2201 Brunswick Drive, Suite 2200
Hanover, PA 17331
Phone: 717-637-7755
Newborn Deliveries
UPMC Hanover
Our providers at UPMC Pinnacle Obstetrics and Gynecology Specialists (formerly Mountain View Ob-gyn) believe in establishing a doctor-patient relationship. It starts with listening to you and taking time to assess your needs, answer your questions, and address any concerns. To us, thoroughness includes compassion and an understanding of each individual. Next, we evaluate and discuss treatment options. We balance the latest cutting-edge knowledge and technology with our years of experience and expertise. Finally, and most importantly, we always include you in any decision-making regarding your medical care. If you are allowing us to provide you with obstetrical care, you will be delighted at the personal attention you receive from our family-oriented practice. We provide our obstetrical patients with the opportunity to get to know each of our physicians and certified nurse-midwives, prior to delivery. We understand the anxiety associated with the sensitive nature of gynecological exams that some women experience and do whatever we can to ensure comfort during your appointment.
Erika Nichelson, DO
Brandi Musselman, MD
Daniel Victoria, MD
Alexis Shanabrook, PA-C
Obstetrics is the specialty of medicine concerned with pregnancy, labor, and postpartum period. Our dedicated team takes pride in providing excellent, quality of care in a warm, comfortable setting.
Pregnancy and birth are two of the most important events you will experience in your life. Both deserve careful and thoughtful consideration.
Our skilled obstetricians and midwives provide you with a full spectrum of ob-gyn and childbirth care before and after pregnancy. We work closely with the childbirth team at UPMC Hanover, where we perform all of our deliveries.
When you go to the hospital to deliver, you'll receive care from our expert childbirth nursing team.
This dedicated team has years of experience in providing care in a full spectrum of childbirth scenarios.
We provide an individualized birth experience for you and your family. We are committed to working with you to understand and respect your personal preferences and your individual birth plan.
Whether you choose natural childbirth or want to learn about birth options after a prior C-section, our team:
Should you need high-risk pregnancy care, your obstetrician will work hand-in-hand with maternal-fetal medicine specialists.
We provide comprehensive obstetric care from preconception to postpartum.
Our experienced team guides women through each and every step of their pregnancy. Our goal is to ensure your baby's proper growth and development, as well as a successful delivery.
Our facilities also have the technology and equipment to help make your pregnancy as simple and efficient as possible.
During your pregnancy, our providers will see you routinely for:
We'll also discuss your options for the delivery process. And we'll work with you to make sure that labor and delivery is comfortable and stress-free.
Postpartum care is also available to help women become acclimated to the motherhood lifestyle while maintaining their health as well.
Certified nurse-midwives (CNM) are experienced registered nurses who:
Our CNMs believe that birth is a natural and normal process. They take a personal approach to childbirth, stressing the importance of educational and emotional support for parents.
Your nurse-midwife will provide you with complete care, including:
Our obstetricians and midwives keep abreast of the latest infertility treatments to help women and men who wish to conceive.
We use the most advanced procedures to increase the likelihood of conception.
Our goal is to help couples suffering from infertility and recurrent early pregnancy losses realize their dreams.
Our office, accredited by the American Institute of Ultrasound in Medicine (AIUM), has the latest and most advanced ultrasound machines.
Having ultrasounds at our accredited office means you:
A sonogram takes about 30 to 60 minutes.
During pregnancy, we use sonograms to look at the growth and development of your baby.
An early sonogram in the first trimester confirms the accuracy of your baby’s due date.
At around 20 weeks, we get a detailed view of your baby’s anatomy. This is when you can learn the gender of your little one, if you choose.
Women with a high-risk pregnancy may need more sonograms.
The thought of your first visit to a gynecologist may seem mysterious or even scary. But it doesn’t have to.
In fact, your first visit is a great chance for you and your gynecologist to get to know each other.
It’s also a good time to get honest, expert information about many different issues, such as:
Talking with your doctor about these issues is a vital part of staying healthy. You also can find out what to expect at future gynecologic visits. There's no need to feel scared or embarrassed.
If you are nervous about it, talk to your health care provider, your parents, or someone else you trust. Knowing what to expect will help ease your fears.
Young women should see an ob-gyn:
Your health care provider may ask a lot of questions about you and your family. Some of these questions may seem personal. Your provider needs to ask them to best know how to care for you and keep you healthy. Giving open and honest answers to these questions is key to your care.
Questions they may ask include:
This is a good time to ask your physician any questions you might have. Don’t be embarrassed. This is a chance to get answers.
