Carry & deliver with confidence
Choose a primary OBGYN who will lead the vast majority of your care. Small on-call teams ensure after hours and delivery coverage. Patients either choose to book all prenatal appointments with their primary OBGYN or with the expanded on-call team to build connections.
10 easy-to-access Twin Cities locations
Choose from 65+ board-certified OBGYNs and APPs
Where we deliver
Choose an OBGYN who partners with your Twin Cities delivery center. Visit our Physicians page to filter by hospital affiliation.
Our Delivery Centers
From routine to high risk
Choose an OBGYN who stays with you from pregnancy confirmation to postpartum and lactation support. Our practice focuses on skill and knowledge building, social and physical health, early detection, high-risk, genetic counseling, and transition support. Our Edina Maternal Fetal location ensures you get the experience and coverage for even the most complex pregnancies.
Prenatal ultrasounds use sound waves to create images of your baby and reproductive organs. They’re used to confirm pregnancy, estimate due dates, track growth, and check anatomy. Most people have one in the first trimester and a detailed scan around 20 weeks. It’s safe, noninvasive, and offers real-time insight into fetal development.
Pelvic health during pregnancy involves supporting muscles, organs, and ligaments as your body changes. Common concerns include pressure, pain, incontinence, or pelvic floor weakness. Evaluations may include manual exams or imaging. Early care can improve comfort, birth preparation, and long-term recovery.
Gestational diabetes occurs when blood sugar levels rise during pregnancy. It’s diagnosed via a glucose tolerance test, usually between 24–28 weeks. Management may include dietary adjustments, glucose monitoring, and sometimes medication. With care, most pregnancies continue safely, and blood sugar typically returns to normal after delivery.
Preeclampsia is a serious condition involving high blood pressure and signs of organ stress during pregnancy. It usually develops after 20 weeks and can progress quickly. Monitoring includes blood pressure checks, lab tests, and fetal assessments. Treatment may involve medication or early delivery to protect both the parent and the baby.
Some people who’ve had a C-section may safely deliver vaginally in future pregnancies. VBAC involves assessing prior incisions, pregnancy health, and labor readiness. While not for everyone, VBAC is an option that can offer shorter recovery and fewer complications when conditions are right.
Genetic counseling helps assess inherited conditions that could affect pregnancy or a baby’s health. This includes reviewing family history and discussing the benefits of screening or diagnostic tests. Counselors help explain results, weigh options, and guide next steps, supporting informed decisions with clarity and care.
This is a common test in the third trimester for high-risk pregnancies. It monitors the baby’s heart rate in response to movement, showing how well oxygen is being delivered through the placenta. The test is painless, non-invasive, and provides helpful information about fetal well-being in real-time.
Every birth is different. Delivery planning includes discussing labor preferences, pain relief options, support people, and any medical needs. Plans remain flexible because childbirth is unpredictable, but talking through possibilities helps reduce fear and prepares everyone involved for a safe, informed delivery experience.
Whether vaginal or by cesarean, every delivery is supported by monitoring, communication, and quick responses to changing needs. Some C-sections are planned, others unplanned. Either way, the focus is on a healthy birth and recovery, with clear explanations and emotional support at every stage.
Healing doesn’t stop after delivery. Postpartum care addresses bleeding, mood shifts, sleep, feeding challenges, and physical recovery. Visits typically occur around six weeks but may start earlier if needed. This phase is about supporting both emotional and physical adjustment — honoring the full scope of your experience.
~ Kimberley
A different kind of care
Almara Women’s Health is an independent practice that is owned and operated by physicians. This gives us the ability to build a more comprehensive and personalized health care delivery system specifically around the needs of women. Learn more about how to get a personalized, evidence-based, and comprehensive approach for your life and longevity.
