2811 Tieton Drive,
Yakima, WA 98902 Map this address

(509) 575-8000

Prenatal Screening Guide For Physicians

This decision making guide will help providers navigate options available for prenatal screening that will be most appropriate for their patients. The screening options provided are blood tests that present low risk for both mother and fetus. All screening tests are completely optional for the patient, but screening may allow for more informed decision making and preparation for the arrival of their baby.

Please feel free to direct your low risk patients to the prenatal screening information here »

The Central Washington Genetics Program suggests you think of your patients as in one of two categories: Low risk or High risk. Routine patients are low risk and below is suggested scripting for you to use in counseling those patients and arranging screening, if they wish to proceed, in your clinic. A patient with a concern of any kind: abnormal ultrasound, positive result on screening, family history of something, previous pregnancy/child with something, etc, should be considered high risk and referred to genetics to assure appropriate risk assessment and testing.

Scripting for Routine Low Risk Pregnancies

In any pregnancy, there is a 3-5 % risk for some type of birth defect. At this point, we don't have information to believe you are higher risk than that, so I would like to offer you routine screening.

Screening means to look for certain birth defects that can happen to anyone. We don't feel there is a high risk for any of these in you, but it is routine to offer screening. It is your choice to have a screening test or not.

These screening tests that look for birth defects are blood tests. I will explain about some of them, but if you feel you have a high risk for a child with birth defects, or wish more detailed information, I can refer you to Prenatal Genetics where it is their job to explain all your choices and answer your questions to help you make the best decision. It is always your choice which test, if any, to have.

The reason to have prenatal screening tests is to provide you with more information. Negative results may be reassuring to you. Positive results may allow you to prepare for a child with special needs and they allow your doctor to develop the best plan for following you during the pregnancy or making special arrangements at the time of delivery.

If you are a "low risk" patient, with no special concerns or family history of concern, it is most likely your provider can do one of the following tests. If however, you are "high risk", which just means there is something different about your personal or family history, then it is best to seek genetic counseling to assure you have complete and correct information about the concern and all of your options. Screening tests for low risk women are listed below:

If Prior to Thirteen Weeks, Six Days Gestational Age

The easiest screening for low risk women is serum integrated screening. This involves two blood tests done here at the clinic to estimate the risk for Down syndrome, trisomy 18 and spina bifida.

A new screening, cell free DNA analysis, was developed for high risk women. It is better at looking for chromosome abnormalities, but since you are not high risk I don't know if your insurance will pay. It is just one blood draw and can be done here at the clinic, but then you would need another blood draw to look for spina bifida.

If Fourteen Weeks, plus

The easiest screening for low risk women is quad screening. This involves a single blood draw done here at the clinic to estimate risk for Down syndrome, trisomy 18 and open neural tube defects.

A new screening, cell free DNA analysis, was developed for high risk women. It is better at looking for chromosome abnormalities, but since you are not high risk I don't know if your insurance will pay. It is just one blood draw and can be done here at the clinic, but then you would need another blood draw to look for spina bifida.

Scripting for Routine High Risk Pregnancies in Women of Advanced Maternal Age

In any pregnancy, there is a 3-5% risk for some type of birth defect. At this point, we know you are at a higher risk than that, so we would like to offer you specialized screening.

Screening means to look for certain birth defects that can happen to anyone. You are at a higher risk than average to have a child with a chromosomal abnormality due to your age.

Screening tests that look for birth defects are blood tests. I will explain about some of them, but if you wish to have more detailed information, I can refer you to prenatal genetics where it is their job to explain all of your choices and answer your questions to help you make the best decision. It is always your choice which test, if any, to have.

The reason to do prenatal screening tests is to provide you with more information. Negative results may be reassuring to you. Positive results may allow you to prepare for a child with special needs, and they allow your doctor to develop the best plan for following you during the pregnancy or making special arrangements at the time of delivery.

The best screening for women at risk for fetal chromosome problems (like Down syndrome) is cell free DNA analysis. It is just one blood draw and can be done here at the clinic.

We would then offer you a second blood test, also done here at the clinic, to estimate the risk for spina bifida. Spina bifida is when the baby's back does not form correctly.

If your result on either one of these is positive, we will refer you to genetics for further discussion and information.

Script for High Risk Pregnancies in Women, Other than Advanced Maternal Age

In any pregnancy, there is a 3-5% risk for some type of birth defect.

Screening means to look for certain birth defects that can happen to anyone. You may be at a higher risk than average to have a child with birth defects because of your history.

Because you may be at a higher risk, I am going to refer you to prenatal genetics where it is their job to determine if you are at high risk and to explain all of your choices and answer your questions to help you make the best decision. It is your choice which test, if any, to have.

The reason to do prenatal screening tests is to provide you with more information. Negative results may be reassuring to you. Positive results may allow you to prepare for a child with special needs, and they allow your doctor to develop the best plan for following you during the pregnancy or making special arrangements at the time of delivery.

COVID-19 News & Announcements

COVID-19 Testing

HealthyNow Creekside is a COVID-19 testing site only. Existing patients with one or more COVID symptom may call to schedule a test through their primary care physician. New patients or those needing evaluation may schedule online to be seen at our HealthyNow West Valley location. In your online appointment request, please list your current symptoms so our team can better serve you. Or call 509-225-4669

UPDATED! July 23: Updated Visitation Policy

As a response to the current community situation with COVID-19, we are suspending most in-person visits to our hospitalized patients. The decision to suspend hospital visits was difficult and made only after careful consideration.
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Virginia Mason Memorial resumes surgeries.

Hip replacement surgery

Read one patient's story: Hip replacement and home the same day.

Curtis was one of the first hip-replacement patients in Virginia Mason Memorial history who didn't have to spend the night in the hospital after surgery, which is a growing trend.

