Obstetrics


Comprehensive Obstetrics Services

Having a baby? Dr. Sabella has the knowledge, experience, and most advanced obstetrical technology and services available to provide a safe, healthy, and loving way to welcome your child into the world.

Under Dr. Sabella’s expert medical care, you’ll receive comprehensive obstetrical attention that addresses your particular needs – from prenatal care and testing to postpartum follow-up.

Dr. Sabella focuses on the following in his obstetrical practice:

  • Normal and high-risk pregnancies

  • Family-oriented births

  • Fetal heart monitoring

  • Vaginal and cesarean section (C-section) deliveries

Based on patient preferences, Dr. Sabella delivers 90 percent of his patients’ births himself, with outstanding coverage provided for the other 10 percent.

Additional obstetric services Dr. Sabella offers include cerclage, which are treatments for a weakened cervix that has the potential of dilating too soon in the pregnancy. If a woman dilates too early, it can lead to miscarriage or premature birth. These procedures can be done with minimally invasive robotic-assisted surgery for greater surgical precision, little or no pain or scarring, and a quicker return to usual daily activities.

Infertility Evaluations

If you’re having difficulty becoming pregnant, Dr. Sabella can help with various treatments. He has decades of experience working with couples who are unable to conceive after 6 to 12 months of trying.

Infertility evaluations are usually the first step. There are a number of events that must take place after a man ejaculates into a woman’s vagina in order to become pregnant – and if there is a problem anywhere in this chain of events, infertility may result.

Age, hormone levels, and infection or scarring from a sexually transmitted disease may all come into play for men and women who are unable to conceive.

Infertility evaluations typically include:

  • Physical examination, which may include specific procedures such as:

    • Hysterosalpingography (HSG) – an X-ray that allows examination of the uterus and can be used to identify whether the fallopian tubes are open. It is typically conducted right after a menstrual period.

    • Transvaginal Ultrasound – a diagnostic test that uses a transducer which is inserted into the vagina to emit sound waves to produce pictures of pelvic organs, such as the ovaries and uterus.

    • Hysteroscopy – a procedure in which a thin, flexible device with a camera (hysteroscope) is inserted into the cervix to observe the condition of the uterus, as well as biopsy and, in some cases, treat various conditions on the spot.

    • Laparoscopy – a minimally invasive procedure in which a fiber-optic instrument is inserted into the body through a tiny cut in the abdomen. It allows for surgical treatment in the event that the fallopian tubes are blocked, endometriosis or scar tissue is evident, or there are other signs of pelvic problems.

  • Semen analysis, which uses a semen sample

  • Ovulation tests such as those conducted using blood and urine tests

  • Health history that includes information about sexual behaviors, history, and menstrual patterns

The evaluation may take a few menstrual cycles to be completed, as some of the tests involved will need to be done more than once.

Infertility can be treated in many different ways, including medication, surgery, and lifestyle modifications.