Obstetrics
Our Philosophy
Written by Megan Tegtmeyer
Frisco Women's Health and Team Philosophy
So why would you want to select Jonathan Weinstein, M.D., F.A.C.O.G. and more importantly the Frisco Womens Health family: Dottie Wilson, office manager, Nydia Arriaga, my nurse and Kamry Nordyke, our receptionist, to take care of you for nine months and hopefully for years to come?
Frisco Womens Health is a unique practice, drawing upon all the things I love about being an Ob-Gyn doctor. It starts with building a strong physician-patient relationship by providing continuity of care, from your first visit through your baby’s delivery. The entire office works to insure your satisfaction with the services provided and my Internal Medicine experience allows me to treat just about any problem a woman may otherwise go to an Urgent Care Center for. After years of doing 20-30 deliveries a month, not being able to remember every OB patient’s name and their family, I decided a change was in order. I just did not feel like I was treating the whole patient in a 15 minute visit.
Proven Low Cesarean Rate
As your physician I am here to educate you about your choices so you can make informed decisions. I am a strong proponent of vaginal deliveries, and am very patient during labor, giving you the maximum opportunity to reach that goal. I respect a women’s right to choose to have an elective Cesarean Section and like any procedure, I explain all the risks and benefits. My Cesarean Section rate is well below the national average, making me a minority in a community where many physicians having a greater than 50% Cesarean Section rate and near 100% induction of labor rate. I do not induce my patients for my convenience, as induction significantly increases your risk of Cesarean, but if you desire to be induced I will explain the risks and benefits, so I know you have made an informed decision.
Vaginal Birth after Cesarean Section
The major change that for many years has been disheartening is the ever-increasing Cesarean Section (C/S) rate. As physicians, we are trained to do no harm yet in the United States the rate of C/S has topped 30%. Locally the C/S rate is closer to 50-60%, with some physicians and patients even suggesting a C/S is better for the mom and baby.
Despite all our advances in the use of electronic fetal monitoring, and the increased number of C/S’s, the newborn illness and death rate has not improved at all. In essence, we are doing surgery with the mindset we are helping the mother and baby but in fact, we have done more harm. All these extra C/S’s has actually increased maternal illness and death rates.
Cesarean Section has three times the blood loss of a vaginal delivery. By opening up the mom to deliver the baby you, increase scarring, internal injuries, recovery time, affect maternal-infant bonding, decrease breast milk production due to pain and results in a much higher risk of complications and pain for current and future deliveries.
When I was a resident, we offered most patients the options of Vaginal Birth After C/S (VBAC), whether it was one or two previous C/S. We watched the patient carefully, learned what to look for and amazingly, 70-80% of those patients delivered vaginally with no more risk to the child.
If a physician tells you something like, ‘External Cephalic Version or Vaginal Birth after Cesarean Section (VBAC) is unsafe’ they are not being truthful. Either they are not trained in the procedure, believe they know more than the experts or are just are not interested in being inconvenienced, as Cesarean Section pays more and only takes 30 minutes to perform.
In July 2004, the American College of Obstetrics and Gynecology (ACOG) came out with a position paper placing very strict guidelines on VBAC. In August 2010, ACOG came full circle reassessing the data over the last decade and realizing we need to be offering VBAC’s to anyone who has been educated to the risks and gives informed consent. In reality, I believe the initial reaction to placing stricter criteria on VBAC was a result of physicians being over aggressive with induction and cervical ripening agents. You just do not force out a baby when the mother has a scar on their uterus. It makes no sense and just gets you in trouble.
I have stood by what I learned twelve years ago in Galveston and built on that knowledge by joining a twelve-person group right out of training all of whom brought their unique surgical and medical knowledge to the practice of OB/GYN. By liste ning to others and being open to new medical techniques, I have become a better physician. As a result, I have helped many moms experience the joy of a normal spontaneous vaginal delivery. I am grateful for the superb residency training I received at the University Of Texas School Of Medicine at Galveston. Eleven of the most well respected Maternal Fetal Medicine (High Risk OB) physicians in America trained me, and are among the leaders in providing evidence based medical decision making, though their research.
Please feel free read my article, “How to Avoid a Cesarean Section,” for tips on how to avoid unnecessary surgery.
