General Office FAQ
+ How Can I Obtain A Copy Of My Medical Records?
If you have an account on our web portal, many of your records may available directly to you. For any other records, Amy, our medical records coordinator in the Lawrenceville office can help facilitate this for you. She can be reached at phone 609-512-4028 by email: firstname.lastname@example.org. You will always be required to complete an "Authorization to Disclose Health Information" form which can be downloaded from our website by clicking here; completed and submitted by hand, fax 609-895-0643 or email to Amy. In some instances, there may be a fee associated with copying those records for you.
Please complete the form in its entirety. Also, please make sure to complete the phone number section so that we can reach you if needed. Please be precise whether you would like the content of the entire or specific records; in that case please indicate dates, tests and any additional records you would like to receive. Once your request is received, our Medical Records Coordinator will contact you.
If you would like someone to pick-up your records, you must indicate on the form the first and last name of the individual who will pick-up your records. A proof of identification will be required.
Please note that in order to beter protect your privacy, our policy does not allow for faxing of medical records to your home or office.
+ How Do I Get A Prescription Refilled?
Many prescriptions come from the doctor/midwife with refills already ordered, so you should always check with your pharmacy first. If not, the easiest way to request a refill is to log on to your portal account and request it. If you chose not to use the portal, you may call the office during regular business hours to request a refill. Please note, that with rare exceptions, refill requests are only handled during regular business hours.
+ How do your fees work?
At Delaware Valley, we participate in most regional insurance plans and attempt to keep our rates at or below other practices in the area. A copy of our fee schedule is available upon request. Your individual plan may deny coverage for certain diagnoses or procedures, or requires copayments or coinsurance, or be subject to deductables. Those rules are set by your insurance carrier and/or employer, not by us. With rare exceptions, we expect payment for the non-covered portion of our services at the time they are provided. Our office accepts American Express, Mastercard, Visa, Discover and Debit/ATM cards.
+ How Long Will It Take For My Doctor Or Midwife To Call Me Back If I Call During Office Hours?
We encourgage our patients to reach out to us with questions about their health. The best way to reach us is by sending a message through our web portal. If you have an urgent situation that cannot wait or prefer the telephone, please call the office. Unless the situation is urgent, you will receieve a return call at the end of the doctor's session or earlier if she/he has free time. We will not disrupt the care of patients currently in the office, for non-urgent situations. In order to avoid playing "phone tag," please leave us a phone number where we can reach you and keep the phone readily avaiable.
+ What Are Your Medical Policies?
The Medical Policies Of the Delaware Valley Ob/Gyn & Infertility Group, PC are available for review upon an appointment with the Office Administrator.
+ What Are Your Policies Regarding Office Visits And Appointments?
Office visits in our Lawrenceville and East Windsor offices are by appointment only. As our courtesy to our other patients and our staff, we request that if you need to cancel or reschedule your appointment, you provide us with 24 hours notice. This is particulary important if you are scheduled for surgery or any specialized procedures. Please show up at least 15 minutes in advance of our appointment to complete any necessary paperwork. If you do show up late, you may be asked to reschedule for a later date. On occasion, as in all OBGYN practices, emergencies arise that will require us to reschedule or cancel your appointment. If you we will do our best to notify you as early as possible.
+ What does F.A.C.O.G. stand for?
F.A.C.O.G. stands for "Fellow of the American Congress of Obstetrics & Gynecology". Once a physician has completed medical school and a residency in OBGYN, they are required to pass written and oral examinations to be become board certified. Once certified, they can then apply to become admitted as fellows of the American Congress of Obstetrics and Gynecology. All of our physicians are board certified in OBGYN and fellows of ACOG.
+ What Does It Mean When The Doctor Is Board-Eligible Or Board-Certified?
The American Board of Obstetrics & Gynecology (ABOG) certifies graduates of approved ob/gyn residency training programs as active candidates (previously referred to as board eligible), which means that they are permitted to sit for the board examinations. To become a board certified OBGYN, an individual must have received a medical degree, completed four years of an OBGYN residency and then passed both written and oral exams. The ABOG requires board certified physicians to maintain their active certification through a series of continuing education assignments and examinations.
