Role of an obstetrician

What Is an Obstetrician? What They Do & When To See One

What is an obstetrician?

Obstetricians specialize in caring for people during preconception, pregnancy, childbirth and the first several weeks postpartum (after childbirth). They manage and treat health conditions associated with pregnancy to ensure both you and your baby are healthy.

What does an obstetrician do?

An obstetrician provides routine prenatal care to people who are pregnant. They also diagnose and treat complications during pregnancy. Obstetricians deliver your baby and monitor you after childbirth.

Your obstetrician is responsible for:

• Prenatal screenings, exams and lab tests.
• Evaluating your baby’s size, growth and position in your uterus.
• Detecting congenital anomalies or potential complications in conjunction with maternal-fetal medicine providers.
• Using ultrasound, blood tests, urinalysis and other tools to monitor your pregnancy.
• Treating health conditions that can affect your pregnancy or your baby.
• Managing labor and delivery, including labor induction, emergencies and medications.
• Providing postpartum care for up to six weeks after childbirth.

What's the difference between an obstetrician and a gynecologist?

An obstetrician provides care during pregnancy and delivers babies. A gynecologist doesn’t treat people who are pregnant or deliver babies, but specializes in the female reproductive system. It’s common for healthcare providers to combine these two areas of medicine. This is called obstetrics and gynecology or Ob/Gyn.

What's the difference between an obstetrician and a midwife?

A midwife provides the same care as an obstetrician, but they didn’t attend a medical school like an obstetrician. Midwives are professionally trained and certified to assist people who are pregnant in their prenatal care and delivery. Midwives tend to let people who are pregnant have more control over their baby’s birth. People who are pregnant may seek a midwife when they’re experiencing a low-risk pregnancy and desire aspects like fewer medical interventions or alternative pain methods. Some people will have a midwife in the delivery room with their obstetrician as an additional support person. Midwives work with obstetricians if additional care is necessary.

How does someone become an obstetrician?

First, you get a bachelor’s degree. Then, you pass the Medical College Admissions Test (MCAT) to get into a medical school. It usually takes about four years to earn a medical degree.

From there, you spend about four years in a residency program. In a residency program, you gain experience diagnosing and treating people who are pregnant and participating in births.

Some obstetricians receive extra training in subspecialties like maternal-fetal medicine (MFM), which focuses on caring for people who are pregnant and have chronic health conditions or issues that make them high-risk.

After residency, you can become certified through the American Board of Obstetrics and Gynecology (ABOG). This involves passing an oral and written exam. Some obstetricians are members of the American College of Obstetricians and Gynecologists (ACOG), a professional organization for gynecologists and obstetricians.

Obstetricians must get a license to practice medicine. The requirements vary by state, but obstetricians must pass an examination to get their medical license and treat people.

What conditions do obstetricians treat?

In addition to monitoring your general wellness during pregnancy, obstetricians check for complications, diseases or conditions associated with pregnancy. They also monitor your growing baby’s health by measuring fundal height and doing ultrasounds.

Some of the most common conditions they help manage are:

• High blood pressure or preeclampsia.
• Ectopic pregnancies or miscarriages.
• Issues with the placenta like placental abruption.
• Morning sickness or nausea.
• Gestational diabetes.
• Infections.
• Muscle aches and pains.
• Genetic disorders.

Some obstetricians have additional experience managing higher-risk pregnancies. A high-risk pregnancy has a greater chance of complications. If the pregnancy is too high risk or beyond your obstetrician’s comfort level, they may refer you to a maternal-fetal medicine specialist.

What surgeries do obstetricians perform?

Obstetricians can perform surgeries related to pregnancy, labor and delivery. Some of the most common surgical procedures are:

• Episiotomy.
• Dilation and curettage (D&C).
• Vaginal delivery.
• Cesarean delivery.
• Cervical cerclage.
• Using forceps or a vacuum to assist with the birth.

When would I need to see an obstetrician?

You should see an obstetrician as soon as you know you’re pregnant. Obstetricians care for you and your baby for the duration of your pregnancy and several weeks postpartum (after you give birth).