Patient Transfer Information
We accept OB patients at any time during the pregnancy; we have had patients transfer care to our office as late as one week before they are due. These patients are generally unhappy with their current doctor’s sudden desire to induce them, their inability to perform an External Cephalic Version at 36 weeks or their sudden change in your delivery plan; for example, they no longer feel you are a good candidate for a Vaginal Birth after Cesarean Section or they suddenly think you should be induced despite the fact they can provide no medical reason. We have had patients who were scheduled for a Cesarean Section on Tuesday by another doctor, then deliver vaginally with me on the following Friday. If you are over 20 weeks pregnant with no prenatal care we will gladly see you if you have had an ultrasound, otherwise I will review your situation on a case-by-case basis.
If you are interested in becoming a part of the Frisco Women's Health family, just give us a call we will be happy to answer any additional questions you may have and schedule an appointment. Congratulations on your pregnancy, we look forward to meeting you!
Cord Blood Info in Dallas Texas
Last Updated on Friday, 30 September 2011
Written by Megan Tegtmeyer
Tuesday, 27 September 2011
Having a Baby in Frisco TX
Last Updated on Tuesday, 27 December 2011
Written by Administrator
Wednesday, 04 May 2011
In Frisco, women have an abundance of choices for whom to select as their OB/GYN and at which hospital they wish to deliver. The right combination will help make sure your birth experience is the most memorable it can be. Please feel free to check out Frisco Women's Health Newly Released
Pregnancy and Delivery FAQs.
Obstetrics in Frisco, TX
Frisco Women's Health Obstetric Services
OBSTETRICS…THE WAY IT WAS MEANT TO BE!
Frisco Womens Health provides a full range of high and low risk Obstetrics care, advanced maternal age, twins, patients with the full gamut of pre-existing medical problems from diabetes, to high blood pressure and everything in between. We have the same electronic fetal monitoring and ultrasound technology as any hospital would have but more importantly, everyone who works in the office really cares about you and your growing family.
External Cephalic Version
I practice according to the American College of Obstetrics and Gynecology (ACOG) practice guidelines, developed by experts in the field. I can perform an External Cephalic Version (ECV) at 36 weeks if your baby is breech; this will move the head down. External Cephalic Version is a very safe procedure, despite what other doctors may tell you. I have a success rate near 80%. If your doctor is waiting beyond 36 weeks pregnant, it will be too late. The baby will be too low in the pelvis and the amniotic fluid will be much lower, making it less likely to be successful.
Forceps Delivery
I learned techniques such as External Cephalic Version, Forceps Delivery and letting the baby ride down on its own. Along with the importance of listening to the patient, the labor and delivery nurse, and why vacuum assisted vaginal deliveries are far more dangerous than almost anything else in the practice of Obstetrics, but this is a discussion for another time. All of this knowledge along with patience has kept my Cesarean Section rate well below the national average and kept me out of trouble.
Natural Childbirth
You will find me to be a straight shooter. I will not lie to you, bend the truth, do any unnecessary testing and always try to give you options. I have quite a few patients that choose to have Natural Childbirth and at times, they hire a doula (a layperson that is a birth facilitator) who assists you in your goal of natural childbirth. I often get the same Labor and Delivery nurses to take care of my patients, as they are more supportive in reaching that goal.
Painless Labor & Delivery
For those who choose an epidural in labor, you can rest easy, as I do not like to see people in discomfort so if you choose epidural for labor there is no set number of centimeters dilated you have to reach to receive one, you just have to demonstrate that you are dilating. As a man, I greatly admire a women’s ability to go through childbirth. I know that if men were responsible for procreation, our society would be extinct!
Vaginal Birth After Cesarean
The major change that for many years has been disheartening is the ever-increasing Cesarean Section (C/S) rate. As physicians, we are trained to do no harm yet in the United States the rate of C/S has topped 30%. Locally the C/S rate is closer to 50-60%, with some physicians and patients even suggesting a C/S is better for the mom and baby.
Advanced Maternal Age
For physicians and patients it simply means that you will be thirty-five or older when you deliver. Why 35 years old? Remember as women put off childbearing to establish their own careers, it is now more common to deliver babies for women who are well into their forties. 35 is the long established age where the risk of miscarriage from an amniocentesis became higher than the risk of actually having a baby with a chromosome abnormality, like Down's syndrome. Nowadays the risk of amniocentesis is minuscule as it is all done under precise ultrasound guidance.
