Practice Information • Office Information • Prenatal Care • GYN Services   Office Information Appointments are scheduled Monday - Thursday 8:00am to 4:00pm Fridays - 9:00am to 4:00pm Appointments Patients are seen by appointment Monday through Thursday from 8:00a.m - 5 p.m. and 9 a.m. - 5 p.m. on Fridays. Appointment times may vary, depending on the location and availability of physicians. Our staff will assist you with obtaining an appointment with the physician and office location of your choice. If a patient is unable to keep a scheduled appointment, or may be late, we ask that our office be contacted as soon as possible. We try to see our patients on time; however, due to the nature of an OB/GYN practice, there may be unexpected emergencies. If we know in advance that a physician is going to be late or delayed, we will make every attempt to inform our patients and reschedule the appointment, if necessary. We ask that our patients keep us appraised of any address or contact telephone number changes. We also request that we be provided with patient insurance information when their appointments are scheduled. Emergency appointments are available for new and established patients. Please assist our staff by providing us with all pertinent information when requesting urgent care, i.e. symptoms, medications, and emergency room care and x-ray/ultrasound studies. This will assist us in making the appropriate determination of the care that you may require at that time and allow us to obtain medical records prior to your visit with us. El Rio OB/GYN nurses and staff are specially trained to answer specific questions and provide information to referring physicians and their patients. We will make every attempt to return your call by the end of the day in which we are contacted. Main Office 225 W.Irvington Rd. Tucson, AZ 85714 Ph. 884-7304 Located next to Laos Transit Center Monday - Thursday 8a.m. - 5p.m. Fridays 9a.m. - 5p.m. All Locations Enter your starting address: Street Address:  City:  State:  ZIP Code:  Southwest Office 1500 Commerce Court at El Rio Southwest Clinic Tucson, Arizona 85746 Ph.520-806-2606 Monday - Thursday 8a.m. - 5p.m. Doctors Rios, Arreguin, Jordan and Hernandez Enter your starting address: Street Address:  City:  State:  ZIP Code:  Northwest Clinic 1324 West Prince Road Tucson, Arizona 85705  Ph.884-7304 Friday 9a.m. - 5p.m. Dr. Carlos, Dr. Rosenfeld Enter your starting address: Street Address:  City:  State:  ZIP Code:  Prenatal Care When you call our office to schedule your first prenatal visit you may choose your own obstetrician, or have our staff assist you with your decision. In most cases, you will be seen within one week. At the first visit we will thoroughly review your medical history and identify any potential risk factors that may affect your pregnancy. A complete physical exam will be performed, including a pelvic exam and Pap smear. An ultrasound is usually performed at your initial visit to document your due date. After your exam, we will discuss various topics with you, including general health information regarding pregnancy: diet/weight gain, risk factors and laboratory testing available. Labor & Delivery We try to attend our own individual patient's labor whenever feasible. We have an obstetrician from our group on call at Tucson Medical Center's Labor & Delivery 24 hours a day, 7 days a week, 365 days a year. The goal in every pregnancy is to deliver a happy, healthy baby at term (greater than 37 weeks). Your due date indicates when you're entering your 40th week of pregnancy. Generally, we try to prevent premature delivery prior to 35 - 36 weeks. After 36 weeks’ gestation, it is usually safe to allow delivery. Labor Instructions After 36 weeks, we instruct our patients to call us when contractions are occurring between 5-10 minutes apart for one or two hours. You may call sooner if you have had a history of rapid labors or your contractions are extremely uncomfortable. Always call us right away if you are bleeding or if you think your water broke. (This may be a large gush of fluid or a constant trickle of fluid.) Fetal Movement Prior to 36 Weeks At 32 weeks, we will give you a copy of your prenatal records. Please bring these records to every office visit and to the hospital when you are in labor. The earliest time women may feel fetal movement is at 15 weeks, in the early second trimester. You should call us if you suspect decreased fetal movement. If you suspect that there may be a problem, have something to eat or drink, lie down and count fetal kicks or movements. If it takes more than one hour to count 10 movements, then call our office for further instruction. GYN Services Well woman annual examinations - includes breast cancer screening and Pap smears Evaluation and treatment of abnormal Pap smears * see Women's Health Topics - Abnormal Pap Smears Evaluation and treatment of irregular bleeding Menopausal consultation Evaluation and treatment of pelvic pain Infertility evaluation Contraception/Family Planning Women's health Bladder disorders/Incontinence Vaccinations (HPV, Influenza) Office Procedures Colposcopy/LEEP/Cryotherapy Hysteroscopy Ultrasound Endometrial biopsy IUD (insertion/removal) Depo-Provera Lupron therapy Fetal survellance non stress testing / Biophysical profiles / Amniotic fluid Index Emergency Care Our triage nurse will speak with you and determine the best course of action with input from your doctor. Our physicians are available 24 hours a day for emergencies. If a patient has an emergency, please contact our office at 884-7304. In a life-threatening emergency, please call 911 or have the patient go to the nearest Emergency Room and ask that the patient's physician be called for assistance. Our doctors practice at Tucson Medical Center. Our patients should call El Rio OB/GYN Associates before going to the hospital. (See Labor Instructions under Prenatal Care ) Medication Refills Please ensure that you plan ahead on your refills by calling your pharmacy before you run out of your medications. Call your pharmacy at least one week in advance to obtain your prescription refills. The pharmacy will inform you if you do no have any refills left on your prescription. Please contact our office during regular office hours to obtain prescription refill authorizations. You can contact your doctor's nurse either directly, or by her voice mail to obtain your refill or have your pharmacy fax a refill request. Please have all necessary information available when you call: medication name, dosage and frequency, and pharmacy name and phone number. Lab Results Pap smear reports usually take one to two weeks to receive. If normal, we will send you your results by mail and send a report to your primary care physician. If an abnormal Pap smear report is received, we will attempt to contact you by phone in order to inform you of the report and the planned follow up. We now have a lab drawing station to allow our patients to have blood drawn at the time of their visit. Lab Hours: Mon - Thurs 8:00am - 2:30pm Friday: 9:00am - 2:30pm Please contact our office with any questions that you may have concerning our practice services.