You’ll see an obstetrician for the first time around seven or eight weeks after your last menstrual period and then monthly, biweekly and weekly as you near your due date. Most practices schedule a postpartum visit with your obstetrician about six weeks after you’ve given birth to make sure no other complications have developed.

Your prenatal care is centered around detecting potential complications at office visits or through exams and lab tests.

Some of the prenatal screenings, exams and routine lab tests you need during pregnancy are:

• Complete blood count (CBC) and other blood panels.
• Pap smear.
• Urinalysis.
• Screenings for sexually transmitted infections (STIs).
• Ultrasounds to assess the placenta and uterus.
• Group B Streptococcus screen.
• Glucose tolerance test (screens for gestational diabetes).
• Quad screening blood test for congenital disabilities.
• Fetal assessments using ultrasound and Doppler transducer.

After birth, your obstetrician monitors your bleeding, bowel and bladder function and checks you for signs of blood clots or other postpartum conditions. They’ll allow you to go home between one and four days later if your recovery is going well.

You’ll see your obstetrician at two or six weeks for a postpartum visit depending on medical issues associated with your pregnancy. During this visit, your healthcare provider will:

• Perform a pelvic exam and breast exam (if necessary).
• Make sure your uterus has returned to its pre-pregnancy size.
• Discuss your bleeding and other symptoms you’ve had during recovery.
• Talk to you about postpartum depression and postpartum anxiety.
• Determine if you can resume normal activities.
• Discuss birth control options and future pregnancies.

How do I choose an obstetrician?

Choosing an obstetrician you feel comfortable with can make your pregnancy and birthing experience more enjoyable. If possible, find an obstetrician or Ob/Gyn before getting pregnant. Ask your friends and family who they recommend or go online to read reviews. Your primary care physician or other healthcare providers can also recommend obstetricians.

Be sure to think about what is important to you during pregnancy and childbirth. Making a checklist may help. Some questions you may want to ask yourself are:

• Do I feel comfortable with this healthcare provider? Does my partner?
• Does this healthcare provider explain things clearly and answer my questions?
• What are this healthcare provider’s views on vaginal delivery, unmedicated birth or other things that are important to me?
• Who covers my care if my preferred provider isn’t available?

Some obstetricians or Ob/Gyns are in a group practice. Group practices often want you to see as many healthcare providers as possible for your prenatal care. This is because the obstetrician who is on-call the day you go into labor will deliver your baby. If you have a healthcare provider preference for prenatal visits, some practices can accommodate you. In the case of a scheduled C-section, you may have a greater chance of selecting your obstetrician.

It’s natural to prefer one healthcare provider over another. Remember that all obstetricians are trained and experienced in pregnancy and childbirth and want what’s best for your pregnancy.

Do obstetricians do C-sections?

Yes, your obstetrician received special surgical training to perform C-sections. They can handle any surgical emergencies during delivery.

A note from Cleveland Clinic

An obstetrician specializes in caring for people who are pregnant and delivering babies. They help treat conditions during pregnancy that could affect your or your baby’s health. Don’t be afraid to ask them questions about your pregnancy, your baby and what you can expect during labor and delivery. They’re there to support you and give you and your baby the best care possible. You and your obstetrician both have the shared goal of a healthy pregnancy and a healthy baby.

What does an obstetrician do?

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Obstetricians provide specialised medical care during pregnancy and birth. You might choose to have a private obstetrician, who you’ll see throughout your pregnancy. If you are planning to give birth in a public hospital or in a birth centre, you might see an obstetrician only if there is a medical need or complication.>

What is an obstetrician?

An obstetrician is a doctor with specialist qualifications in delivering babies and providing medical care to women during pregnancy (antenatal care) and after the birth (postnatal care). Obstetricians have the skills to manage complex or high-risk pregnancies and births, and can perform interventions and caesareans. Many have also trained in women's reproductive health (gynaecology).

How do I choose an obstetrician?

If you choose to give birth in a public hospital or birth centre as a public patient and you need an obstetrician, you do not usually get to choose your own obstetrician.