+ What Makes An Infertility Specialist Different from an OB/GYN?
A fertility specialist, also known as a Reproductive Endocrinolgist, or Reproductive Medicine specialist is a physician who initially trains in OBGYN but then pursues advanced training (a 3 year fellowship) followed by rigorous written and oral examinations to become certfied as subspecialist. In contrast, most obgyn residents only receive only a limited exposure to very basic infertility issues for a few months. Fellowship training in reproductive medicine entails highly specialized experiences and permits the physician to perform advanced reproductive techniques such as in vitro fertilization (IVF), correction of anatomical defects, and ovulation induction.
Pregnancy related FAQ
+ How Much Weight Should I Gain During Pregnancy?
Average weight gain should be between 25-30 pounds for the duration of the pregnancy.
- 3-5 pounds in the first trimester
- 10-12 pounds in the second trimester
- 10-12 pounds in the third trimester
+ I Am 4 Months Pregnant And I Am Feeling Lower Abdominal And Vaginal Pain, Especially When I Stand Up. Is this normal?
Yes, between 16 and 20 weeks of pregnancy, the uterus starts growing out of the pelvis. This causes discomfort. It may feel like menstrual cramps, pinching pains at the top of the vagina, pulling sensations, or "runner's cramps". This is perfectly normal, and may be quite uncomfortable. It is also more noticeable with the second or greater pregnancy than with the first.
+ I Am Pregnant And A Family Member Has Or Has Been Exposed To Chicken Pox, What Should I Do?
Most adults are immune to chicken pox, either from having the disease or forming immunity from a mild exposure. If you have had chicken pox in the past, you and your baby are protected. If you are not sure, ask your doctor to check your immunity with a blood test. If this shows + immunity you are both protected. If it shows no immunity, an injection of a medicine called Varicella Immune Globulin (VZIG) can be given to prevent or ameliorate chicken pox if given within 72 hours of exposure.
+ I Am Pregnant And Experiencing An Increase In Vaginal Discharge, Is This Normal?
Yes, vaginal discharge normally increases during pregnancy, due to hormones. However, if the increase in discharge is associated with blood, vaginal itching, cramps, irritation or a foul odor, notify your doctor or midwife.
+ I Am Pregnant And Get Diarrhea, What Should I Do?
Just as with the common cold, intestinal afflictions caused by viruses are common in pregnancy. These symptoms can include nausea, vomiting and diarrhea, and can last from 24 to 72 hours. It is recommended that you eat lightly or consume broths and liquids until symptoms pass. You may use Emetrol for nausea and Kaopectate for diarrhea.
- NEVER USE PEPTO-BISMOL DURING PREGNANCY.
+ I Am Pregnant And Get Hemorrhoids, What Should I Do?
Try warm water sitz baths (available at most drug stores) twice a day. You may also use Preperation H or Anusol.
+ I Am Pregnant And Have A Backache, What Can I Do?
This is another common occurrence during pregnancy. The best advice is bedrest. You may also take regular strength Tylenol and use a heating pad safely during pregnancy.
+ I am pregnant and have a cold, flu or allergies. What medications could I take that is safe for the baby?
It is safe to take Tylenol for aches and pains. Robitussin for cough. Claritin for allergies. Regular strength for all, unless your OB doctor or midwife advises you otherwise.
+ I Am Pregnant And Have Breast Tenderness And Some Discharge From My Nipples, Is This Normal?
Yes, you will notice your breasts become more tender when you are pregnant. Also, some nipple discharge may be present. As long as it is clear or milky, do not be alarmed. The pigmented areas may also darken. If the nipple discharge is bloody, notify your doctor or midwife.
+ I Am Pregnant And Have Constipation, What Should I Do?
Increase the amount of fluid and fiber in your diet (fresh fruits and vegetables). You may also take Metamucil.
+ I Am Pregnant And I Have Heartburn, What Can I Do?
