FAMILY MEDICINE MATERNITY CARE SERVICE
Overview | Our Patients | Maternity Care Statistics | Newborn Care | Centering Pregnancy | Advanced OB Track | Projects and Research |
Overview
Our Obstetrics Service is a Family Medicine run service. The service is strongly focused on teaching and all of our attendings are invested in both excellent resident education and exceptional patient care.
Our faculty is a combination of esteemed family medicine physicians and highly respected midwives. To learn more about our amazing maternity faculty, click here.
Midwife Jessie Bertsch is one of 5 core faculty who train residents in maternity care
Sage Hunt (PGY-2) points out the highlights on a bedside ultrasound in the Family Medicine Center
Claire Meikle (PGY-3) congratulates her primary care patient after delivering her baby
Wendy West (PGY-2) after delivering her newest patient
Samia Nandyal (PGY-2) performing bedside ultrasound in the Family Medicine Center
Midwife Michelle Zamudio is one of 5 core faculty who train residents in maternity care
Recent grad and palliative fellow Emily Furnish and Julie Lavey (PGY-2) celebrate another successful delivery
Catherine Lee (PGY-1) performing a vaginal delivery with midwife Michelle Zamudio and assisted by patient and baby’s PCP Berenitze Balladares (PGY-1).
David Strawhun (PGY-2) performs a biophysical profile
Enrique Ceppi (PGY-3, left) and Julie Lavey (PGY-2, right) laboring down with a patient and family
Midwife Jessie Bertsch after yet another successful delivery
Below are some photos of our maternity team after they delivered some of our very own residency babies:
Midwife Jackie Martin with Sophia, recent graduate Anna Schweikert’s first child.
Midwife Jackie Martin with recent graduate Julia Bedard-Thomas and wife Katie with their first of two babies that Jackie delivered. Also pictured former graduate Libby Beckman who also participated in their care.
Dr. Lazaron with former graduate Becky Yeager after Dr. Lazaron delivered her first child.
Midwife Michelle Zamudio with OBGYN partner Dr. Heidi after they helped deliver recent graduate Sarah Hollis’ twin boys.
Our Patients
We deliver for the following:
Our prenatal patients in the Family Medicine Center (FMC)
A secondary Christ hospital Prenatal Clinic
Patients referred to us for delivery from previous residency graduates
Patients referred to us from Crossroads FQHC
Kiyomi Daoud and Philomena Nwanze (both FMP PGY-2) bonding while on call for OB
Spouses Noemí Rico-Ceppi (PGY-2) and Enrique Ceppi (PGY-3) after delivering their second baby as a team!
Dr. Rosenthal, the director emeritus of our Maternity Care Service
“I believe that all women and their families should be able to experience competent, compassionate, patient focused, and evidence-based prenatal care.”
Posted with permission
We have a complex prenatal patient panel with many challenging social determinants of health. We care for patients with pre-gestational and gestational HTN, pre-gestational and gestational DM, obesity, history of preeclampsia, and much more. We perform VBACs with the support of our OB backup providers. When our patients have C-sections, we scrub in to assist the OB provider.
Catherine Lee (PGY-1, left) scrubbed in on a C-section
OUR MATERNITY CARE STATISTICS
Here are some statistics about our Awesome Maternity Care Team from 2018-2019 Data:
Our Primary C/S rate = 9.83% [ compared to 18.3% atTCH] {and in USA < 15%}
Episiotomy rate – 3.29% [ compared to 6.9% at TCH]
VBAC success rate – 44.4%
3rd/4th Degree Laceration rate – 2.90%
Neonatal transfers to NICU- none
Circumcision complications- none
Preterm deliveries- 6.4% (6.5% at TCH, 11.1% for Hamilton County and 10.4% for OH)
Residents at 2023 Advanced Life Support for Obstetrics training, led by core faculty from our maternity care service!
Newborn Care
Postpartum, our Maternity Care service also cares for the newborns who will be continuing their care after hospital discharge at our FMC office, at previous residency graduates offices, or at Crossroads FQHC. In many scenarios, we get to experience the full spectrum family medicine experience of caring for families before, during, and after this very special time for growing families.
Dr. Rosenthal, examining a newborn baby after delivery.
Dr. Lazaron examining a former resident’s newborn baby after delivery.
Dr. Rosenthal watching current resident, Emily Levinson’s, son, so she could see one of her continuity prenatal clinic patient’s in an evening clinic.
Centering Pregnancy
Although our maternity care service not a high volume service, the teaching is excellent, and we receive extensive prenatal care training. Throughout the 3 years residents will also have opportunities to participate in group prenatal care visits, called centering pregnancy. Those who are interested will have an opportunity to take on more of a leadership role and even enroll in centering pregnancy training courses.
Our 100th Centering Pregnancy Group Reunion Visit August 14, 2019
Advanced OB Track
For those who are interested in additional training, there is an optional advanced OB track, which provides opportunities for more high volume experiences in your second and third years, as well as a maternity care advisor. Out faculty are all ALSO (Advanced Life Support in Obstetrics) instructor certified and there is opportunity for interested residents to become ALSO instructor certified (see photos of residents and faculty at ALSO instructor course).
Projects and Research
Our maternity faculty and residents are often working together on projects and research. We recently received a grant to train all residents in CBT-i (Cognitive behavioral therapy for insomnia in pregnancy). We also have many residents and faculty working with Cradle Cincinnati and All Children Thrive on projects to decrease maternal and infant mortality in Cincinnati, including projects to increase smoking cessation during pregnancy and improve breastfeeding support, among others. Led by our maternity care faculty several residents have participated in the Smoke Free For Me efforts with Cradle Cincinnati and over the last 5 years the city has seen a 19% improvement in reported smoking rates by women in the 2nd and 3rd trimesters!