Do not let anyone tell you; "You are too old to have a baby," this is just not true. I have delivered many women in their mid-forties, some having their first child! This could easily be you. We just need to sit down and make a procreative management plan to insure a healthy pregnancy and birth.
Perinatologist
As my patient, you can expect to be treated with the same dignity and compassion, as I would provide my own wife. I am comfortable taking care of high risk patients, know when the assistance of a Perinatologist (obstetrician with three years additional training who performs detailed ultrasounds and genetic testing/screening) is required and do everything needed to ensure your pregnancy, labor and delivery go well. I have no problem with twin vaginal deliveries as long as the first baby is head down. I take care of a number of patients with pre-existing medical problems like diabetes, high blood pressure, lupus, recurrent miscarriages and difficulty with conception.
I recommend at least one visit to a Perinatologist, to perform a detailed, Level II anatomy scan because ultrasounds are what they do all day, making them experts in detecting birth defects. I do perform ultrasounds and fetal testing in the office and have a 32-inch plasma screen television so everyone in the room can see.
Meet the Team!
"My office staff is amazing; they are kind, compassionate, are all mothers themselves and are very diligent people. You will never get voicemail when calling the office during office hours, always a warm friendly person. We have an incredible medical record system that will notify you by phone, text, or email of all the tests done through our office. You may view and print your results through our online patient portal. There will never be a situation where we would tell you “all your labs are normal” without you having access to the results yourself. This ensures no test results are ever missed. Messages are attached to each individual result so you will know if you are required to get extra testing done or if medication is waiting at the pharmacy for pick up. We prefer to be contacted through the patient portal as it avoids phone tag. You will receive an automated reminder of all your visits and have the opportunity to reschedule via live operator at the time of your reminder call."
-Dr. Jonathan Weinstein
Our Philosophy
Written by Megan Tegtmeyer
Frisco Women's Health and Team Philosophy
So why would you want to select Jonathan Weinstein, M.D., F.A.C.O.G. and more importantly the Frisco Womens Health family: Dottie Wilson, office manager, Nydia Arriaga, my nurse and Kamry Nordyke, our receptionist, to take care of you for nine months and hopefully for years to come?
Frisco Womens Health is a unique practice, drawing upon all the things I love about being an Ob-Gyn doctor. It starts with building a strong physician-patient relationship by providing continuity of care, from your first visit through your baby’s delivery. The entire office works to insure your satisfaction with the services provided and my Internal Medicine experience allows me to treat just about any problem a woman may otherwise go to an Urgent Care Center for. After years of doing 20-30 deliveries a month, not being able to remember every OB patient’s name and their family, I decided a change was in order. I just did not feel like I was treating the whole patient in a 15 minute visit.
Proven Low Cesarean Rate
As your physician I am here to educate you about your choices so you can make informed decisions. I am a strong proponent of vaginal deliveries, and am very patient during labor, giving you the maximum opportunity to reach that goal. I respect a women’s right to choose to have an elective Cesarean Section and like any procedure, I explain all the risks and benefits. My Cesarean Section rate is well below the national average, making me a minority in a community where many physicians having a greater than 50% Cesarean Section rate and near 100% induction of labor rate. I do not induce my patients for my convenience, as induction significantly increases your risk of Cesarean, but if you desire to be induced I will explain the risks and benefits, so I know you have made an informed decision.
Vaginal Birth after Cesarean Section
The major change that for many years has been disheartening is the ever-increasing Cesarean Section (C/S) rate. As physicians, we are trained to do no harm yet in the United States the rate of C/S has topped 30%. Locally the C/S rate is closer to 50-60%, with some physicians and patients even suggesting a C/S is better for the mom and baby.
Despite all our advances in the use of electronic fetal monitoring, and the increased number of C/S’s, the newborn illness and death rate has not improved at all. In essence, we are doing surgery with the mindset we are helping the mother and baby but in fact, we have done more harm. All these extra C/S’s has actually increased maternal illness and death rates.
Cesarean Section has three times the blood loss of a vaginal delivery. By opening up the mom to deliver the baby you, increase scarring, internal injuries, recovery time, affect maternal-infant bonding, decrease breast milk production due to pain and results in a much higher risk of complications and pain for current and future deliveries.