This is a very common complaint among pregnant women. You may take Maalox, Mylanta, or Tums. Also, to help prevent heartburn you should sleep on a couple of pillows to elevate your head and upper back.
+ I Am Pregnant And My Feet Are Swollen, Is This Normal?
Yes, a certain amount of swelling is normal. It becomes greater as the pregnancy advances and is worse in warm weather. Normal swelling increases through the day and decreases when you lie down and elevate your feet. The more you drink, the less you swell.
+ I Am Pregnant, Can I Get A Perm Or Color My Hair?
There is no clear information on the safety of chemicals used in permanent waves or hair coloring. When in doubt, don't do it.
+ I Am Pregnant, Can I Paint A Room In My House?
Yes, but keep the area well ventilated and use only water based paint (latex). Look for paints that are labeled "Low VOC". VOCs are volatile organic compounds, and the lower the level of VOCs the better.
+ I Am Pregnant, Is Dental Work Safe?
Yes, any dental work is permissable during pregnancy. If x-rays are necessary, a lead apron must be used to shield the abdomen. If the dentist wishes to give you antibiotics, penicillins, cephalosporins, and erythromycin are permitted.
+ I Am Pregnant, Is It OK To Handle Pets?
The question is always asked about cats causing toxoplasmosis. The risk for this disease is actually much higher if you eat raw meat than if you handle your cat. If your cat remains inside, you have little to worry about. There is a somewhat greater risk if your cat roams or eats raw meat or garbage. General advice is not to handle the litter. Testing can be performed if you have ever been exposed to toxoplasmosis or have an active infection
+ I Am Pregnant, Is It OK To Travel (Including Airline Travel)?
Travel is all right during pregnancy (as long as you are traveling to an area with quick access to medical care), however we do not recommend traveling more than an hour and a half away from home after 36 weeks of pregnancy. Airline travel will not induce labor or miscarriage, however pregnant women may experience more nausea due to motion and should fly only in regular pressurized aircraft. Remaining seated for hours on long plane flights may increase the risk of blood clots, so exercising your legs and frequent walks around the cabin are recommended.
+ I Am Pregnant, Should I Change My Diet And Exercise?
We recommend eating a balanced diet (including fruits and vegetables). This should be supplemented with a daily prenatal vitamin. We DO NOT recommend starting NEW weight loss or exercise programs, however, if you are currently involved in an exercise program that includes aerobics, bicycling, swimming, etc. you may continue to do so. Avoid heavy weight lifting, stomach crunches and sit-ups after the first trimester. Also, avoid any activity where you can easily fall on your abdomen.
+ Is Sexual Intercourse Safe During Pregnancy?
Yes, sexual intercourse is safe during an uncomplicated pregnancy. However, if complications such as premature labor or abnormal attachments of the placenta (afterbirth) arise, your doctor or midwife may instruct you not to have sexual intercourse until the problem has resolved.
+ Pediatrician List For The Medical Center At Princeton
Central Jersey Newborn Care
901 West Main Street
Freehold, NJ 07728
Phone: (732) 294-4920
Delaware Valley Pediatrics Assoc., P.A.
132 Franklin Corner Road
Lawrenceville, NJ 08648
Phone: (609) 896-4141
Healthy Kids Pediatric Group
300B Princeton-Hightstown Rd
East Windsor, NJ 08520
Phone: (609) 448-7300
2 Princess Road
Lawrenceville, NJ 08648
Phone: (609) 448-7300
The Pediatric Group
66 Mt. Lucas Road
Princeton, NJ 08540
Phone: (609) 924-4892
Princeton Nassau Pediatrics, PA
Princeton Shopping Center
301 North Harrison Street
Princeton, NJ 08540
Phone: (609) 924-5510
196 Princeton-Hightstown Road
West Windsor, NJ 08550
Phone: (609) 799-5335
312 Applegarth Road
Monroe, NJ 08831
Phone: (609) 228-6990
25 Route 31 South
Pennington, NJ 08534
Phone: (609) 745-5300
Princeton-Windsor Pediatrics, PA
88 Princeton-Hightstown Road
Princeton Jct, NJ 08550
Phone: (609) 799-4700
+ What Is Group B Strep? Should I Be Screened For This During Pregnancy? If So, When?
