregnancy. (Bring whatever information you recall about your cycle, when your pregnancy test was positive and when you think you conceived with you to your appointment.) You will have an ultrasound early on in the office to confirm your dates.
We see pregnant patients monthly until 32 weeks, then every other week until 36 weeks and then weekly until delivery. Most patients will be delivered prior to 41 completed weeks. (There is an end in sight.) At each appointment we will monitor your weight, blood pressure, urine glucose and protein, fetal heart rate and fetal growth. Please bring a list of any unusual occurrences or questions to your appointments.
We offer optional non-invasive evaluations for chromosomal problems (such as Down's syndrome) and screening for neural tube defects including Spina Bifida. This testing is typically done after 10 weeks and allows us to grow free fetal DNA from the mother's blood with a 99% accuracy at detection for Down's and other common trisomies and many microdeletions. We are very excited about this non invasive advancement to health care. It also allows you to know gender early on if desired. We will also discuss options for Cystic Fibrosis, a genetic disease for which one in thirty Caucasians are carriers, Spinal Muscle Atrophy (SMA), a common genetic cause of SIDS, and Fragile X, a cause of autism in boys. For Ashkenazi Jewish women of European Jewish descent, a special panel of genetic test including Tay Sachs, Canavan, and Familial Dysautonomia is available. M
Please read the information booklet on this topic given to you at your first visit to help you decide whether you would like to pursue this testing.
We also will discuss optional testing for Cystic Fibrosis, a genetic disease for which one in thirty Caucasians are carriers. For Ashkenazi Jewish women of European Jewish descent, a special panel of genetic tests including Tay Sachs, Canavan and Familial Dysautonomia is now available. Most testing is not covered by your insurance carrier so please check with your carrier to know your coverage.
Again, normal testing by no means excludes all genetic variation or abnormality.
At 19 weeks, we will be referring you for a formal ultrasound at the Fetal Imaging Unit at Beaumont Hospital in Royal Oak (248-899-2070). Please bring your request form to the hospital for this appointment. We will receive a written report about the ultrasound findings by fax the day after your appointment. Any significant concerns will trigger an immediate phone call from fetal imaging and we will try to talk to you by phone prior to your leaving the hospital. Often small anatomic variations are found such as choroid plexus cysts of the brain, single umbilical artery, or echogenic cardiac foci. These variations are common in normal babies but also seen in Down's syndrome. You will then have the opportunity to elect for further genetic testing with blood work or amniocentesis for definitive diagnosis if desired.
At 26 weeks we will be screening for diabetes, urine infection and anemia. We will give you specific instructions prior to this appointment for the Glucola test. (Cheers!) An alternative to the glucola drink is the Jelly Bean test, which involves eating 17 non black Brach's Beans. This is a good time to pre-register with the hospital by completing our forms. We can also refer you for childbirth education, breast feeding class, and infant CPR. We recommend all three programs to new parents.
We can also help you select a Pediatrician at this time.
Many couples have strong preferences regarding labor management from their reading, classes and talking to friends, relatives etc. Indeed, when you begin to show, everyone can't wait to tell you their birthing story and to give you unsolicited advice. Keep in mind that this is typically a less 24 hour experience and put that into the context of your life and that of your baby. Having said that, we want your birthing story to be great and we strive really hard to meet your expectations within the concept of Healthy Mom/Healthy Baby. We do not routinely shave, give enemas, mandate monitoring or perform episiotomies.
Epidurals are available and safe and are typically given during active labor as desired. I enjoy working with birthing balls and squat bars and these are available in the labor suites. Cesarean sections are done for emergencies or problems in labor such as fetal distress, bleeding or babies that are breech. On occasion some moms may elect cesarean section for personal preference and we will support that decision. Vaginal birth after cesarean section is also offered and will be discussed extensively with you if desired.
