OB-GYN Associates' Resources
Congratulations... the upcoming birth of a child is a period of great expectations for you and every member of your family as well as close friends!
It is also a time when we, as your chosen physicians, should keep in close touch and trust each other to be very open with one another. Your expectations from us are for the very best of professional medical advice. From you, our expectations are that you read and follow the advice we have set out for you in this guide, except when we advise you otherwise.
We would like to add one word of caution. Everyone, all in good faith and with the best of intentions, will have some words of advice for you. Be careful. What's good for one person may not be good for another. When you hear what seems to be a good idea, jot it down and discuss it with us on your next visit. We're not interested in putting down anyone's ideas. We're interested in doing what's best for your baby and you.
Included on this page are some vital numbers and facts pertaining to our practice. Please refer to them now, throughout your pregnancy, and during the postnatal period.
We look forward to helping you during your sometimes-difficult, sometimes-anxious, but always-exciting days ahead.
John A. Shannon, M.D., F.A.C.O.G.
David L. Spangler, M.D., F.A.C.O.G.
Mitchell W. Schuster, M.D., F.A.C.O.G., F.A.C.S.
Charles L. McCain, M.D., F.A.C.O.G.
Mark T. Purvis, M.D., F.A.C.O.G.
John L. Stafford, M.D., F.A.C.O.G.
Ashley Jones, M.D.
Emily Fligg, Nurse Practitioner, C.R.N.P.
Kristen Bentley, Nurse Practitioner, C.R.N.P.
1st VISIT - A RN obtains a medical and genetic history, lab work and provides you with information. You will not see a physician on 1st visit unless specific need is detected.
2nd VISIT - A Physician will review your history and go over your lab results. A physical exam and pap smear (if needed) will be performed and any questions you have will be answered.
SUBSEQUENT VISITS - Brief exams at regular intervals will be performed to determine maternal/fetal well-being and answer your questions.
Prenatal classes enhance your learning experience in pregnancy. The Prenatal RN will advise you on registration and other details at your 28 week visit.
You may encounter problems that you feel are of an emergency nature and cannot wait until your next visit. If so, the following suggestions are offered:
- First, check to see if the answer to your questions is in the reading material we have provided.
- Evaluate your own condition and jot down a few notes to help you remember the facts. If you suspect a fever, take your temperature.
- Set any prescription bottles by the phone so you can read off the drug dose and pharmacy phone number.
- Have a pencil and paper handy to jot down instructions.
- Make the call yourself unless this is impossible. Relayed messages may not be accurate.
- Call during office hours if possible so your chart is available for reference.
- Be sure to identify yourself and your month of pregnancy.
- Describe your problem as thoroughly as possible.
- Write down instructions. When you are worried, sleepy, or upset, instructions are not always easy to remember.
- If you think you have an emergency, immediately inform the phone nurse. If your first contact is with the receptionist or answering service, tell them it is an emergency so you wont be placed on hold.
- Your non-emergency calls during office hours will be returned by an RN, specially trained and capable of answering your questions, give you sound advice and direct you to the appropriate care for your situation.
OFFICE HOURS - You will be seen by the available doctor as a work-in.
AFTER HOURS - You will need to report to the emergency room.
PLEASE CALL FIRST:
Office: (256) 355-9711 or (256) 704-2229
Madison Hospital: (256) 265-5188
Decatur Morgan Hospital: (256) 341-3400
Fees, Billing & Collection Policies:
We have a standard fee, which includes prenatal care, delivery and postpartum care by the physician. All laboratory tests, ultrasounds, injections and other tests performed during your pregnancy are not included in the standard fee. Epidural anesthesia at time of delivery and circumcision of your newborn are not included in the standard fee. If you are not covered by insurance, fee is payable in full by two months prior to your due date. If you have insurance coverage, the portion of your fee not covered by insurance will be estimated and you will be asked to pay that amount by two months prior to your due date. We file on ultrasound and lab charges as they occur; however, OB care and delivery charges are filed after delivery.
Many insurance carriers now require pre-admission certification, which consists of phone notification to the insurance company before you are admitted to the hospital. Our insurance clerk will assist you with this process and take care of this PAC.
- MADISON HOSPITAL
8375 Highway 72 West
Madison, AL 35758
- DECATUR MORGAN HOSPITAL
1201 7th St SE
Decatur, AL 35601
Hours of Operation:
8:00 AM - 4:30 PM, Monday to Thursday
8:00 AM - 12:00 PM, Friday
After 4:30 PM weekends and holidays, coverage is provided by one of the physicians of the group who can be reached by calling our office number and leaving a message with the answering service. A physician or on call MRNE will call you back promptly.
Go to Madison Hospital or Decatur Morgan Hospital (ONLY) if your water breaks or contractions are 5-7 minutes apart. You do not need to call to inform our office. You will be examined by the OB nurse who will notify us about your arrival and condition. Be sure to tell her about special problems relating to your pregnancy (i.e., twins, previous C-sections, etc.). If you have any questions concerning need for hospital evaluation, call our office.
The following are appropriate medications for expecting mothers - both over-the-counter and by prescription only. Use only as directed.
|Sinus, Cold, or Allergy||Tylenol Sinus, Sudafed, Claritin, Drixoral (mid to late pregnancy) Benadryl, Benadryl cream, any Mucinex product|
|Sore Throat||Chloraseptic Spray/Lozenges|
|Cough||Robitussin, Robitussin DM, Delsym Cough, Mucinex DM|
|Nausea or Vomiting||Emetrol, Phenergan (requires Rx), Zofran (requires Rx)|
|Headaches or Pain||Tylenol, Tylenol Extra Strength|
|Constipation||Colace (stool softener), Pericolace (stool softener and laxative), Metamucil, Senokot, Miralax, Milk of Magnesia-PM (Use sparingly), Glycerin Suppositories|
|Heartburn||Tums, Rolaids, Riopan Plus, Mylanta, Maalox, Pepcid AC, Zantac|
|Hemorrhoids||Preparation H, Tucks Pads, Anusol|
Your baby needs, and must have, the care and expertise of a pediatrician while in the hospital. It is a very common misconception that the hospital provides you with a pediatrician if you do not register with one. This is not the case. You are responsible for choosing and pre-registering with a pediatrician by the 5th month of pregnancy. The personnel at various pediatricians' offices will be happy to discuss registration policies with you.
Pre-registration forms will be completed on your FIRST visit. These forms will be forwarded to your hospital for your convenience. You are not responsible for pre-registration. This is done by the RN on your first visit.
Ultrasounds are normally performed between 20-22 weeks and again at 34-36 weeks. Your doctor may order an ultrasound during your pregnancy for various reasons. If you would like, a DVD+RW can be bought at our office for $5 to record your sonogram.