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Obstetrics & Gynecology in Howard County

 

410/884-8000
FAX: 410/740-8587
Medical Pavilion at Howard County
10710 Charter Drive, Suite 200
Columbia, MD  21044

Signature OB/GYN
A Community Specialty Practice
of Johns Hopkins Medicine
www.hopkinsmedicine.org/signatureHoward County Obstetrics, Anne Arundel County Gynecology

 

410/884-8000
FAX: 410/549-7399
Liberty Exchange
5961 Exchange Drive
Eldersburg, MD 21784

Signature OB/GYN has proudly been a part of the Columbia and Howard County community since 1976, and as Columbia has grown, so have we. The growth of our practice has enabled us to provide our patients with a diversity of both medical providers and a vast array of medical services. Our Certified Midwifery Program was the first in Columbia and remains the largest and most active midwifery practice in Howard County. We currently have 4 physicians specializing in Gynecology, 8 physicians specializing in Obstetrics and Gynecology, 7 Certified Nurse Midwives, and a Certified Registered Nurse Practitioner. In July, 2006, we joined with the Johns Hopkins Health System as part of our aspiration to provide excellence in patient care. We have two offices, one in Columbia and one in Eldersburg.

Services Offered

Routine GYN:

  • Routine Gynecological Care

  • Well Woman Health Visits & Health Maintenance Education

  • Cancer Screening

  • Routine Gynecologic Surgery including most ambulatory, and inpatient procedures

  • Sexually Transmitted Disease (STD) Screening & Counseling

  • Family Planning & Contraception

  • Preconception Counseling

  • Sexual Dysfunction

  • PMS/PMDD evaluation and treatment

  • Immunizations

  • Heart Disease & Osteoporosis Risk Assessment & Reduction

  • Menopause Management (nutrition, exercise, hormone replacement and alternative therapies)

  • HPV Testing

  • HPV Vaccine


GYN Specialization
:
Initial Infertility Evaluation; Treatment, in some cases

Office Ultrasonography
Advanced Operative Gynecologic Surgery including;
– Operative Laparoscopy & Laser Surgery
– Operative treatment of Endometriosis, Ovarian Cysts and Tubal disease.
– Operative Hysteroscopy and Endometrial Ablation
Operative and Medical Management of Ectopic Pregnancy
Treatments for Cervical Dysplasia, including Laser, LEEP, Cone Biopsies and Cryotherapy
Nutrition Counseling
Operative Permanent Sterilization

Minimally Invasive Surgery for Benign Diseases and Uterine Cancer

Obstetrics:

  • Routine Obstetrical Care

  • Midwifery Services

  • Obstetric Ultrasonography

  • Childbirth Education & Childbirth Classes.

  • Nutrition Counseling


Specialty Obstetrics:

  • High Risk Pregnancy including Diabetes, Thyroid Disease and Hypertension Management

  • Vaginal Birth after Cesarean Section (VBAC)

  • Evaluation and Treatment of Recurrent Pregnancy Loss

  • Management of Multiple Gestations

  • Evaluation & Treatment of Postpartum Blues & Depression

  • External Version

  • Evaluation and Treatment of Premature Labor & Delivery

  • A close working relationship with HCGH Hospital’s Level III Intensive Care Nursery

  • A close working relationship with the Maternal Fetal Programs at Johns Hopkins

  • University and the University of Maryland


Signature OB/GYN maintains hospital privileges exclusively at Howard County General Hospital (HCGH), a member of Johns Hopkins Medicine, and have a physician and a midwife available 24/7 at HCGH. We remain dedicated to providing the highest standards of medical care within a friendly, caring and professional environment for each and every one of our patients.

 

For more information contact:    410-884-8000

 

FREQUENTLY ASKED QUESTIONS:

Q: What do I expect during my pregnancy?

A: During your pregnancy, you will normally be seen for regular visits every 4-6 weeks until 28 weeks, then every 2-3 weeks until 36 weeks, and after that weekly until delivery. You may either rotate amongst the providers or have your visits with just one or two of them as you wish. We take turns being in the hospital, so when you are in labor or have a problem, the provider in the hospital will take care of you. There is always a doctor or a midwife on call to take care of patients in labor or to handle emergencies but we do ask that you call and talk to one of us if you think you need to come to the hospital. Between 8:30 am and 5:30 pm, call the office. After office hours and on weekends and holidays, please call our answering service at 1-800-926-2387 FREE or if that fails, call Labor and Delivery at Howard County General Hospital (HCGH) at 410-740-7845 and ask to speak to one of us.

 

Q: Where do you deliver?