We are pleased to see the Karmanos Natural Birth Center now open to moms requesting birth without intervention. This beautiful facility features lovely walking paths, Jacuzzi tubs, and massage therapy. This option is offered to uncomplicated pregnancy patients in the low risk population, and allows the safety net of our Family Birth Center, which is just down the hall. Please ask us for a referral to the nurse manager at Beaumont by 30 weeks if you would like to birth in the Natural Center.For more information on the Karmanos Natural Birth Center, please click here: http://www.beaumont.edu/natural-birth-center/
Babies stay with their parents after birth unless they need special observation and the family will go up to post partum together. The baby will room in with the parents during the hospital stay. Most moms typically stay 2 days after a vaginal birth and 3 days after a c-section.
For boys circumcision is as optional procedure done the day following birth at the parent's request. A numbing shot is used and babies tolerate this well. Please try to decide whether you will want this for your son prior to the birth and ask us about it if you have questions. If you have Medicaid insurance please register your baby and insure them immediately so their healthcare including their circumcision will be covered. Otherwise you will be billed for this procedure.
Every labor is different. Typical warnings at the onset of labor include regular, strong and unfortunately painful uterine contractions every 5-10 minutes, a gush of fluid or bleeding.
Please call the office immediate with labor or water breakage. At night please call our answering service at 248 544 6923 to page the on call physician. Please do not go to the hospital without calling our office or the answering service, as the on call doctor needs to be prepared for your arrival.
Some patients will note a "mucus" plug or slight "bloody show" but these do not necessary predict labor and do not mandate a phone call. Please track your baby's movement with a kick count. Most women should feel at least 6 movements in an hour during the second half of pregnancy.
Call us immediately if you have any concerns. If you are in a car accident or have a fall in the second half of pregnancy, please call immediately. We will refer you to labor and delivery for a 4 hour trauma in pregnancy protocol to make sure you and baby are fine.
Dr. Payson will be seeing you in the office 6 weeks post partum and 2 weeks post op after a cesarean. Please call us if you have any unusual post partum symptoms or concerns (or if you miss us.) Please do not suffer from blues or depression alone as we can help with this challenging transition.
For additional information about William Beaumont Hospitals, please see www.beaumonthospitals.com.
Again, congratulations. We look forward to getting to know you, answering your questions, helping you stay healthy and celebrating the new addition to your family.
Common Problems in Pregnancy
Bleeding At the beginning of pregnancy one in three patients may spot as the pregnancy begins to implant into the uterus. Also, the cervix becomes more fragile and may be a source of bleeding. To evaluate bleeding we will want to see you as soon as possible in the office to evaluate for miscarriage. Once we have seen the fetal heart beat, miscarriage becomes much less likely. Please call us immediately for bleeding. After hours we will ask you to get off your feet and monitor yourself. If you are bleeding more than a pad per hour, you may require emergency evaluation. Otherwise, we will try to accommodate you the next office day.
Nausea Eat small meals frequently and avoid dehydration and hypoglycemia (low blood sugar). Separate your solids and liquids with sips of fluid between meals. Call us if your symptoms lead to dizziness and difficulty keeping anything down. You may try Vitamin B6 (25 mg per day), ginger root, coke syrup, 7 up, Emetrol, Mylanta or Turns. We typically will prescribe either Diclegis or Zofran which are both safe in pregnancy. Diclegis is a new drug that is a combination of vitamin B12 and unisom. Often times it is not covered by your insurance, so please verify coverage with your provider. Zofran is our second line of defense against nausea, but it can be constipating. If you are using Zofran, use Pericolace 2xs per day for constipation and space out your dosing if you are overly constipated. Other options are available but may make you tired. Ask us. Please know that while miserable, nausea and extra saliva are common, time limited and usually a healthy sign. Dr. Gruskin was miserable with 2 out of 3 pregnancies so she truly can relate to your problem; ask her to share some lovely stories with you!!
Groin Pain Round ligament pain is sharp and sudden pain in the lower pelvis caused by stretching of these ligaments as your uterus grows. Move slowly and rest when able. A support belt may help such as a Baby Hugger, which is available online. This pain lasts a few minutes at a time and decreases with rest.
Please call us if you have any persistent pain.
Constipation Push fluids and fiber. You may use pear, prune and apple juice and just stay hydrated. You may try milk of magnesia-1 tbsp up to 3xs per day, pericolace (1 tablet 2x/day or miralax- 1 capful/day). Rarely, fleet enema or dulcolax suppository can be safely used.
