Frequently Asked Questions
Pregnancy
-
Your next appointment will be booked at the front desk after each visit. Up to 28 weeks of pregnancy, appointments are typically scheduled every four weeks. From 28–36 weeks, visits occur every two weeks, and after 36 weeks, appointments are scheduled weekly until delivery.
After you and your baby are discharged from hospital, please call as soon as you return home to book a follow-up appointment for both of you within one week at the clinic where you received your prenatal care.
If you need to cancel or reschedule an appointment, we ask that you provide advance notice whenever possible.
-
In most pregnancies, exercise is encouraged and can provide many health benefits. Certain conditions—such as vaginal bleeding or risk of preterm labour—may require activity restrictions. Please speak with your provider and visit our Patient Resources page for pregnancy-safe exercise recommendations.
-
Initial lab work is arranged after your intake appointment with our prenatal nurse. This typically includes a complete blood count, iron levels, thyroid function, blood type, and infectious disease screening. This will include a blood and urine sample. Optional blood tests for prenatal genetic screening will also be discussed so you can decide what is right for you.
Between 24–28 weeks, another set of blood tests are completed, including screening for gestational diabetes. Additional investigations may be recommended in certain situations and will be reviewed with you by your physician.
-
Most pregnancies include two routine ultrasounds:
First ultrasound (dating scan): This is arranged after referral to our program, before your first appointment, and is ideally completed between 10–12 weeks to confirm your due date.
Second ultrasound (anatomy scan): Performed around 18–20 weeks, this detailed scan assesses your baby’s growth and development, including the brain, heart, spine, limbs, and organs, as well as the placenta, amniotic fluid, and cervix. The baby’s sex may often be identified if desired.
Both ultrasounds require a full bladder. You will be asked to drink approximately 1 litre of fluid and finish one hour before your appointment. During the scan, a sonographer uses a probe with gel on your abdomen to obtain images.
-
Yes. If you wish to find out the baby’s sex, please let the ultrasound technician know at the time of your anatomy scan. This information may be included in your report and, in some cases, shared with you during the ultrasound appointment. You may also choose to learn the baby’s sex earlier through self-pay non-invasive prenatal testing (NIPT), which can be done from around 10 weeks.
-
Vaccination during pregnancy is recommended to help protect both you and your baby. Recommended vaccines may include influenza (flu), COVID-19, pertussis (whooping cough/Tdap), and RSV.
-
Our maternity physicians are experienced in managing many pregnancy-related concerns and complications. When needed, we work closely with local and regional obstetrical specialists to ensure comprehensive care. This may include additional blood tests, ultrasounds, monitoring, or delivery planning, all of which will be discussed with you.
-
If you are diagnosed with gestational diabetes, you will be referred to the Vernon Diabetes Clinic. There, you will meet with a dietitian, nurse, and physician and receive education on nutrition, physical activity, and blood sugar monitoring.
In most cases, gestational diabetes can be managed with diet and exercise alone. If medication is required, this will be discussed and managed in collaboration with the Diabetes Clinic team.
-
Group B Streptococcus (GBS) is a common bacterium found in the vaginal and rectal area of approximately 25–30% of women. It usually does not cause symptoms or health concerns for the pregnant person, but it can pose a risk to the baby during labour or after the membranes rupture.
For this reason, a vaginal-rectal swab is performed around 36 weeks of pregnancy (or sooner, if you're at risk of delivering early). If the test is positive, antibiotics are given intravenously during labour to significantly reduce the risk of infection for the baby. This will be discussed with you at your appointment.
-
A membrane sweep, sometimes called a “stretch and sweep,” is a procedure that may be offered late in pregnancy to help encourage labour to start naturally. During a vaginal exam, the provider gently sweeps a finger between the cervix and the membranes surrounding the baby, which can stimulate the release of natural hormones (prostaglandins) that may help soften the cervix and trigger labour.
Membrane sweeps are typically offered around or after your due date and are optional. They can cause some discomfort, cramping, or light bleeding afterward. Your provider will discuss the potential benefits and risks with you so you can decide whether this is something you would like.