When I was a resident, we offered most patients the options of Vaginal Birth After C/S (VBAC), whether it was one or two previous C/S. We watched the patient carefully, learned what to look for and amazingly, 70-80% of those patients delivered vaginally with no more risk to the child.
If a physician tells you something like, ‘External Cephalic Version or Vaginal Birth after Cesarean Section (VBAC) is unsafe’ they are not being truthful. Either they are not trained in the procedure, believe they know more than the experts or are just are not interested in being inconvenienced, as Cesarean Section pays more and only takes 30 minutes to perform.
In July 2004, the American College of Obstetrics and Gynecology (ACOG) came out with a position paper placing very strict guidelines on VBAC. In August 2010, ACOG came full circle reassessing the data over the last decade and realizing we need to be offering VBAC’s to anyone who has been educated to the risks and gives informed consent. In reality, I believe the initial reaction to placing stricter criteria on VBAC was a result of physicians being over aggressive with induction and cervical ripening agents. You just do not force out a baby when the mother has a scar on their uterus. It makes no sense and just gets you in trouble.
I have stood by what I learned twelve years ago in Galveston and built on that knowledge by joining a twelve-person group right out of training all of whom brought their unique surgical and medical knowledge to the practice of OB/GYN. By liste ning to others and being open to new medical techniques, I have become a better physician. As a result, I have helped many moms experience the joy of a normal spontaneous vaginal delivery. I am grateful for the superb residency training I received at the University Of Texas School Of Medicine at Galveston. Eleven of the most well respected Maternal Fetal Medicine (High Risk OB) physicians in America trained me, and are among the leaders in providing evidence based medical decision making, though their research.
Please feel free read my article, “How to Avoid a Cesarean Section,” for tips on how to avoid unnecessary surgery.
Patient Transfer Information
We accept OB patients at any time during the pregnancy; we have had patients transfer care to our office as late as one week before they are due. These patients are generally unhappy with their current doctor’s sudden desire to induce them, their inability to perform an External Cephalic Version at 36 weeks or their sudden change in your delivery plan; for example, they no longer feel you are a good candidate for a Vaginal Birth after Cesarean Section or they suddenly think you should be induced despite the fact they can provide no medical reason. We have had patients who were scheduled for a Cesarean Section on Tuesday by another doctor, then deliver vaginally with me on the following Friday. If you are over 20 weeks pregnant with no prenatal care we will gladly see you if you have had an ultrasound, otherwise I will review your situation on a case-by-case basis.
If you are interested in becoming a part of the Frisco Women's Health family, just give us a call we will be happy to answer any additional questions you may have and schedule an appointment. Congratulations on your pregnancy, we look forward to meeting you!
Cord Blood Info in Dallas Texas
Last Updated on Friday, 30 September 2011 Written by Megan Tegtmeyer Tuesday, 27 September 2011
Having a Baby in Frisco TX
Last Updated on Tuesday, 27 December 2011 Written by Administrator Wednesday, 04 May 2011
In Frisco, women have an abundance of choices for whom to select as their OB/GYN and at which hospital they wish to deliver. The right combination will help make sure your birth experience is the most memorable it can be. Please feel free to check out Frisco Women's Health Newly Released
Pregnancy and Delivery FAQs.
Obstetrics in Frisco, TX
Frisco Women's Health Obstetric Services
OBSTETRICS…THE WAY IT WAS MEANT TO BE!
Frisco Womens Health provides a full range of high and low risk Obstetrics care, advanced maternal age, twins, patients with the full gamut of pre-existing medical problems from diabetes, to high blood pressure and everything in between. We have the same electronic fetal monitoring and ultrasound technology as any hospital would have but more importantly, everyone who works in the office really cares about you and your growing family.
External Cephalic Version
I practice according to the American College of Obstetrics and Gynecology (ACOG) practice guidelines, developed by experts in the field. I can perform an External Cephalic Version (ECV) at 36 weeks if your baby is breech; this will move the head down. External Cephalic Version is a very safe procedure, despite what other doctors may tell you. I have a success rate near 80%. If your doctor is waiting beyond 36 weeks pregnant, it will be too late. The baby will be too low in the pelvis and the amniotic fluid will be much lower, making it less likely to be successful.