Group B Strep is a type of bacteria that is normally found in the vagina and/or rectum of some women. It is not a sexually transmitted disease, or a disease of any kind, for that matter. It usually does not cause a problem for the woman at all, but this particular bacteria has been known to cause serious infections in some newborns as they pass through the birth canal. Therfore, all pregnant women should be screened for Group B Strep between 34-36 weeks of pregnancy. If the Group B Strep culture is positive, your doctor or midwife will order IV antibiotics once you are admitted in labor, in order to reduce the risk infection in the newborn.
+ When Should I Be Screened For Diabetes During Pregnancy?
Pregnant women will undergo routine screening for gestational diabetes at 24-28 weeks gestation, although women at higher risk undergo an extra screening earlier in some instances. Routine gestational diabetes screening is done by a GTT (Glucose Tolerance Test). These are the instructions for the GTT.
We will provide you will bottle of Glucola which you should keep
refrigerated until the day of your appointment.
On the day of your appointment - You may eat your meals, but AVOID food with increased amounts of sugar. Keep your diet as plain as possible until after the test is done. Please drink it within 5-10 minutes.
Drink the glucose 45 minutes before your appointment. DO NOT EAT OR DRINK ANYTHING AFTER DRINKING THE GLUCOSE DRINK.
Come to the office. As soon as you sign in - TELL THE FRONT DESK STAFF WHAT TIME YOU FINISHED THE DRINK. This is important because it is a time sensitive test and we would like to avoid having you do the test again.
Your blood will be drawn exactly 1 hour after you finish the drink.
Infertility related FAQ
+ Does Princeton IVF see regular ob/gyn patients?
Except for Dr. Derman's existing gyn patients, and those who require sub-specialty care, the answer is no. Once you are 8 weeks pregnant, you will be sent back to your obstetrician for prenatal care. If you do not have one, we can provide a referral.
+ How do I get started with fertility treatment?
We ask all new patients to set up their appointments through Tara. Her direct phone number is 609-512-4031 and her email is email@example.com. This process helps us to ensure that we set aside enough time for you, and that you know up front if any referrals or pre-certifications are required.
+ Is IVF experimental?
+ Should I expect to have twins or triplets from treatment?
No. While it is true that using any fertility drug with or without IVF or IUI significantly increases the risk of multiple births, most pregnancies result in a single birth, regardless of the treatment.
+ What if I do not have a male partner?
Not an issue. We work with single women and same sex couples all the time. We obtain donor sperm for insemination from reputable accredited sperm banks. The process is actually quite simple, and very safe.
+ What is a Reproductive Endocrinologist?
A Reproductive Endocrinologist is a sub-specialist in Obstetrics and Gynecology who deals with infertility, recurrent pregnancy loss, birth defects of the reproductive tract and reproductive hormonal disorders such as PCOS and endometriosis. As a sub-specialist, he/she is required to complete 2-3 years of additional training, perform and publish original research and complete a very rigorous written and oral examination beyond what is required of an OB/GYN. Reproductive endocrinologists have the time and special expertise needed to deal with complex fertility issues.
+ What is IUI?
IUI, properly known as intrauterine insemination sounds like IVF, but is much simpler. The male partner's sperm is washed and injected into the womb of the female partner. This is frequently done along with fertility drugs, and does not involve complex laboratory procedures.
+ What is IVF?
IVF, properly known as in vitro fertilization is a procedure in which the female partner's eggs are mixed with the male partner's sperm in the laboratory. Some of the embryos that result are placed into the womb of the female partner hoping that a pregnancy will result. Most couples with infertility will not need IVF to have a baby. Of all the fertility treatments out there, IVF is the most likely to be successful.
+ We are having trouble getting pregnant. When should we seek out help?
Infertility is defined as the inability to conceive after 1 year of unprotected intercourse. If you are under 35 years old, you should seek help at that point. Women over 35 should get help after only 6 months so as not to delay treatment if treatment is necessary.