We are excited to announce that we will be coming to Londonderry, NH this June! Our office address will be located at 50 Michels Way in Londonderry. It’s just behind the Market Basket plaza and close to 603 Brewery. This will be a full service office with ultrasound available too! If you’d like to schedule an appointment in our Londonderry office, please call us at 603-668-8400.
You can also see us at our offices at Bedford, Windham and Manchester.
We are excited that you are considering Bedford Commons OBGYN for your healthcare. We know it can be difficult to change providers or meet someone new. To select the provider who is right for you, check out our provider videos on our website. All of our providers are currently accepting new patients.
When you are ready to set up an appointment, you can schedule most appointments using our online scheduling or by talking with a patient care specialist by calling 603-668-8400. If you’re newly pregnant or need immediate care, please be sure to call us.
Although having your records isn’t required to make an appointment, it can be very helpful to have a copy of your last GYN office visit, your last pap test, and any routine labs that you have had within the last year. To facilitate this process, complete an online medical records release for your previous healthcare provider. Click here to complete the medical records release.
Bedford Commons OBGYN accepts most major health insurance plans. However, it is important for you to verify whether we accept your specific health plan at the time you schedule an appointment. We may require a referral for certain plans. Please note that we do not currently accept the Anthem BCBS Pathways Plan from the New Hampshire Marketplace.
We have offices in Bedford, Windham, Manchester, and soon will open a location in Londonderry, NH! In addition, we are anticipating our Derry location to reopen in Summer 2023! We look forward to seeing you at a location that’s convenient for you.
If you have questions about becoming a new patient, please feel free to give us a call 603-668-8400. We would love to meet you!
Many of our patients have been asking about the safety and effectiveness of the COVID19 vaccine in pregnancy and breastfeeding. Vaccination is the best way to reduce the risks of COVID-19 infection and COVID-related complications for both you and your baby. Now that the vaccine has been out since December 2020, we have a lot more information about the vaccine for pregnant and breastfeeding women. We encourage all of our pregnant and breastfeeding patients to stay up to date on their COVID-19 vaccinations including the newly released omicron booster.
Both the American College of Obstetricians and Gynecologists (ACOG) and the Society for Maternal-Fetal Medicine (SMFM) recommend that pregnant and breastfeeding people be vaccinated against COVID19.
Although pregnant or lactating women were not included in the COVID19 vaccine clinical trials, hundreds of thousands of pregnant people have been vaccinated and no unexpected pregnancy or fetal problems have occurred. There have been no reports of any increased risk of pregnancy loss, growth problems, or birth defects.
We know that about 1 to 3 in 1,000 pregnant women with COVID19 will develop severe illness. Compared to those who aren’t pregnant, pregnant women infected by COVID19 with symptoms are 3 times more likely to need ICU care, 2 to 3 times more likely to need advanced life support, and have a 70% increased risk of death. According to a September 29, 2021 urgent health advisory from the Centers for Disease Control (CDC), there have been more than 125,000 confirmed cases of COVID19 in pregnant people including more than 22,000 hospitalizations and 161 deaths. To reduce these risk, the COVID19 vaccine is recommended. See the full CDC health advisory here.
The best way to prevent complications from COVID-19 is vaccination and continue to be up to date on your vaccination series. We strongly recommend that our pregnant and breastfeeding patients get the COVID19 vaccination. Pregnancy is not an indication for a COVID19 vaccine waiver.
If you have questions about the vaccine, please talk to your provider at your next visit.
We are pleased to announce that Dr. Colleen Barber and Dr. Adili Shay will be joining Bedford Commons OBGYN! Both physicians will be seeing patients in our Bedford location starting in late September. To make an appointment, click here to schedule an appointment online or call 603-668-4646 to speak with one of our scheduling specialists.
We are pleased to share that due to low community transmission rates in our area, we are no longer restricting visitors to our office. Like always, children accompanying you to your visits need to be supervised at all times. In addition, for ultrasound visits, we have space only to accommodate one adult visitor in addition to the patient. We look forward to seeing you!