Labour & Birth
-
Orchard Maternity Vernon and the Centreville Clinic share a call group to provide continuous maternity care. This means the physician who delivers your baby will depend on who is on call at the time of your labour.
Our call group includes:
Dr. Randy Dhaliwal, Dr. Michelle Hanbidge, Dr. Jane Hofer, Dr. Jeff Kwantes, Dr. Lindsay Kwantes, Dr. Brett Poulin, Dr. Shannon Rourke, Dr. Andy Spencer, and Dr. Emily Stevenson.Since on-call responsibilities are shared, we cannot guarantee a specific provider for your delivery. However, all physicians in our group share the same patient-centred philosophy and are committed to safe, respectful, and individualized care. We aim to listen closely to your preferences and involve you in decision-making throughout labour.
All members of our team maintain current obstetrical and neonatal resuscitation training, so you can feel confident that you and your baby will be well cared for by whichever provider attends your birth.
-
If you think your water has broken, you should be assessed by a physician. We recommend going directly to the Vernon Jubilee Hospital maternity ward, where you and your baby will be evaluated.
If your membranes have ruptured, the physician will review your options with you and develop a plan together based on your individual circumstances.
-
A common guideline for coming to hospital is the 5-1-1 rule: contractions are coming every 5 minutes, lasting 1 minute each, and this pattern has continued for at least 1 hour, which often signals active labour.
If you feel you need support with pain management, you should come to the hospital. If you are unsure whether it is time to come in, you can call Vernon Jubilee Hospital Women and Children’s Health Services at (250) 558-1213 to speak with a triage nurse, who can help guide you.
-
We encourage you to bring your support people with you during labour. Having one or two trusted support people present can be very helpful during the birthing process.
-
We aim to help make your labour as manageable as possible. Non-medication options such as showers, baths, movement, position changes, and breathing techniques can be used both at home and in hospital.
Medication options during labour include nitrous oxide (“laughing gas”), morphine injections, intravenous fentanyl, and epidural anesthesia. Epidurals are a safe and effective option provided by the anesthesiologist on call. If you request an epidural, the physician caring for you will arrange this.
-
An episiotomy is an incision made near the vaginal opening to help facilitate delivery. Routine episiotomies are not performed, as evidence shows that allowing the tissues to stretch naturally often results in better healing.
In certain situations, an episiotomy may be recommended for safety reasons. If this becomes necessary, it will be discussed with you beforehand whenever possible.
-
Most babies are born without the need for assisted delivery. Occasionally, a vacuum device or forceps may be used during the pushing stage, typically if there are concerns about the baby’s heart rate or if progress has slowed.
These tools are only used when the baby is very close to being born and after discussion with you about the reasons and risks.
-
Approximately one in three babies is delivered by caesarean section. Common reasons include breech presentation, labour not progressing, or concerns about the baby’s heart rate during labour.
In most cases, this decision is not made until labour is well underway. Whenever possible, decisions are made collaboratively with you. If a caesarean section is needed, it will be performed by the obstetrician on call, with support from our team.
-
You are welcome to create a birth plan if you wish, though it’s important to remember that labour can be unpredictable. Discussing your preferences with your provider during prenatal visits is often the most helpful preparation.
Prenatal classes can also help address questions and reduce anxiety about labour and delivery. During labour, we will do our best to clearly explain your options so you can be involved in decision-making. While many people do not have a written birth plan, templates are available in our Patient Resources if you choose to create one.
-
Many people wonder whether a vaginal birth after caesarean (VBAC) is an option. Most individuals with a prior caesarean are able to attempt a vaginal birth, and only a small number will require a repeat caesarean for medical reasons.
Both VBAC and planned repeat caesarean can be safe options, depending on your medical history and preferences. Your maternity provider will refer you to an obstetrician during pregnancy to discuss the benefits and risks of each approach.
My Next Birth is a decision-making tool developed by Perinatal Services BC to help you understand your options after a caesarean and support shared decision-making with your care team.