It's vital to see your health care provider if you are having any of the following symptoms:
Most gynecologic visits include a series of physical exams and screenings.
A nurse or medical assistant will measure your height, weight, and blood pressure.
They'll ask you questions about:
They may give you vaccination shots if you need them. These shots help prevent some infections and are part of routine care.
Next, they'll take you to an examination room. They'll give you a cloth gown and a few minutes to change into it. You or your physician may request to have a nurse, family member, or friend in the room with you.
Many gynecologic examinations start with the patient in a sitting position. During this part of the exam, your heart, lungs, thyroid glands, and breasts may be examined. After this, you may be asked to lie down.
You will be asked to lie on the exam table and open your gown. The provider will examine your breasts by moving his or her fingers around your breasts in a pattern. He or she will check for signs of any problems such as a lump. If the exam is done just before your period, your breasts may be sore.
While you're still lying down and covered by your gown, you'll place your feet in footrests (also called “stirrups”).
The doctor will lift your gown and check your genitals for:
If you have any specific questions, you can request a mirror and show the provider any areas that concern you.
The doctor will then insert a medical instrument, called a speculum, into the vagina. It spreads the walls of the vagina so they can see the cervix. The provider will look at your reproductive organs for signs of problems.
A Pap test is part of the vaginal exam, usually for women who are age 21 and older. It can detect cervical cancer and certain types of infection.
The provider will use a small brush to collect a sample of surface tissue from your cervix. This part of the procedure can be a little uncomfortable and may cause spotting later.
They’ll then send the sample to a lab to be studied for abnormal cells in the cervix.
It's best to have a Pap test when you are not having your period. Also, you shouldn't put anything in the vagina for two to three days before the Pap test.
After the doctor removes the speculum they’ll perform the bimanual exam.
Using lubricated gloved fingers and the other hand to put pressure against your abdomen, they may:
Here are a few suggestions to for preparing for your appointment.
When you call the office, let the scheduler know:
If this is a non-emergency visit, try to schedule it between menstrual periods. For two days prior to the exam, do not insert anything into your vagina such as tampons or douches. Also avoid intercourse or other penetration.
If you have questions for the health care provider, write them down ahead of time. Be prepared to discuss your medical history and current medications including vitamins and supplements. Also, bring old medical records if you have them.
Many young women want to talk to their doctor but are afraid that what they tell them won’t be confidential. They may be concerned that the provider will tell someone else, like their parents.
If you are concerned about confidentiality, you and your physician should talk about it before you answer any questions. Your physician needs to talk about confidentiality with your parents, too. It may be good for all of you to sit down together to discuss this. Or, your doctor may choose to talk alone with each of you.
Gynecology is the field of medicine that diagnoses and treats disorders of the female reproductive system (uterus, vagina, and ovaries).
Besides routine well-woman care, we assess and treat problems such as:
We also provide cancer screenings.
Our team of providers have expertise in the gynecologic care of women from adolescence through menopause and beyond. We understand the importance of patience, gentleness and counseling in caring for adolescents beginning gynecological care. We also focus on the concerns of mature women such as hormone replacement therapy, sexual dysfunction and urinary problems. Our physicians continue to be at the forefront in our community in adopting new advances in both gynecologic surgery and non-surgical alternatives.
We perform our surgical procedures at UPMC Hanover. Using advanced surgical techniques, our expert gynecologic surgeons diagnose and treat a wide variety of gynecologic conditions and disorders.
A young woman’s first gynecological examination should be a positive experience.
Our thoughtful and caring providers can offer answers to the many questions teens have today.
We take pride in providing one-one-one care. Our goal is to make you feel comfortable talking about your health in a safe and confidential environment.
Some common conditions for our adolescent population include:
Pelvic sonograms are a valuable tool in the detection of ovarian cancer.
We also use pelvic sonograms to learn the causes of problems such as:
In-office procedures can help you avoid a trip to the hospital. They can also lower the anxieties and costs that may be associated with them.
Below are some examples of in-office procedures we offer at our Hanover location:
Before surgery, your physician will thoroughly explain the surgical procedure – its risk and benefits. This is an opportunity for you to ask him or her any questions you might have.
Our surgical coordinator:
We encourage family members to sit in on these visits.
After your questions are answered, you will be asked to sign a legal consent form.
When you're scheduled for your surgery, you will likely have routine tests such as:
These tests provide your physician with a “baseline” before you go to the hospital for surgery. As you are recovering from surgery, these tests may be repeated, and the results compared to your preoperative tests. Recovery from surgery is different for each patient. Factors that influence your recovery include your age, the type of surgical procedure you had, and your general health.
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