Hemorrhoids Isn't pregnancy great? Try sitting in warm water. Tucks pads and Anusol cream are helpful. Hurricaine spray is helpful. Occasionally hemorrhoids will require surgery if they thrombose. Call us if your pain is increasing and severe for a referral to a specialist.
Upper respiratory infection Sudafed (30gm), Benadryl cold (50 mg), Robitussin (1 tsp every 2-4 hrs), Tylenol and Tylenol extra strength(500 mg every 6 hours) are all safe and effective for congestion, cough and generalized pain. Please use Tylenol to keep your fever down and call us immediately if this is not working. Please know that fever accompanied by sore throat or cough could be influenza or H1N1. Please call us for a prescription of Tamiflu if you have these symptoms. If a household member has H1N1, you will also need to call us to discuss Tamiflu prophylaxis (taking Tamiflu for 1o days to prevent yourself from being affected). Call us immediately if you are dehydrated and unable to keep fluids down, have a high fever or are feeling extremely ill!!!
Please reschedule your office appointment if you suspect you have influenza and we will manage this by phone or through your primary care so as not to infect other pregnant patients in the office.
Gastroenteritis Pepto Bismol 1-2 tsp. every 2-4 hours. Mylanta, Tums. Drink sips of fluids and watch for severe pain or fever. You may need to go in to triage for IV fluids if you become dizzy or your symptoms are severe. Watch for cramping or uterine contractions and call us if this occurs.
Headache Headaches are common in the first part of pregnancy. Push fluids and rest. Tylenol and extra strength Tylenol 500 mg every 6 hours are fine. Sometimes a coke or mountain dew will help and 1 glass would be safe to try. Please call us if your headache is severe or persistent, is accompanied by visual disturbance or other odd symptoms or is the worst headache of your life. We will refer you back to your primary care physician or a neurologist to evaluate these headaches which most often are pregnancy migraines. Occasionally narcotics may be needed and are safe for pregnancy on a limited basis.
Nausea Eat small meals frequently and avoid dehydration and hypoglycemia (low blood sugar). Separate your solids and liquids with sips of fluid between meals. Call us if your symptoms lead to dizziness and difficulty keeping anything down. You may try Vitamin B6 (25 mg per day), ginger root, coke syrup, 7 up, Emetrol, Mylanta or Turns. We typically will prescribe either Diclegis or Zofran which are both safe in pregnancy. Diclegis is a new drug that is a combination of vitamin B12 and unisom. Often times it is not covered by your insurance, so please verify coverage with your provider. Zofran is our second line of defense against nausea, but it can be constipating. If you are using Zofran, use Pericolace 2xs per day for constipation and space out your dosing if you are overly constipated. Other options are available but may make you tired. Ask us. Please know that while miserable, nausea and extra saliva are common, time limited and usually a healthy sign. Dr. Gruskin was miserable with 2 out of 3 pregnancies so she truly can relate to your problem; ask her to share some lovely stories with you!!
Groin Pain Round ligament pain is sharp and sudden pain in the lower pelvis caused by stretching of these ligaments as your uterus grows. Move slowly and rest when able. A support belt may help such as a Baby Hugger, which is available online. This pain lasts a few minutes at a time and decreases with rest.
Please call us if you have any persistent pain.
Constipation Push fluids and fiber. You may use pear, prune and apple juice and just stay hydrated. You may try milk of magnesia-1 tbsp up to 3xs per day, pericolace (1 tablet 2x/day or miralax- 1 capful/day). Rarely, fleet enema or dulcolax suppository can be safely used.
Hemorrhoids Isn't pregnancy great? Try sitting in warm water. Tucks pads and Anusol cream are helpful. Hurricaine spray is helpful. Occasionally hemorrhoids will require surgery if they thrombose. Call us if your pain is increasing and severe for a referral to a specialist.
