Dr. Mahller checks the baby’s growth and heart rate, and your weight and blood pressure, every time you come in for prenatal care. He also has you perform a urine test at your first prenatal visit to check for diabetes, dehydration, and bladder or kidney infections. Routine blood work is ordered throughout your pregnancy to screen for common issues such as gestational diabetes, infections and blood counts.
As a general outline, prenatal appointments are scheduled once a month until your third trimester. Then you’ll come in every two weeks until you reach week 36. Prenatal checkups are then scheduled weekly until you've delivered the baby. If needed for an urgent matter Dr. will have you come in as soon as possible to address your issue.
If any health concerns arise for you or your baby during the pregnancy, you may need more frequent examinations. Dr. Mahller provides care for high-risk pregnancies, so you won’t have to change doctors in the unfortunate event that complications do arise. Many of Dr. Mahller’s patients achieve pregnancy via in vitro fertilization (IVF), are over the age of 35 or have other high-risk conditions. Dr. Mahller provides personalized care with sufficient time to fully address your needs and concerns.
Dr. Mahller provides in-office ultrasounds for evaluating your baby's progress. You will have an initial ultrasound at your first prenatal visit to determine the gestational age of the pregnancy. Between 11 and 14 weeks, Dr. Mahller offers in house ultrasound for screening for Down’s syndrome with the nuchal translucency test (part of the California Prenatal Screening Program). You may have ultrasounds several times during your pregnancy, but most parents are familiar with the routine second-trimester ultrasound.
The second trimester ultrasound, is a comprehensive ultrasound to check all the parts of the baby’s anatomy (including the brain, heart, kidneys, bladder, spine, extermities) and measures the baby’s size, and placenta to assess fetal development. The ultrasound also reveals the baby’s position, breathing motions, and any visible congenital disabilities.
You may also learn the baby’s gender during the second-trimester ultrasound.
The primary concern with attempting a vaginal delivery after having a prior Cesarean section is the risk of a uterine rupture occurring at the scarred site on the lower uterus. While the risk of uterine rupture (after one prior Cesarean) is low (1%), when uterine rupture does occur it can lead to devastating consequences for both mother and baby.
Dr. Mahller believes the safest way to deliver babies after a prior Cesarean section is by scheduled repeat Cesarean. While this mode of delivery may not be the right choice for all patients, Dr. Mahller's utmost interest lies within the safety of mothers and their newborn babies. For these reasons, Dr. Mahller does NOT offer his patients a trial of labor after cesarean (TOLAC).
Dr. Mahller manages all aspects of your labor and childbirth, from pain relief to determining whether labor should be induced, or whether fetal distress requires quick cesarean delivery. After birth, Dr. Mahller is available to perform a circumcision if you choose.
We accept most PPO insurance plans. Here is a list of some of the plans we accept. Please contact our office if you do not see your insurance provider listed.
"There aren't enough good things I can say about Dr. Mahller and his staff! Dr. Mahller really listens to his patients and carefully addresses all of your concerns."
"Dr. Mahller is one of those rare doctors who takes the time to answer every question and he has a wonderful bedside manner! I without a doubt recommend Dr. Mahller!"
"Our whole pregnancy and delivery was a beautiful experience because of Dr. Mahller. We can't thank him enough for bringing our beautiful baby girl safely into the world"
"He is caring, comforting, relaxed and gentle. I recommend him highly if you're looking for a good doctor!"
"Dr. Mahller is a wonderful person and doctor with great sense of humor. He cares about his patients and knows his craft. I would definitely recommend him!"
"Childbirth was an absolutely wonderful experience, Dr. Mahller couldn't have been more courteous and did a fantastic job keeping me comfortable, happy and excited. "
"I can honestly say this pregnancy has been a great experience so far, and having Dr. Mahller as our doctor definitely helps. Highly recommended!"
"I wouldn't trust anyone else with the well being of my little girl, I never felt worried during my pregnancy and always had peace of mind."
"I had the best experience and was treated great throughout my pregnancy. Dr. Mahller has patience during consultation visits as well as delivering a baby."