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Tuesday, February 24, 2026
By Dr. Joseph Leveno
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Pregnancy is a transformative experience, but when chronic conditions such as diabetes, high blood pressure, or thyroid disorders are part of your medical history, the journey requires additional planning and precision. With proactive monitoring and individualized care, many women with preexisting health conditions go on to have healthy pregnancies and healthy babies. Plano, Texas, OBGYN Dr. Leveno provides specialized obstetric care designed to support both maternal stability and optimal fetal development from the earliest stages of pregnancy.

Chronic conditions do not automatically mean complications. However, they do require close collaboration between patient and physician. Careful evaluation before conception or early in the first trimester allows potential risks to be identified and addressed before they escalate. This proactive approach supports smoother pregnancies and better long-term outcomes for mother and baby.

Importance of Early Monitoring Matter During Pregnancy

Early monitoring matters during pregnancy because physiologic changes begin immediately. Blood volume increases, hormone levels shift, and metabolic demands rise rapidly. When a chronic condition is present, these changes can influence blood sugar levels, blood pressure control, and thyroid function.

For example:

  • Diabetes may require medication adjustments as insulin resistance naturally increases.
  • Chronic hypertension may require careful medication review to ensure safety during pregnancy.
  • Thyroid disorders may need dose changes to maintain proper hormone balance for fetal brain development.

Even small imbalances can affect placental function and fetal growth. Consistent follow-up, laboratory evaluation, and individualized care plans allow concerns to be addressed early, helping prevent complications rather than reacting after they develop.

How Are Chronic Conditions Safely Managed Throughout Pregnancy?

Chronic conditions are safely managed throughout pregnancy through structured, personalized care. Management is not one-size-fits-all. It involves coordinated monitoring, medication review, and ongoing assessment as pregnancy progresses.

Key components often include:

  • Adjusting medications to pregnancy-safe alternatives when necessary
  • Monitoring blood pressure trends rather than relying on isolated readings
  • Tracking blood glucose patterns to reduce the risk of fetal overgrowth
  • Evaluating thyroid hormone levels at appropriate intervals
  • Assessing fetal growth and amniotic fluid levels through ultrasound

This proactive approach focuses on staying ahead of physiologic changes rather than waiting for symptoms to develop. The goal is stability — maintaining controlled blood pressure, balanced glucose levels, and appropriate thyroid function so the placenta and baby receive consistent support.

Dr. Leveno approaches high-risk and medically complex pregnancies with experience and attentiveness. “When a patient has a chronic condition, our focus is steady, individualized management so both mother and baby remain stable throughout the pregnancy,” he explains. This continuity of care reduces uncertainty and builds confidence as pregnancy progresses.

Common Chronic Conditions Requiring Specialized Obstetric Care

Several chronic conditions require closer monitoring during pregnancy. When a medical diagnosis is present, care becomes more structured and proactive. In Plano, Dr. Leveno provides high-risk pregnancy management that includes advanced ultrasound monitoring, coordinated lab testing, medication adjustments, and individualized delivery planning to support safe maternal and fetal outcomes.

Diabetes

Whether preexisting type 1, type 2, or early-diagnosed gestational diabetes, blood sugar control plays a critical role in preventing complications such as macrosomia, preeclampsia, and delivery challenges.

Chronic Hypertension

Elevated blood pressure increases the risk of placental insufficiency and preeclampsia. Careful medication selection and regular monitoring help minimize these risks.

Thyroid Disorders

Both hypothyroidism and hyperthyroidism can affect fetal development if untreated or poorly controlled. Adjustments are often needed during pregnancy.

Autoimmune Conditions

Certain autoimmune diseases require collaboration with specialists to balance maternal stability with fetal safety.

By identifying each patient’s specific risk profile, care can be tailored rather than generalized.

Personalized Pregnancy Planning in Plano Texas

Personalized pregnancy planning includes more than lab tests and prescriptions. It involves education, reassurance, and clear communication. Patients benefit from understanding what to monitor at home, when to call, and how lifestyle factors such as nutrition, hydration, and stress management support medical treatment.

In Plano, Texas, Dr. Leveno provides comprehensive obstetric care for both low-risk and high-risk pregnancies. With attentive monitoring and thoughtful adjustments throughout each trimester, women with chronic conditions can feel supported rather than overwhelmed.