Upper respiratory infection Sudafed (30gm), Benadryl cold (50 mg), Robitussin (1 tsp every 2-4 hrs), Tylenol and Tylenol extra strength(500 mg every 6 hours) are all safe and effective for congestion, cough and generalized pain. Please use Tylenol to keep your fever down and call us immediately if this is not working. Please know that fever accompanied by sore throat or cough could be influenza or H1N1. Please call us for a prescription of Tamiflu if you have these symptoms. If a household member has H1N1, you will also need to call us to discuss Tamiflu prophylaxis (taking Tamiflu for 1o days to prevent yourself from being affected). Call us immediately if you are dehydrated and unable to keep fluids down, have a high fever or are feeling extremely ill!!!
Please reschedule your office appointment if you suspect you have influenza and we will manage this by phone or through your primary care so as not to infect other pregnant patients in the office.
Gastroenteritis Pepto Bismol 1-2 tsp. every 2-4 hours. Mylanta, Tums. Drink sips of fluids and watch for severe pain or fever. You may need to go in to triage for IV fluids if you become dizzy or your symptoms are severe. Watch for cramping or uterine contractions and call us if this occurs.
Headache Headaches are common in the first part of pregnancy. Push fluids and rest. Tylenol and extra strength Tylenol 500 mg every 6 hours are fine. Sometimes a coke or mountain dew will help and 1 glass would be safe to try. Please call us if your headache is severe or persistent, is accompanied by visual disturbance or other odd symptoms or is the worst headache of your life. We will refer you back to your primary care physician or a neurologist to evaluate these headaches which most often are pregnancy migraines. Occasionally narcotics may be needed and are safe for pregnancy on a limited basis.
Food Related Illness
Listeria exposure is a rare problem during pregnancy. Deli/packaged lunch meat, or unpasteurized foods may present risk of listeria, or other infections. Please pay attention to recalls, and avoid unpasteurized foods.
Fish can be an important part of a healthy diet but some fish have harmful amounts of mercury. In general limit yourself to fresh, non fatty fish one meal or 6 ounces per week.
Toxoplasmosis is another rare infection which may affect pregnancy. Avoid uncooked fish and sushi. Avoid kitty litter and wash your hands when handling cats.
Fish can be an important part of a healthy diet but some fish have harmful amounts of mercury. In general limit yourself to fresh, non fatty fish one meal or 6 ounces per week.
Toxoplasmosis is another rare infection which may affect pregnancy. Avoid uncooked fish and sushi. Avoid kitty litter and wash your hands when handling cats.
Viral Illness
Update your vaccinations for Rubella and Chicken Pox at least 3 months prior to conceiving as these illnesses can lead to lasting problems for your fetus especially if illness occurs in the first trimester. If you are exposed during pregnancy, please call us immediately. Vaccination is available immediately after delivery in the hospital and is safe for nursing.
Fifth's disease/Parvovirus is another concern for pregnancy and often affects young children in daycare or early elementary school. Typical symptoms include fever, runny nose and a red "slapped cheek" rash. Please have your child assessed with their pediatrician for a diagnosis. Initially, we will run a blood test for immunity and a large percent of patients are immune and exposure is without risk. If you are not immune, we repeat the lab work in 2 weeks even if you do not develop symptoms. Even if you develop symptoms or show blood evidence of exposure, chances are small that the pregnancy will be harmed. Occasionally, anemia will develop for the fetus and this must be monitored closely with ultrasound during the remaining pregnancy.
Zika virus is a newer concern and can lead to severe complications for those affected. Please alert us to any travel plans during your pregnancy, especially to affected areas such as South America, or Mexico. If travel to these areas is unavoidable, we recommend that you wear long sleeves, use bug spray with DEET, and aviod marshy areas. Zika is also sexually transmitted, and condoms are advised if your partner is visiting any affected areas.
We recommend influenza vaccine in all trimesters and will offer this to you during flu season.
We also recommend the TDAP/ Whooping cough vaccine for you and all child care providers. This is available in our office and recommended between 28 and 36 weeks. This vaccine can also be given after delivery.