I'm Worried
-
After 26 weeks of pregnancy, most babies should move at least 6 times within a 2-hour period. Feeling your baby move regularly each day is an important sign of well-being.
If you are concerned about your baby’s movements, try having a small snack and something to drink, then lie down and place your hand on your belly to focus on movement. If you still do not feel at least 6 movements within 2 hours, please go to Vernon Jubilee Hospital Women & Children’s Health Services (4th floor) for assessment. Do not wait or delay seeking care if movement feels reduced.
Click here for an app to help you track your baby’s movements.
-
If you experience vaginal bleeding during clinic hours, please contact the clinic where you receive your prenatal care and we will arrange an assessment. If bleeding occurs after hours, go to Vernon Jubilee Hospital.
If you are more than 20 weeks pregnant, please go directly to Women & Children’s Health Services (4th floor) after registering in the Emergency Department. Vaginal bleeding can have many causes, including threatened miscarriage or placental concerns, and should always be assessed.
If your blood type is Rh-negative, you may require an injection following bleeding. This will be discussed with you at the time of assessment.
-
Many healthy pregnancies continue beyond the due date, and this is very common. If labour does not start on its own, we may recommend additional monitoring to check your baby’s well-being.
For most pregnancies, induction of labour is planned 7–10 days after the due date. This will be discussed with you during your office visits and, if needed, arranged at Vernon Jubilee Hospital.
Urgent Concerns
-
If you need urgent assessment during clinic hours, please call the clinic where you receive your maternity care. We will speak with you directly and arrange to see you in clinic or at Vernon Jubilee Hospital as needed.
-
Less than 20 weeks pregnant: Call 8-1-1 (HealthLink BC) to speak with a registered nurse, or visit the emergency department at your nearest hospital.
20 weeks pregnant or more: If you have an urgent concern or feel you need to be seen, call Vernon Jubilee Hospital Women & Children’s Health Services at (250) 558-1213 to speak with a triage nurse. They will provide guidance and ask you to come in for assessment if needed.
Questions About Baby
-
After your baby is born, there are a few routine practices that help support newborn health:
Delayed cord clamping: All our care providers support waiting at least 1-2 minutes before clamping and cutting the umbilical cord. This allows additional blood to flow from the placenta to your baby, which can improve iron stores and support early development. In some situations, immediate cord clamping may be necessary for medical reasons.
Vitamin K: Newborns are born with low levels of vitamin K, which is essential for normal blood clotting. A single vitamin K injection given shortly after birth greatly reduces the risk of serious bleeding in the first weeks of life and is recommended for all newborns.
Erythromycin eye ointment: Erythromycin eye ointment is no longer routinely recommended for all newborns. It may be offered if there are specific risk factors for eye infection, such as certain maternal infections or limited prenatal screening. Your care team will review whether this is recommended for your baby and discuss it with you.
If you have questions or preferences about any of these newborn practices, we encourage you to discuss them with your care provider as part of your birth planning.
-
We know breastfeeding can be overwhelming or stressful if things aren’t going as smoothly as hoped. Many parents benefit from extra support, and our Patient Resources page includes a list of local and regional breastfeeding resources. Please don’t hesitate to talk with your doctor or nurse if you are struggling—we are here to help you find the support you need.
-
Many new parents worry about whether their baby is getting enough milk, especially in the early days and weeks. This resource helps you understand the signs to look for—such as feeding patterns, diaper output, and weight gain—so you can feel more confident about how your baby is feeding.
-
We do not routinely recommend or perform circumcision, as it is generally not medically necessary. If you have questions about circumcision, please bring them up during a prenatal appointment.
Circumcision is offered privately if you choose it:
Dr. Friesen at the Centreville Clinic performs circumcisions, usually within the first two weeks after birth. Please contact clinic staff for more information: 250-549-1245.
Depending on your needs, the Gentle Procedures Clinic in Kelowna also provides circumcision services.
Patient Resources
Check out our whole library of patient resources to help support you through your pregnancy and postpartum journey