Curtis Johnstone of Yakima waited a long time for his hip-replacement surgery - 10 years, as a matter of fact. By 2018 his doctor told him the cartilage in his right hip was gone. It was bone on bone. "It would ache, and I couldn't sleep at night," he says. "I'd have to take ibuprofen or ice it to try to calm it down." But Curtis's job didn't offer health insurance. So he literally limped along until he turned 65 and could sign up for Medicare.

In early 2020 and fully insured, Curtis, 65, was thrilled to finally book his full hip replacement surgery at Virginia Mason Memorial hospital. Then the COVID-19 pandemic hit. As a safety precaution, all elective surgeries at Virginia Mason Memorial were halted, and Curtis’s surgery was cancelled.

So when schedulers called him in late May to rebook his hip replacement, Curtis had no reservations. “They asked me if I’d be willing to come in, and I said, ‘Absolutely!’ I figured the hospital was one of the safest places I could be,” he says. “All the precautions were in place.” Those precautions include a three-day quarantine before surgery, COVID testing and, on the day of surgery, a Memorial employee greets patients at their car, provides a mask, checks their temperature, rules out any new COVID symptoms, and helps them fill out paperwork.

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Infusion Care team 'keeps going' and patient couldn't be more grateful

Hip replacement surgery

Gregory White has been coming to the Outpatient Infusion Care clinic at Virginia Mason Memorial for the past 10 years.

“This team is like my family,” he says. “I know most of them, and know about their kids, and they know everything about me!”

Greg was diagnosed at birth with a rare, hereditary blood disorder called Diamond-Blackfan Anemia, which affects the ability of bone marrow to produce red blood cells. The disease is often treated with blood transfusions. In fact, to manage his symptoms Greg used to have blood transfusions every three weeks. But, as he recalls, “my quality of life was almost non-existent. I was homebound and in bed 75% of the time.”

Greg is a huge baseball fan and loves anything sports-related. Anyone who knows him will tell you that Alabama is Greg’s No. 1 favorite college team. Once an avid golfer, he had a 30-year career ranging from caddy to golf pro, and everything in between until his disease forced him to stop working. 

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New! June 23: Going Home after Birth during the COVID-19 Pandemic

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New! June 23: Volver a casa después de dar a luz durante la pandemia de COVID-19

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Mask Requirements

To minimize the risk of spreading COVID-19, Virginia Mason Memorial (VMM) would like to remind all patients and visitors that masks are REQUIRED at all VMM facilities, including our clinics.

To conserve supplies, we request that all patients and visitors bring masks to their appointments. A limited number of reusable cloth masks, made by community members, will be available if you need one.

We also strongly encourage all community members to wear masks when in public - this is one of our best tools to prevent the spread of COVID-19.

Prescription Home Delivery

We now offer home delivery for your prescription medications.

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Visitors to Generations OB/GYN

As part of our continuing efforts to focus on patient safety during the COVID-19 pandemic, Generations has changed its visitor policy.

No visitors will be allowed for clinic visits, with the only exceptions being:

1 Visitor will be allowed for the first OB appointment
1 visitor will be allowed at the 20 week anatomy ultrasound

Visitors to the Family Birthplace

Women in the Family Birthplace may have one visitor.

Additional Spiritual Resources During COVID-19

Chaplains at Virginia Mason Memorial Hospital provide care for every patient regardless of their personal beliefs or non-beliefs. For support, assistance, prayers, and all other spiritual care requests, please email spiritualcare@yvmh.org or call the spiritual care office: (509) 575-8035

Tele-Chaplaincy

There are times when a direct face to face spiritual care conversation is not the best option (due to distance, a pandemic, patient preference). That's where Tele-Chaplaincy provides another possibility. You can request chaplain support using your personal, or hospital room, phone. Calls are confidential. Chaplains will listen, provide encouragement, offer help and resources, and if desired, offer prayer. If you are part of a faith community a chaplain can help you connect with them.

Virtual Chaplaincy

Without regular visits from family and friends a stay in the hospital can be even more challenging. One of our newest offerings, Virtual Chaplaincy using Zoom, helps make connections. By contacting the Spiritual Care team at the email or phone number above you can request a Zoom meeting. Family and friends throughout the Yakima Valley, from the four corners of the state, from across the country and even internationally, are meeting with patients via Zoom to offer their love and support. Due to the popularity of this option scheduling and frequency may, at times, be limited.

Hospital Lab Services

All out-patient lab services - including newborn screens and bilirubin collections - will now be provided at Memorial Cornerstone Medicine, 4003 Creekside Loop. Hours are 7 a.m. to 6 p.m. Monday through Friday; 8 a.m. to noon, Saturday and Sunday.

Hospital Pharmacy

The hospital pharmacy is closed to the public for the duration of the pandemic. The public may choose to have those prescriptions transferred to VMM's Pharmacy at Creekside or the pharmacy of their choice.

The Pharmacy at Creekside, 4003 Creekside Loop, is open 8:30 a.m. to 6 p.m. Monday through Friday; and Saturday and Sunday 8 a.m. to 4:30 p.m. and offers walk-in or drive-through options for pickup.

Farmacia Del Hospital

La farmacia del hospital estará cerrada al público mientras dure la pandemia. El público puede escoger si quiere que sus recetas sean transferidas a la otra farmacia de Virginia Mason Memorial, localizada en la clínica Cornerstone o también puede elegir cualquier otra farmacia de su preferencia. La clínica de Cornerstone, está localizada en el 4003 Creekside Loop. En esta farmacia se puede recoger la medicina por la ventana y/o adentro de la clínica.

Horario: Lunes a Viernes de 8:30 a.m. a 6:00 p.m. y sábado y domingo de las 8:00 a.m. a las 4:30 pm