Fifth's disease/Parvovirus is another concern for pregnancy and often affects young children in daycare or early elementary school. Typical symptoms include fever, runny nose and a red "slapped cheek" rash. Please have your child assessed with their pediatrician for a diagnosis. Initially, we will run a blood test for immunity and a large percent of patients are immune and exposure is without risk. If you are not immune, we repeat the lab work in 2 weeks even if you do not develop symptoms. Even if you develop symptoms or show blood evidence of exposure, chances are small that the pregnancy will be harmed. Occasionally, anemia will develop for the fetus and this must be monitored closely with ultrasound during the remaining pregnancy.
Zika virus is a newer concern and can lead to severe complications for those affected. Please alert us to any travel plans during your pregnancy, especially to affected areas such as South America, or Mexico. If travel to these areas is unavoidable, we recommend that you wear long sleeves, use bug spray with DEET, and aviod marshy areas. Zika is also sexually transmitted, and condoms are advised if your partner is visiting any affected areas.
We recommend influenza vaccine in all trimesters and will offer this to you during flu season.
We also recommend the TDAP/ Whooping cough vaccine for you and all child care providers. This is available in our office and recommended between 28 and 36 weeks. This vaccine can also be given after delivery.
Childbirth Education
You have many options for childbirth education, including many different classes provided through Beaumont Hospital. For a list of classes, please visit classes.beaumont.edu, or ask one of our secretaries for a pamphlet.
Darlene Ditrapani conducts a private Lamaze program at her home in Troy. Darlene is a registered nurse who we work with on labor and delivery and who is very familiar with our style. She covers all traditional topics during a one Saturday session at her home including lunch.
There are several options to meet your needs. You may choose one of the following:
Darlene Ditropani
248- 680-0847
Please call the Natural Birth Center manager prior to 30 weeks to schedule a screening and planning meeting.
Darlene Ditrapani conducts a private Lamaze program at her home in Troy. Darlene is a registered nurse who we work with on labor and delivery and who is very familiar with our style. She covers all traditional topics during a one Saturday session at her home including lunch.
There are several options to meet your needs. You may choose one of the following:
- Saturday 10 am - 4 pm (lunch provided) Cost $125.00 per couple.
- A private class is available at your home for 5 hours at your convenience. Cost $275.00
Darlene Ditropani
248- 680-0847
Please call the Natural Birth Center manager prior to 30 weeks to schedule a screening and planning meeting.
Obstetrical Services Directory
Beaumont Hospital, Royal Oak
Breastfeeding Support Service
This service assists you while you are in the hospital, provides private consultation with a breastfeeding consultant while you are breastfeeding, and has consultants available by phone for your questions and concerns once you go home. Supplies and equipment, such as breast pumps, are available for rent or purchase.
Royal Oak: 248-898-0599
Troy: 248-964-6455
Pediatric After Hours Clinics
Beaumont's Pediatric After Hours Clinics are open when your doctor's office is closed so your sick child does not need to wait until morning to have treatment started.
Royal Oak: 248-551-0222
Troy: 248-964-2888
Parenting Program
If you are a first-time parent, this free, voluntary program helps you understand your infant and develops your parenting skills. A trained, experienced parent volunteer will offer you support and information through phone calls, home visits (upon request) and invite you to meet with other new families in parent groups. A specialty program is available for neonatal intensive care families.
Royal Oak: 248-551-1455
Troy: 248-964-5822
Healthy Family Lectures
These free lectures are for all adults and new moms and dads. Some of the topics of lectures will include: Healthy habits, healthy eating for you and your family, family stress management, what's for dinner, healthy steps forward.
For information or to schedule, call: 248-655-5900
Doula
A Doula is a birth coach who can be an extra support person before, during, and after delivery. We would like to meet your Dula to make sure our priorities are aligned before delivery. Please let us know if you are planning on using a Dula as soon as possible. We have worked together with the following Doula, and recommend her.
Michelle Bell
Ann Arbor Doulas
www.AnnArborDoulas.com
(734)780-4759
Breastfeeding Support Service
This service assists you while you are in the hospital, provides private consultation with a breastfeeding consultant while you are breastfeeding, and has consultants available by phone for your questions and concerns once you go home. Supplies and equipment, such as breast pumps, are available for rent or purchase.