The objective is simple: maintain maternal health, protect placental function, and promote steady fetal growth. With structured oversight and early intervention when needed, many complications can be reduced or avoided entirely.

If you are planning a pregnancy or are currently pregnant with a chronic condition, individualized care makes a meaningful difference. Schedule a consultation with Dr. Leveno in Plano, Texas to develop a tailored plan that supports your health and your baby’s development throughout every stage of pregnancy.

 
Saturday, February 21, 2026
By Dr. Joseph Leveno
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Seeing your baby’s face through a 3D ultrasound can be an unforgettable pregnancy milestone. These images provide a realistic look at facial features and movement, creating a meaningful bonding experience—but timing plays a key role in image clarity.

While many parents assume a 3D ultrasound can be done at any stage, there is an ideal window when results are typically the clearest. Dr. Joseph Leveno, an OB-GYN serving Plano, Texas, discusses the best timing for a 3D ultrasound as part of prenatal care.

When is the ideal time to schedule a 3D ultrasound?

For most pregnancies, the ideal time to schedule a 3D ultrasound is between 26 and 32 weeks. During this stage, your baby has developed more defined facial features, such as the nose, lips, and cheeks, while still having enough space to move. This combination allows for clearer, more recognizable images.

Why timing matters:

  • Before 26 weeks: Facial features are still forming, and babies have less facial fat. Images may appear flatter or less detailed than many parents expect.

  • After 32 weeks: Space becomes more limited as the baby grows. Positioning against the uterine wall, placenta, or hands can block facial views and reduce image clarity.

The 26–32 week window offers the best balance between facial development and available space, increasing the likelihood of capturing expressive features and natural movement. Even within this ideal timeframe, every pregnancy is different, and image quality can still vary based on baby position, amniotic fluid levels, and maternal anatomy.

Why are 3D ultrasounds special for expecting parents?

Unlike standard 2D ultrasounds, which focus primarily on medical evaluation, 3D ultrasounds provide a more lifelike view of your baby. Parents often describe the experience as emotional and reassuring, especially when they can see facial expressions or movements that resemble a newborn.

Benefits of a 3D ultrasound experience may include:

  • A clearer view of facial features and proportions
  • Seeing movements such as yawning, smiling, or hand-to-face motions
  • A deeper sense of connection and bonding
  • A shared experience for partners and family members

While 3D ultrasounds are not required for medical care, they can complement routine prenatal imaging by offering an additional emotional connection during pregnancy. It is important to remember that medical ultrasounds remain the primary tool for evaluating fetal growth and development, while 3D imaging enhances the experience rather than replacing diagnostic scans.

As Dr. Leveno explains, “3D ultrasounds allow families to connect with their baby in a meaningful way, but timing is key. When scheduled at the right stage of pregnancy, the experience is often more rewarding and memorable.”

How does 3D ultrasound fit into overall prenatal care?

3D ultrasounds are typically elective and are not a substitute for medically indicated imaging. They work best when coordinated alongside routine prenatal visits, allowing parents to enjoy the experience without confusion about its role in care.

Patients often appreciate discussing expectations ahead of time, including what can and cannot be guaranteed during the scan. Even during the ideal window, babies may not cooperate, and repeat attempts are sometimes needed to capture the desired images.

Clear communication with your provider helps ensure that the experience is enjoyable and aligned with your pregnancy timeline. Understanding positioning, timing, and limitations can prevent disappointment and help families focus on the excitement of seeing their baby rather than achieving a “perfect” image.

Planning your 3D ultrasound experience

When planning a 3D ultrasound, scheduling early within the recommended window can provide flexibility if a repeat scan is needed. Staying well hydrated in the days leading up to the appointment may also help improve image clarity, as adequate fluid levels can enhance visualization.

It is helpful to approach the experience as a moment of connection rather than a checklist item. Every baby and pregnancy is different, and the value often comes from seeing your baby move and develop, even if the images are not perfectly posed.

For patients who choose to include a 3D ultrasound as part of their pregnancy journey, Dr. Leveno offers in-office 3D ultrasound imaging with our registered ultrasound technician. This optional experience allows families to see more detailed views of their baby’s facial features and movement.

Schedule your 3D ultrasound in Plano, Texas

A 3D ultrasound can be a meaningful milestone during pregnancy when scheduled at the right time. Expecting parents in Plano, Texas who are interested in capturing this moment are encouraged to schedule an appointment with Dr. Leveno's office to discuss timing, expectations, and how a 3D ultrasound fits into their prenatal care.

