Obstetrics in the Triangle

Now accepting new OB patients!

Welcoming a new baby is a joyous time. But we also understand that you may feel anxious and uncertain too. That’s why Reply’s expert team of physicians and certified nurse-midwives support you through every step of your journey. We take the time to listen and get to know you so you feel comfortable discussing your birth goals and asking all your questions.

Our passion is helping families grow. No matter where you are in your pregnancy journey, we are here as a trusted partner in your care. Learn more about our obstetric services below.

Obstetrical Care Services

Reply Obstetrics at-a-glance – we:

  • provide board-certified physicians, certified nurse midwives, and a maternal-fetal medicine specialist—click here to meet the Reply team
  • care for both low and high-risk pregnancies
  • support women attempting VBAC
  • offer different models of prenatal care—read more below about CenteringPregnancy!
  • provide on-site ultrasounds and labwork
  • offer on-site pregnancy education including health coaching and classes in childbirth and breastfeeding
  • deliver at WakeMed Cary Hospital
  • accept most major insurance

Early Pregnancy Visit*

Medical guidelines recommend beginning prenatal care at 8-12 weeks into pregnancy, but we are happy to see you earlier to:

  • confirm your pregnancy
  • assess cycle history for accuracy of pregnancy dating
  • identify potential pregnancy concerns/risks
  • provide education about your prenatal health
  • review prenatal care options, including CenteringPregnancy group prenatal care
  • identify safe/unsafe medications during pregnancy
  • schedule your first ultrasound, which typically happens around the 8th week of pregnancy

Medical reasons to schedule an early pregnancy visit include if you:

  • have an existing medical condition
  • have had prior problems with pregnancy or miscarriage
  • have certain symptoms such as vaginal bleeding, abdominal pain, or severe nausea/vomiting

*Early pregnancy visits are separate from established prenatal care coverage, and insurance coverage for early pregnancy visits varies. As a courtesy, we will file your insurance; patient cost share may include co-pay, deductibles, and/or co-insurance. Patients may wish to check with their insurance carrier for details on their specific plan and coverage. Click here for insurance carriers accepted at Reply.

Prenatal Care

Prenatal care at Reply begins with the “new ob visit.” New ob visits are scheduled around 8 weeks of pregnancy and typically include:

  • full health history
  • physical exam
  • initial labwork
  • ultrasound to confirm your due date
  • review of options for individual or group (CenteringPregnancy) prenatal care

During prenatal care visits, we will monitor your health and the health of your developing baby. We usually begin monthly visits starting around 12 weeks of pregnancy, with more frequent visits as your pregnancy moves into the third trimester.

Reply offers traditional one-on-one prenatal care, which may be needed for high-risk pregnancies. We also offer CenteringPregnancy, a unique group prenatal care program that we highly recommend for most of our patients. Centering produces better birth and pregnancy outcomes, as well as higher levels of patient satisfaction, than standard prenatal care.


CenteringPregnancy, also known as Centering, is an innovative care model that delivers prenatal care to pregnant women/couples in a group setting. Groups of 8-12 women/couples, with similar due dates, 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, most 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 produces better birth and pregnancy outcomes as well as higher levels of patient satisfaction than standard prenatal care.


Reply certified nurse midwives work collaboratively with our team of physicians to provide holistic care, including for prenatal and postpartum care, labor and delivery, annual well-woman exams, and gynecology needs through menopause. Together boasting more than 65 years of experience in women’s healthcare, our midwifery team is truly passionate about caring for our pregnant patients and delivering babies in the hospital setting.

Pregnancy Ultrasound

Obstetric ultrasound is the preferred method for monitoring pregnant women and their unborn babies. We are pleased to offer this service on-site at Reply.

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

Labor & Delivery

Our team provides vaginal, cesarean section (c-section), and VBAC deliveries at WakeMed Cary Hospital. We will work to support your labor and delivery wishes as much as possible, with the priority always being a healthy outcome for you and your baby.

Childbirth & Breastfeeding Classes

Led by our certified breastfeeding and childbirth educators, these interactive classes cover the basics – discussing the benefits for both mother and baby, recommendations, best practices, and identifying and managing any difficulties. Each class meets monthly and attendees are welcome to bring one support person.

Postpartum Care

The postpartum phase generally refers to the first 6-8 weeks after delivery. While an exciting time, 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.

Have Your Baby with Reply!

Reply is welcoming new ob patients! We provide personalized obstetric care to expecting mothers from Cary, Raleigh, Chapel Hill, Morrisville, and throughout the Triangle. To schedule an appointment, please call us at 919.230.2100 or visit our Become a Patient page.