Royal Oak: 248-898-0599
Troy: 248-964-6455
Pediatric After Hours Clinics
Beaumont's Pediatric After Hours Clinics are open when your doctor's office is closed so your sick child does not need to wait until morning to have treatment started.
Royal Oak: 248-551-0222
Troy: 248-964-2888
Parenting Program
If you are a first-time parent, this free, voluntary program helps you understand your infant and develops your parenting skills. A trained, experienced parent volunteer will offer you support and information through phone calls, home visits (upon request) and invite you to meet with other new families in parent groups. A specialty program is available for neonatal intensive care families.
Royal Oak: 248-551-1455
Troy: 248-964-5822
Healthy Family Lectures
These free lectures are for all adults and new moms and dads. Some of the topics of lectures will include: Healthy habits, healthy eating for you and your family, family stress management, what's for dinner, healthy steps forward.
For information or to schedule, call: 248-655-5900
Doula
A Doula is a birth coach who can be an extra support person before, during, and after delivery. We would like to meet your Dula to make sure our priorities are aligned before delivery. Please let us know if you are planning on using a Dula as soon as possible. We have worked together with the following Doula, and recommend her.
Michelle Bell
Ann Arbor Doulas
www.AnnArborDoulas.com
(734)780-4759
Pediatricians
Haller and Hug (H2)
Drs. Haller, Hug, Kakish, Finn, Kemennu, Martilotti, Molnar
hallerandhug.com
27555 Farmington Rd.
Ste. 120
Farmington Hills MI 48334
(248)477-5608
Edgewood Pediatrics
Drs. Gendelman, Baver, Gannon, and Rubenstein
edgewoodpeds.com
8896 Commerce Rd.
Ste. 5
Commerce Twp MI
(248)360-9241
Synergy Health
Drs. Lee, Hakim
synergyhealthpc.com
3320 W 14 Mile
Ste. 150
West Bloomfield MI 48322
(248)419-5111
Child Health Associates
Drs. Weinstein, Kolin, Schnaar, Miral, Mackey, Koval, Klein, Lauter, Schafer
childhealthassociates.com
1800 W. Big Beaver
Troy MI
(248)203-6620
Novi Internal Medicine and Pediatrics
Drs. Golden, Einhorn, Leff, Rosenberg, Rakotz
novidocs.com
39475 Lewis Dr.
Ste. 130
(248)374-0502
Birmingham Pediatrics and Wellness Center
Drs. O'Shea, Wittenberg, Duchan, Fadul
birminghampediatrics.com
3270 W. Big Beaver
Ste. 400
Troy MI 48084
(248)816-2558
Dr. Lili Levy
26850 Providence Pkwy.
Ste. 455
Novi, Mi 48374
(248)465-4847
Drs. Haller, Hug, Kakish, Finn, Kemennu, Martilotti, Molnar
hallerandhug.com
27555 Farmington Rd.
Ste. 120
Farmington Hills MI 48334
(248)477-5608
Edgewood Pediatrics
Drs. Gendelman, Baver, Gannon, and Rubenstein
edgewoodpeds.com
8896 Commerce Rd.
Ste. 5
Commerce Twp MI
(248)360-9241
Synergy Health
Drs. Lee, Hakim
synergyhealthpc.com
3320 W 14 Mile
Ste. 150
West Bloomfield MI 48322
(248)419-5111
Child Health Associates
Drs. Weinstein, Kolin, Schnaar, Miral, Mackey, Koval, Klein, Lauter, Schafer
childhealthassociates.com
1800 W. Big Beaver
Troy MI
(248)203-6620
Novi Internal Medicine and Pediatrics
Drs. Golden, Einhorn, Leff, Rosenberg, Rakotz
novidocs.com
39475 Lewis Dr.
Ste. 130
(248)374-0502
Birmingham Pediatrics and Wellness Center
Drs. O'Shea, Wittenberg, Duchan, Fadul
birminghampediatrics.com
3270 W. Big Beaver
Ste. 400
Troy MI 48084
(248)816-2558
Dr. Lili Levy
26850 Providence Pkwy.
Ste. 455
Novi, Mi 48374
(248)465-4847