A: All of our deliveries for both the obstetricians and the certified nurse midwives are done at Howard County General Hospital (HCGH). A new Labor and Delivery Unit (with 12 Labor/Delivery/Recovery rooms and 2 operating rooms) and a new Level III Intensive Care Nursery opened in 2002. The 18 bed NICU has state of the art equipment and can take care of infants starting at the limits of viability. A neonatology team is always in house to care for newborn emergencies. Anesthesiologists are also available 24 hours a day. You can arrange for a tour of the hospital or sign up for sibling preparation classes, childbirth and breastfeeding classes, infant care, and infant and child CPR classes by calling the HCGH Wellness Center at 410-740-7601 or going online at www.hcgh.org.

Q: What about diet and exercise while I am pregnant?

A: We encourage you to take good care of yourself during your pregnancy: that means eating a balanced diet (especially adequate calcium and fiber), getting regular exercise (yoga, low impact aerobics, swimming, walking, stationary bicycling are all great in pregnancy), and gaining an average of 25-35 pounds if you are of average weight at the start of the pregnancy. According to the FDA, pregnant women should not eat fresh shark, swordfish, king mackerel, or tilefish. Canned light tuna is safe. For the latest government recommendations, please see www.epa.gov/waterscience/fish. Food poisoning with the Listeria monocytogenes bacteria (listeriosis) is not common, but the risk can be reduced by avoiding soft cheeses (such as feta, Brie, Camembert, Mexican-style cheeses and blue veined cheeses), deli meats, and unpasteurized milk products; cooking meats thoroughly; and washing produce well.

Q: What medicines are safe during pregnancy?

A: The following substances seem to carry little if any risk throughout pregnancy, although limiting exposure to the baby to any artificial substances in the first 13 weeks is preferable:

          • Acyclovir or Valtrex

          • some antidepressants

          • caffeine (the equiv1alent of 1 cup of coffee per day

          • Nutrasweet or Splenda

          • antihistamines (Claritin, Allegra, Zytec, chlorpheniramine, Benadryl)

          • decongestants (pseudoephedrine, after the first trimester and only if you do not have high blood pressure; Dristan nasal spray)

          • Tylenol (Regular or Extra Strength)

          • Dextromethorphan (cough suppressant)

          • Guaifenesin (expectorant)

          • Cough drops

          • Hemorrhoid medications, stool softeners (Colace), and fiber supplements (Metamucil and Citrucel)

          • Antacids: Zantack, Pepcid, Tums, Rolaids, Mylanta, Prevacid

          • Antidiarrheals: Kaopectate, Imodium, Lomotil, Paregoric

          • Synthyroid or Levothyroxine

          • Asthma medications: Albuterol, Theophylline, Cromolyn Sodium, Beclomethasone

          • Vaccines against influenza, tetanus/diphtheria, rabies, Hepatitis A and B, pneumococcal pneumonia

          • Antibiotics: penicillin, amoxicillin, cephalosporins, erythromycin, Zithromax, Flagyl, Macrobid (except in the last month of pregnancy), Bactrim (except in the last month of pregnancy)

          • Antifungals: Monistat, Gyne-Lotrimin, Diflucan (one dose), and Mycelex

          • Narcotics in small limited doses after the first trimester: hydrocodone, oxycodone, codeine

          • Hair treatments: dyes, relaxers, permanents, bleaching

          • Skin preparations such as sunscreen, self-tanning lotions, over the counter acne medications, calamine or Caladryl lotion, insect repellent

          • Chamomile tea and raspberry tea

More information on medications and birth defects as well as counseling about risks is available at the Organization of Teratology Information Specialists at 866-626-6847 FREE or www.otispregnancy.org. Herbal products are not regulated by the FDA and very few have been studied in pregnancy, so little is known about their safety. A good discussion of herbal products contraindicated in pregnancy and/or breastfeeding as well as about other pregnancy concerns can be found atwww.marchodimes.com under the “Professionals and Research” heading.

Q: When are my symptoms considered an emergency?

A: There is a doctor and a midwife available 24 hours a day for emergencies. Please call us if you experience problems including but not limited to the following:

          • bleeding or spotting

          • persistent, significant pain or cramps in your lower abdomen, especially pain that does not subside with resting

          • leakage of fluid from the vagina

          • headaches that are severe and are not relieved by rest and/or Tylenol

          • sudden and extreme swelling of face or hands accompanied by visual changes (spots, dim or blurred vision), upper abdominal pain

          • fever and chills

          • decrease of baby’s movements after 24 weeks

          • burning with urination

          • contractions – abdominal tightening that continues despite resting and increases in fluid intake

Q: What about the flu vaccine(s)?

A: The Centers for Disease Control recommends that all women who will be pregnant or postpartum during the winter flu season receive the injectable influenza vaccine (unless you are allergic to eggs), not the nasal spray.