Forceps Delivery
I learned techniques such as External Cephalic Version, Forceps Delivery and letting the baby ride down on its own. Along with the importance of listening to the patient, the labor and delivery nurse, and why vacuum assisted vaginal deliveries are far more dangerous than almost anything else in the practice of Obstetrics, but this is a discussion for another time. All of this knowledge along with patience has kept my Cesarean Section rate well below the national average and kept me out of trouble.
Natural Childbirth
You will find me to be a straight shooter. I will not lie to you, bend the truth, do any unnecessary testing and always try to give you options. I have quite a few patients that choose to have Natural Childbirth and at times, they hire a doula (a layperson that is a birth facilitator) who assists you in your goal of natural childbirth. I often get the same Labor and Delivery nurses to take care of my patients, as they are more supportive in reaching that goal.
Painless Labor & Delivery
For those who choose an epidural in labor, you can rest easy, as I do not like to see people in discomfort so if you choose epidural for labor there is no set number of centimeters dilated you have to reach to receive one, you just have to demonstrate that you are dilating. As a man, I greatly admire a women’s ability to go through childbirth. I know that if men were responsible for procreation, our society would be extinct!
Vaginal Birth After Cesarean
The major change that for many years has been disheartening is the ever-increasing Cesarean Section (C/S) rate. As physicians, we are trained to do no harm yet in the United States the rate of C/S has topped 30%. Locally the C/S rate is closer to 50-60%, with some physicians and patients even suggesting a C/S is better for the mom and baby.
Advanced Maternal Age
For physicians and patients it simply means that you will be thirty-five or older when you deliver. Why 35 years old? Remember as women put off childbearing to establish their own careers, it is now more common to deliver babies for women who are well into their forties. 35 is the long established age where the risk of miscarriage from an amniocentesis became higher than the risk of actually having a baby with a chromosome abnormality, like Down's syndrome. Nowadays the risk of amniocentesis is minuscule as it is all done under precise ultrasound guidance.
Do not let anyone tell you; "You are too old to have a baby," this is just not true. I have delivered many women in their mid-forties, some having their first child! This could easily be you. We just need to sit down and make a procreative management plan to insure a healthy pregnancy and birth.
Perinatologist
As my patient, you can expect to be treated with the same dignity and compassion, as I would provide my own wife. I am comfortable taking care of high risk patients, know when the assistance of a Perinatologist (obstetrician with three years additional training who performs detailed ultrasounds and genetic testing/screening) is required and do everything needed to ensure your pregnancy, labor and delivery go well. I have no problem with twin vaginal deliveries as long as the first baby is head down. I take care of a number of patients with pre-existing medical problems like diabetes, high blood pressure, lupus, recurrent miscarriages and difficulty with conception.
I recommend at least one visit to a Perinatologist, to perform a detailed, Level II anatomy scan because ultrasounds are what they do all day, making them experts in detecting birth defects. I do perform ultrasounds and fetal testing in the office and have a 32-inch plasma screen television so everyone in the room can see.
Meet the Team!
"My office staff is amazing; they are kind, compassionate, are all mothers themselves and are very diligent people. You will never get voicemail when calling the office during office hours, always a warm friendly person. We have an incredible medical record system that will notify you by phone, text, or email of all the tests done through our office. You may view and print your results through our online patient portal. There will never be a situation where we would tell you “all your labs are normal” without you having access to the results yourself. This ensures no test results are ever missed. Messages are attached to each individual result so you will know if you are required to get extra testing done or if medication is waiting at the pharmacy for pick up. We prefer to be contacted through the patient portal as it avoids phone tag. You will receive an automated reminder of all your visits and have the opportunity to reschedule via live operator at the time of your reminder call."
-Dr. Jonathan Weinstein
Avoid a C-Section
Dr. Weinstein's approach to women's health allows him to have one of they lowest Cesarean Section rates in the area. If you have been told you need a c-section and you want to avoid one, seek a second opinion from Dr. Weinstein. read more
Pregnancy FAQ
Check out the latest Dr. Weinstein's Must Know Pregnancy FAQ here!
Pregnancy issues; insomnia, pain, blood pressure, delivery info and more...
