Welcome to Reply Obstetrics!

At Reply, we are committed to providing patient-centered obstetric care. Our services feature CenteringPregnancy® group prenatal care, and our team are expert in providing obstetric services including for most kinds of high-risk pregnancies. Labor and delivery are provided at UNC Medical Center in Chapel Hill. Our obstetric services include:

• Pregnancy Evaluation

If you have not already had a normal ultrasound, we recommend scheduling an appointment to confirm your pregnancy around the 7-9th week of your pregnancy. However, we are happy to see you sooner, especially if you:
— have an existing medical condition
— have had prior problems with pregnancy
— have certain symptoms such as vaginal bleeding, abdominal pain, or severe nausea/vomiting

• Prenatal Care

Once you have had a normal ultrasound during the first trimester, you will begin routine prenatal visits with a Reply provider (physician or midwife). During prenatal care visits, we will monitor your health and the health of your developing baby. We usually begin monthly visits starting around 10-12 weeks of pregnancy, with more frequent visits as your pregnancy moves into the third trimester.

Reply features CenteringPregnancy, a unique group prenatal program that we highly recommend for most of our patients. Women with high risk pregnancies may need traditional one-on-one visits for their prenatal care.

• CenteringPregnancy

CenteringPregnancy, also known as Centering, is an innovative care model that delivers prenatal care to pregnant women/couples in a group setting. Groups of 6-12 women/couples, who are expecting within 4-6 weeks of each other, meet for 2-hour sessions instead of traditional 15-minute one-on-one visits.

In each session, women have an individual exam and discussion with their provider. However, the bulk of the appointment is a provider-led discussion focusing on topics of interest to all pregnant women. Centering allows our clinicians to provide much more education than is possible in traditional visits. It also creates a peer support system that women love. Most importantly, Centering results in better birth and pregnancy outcomes for women, and a higher level of patient satisfaction than standard prenatal care.

• Pregnancy Ultrasound

Obstetric ultrasound uses sound waves to produce pictures of the developing baby (embryo or fetus) within a pregnant woman, as well as images of the mother’s uterus and ovaries. It is the preferred method for monitoring pregnant women and their unborn babies.

Ultrasound procedures require little preparation. Patients are asked to leave jewelry at home and to wear loose, comfortable clothing.

• Labor and Delivery

Our priority is always a healthy outcome for you and your baby. We want women to know they are being listened to and we work to support your labor and delivery wishes as much as possible. If you would like to write a birth plan, we will be happy to help you. Our physician providers deliver babies at UNC Medical Center, where we are part of the UNC delivery team.

• Midwifery

Reply nurse midwives work collaboratively with our team of physicians to provide holistic care, including for prenatal and postpartum care, annual well-woman exams, and gynecology needs through menopause. Currently our midwives are not part of our delivery team, but we expect to add this soon.

• Postpartum Care

The postpartum phase generally refers to the first 6-8 weeks after delivery. This is a joyous time, but it’s also a period of adjustment and healing for mothers. It is important to take care of yourself post-pregnancy, and to manage any physical and emotional challenges you may be experiencing after your baby is born. Your postpartum check is usually scheduled for 3-4 weeks after delivery. Some women may need to be seen sooner. During your postpartum check-up we will discuss your birth experience, your recovery to date, family planning, sexual activity, issues of general health and wellness, and emotional concerns.

Become a Patient

Reply is welcoming new obstetric patients. To schedule an appointment, please call us at 919.230.2100 or visit our Become a Patient page.