 
Wednesday, February 18, 2026
By Dr. Joseph Leveno
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Enjoying Valentine’s Day Without Overdoing Sugar

Valentine’s Day is often associated with chocolates, desserts, and sweet treats shared as a symbol of love. During pregnancy, enjoying these moments does not have to be off-limits—but it does benefit from a thoughtful, balanced approach. Nutrition during pregnancy plays a meaningful role in supporting energy levels, managing blood sugar, and promoting healthy fetal development. Understanding how sugar affects the body can help expecting mothers enjoy seasonal treats while still prioritizing their health and their baby’s well-being.

Dr. Joseph Leveno, OBGYN at Medical City, Plano, Texas, works with expecting mothers to address common nutrition questions during pregnancy, including how to approach sugar intake without unnecessary restriction.

Why does sugar intake matter during pregnancy?

During pregnancy, the body processes sugar differently due to hormonal changes that affect insulin sensitivity. Excess added sugar can contribute to rapid blood sugar spikes, increased fatigue, and unwanted weight gain. For some patients, high sugar intake may also increase the risk of gestational diabetes or worsen existing blood sugar concerns.

That said, pregnancy nutrition is not about eliminating enjoyment. Occasional indulgences are normal and often emotionally satisfying. The goal is balance—choosing when and how to enjoy sweets in a way that minimizes blood sugar swings and supports overall nutrition.

Being mindful of sugar intake can help:

  • Maintain more stable energy levels throughout the day
  • Reduce dramatic blood sugar fluctuations
  • Support healthy weight gain during pregnancy
  • Encourage better long-term eating habits

Valentine’s Day can absolutely include chocolate or dessert. What matters most is portion size, frequency, and how sweets are combined with other nutrients.

How can expecting moms enjoy sweets more mindfully?

Mindful eating during pregnancy focuses on awareness rather than restriction. Paying attention to cravings, portions, and how foods make you feel afterward can help guide healthier choices without guilt.

Helpful strategies for enjoying sweets during pregnancy include:

  • Choosing naturally sweet options such as fresh fruit, yogurt with berries, or smoothies
  • Enjoying small portions of chocolate rather than oversized desserts
  • Pairing sweets with protein or healthy fats, such as nuts or nut butter, to help stabilize blood sugar
  • Staying well hydrated, thirst can sometimes feel like sugar cravings

These simple adjustments allow treats to fit into a balanced eating pattern while reducing the likelihood of energy crashes or digestive discomfort later.

As Dr. Leveno explains, “Pregnancy nutrition does not need to feel restrictive. The goal is helping patients make choices that support steady energy, healthy development, and peace of mind while still enjoying food.”

This balanced mindset helps reduce stress around eating and supports consistency throughout pregnancy.

Supporting healthy habits beyond the holidays

While Valentine’s Day highlights sweets, the same principles apply throughout pregnancy. Consistent, nourishing meals help regulate appetite and reduce intense cravings over time. Regular meals with a mix of protein, complex carbohydrates, and healthy fats often make it easier to enjoy occasional treats without overindulging.

Patients are encouraged to listen to their bodies, avoid skipping meals, and seek guidance when cravings feel difficult to manage. Nutrition needs can change across each trimester, and personalized advice can be especially helpful for patients with nausea, heartburn, or blood sugar concerns.

Open conversations during prenatal visits allow nutrition questions to be addressed early, reducing confusion and anxiety around food choices. When patients feel informed, they are better equipped to enjoy special occasions without worry.

Personalized guidance for pregnancy nutrition

Every pregnancy is unique. Factors such as activity level, metabolism, medical history, and symptoms all influence nutritional needs. Prenatal care works best when nutrition guidance is tailored rather than one-size-fits-all.

Patients who have questions about sugar intake, cravings, or balanced nutrition during pregnancy are encouraged to schedule a consultation with Dr. Leveno in Plano, Texas. Thoughtful guidance can help you enjoy moments like Valentine’s Day while keeping your health—and your baby’s health—at the center of every decision.

