Prenatal Care and Delivery

prenatal careDr. Raleigh Unterseher, founder of Esplanade Women’s Care, believes that pregnancy is a normal, healthy process and that childbirth is an event, not just a procedure. Our role in your care is to promote wellness and be responsible for your education, support, self-care and proper health screenings to monitor your health and the health of your growing baby.

During pregnancy, regular checkups by Dr. Unterseher are vital. This consistent care is provided to keep you and your baby healthy, identify potential problems, and prevent complications during delivery.

Routine checkups typically occur:

  • 1X per month for weeks 4 through 28;
  • 2X per month for weeks 28 through 36;
  • Each week for weeks 36 to birth.


Women who were identified as having a high risk pregnancy will need to see Dr. Unterseher more often.

We encourage patients to call our office as soon as their pregnancy test is positive. Dr. Unterseher likes to see his newly pregnant patients between their sixth and seventh week of pregnancy. That way, an early ultrasound can be performed in his office with state-of-the-art ultrasound equipment, enabling Dr. Unterseher to diagnose problems early so patients can avoid the long waits and expense of urgent cares and emergency rooms. After establishing the presence of a normal pregnancy and accurate due date, your second examination with Dr. Unterseher will be between your 10th to 12th week of pregnancy. He will perform a full physical exam, perform a pelvic exam and Pap smear if needed, and give you lab slips. During this visit, Dr. Unterseher will also discuss your health habits and lifestyle and what impact they may have on your pregnancy. It is very important to be completely honest during these discussions!

Subsequent prenatal visits will entail:

  • blood pressure and weight checks.
  • listening to the baby’s heart.
  • taking a measurement of your abdomen to monitor your baby’s growth.


Dr. Unterseher encourages his pregnant patients to consider participating in the California State AFP screening program for unsuspected birth defects. If you choose to participate in that screening program, an additional blood test will be performed at about 15 to 16 weeks gestation. Another set of routine lab work will be requested between your 26 and 28 week of pregnancy to screen for anemia and gestational diabetes. Dr. Unterseher has extensive experience in prenatal ultrasound and has state-of-the-art ultrasound equipment capable of 4D imaging. He routinely performs an ultrasound at the initial pregnancy verification visit and recommends a follow-up ultrasound at about 20 to 22 weeks gestation. This is an ideal time in pregnancy to review the anatomy of your baby and determine the gender if you want to know. On occasion Dr. Unterseher will advise ultrasound consultation with a perinatologist. Additional tests are sometimes performed based on your age, health history, and family history or ethnic background.

Dr. Unterseher encourages each patient to create a partnership with him to best manage their care. He encourages his pregnant patients to keep every appointment because each one is important. The staff at Esplanade Women’s Care understand that emergencies and schedule changes will occur and kindly requests at least a 24-hour notice if possible if the scheduled appointment will be missed.

If you are interested in more information regarding prenatal care and delivery and are in need of an experienced, reputable, and personable OBGYN, we encourage you to call our professional and caring staff at Esplanade Women’s Care under the direction of Dr. Raleigh Unterseher.

Don’t wait – call us today at (530) 332-9288 to schedule your confidential consultation.

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