Some rural and remote areas may not have a local obstetrician. Some general practitioners (GPs) with extra training in obstetrics can deliver babies if there are no complications. If complications do arise, you may need to be transferred to a hospital that offers an obstetrician.

If you have private health insurance with maternity cover, you can choose your own obstetrician and give birth in a private hospital. Some obstetricians also care for private patients in a public hospital. It's best to check if your preferred obstetrician practises at your preferred hospital since they don't work everywhere.

You may need a referral from your doctor to see an obstetrician. Some obstetricians might see you without a referral, but you will need a referral to get the relevant Medicare rebate.

At your first appointment

At your first antenatal appointment, your obstetrician will check your health and identify any issues that could affect you or your baby.

They will probably offer you the first of many routine tests done in pregnancy. Some of these might be subsidised by Medicare. It's a good idea to ask about all the expected costs of your care.

You should also ask how the obstetrician plans to manage your antenatal care and the birth. If their approach and practices do not align with your preferences, you have the right to choose another obstetrician.

Your obstetrician can also help you make lifestyle changes that are good for your baby. Stopping smoking or drinking alcohol, for example, will help keep you and your baby healthy.

Your obstetrician's role in pregnancy

If you're getting your antenatal care at a public hospital, you will see an obstetrician only when you need to. You'll also see midwives. Women with high-risk pregnancies will probably see the obstetrician more often.

If you've chosen a private obstetrician, they will do your antenatal check-ups. The obstetrician will usually:

• check your baby's growth and position
• conduct or refer you for routine tests and checks
• help you prepare for labour and birth

Some obstetricians perform ultrasounds in their rooms.

Some private obstetricians also offer a 'shared care' arrangement, under which you split your appointments between your doctor (GP) or midwife and your obstetrician. This can be a less expensive option.

Your obstetrician's role during labour and birth

If you have an uncomplicated birth at a public hospital as a public patient, you probably won't need an obstetrician. But an obstetrician will be available to manage any complications or emergencies.

In a private hospital, your obstetrician may visit you during your labour, but you'll mostly be cared for by midwives. Your obstetrician will manage any complications and some interventions, and will attend the birth (or second stage of labour).

After the birth

If you have a private obstetrician, they will usually check on you before you leave the hospital.

They'll probably ask you to book an appointment with them for a check-up at 6 weeks after the birth. At this appointment, you'll also be able to discuss contraception and future pregnancies.

How much does an obstetrician cost?

If you need to see an obstetrician as a public patient, it will be covered by Medicare. If you are not covered by Medicare or by another arrangement, you'll need to pay the full cost.

If you see a private obstetrician, you will need to pay the difference (or 'gap') between any Medicare rebate and the obstetrician's fees, hospital costs and other expenses. Some of this might be covered by private health insurance, if you have it.

Obstetricians generally charge a pregnancy 'management fee' at 28 weeks' gestation. This is usually the highest fee component. They might charge you additional fees for antenatal consultations, the delivery and postnatal care. There may also be private hospital costs not covered by private health insurance.

After private health insurance rebates, the overall cost of an obstetrician, private hospital birth and postnatal care can range from $2,500 to $20,000. Without insurance, the cost can range from $9,000 to $30,000. The cost might be higher if you or your baby need special care or a long stay in hospital.

Where to seek help

• The Royal Australian and New Zealand College of Obstetricians and Gynaecologists service finder can help you locate your nearest obstetrician across Australia.
• You can also use the Pregnancy, Birth and Baby service finder.
• If you have any questions about your pregnancy, your health or the health of your baby and your obstetrician isn't available, you can call Pregnancy, Birth and Baby on 1800 882 436 to speak to a maternal child health nurse.

Sources:

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Last reviewed: January 2021

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Related pages

• Public versus private care during pregnancy
• Private health insurance and pregnancy
• What does a child health nurse do?
• What does your GP do in pregnancy care?
• What do midwives do?

Need more information?

Obstetricians: guide for expectant parents | Raising Children Network

Obstetricians care for mothers and babies during pregnancy and birth. You might see an obstetrician in private consulting rooms, a clinic or a hospital.

Read more on raisingchildren.net.au website