Directory Of Services

Breast Surgery

Breast Surgery

The board certified surgeons at Maryland Surgeons specialize in breast surgery and the treatment of breast disease, both benign and malignant. We believe a close doctor-patient relationship is key to the success of your individual treatment.

Cardiology

Cardiology

Cardiovascular Specialists of Maryland is the largest cardiology practice in Howard County. Our cardiologists are the best in their field. We are at the forefront of cardiology, and have a full-time clinical research department.

Claudia Mayer Tina Broccolino Cancer Resource Center

The Claudia Mayer / Tina Broccolino Cancer Resource Center

offers hope and support to patients diagnosed with cancer. Services include counseling, cancer support groups, wellness classes, educational resources, wig and prosthesis consultations, massage and more.

Endocrinology

Endocrynology

The doctors at Maryland Endocrine, PA specialize in the diagnosis and treatment of diabetes and other endocrine and metabolic disorders, including thyroid disorders, osteoporosis, pituitary disorders and more.

Gastroenterology

Gastroenterology

Digestive Disease Associates is the largest gastroenterology group in the area. We offer a full range of services including colonoscopy, endoscopy, Remicade infusion and more.

General Dentistry

General Dentistry

Thomas England, DMD is an experienced dentist you can trust for all of your dental work. Dental services include preventative dentistry (cleanings, fillings, etc.), crowns and bridges, veneers, teeth whitening and more.

General Surgery

General Surgery

The Board Certified surgeons at Maryland Surgeons perform general surgery including abdominal surgery, hernia repair, gallbladder surgery, oncologic surgery endocrine surgery and more. We pioneered the use of minimally invasive surgery at Howard County General Hospital.

HCGH Wellness Center

The HCGH Wellness Center

provides wellness programs, health screenings, senior exercise programs and more to the public, with an emphasis on prevention and early detection of health issues.

Hematology / Medical Oncology

Maryland Oncology Hematology

offers expert care for patients with cancer and blood disorders. Our physicians are nationally recognized as Top Doctors by U.S. News & World Report.

Obstetrics & Gynecology

Signature OB / GYN

has a diverse group of doctors specializing in obstetrics and gynecology to serve women throughout their lives. We offer both routine and specialized gynecology and obstetrics care, and have the largest and most active midwifery practice in Howard County.

Oral & Maxillofacial Surgery

Oral & Maxillofacial

Central Maryland Oral and Maxillofacial Surgery offers a full range of oral and maxillofacial surgical services including wisdom teeth surgery, dental implants, grafting, facial trauma treatment, obstructive sleep apnea surgery and more.

Orthopedics & Physical Therapy

Orthopedics & Physical Therapy

Orthopedic Associates of Central Maryland has fifteen orthopedic surgeons to serve you. We are skilled in back surgery, hand surgery, foot and ankle surgery, shoulder surgery, joint replacement surgery, sports medicine, physical therapy, pain management and more.

Outpatient Lab

Outpatient Lab

443-718-3102 Our normal hours of operation are Monday through Friday from 7:00am-7:00pm. No appointment is needed; we operate on a walk-in basis. We are also open Saturday and Sunday from 7:00am-7:00pm for STAT (needed immediately) testing..

Pain Management

Pain Management

The Comprehensive Pain Management Center works with you to treat and manage your acute and chronic pain. This includes pain from migraines, arthritis, back pain, cancer and a variety of other causes of pain.

Pharmacy

Pharmacy

The Johns Hopkins Outpatient Pharmacy located on the first floor of the Howard County Medical Pavilion values the patronage of both patients and employees. We strive to exceed all service expectations through the accurate, timely and professional provision of prescription services..

Plastic Surgery

Plastic Surgery

Maryland Plastic Surgeons are board certified professionals who perform a range of cosmetic and reconstructive surgeries. These can include breast augmentation, breast reconstruction, liposuction, face lift, rhinoplasty, as well as a number of non-surgical skin care options.

Radiation Oncology

Radiation Oncology

Central Maryland Radiation Oncology offers the latest options in radiation treatment, including medical trials. Our radiation oncologists and the rest of your radiation oncology team put your care first and foremost.

Thoracic Surgery

General Surgery

The Board Certified surgeons at Maryland Surgeons perform general surgery including abdominal surgery, hernia repair, gallbladder surgery, oncologic surgery endocrine surgery and more. We pioneered the use of minimally invasive surgery at Howard County General Hospital.

Urology

Urology

Central Maryland Urology Associates has seven board-certified urologists to serve you. We provide expert diagnosis and treatment of male and female incontinence, bladder and kidney disorders, kidney stone evaluations, vasectomy, male infertility evaluation, prostate treatment and more.