The practical science women need
There’s a quiet shift that happens when your daughter enters her teen years. Suddenly, her world changes—her body, her emotThere’s a quiet shift that happens when your daughter enters her
You’re in your 40s or 50s. Your period is skipping around. Sleep is weird. Moods are unpredictable. And one minute you’re freezing, the next you’re drenched in sweat. If any
Get answers
From conception to delivery, you can count on Almara for comprehensive obstetric services and individualized care. Services include:
Preconception care
Pregnancy testing
Obstetrical care
Prenatal care & diagnostics
Ectopic pregnancy care
Miscarriages & stillbirths
Ultrasounds
Pelvic health
Gestational Diabetes
Preeclampsia
Vaginal Birth After Cesarean
Genetic counseling & support
Fetal nonstress testing
Delivery planning
Deliveries & C-sections
Postpartum care
Where you deliver depends on where your physician has privileges. Visit our Hospital Affiliation page to learn more about our partners or our Physician page to filter physicians by your delivery center of choice.
You can contact Almara to see one of the board-certified obstetricians or women’s health nurse practitioners when you have a positive pregnancy test. The staff will help determine when your first visit should occur. They will recommend beginning prenatal visits to monitor your health and that of your growing baby as your pregnancy progresses. You’ll also discuss your delivery plan and postpartum recovery.
Obstetric services at Adefris & Toppin Women’s Specialists include:
The practice also provides postpartum care to support you as you navigate any physical or emotional challenges following delivery.
You can expect to see your provider once a month for prenatal visits until your pregnancy is nearly 28 weeks along. Then you’ll come in more frequently, visiting twice a month from weeks 28-36. Beginning at week 36, your visits switch to weekly until your baby arrives.
However, your provider may adjust this schedule based on your age, health, and other factors. Expect to see your provider more often if your pregnancy is considered high-risk. You may be high-risk if you are:
If you’ve gone into premature labor before or had problems in a past pregnancy, you’ll also need obstetric care more frequently than women without a history of these issues.
During your initial visit to Almara Women’s Health, your provider may conduct a complete physical exam and perform an ultrasound. There are a series of diagnostic and screening tests as part of your obstetric care. Our physicians are AIUM certified and perform periodic ultrasounds to monitor the health and growth of your baby. We also offer 3D/4D imaging.
Almara recommends a series of screening tests to help identify potential pregnancy-related complications. Some tests occur early in pregnancy, while others are performed later, or are repeated. Your tests typically include:
Complete blood count
Blood type
Urine culture
Rubella and Varicella Titer
Hepatitis B
Sexually transmitted infections
Human immunodeficiency virus (HIV)
Rh antibody test
Group B streptococci
You can also expect a glucose screening test, which assesses your risk for gestational diabetes. In addition, there are optional tests available to evaluate your baby’s risk for chromosomal and gene disorders. Your provider will discuss these elective test options at your first few visits.
A high-risk pregnancy is one where your provider wants to monitor you more closely, either due to your age, a history of pregnancy losses, a chronic health condition, or another reason.
If your pregnancy is high-risk, Almara recommends frequent follow-up exams and lab work. This higher level of attention is designed to catch problems early, before they begin to affect your health or your growing baby’s.
The OB/GYN physicians and women’s health nurse practitioners at Almara are on the cutting edge of caring for women with high-risk pregnancies. They maintain close relationships with perinatal sub-specialists who work with you to achieve the safest outcomes for your baby. The team also has a special passion for caring for women who have had a pregnancy loss, and is one of few clinics dedicated to miscarriage and stillbirth.
For high-quality pregnancy care, call Almara today to schedule.
Selecting an OBGYN practice for your prenatal care is a big decision, and we are honored to have you choose to deliver with Almara. We have seven physicians at Almara, all of whom practice low and high risk obstetrics and perform vaginal deliveries and cesarean sections. Because we cannot guarantee which physician will be available when the time of your delivery arrives, we encourage you to schedule your prenatal appointments with all of the physicians during your pregnancy. This will allow you to get to know all of the providers, and will allow our physicians to get to know you during your pregnancy. At Almara, we work as a team to provide you and your family with the safest and most up-to-date care throughout your pregnancy and delivery.
Each woman’s pregnancy is different, so it is important to discuss any upcoming travel with your physician during your prenatal visit. In general, travel is safe until 34 weeks gestation, but this depends on your health, where you are traveling, and how you plan to travel.
Almara Women’s Health is a collaboration of physician-owned practices building leading-edge health care for women of all ages and experiences. With whole life care that spans from routine check ups to specialty programs and surgeries, Almara is building better healthcare for women.
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