We continue to follow CDC and NH state guidance regarding COVID-19 precautions. Bedford Commons OBGYN continues to require masks for all patients and team members. If you have any questions or concerns, please reach out to our office.
With rising COVID19 cases in New Hampshire, we are getting calls daily from our patients reporting a positive COVID-19 test. We are here to support you with the latest information about pregnancy and COVID19. We know that you are worried and have lot’s of questions. We are updating this information as new guidance becomes available.
If you think you may have symptoms of COVID19, you should be tested. Symptoms include: cough, fever, shortness of breath, headache, cold-like symptoms, sore throat, or loss or change to your sense of smell or taste. There are many options for testing including at-home test kits (only should be done if you are symptomatic), state test sites, and pharmacies. For a full list of testing sites, click here. New Hampshire is also offering free COVID19 test kits. To get your test kit, follow this link.
If you test positive for COVID-19, please call us during office hours at 603-668-8400 to let us know. For the safety of our patients and team members, your next visit will be scheduled at least 10 days from the date of your positive test. We are also happy to convert your scheduled visit to a telehealth visit to check-in with you. You should isolate from others and stay at home for 10 days. If you live with unvaccinated family members, try to isolate yourself from them. If you are unable to isolate yourself, those family members also need to quarantine – they will need to quarantine for 20 days. If you do need to leave your house for medical care, please be sure to wear a mask and call your healthcare provider before you arrive to notify them of your positive COVID-19 test result.
Most cases of COVID-19 are mild and can be managed at home with getting plenty of fluids and rest, as well as using medication to reduce a fever. It is safe to treat a fever in pregnancy with Tylenol (Acetaminophen) 1000mg every eight hours. In addition, make sure you’re staying hydrated by drinking a lot of water. If you are fully vaccinated for COVID-19, your risk of severe illness is significantly less than those who are not vaccinated.
Primary care providers are well versed in the symptoms of COVID-19 and recommendations for treatment. We would encourage you to reach out to your primary care provider for additional recommendations. Because pregnancy is considered to be a high risk condition for COVID-19, your primary care provider may recommend that you receive monoclonal antibodies. Monoclonal antibody treatments are recommended by the Centers for Disease Control (CDC) and the American College of Obstetricians and Gynecologists (ACOG) for treatment of pregnant people with mild to moderate COVID-19 who are at risk for complications from COVID-19. There is a limited supply of monoclonal antibodies so we are relying on insight from your primary care provider as to whether you should receive monoclonal antibodies based on your symptoms. Although monoclonal antibodies have not been specifically evaluated in pregnancy, preliminary data suggests that monoclonal antibody treatment is safe in pregnancy. Orders for monoclonal antibodies need to come from your primary care provider.
If you feel like your symptoms are worsening, please reach out to your primary care provider for additional recommendations. Watch for emergency warning signs for COVID-19 which may indicate more severe illness including difficulty breathing, confusion, persistent pain or pressure in the chest, or pale, gray, or blue-colored skin, lips or nail beds. If you have any of these signs, seek emergency medical care immediately.
According to the data available from the CDC and ACOG, people with COVID-19 during pregnancy are more likely to experience preterm birth (delivering the baby earlier than 37 weeks) and stillbirth and might be more likely to have other pregnancy complications compared to people without COVID-19 during pregnancy. Unfortunately, there are not any specific ways to prevent these risks once someone tests positive for COVID-19 other than monitoring for symptoms. Due to a risk of pre-eclampsia (high blood pressures in pregnancy), if you are less than 28 weeks pregnant, you should begin taking low dose aspirin (81mg) daily starting at 12 weeks of pregnancy, if you have not already been instructed to take aspirin. If you’re more than 28 weeks pregnant, you do not need to start aspirin. If you’ve already been on it, continue taking your aspirin until you deliver.
If you were hospitalized with COVID-19, we will schedule non-stress tests to monitor your baby’s well-being twice weekly starting at 32 weeks (and at least 14 days after you were diagnosed with COVID-19) and an ultrasound to check your baby’s growth. Please reach out to our office with any symptoms of preterm labor which include: Regular, frequent contractions or tightening of your belly, leaking fluid like your water might have broke, worsening lower back pain, and a sensation of significant lower pelvic pressure.
