Visiting our Clinics

Introducing Our Team and What to Expect During Your Clinic Visit

Our program is open Monday to Friday from 8 a.m. to 4 p.m.

The first people you will meet from our team are the clerical staff, who will be pleased to assist you in scheduling your visits and tests, answering many of your questions and contacting your physician should an emergency arise.

At each prenatal visit, we ask that you check in directly with our secretaries and present both your health card and Mount Sinai Hospital card. Your hospital card should contain your most up-to-date information. If it doesn’t, please let us know so that we can update your information at the Registration Desk and give you a new card. The cards will be returned to you after your visit. When you arrive for your visit, please do a urine specimen (a test strip and cup will be provided), and leave it on the designated table. This is a urine test for protein and glucose levels, and will be recorded in your chart.

Clinic Visit

Once in clinic, you will meet our registered nurses who have extensive experience with pregnancy care and women’s reproductive health. Most clinics have a primary nurse who will be the key person to contact when questions or concerns arise between clinic visits, or when tests results are available. The nurses will review your chart, ask about key concerns, take your blood pressure and weight, and assess how the baby is doing. If you are attending the fetal clinic, this may take place before or after your ultrasound.

You will then meet with one of the residents or fellows. Residents are physicians who are undergoing specialty training and fellows are trained obstetricians who have elected to seek further experience particular to the type of care you may require during the course of your pregnancy. In most instances, you will also meet with one of our staff physicians, who are highly specialized in their fields and hold faculty positions with the University of Toronto.

How long will the appointment take?

This is difficult to estimate. We aim to see you as close to your appointment time as feasible. However, your visit may take several hours if unexpected complications are found and/or counselling is required for either you or for individuals having their appointment before you. We will do our best to keep your appointment times but ask for your understanding should unavoidable delays occur.

We suggest that you bring along a snack and some reading material in case your appointment is delayed and that you plan your day with this possibility in mind. You may also be referred to meet with other perinatal team members, such as the dietitian, lactation consultant, social worker, or sub-specialty physicians in Pediatrics, Anesthesia, Endocrinology, Cardiology, Hematology, or Obstetric Medicine as appropriate.

Regardless of which clinic you are visiting, we have some recommendations that apply to all:

Come prepared

If you have received forms or other paperwork in advance, be sure to bring them. You will also need your hospital card (if you have one). If you don’t have one, please arrive 15 minutes early and check in at reception.

You may also wish to bring a notebook and pen–it can be helpful to take notes in your appointment so that you can refer back to the conversation later.

Finally, bring a healthy snack and some water, and perhaps some reading materials or activities. Appointments and wait times can sometimes be longer than anticipated.(But be sure to check with your clinic first before consuming food or using the bathroom! They may request that you refrain until you have been seen by a staff member.)

Leave children at home
We strongly suggest that you leave your other children home, or bring a caregiver to help mind them. Your appointment may be longer than expected, and you may also receive information that may take some time to digest and process. In fairness to yourself, your children and the other patients in the clinic, we recommend that you come to your appointment with only yourself to take care of!

Bring your partner, a friend or other support person
Many of our patients find it helpful to have a support person with them during the appointment, or waiting for them afterwards. You may experience long waits if you receive a referral to another specialist while you are here. You may find that having a ‘second set of ears’ to understand and retain information will be useful. There may also be need for emotional support and comfort as you navigate next steps in your journey. Don’t hesitate to request that your support person join you for your appointment, if desired.
 

Your first visit will take extra time as we will review your health and any medical problems you may have.

We will ask you to have several blood tests, and sometimes urine cultures, cervical cultures and a pap smear. You will be asked to complete the Mount Sinai Hospital Pre-Admission form included in this package. Please complete and sign both forms, and return them to the Registration Desk at the end of your visit or at the time of your next visit.

To help confirm your due date, we may request an early ultrasound if your visit is in the first trimester. Other ultrasounds will be organized as appropriate, either as part of your visit, or during a subsequent appointment. Ultrasound images of your baby may be purchased for $5.

You may choose to have First Trimester Screening (FTS), a form of screening for genetic problems (such as Down Syndrome) which involves an ultrasound measurement of the baby’s nuchal translucency (NT). You will also have the option of pursuing other genetic testing, such as maternal serum screen (MSS), Non-invasive Prenatal Testing (NIPT), Integrated Prenatal Screening (IPS), chorionic villous sampling (CVS) and amniocentesis, depending on your particular health history. At your visit, we will discuss which of these tests may be appropriate for you. We have included more information on these tests in your information package.  Additional tests may also need to be done depending on your condition or that of your baby.

Special Pregnancy Program

Referrals »

Fetal Medicine: 416-586-4800 x 7756
Fax: 416-586-3216

Maternal Medicine: 416-586-4800 x 7000
Fax: 416-586-5109

Main clinic hours: Monday to Friday, 8am to 4pm

Prenatal Diagnosis & Medical Genetics

Referrals »

phone: 416-586-4800 x 4523
fax numbers:
416-586-4723 or 416-586-8384

Perinatal Mental Health

Referrals »

Phone: 416-586-4800 x 8325
Fax: 416-586-8596