If you have not already received your COVID-19 vaccine or booster, once you are feeling better and it’s been at least 14 days since you were diagnosed with COVID-19, please get vaccinated. Even if you have already had COVID-19, vaccination is still the best way to protect you and your baby.
We hope you feel better soon. Again, please be sure to seek emergency medical help if you are having any severe symptoms of COVID-19.
For more information, please visit: https://www.cdc.gov/coronavirus/2019-ncov/need-extra-precautions/pregnant-people.html
As you probably are aware, we are seeing a dramatic surge in COVID-19 cases. After two years of providing healthcare in this new environment, many of us are exhausted; we are sure you are exhausted too.
This is our special request – please get vaccinated.
With the rising COVID-19 cases in New Hampshire, we unfortunately have seen some of the sad outcomes that can occur with COVID-19. We have witnessed firsthand the devastating effects of severe COVID-19 in pregnancy, seeing our patients hospitalized, some required ICU care, long term oxygen supplementation, and all of whom were in fear of harm to their baby. Compared to those who aren’t pregnant, pregnant women infected by COVID-19 with symptoms are 3 times more likely to need ICU care, 2 to 3 times more likely to need advanced life support and have a 70% increased risk of death. Severe COVID-19 can also cause issues for babies including a 60% increased risk of very premature birth, extended stays in the neonatal ICU, and risk of stillbirth. All major medical organizations and we, your doctors, feel that COVID-19 vaccination in pregnancy is very safe and critically important because pregnancy is considered a high-risk condition for severe illness with COVID-19.
If you’re pregnant, get vaccinated as soon as possible. We get calls daily from unvaccinated pregnant women who recently tested positive for COVID-19, asking us how they can prevent complications from COVID-19. Unfortunately, there really isn’t anything that can be done once someone has COVID-19 other than monitor symptoms and treat a fever. The only way to prevent complications from COVID-19 is vaccination.
If you’re not pregnant, make sure you get a COVID-19 vaccine and talk to friends and family members who are pregnant and encourage them to get vaccinated. If you’re already vaccinated, thank you. Be sure to also get your booster dose.
We know that everyone is really tired of this. Please do your part and get vaccinated.
We care deeply about you so please, let’s work together to keep each other safe.
Miscarriage is sadly incredibly common, occurring in approximately 10% of all pregnancies in the first trimester. It most often occurs due to an abnormal number of chromosomes in the developing embryo. In healthy women, there is little that can be done to prevent miscarriage from happening.
At the start of a miscarriage, many women will have bleeding and cramping, however, some women have no symptoms at all, and the miscarriage will be diagnosed on an ultrasound exam.
Miscarriages can be treated in three ways.
One is to wait for the pregnancy tissue to pass on its own. While this has the benefit of not having any medical intervention, it can take up to four to eight weeks to occur, so many women prefer not to have the uncertainty of waiting that long.
The second option is to take a medication called misoprostol that causes the uterus to contract and expel the pregnancy tissue. This usually happens within 24 hours of taking the medication, but can take up to several days. The medication can be repeated if it does not work after the first dose. This is effective 70-90% of the time. Management with medication has the advantage of being able to control the timing of miscarrying while still being able to be in the comfort of your own home, however, there is typically a several hour window of time that is very uncomfortable with heavy bleeding and cramping.
The third option is to have the pregnancy tissue removed surgically through a procedure called a dilation and curettage (D&C). This allows for the most control of timing and least amount of pain, however, does mean receiving anesthesia and undergoing a surgical procedure.
After a miscarriage, you will be seen in the office to confirm that all the pregnancy tissue has been passed and to discuss any questions you might have about the process. Your bleeding will typically taper down and eventually stop after one to two weeks. Your periods will typically resume four to six weeks later.
Many women who are trying to get pregnant wonder when they can begin trying again after a miscarriage. While women used to be advised to wait a couple cycles before trying, newer data shows that there is no advantage to waiting and that there may be some advantage to attempting in the first three months after a miscarriage. The bottom line: when you feel physically and emotionally ready to try again, it is safe to do so