 
Monday, February 16, 2026
By Dr. Joseph Leveno
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Postpartum Recovery: Caring for Your Body and Mind After Birth

The weeks and months after childbirth are a period of major transition. While welcoming a new baby is often filled with joy and anticipation, postpartum recovery also brings physical healing, emotional adjustment, and new routines that can feel overwhelming at times. Every recovery looks different, and understanding what is normal—and when extra support is needed—can make this season healthier and more manageable.

Dr. Joseph Leveno, OBGYN, at Medical City Plano, Texas works closely with patients after delivery to support both physical healing and emotional well-being. Postpartum care is not just about one follow-up visit; it is about helping new parents feel supported as their bodies and lives adjust after pregnancy.

What physical changes are normal after childbirth?

After delivery, the body begins a complex recovery process. Hormone levels shift rapidly, organs gradually return to their pre-pregnancy state, and energy levels can fluctuate from day to day. Many patients are surprised by how long some of these changes last, but most are a normal part of postpartum healing.

Common physical changes during the postpartum period include:

  • Vaginal bleeding and discharge as the uterus heals
  • Breast tenderness, milk production issues or discomfort related to breastfeeding
  • Pelvic floor weakness or pressure
  • Abdominal muscle separation
  • Fatigue related to healing and disrupted sleep

Recovery timelines vary. Some changes improve within weeks, while others may take several months. Gentle movement, adequate hydration, balanced nutrition, and rest whenever possible all play an important role in supporting the body’s healing process.

Postpartum check-ups allow Dr. Leveno to evaluate changes and address issues early. Lingering pain, heavy bleeding, or concerns about healing should never be ignored. Personalized guidance helps ensure recovery stays on track and complications are identified promptly.

How can postpartum care support emotional health?

Physical recovery is only part of postpartum care. Emotional changes are just as significant and deserve equal attention. Hormonal shifts, sleep deprivation, and the responsibility of caring for a newborn can all affect mood and mental health.

Many new parents experience:

  • Mood swings or tearfulness
  • Anxiety or feelings of being overwhelmed
  • Difficulty sleeping even when the baby rests
  • Changes in appetite or concentration

While many emotional changes are normal after childbirth, ongoing sadness, anxiety, or disconnection may signal postpartum depression or anxiety. Early conversations with a trusted healthcare provider can make a meaningful difference.

Dr. Leveno explains, “Postpartum care goes beyond physical healing. It is about helping patients feel supported, understood, and confident as they adjust emotionally after childbirth.”

Postpartum visits create space for open discussion about mood, stress, and emotional well-being, with referrals or additional support available when needed.

Supporting recovery through everyday habits

Small, consistent habits play an important role in postpartum recovery and can make the transition into new parenthood feel more manageable over time. While there is no single “right” routine, focusing on a few foundational practices helps support healing, restore energy, and promote emotional balance as the body adjusts after childbirth. Here are some tips from Dr. Leveno's team:

  • Gentle movement, such as walking, once cleared by a provider
  • Nourishing meals that support energy and healing
  • Asking for help with household tasks and newborn care
  • Maintaining open communication with a healthcare provider

Postpartum recovery does not require perfection or strict timelines. Progress is often gradual, and it is normal to experience ups and downs along the way. The goal is steady healing, realistic expectations, and feeling supported throughout the recovery process.

A personalized approach to postpartum care

Every postpartum journey is different. Factors such as delivery experience, prior health history, breastfeeding goals, and emotional well-being all shape recovery. Postpartum care works best when it is individualized rather than rushed or generalized.

At his Plano practice, Dr. Leveno provieds continuity of care, allowing time to address concerns thoroughly and adjust guidance as recovery progresses. This personalized approach helps patients feel confident as they navigate early parenthood.

Schedule your postpartum visit

Postpartum recovery deserves the same level of attention as prenatal care. Scheduling a postpartum check-up allows physical healing and emotional health to be reviewed together, ensuring concerns are addressed early and recovery is well supported.

Patients in Plano, Texas are encouraged to schedule a postpartum appointment with Dr. Leveno to discuss physical changes and emotional well-being.

 
Saturday, February 14, 2026
By Dr. Joseph Leveno
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Sharing the news of your pregnancy is one of life’s most meaningful moments. Whether it is planned, surprising, or long awaited, how you choose to share the news can make the experience even more special. With Valentine’s Day centered around love and connection, it offers a natural and heartfelt opportunity to announce that your family is growing.

Pregnancy announcements do not need to be elaborate to be unforgettable. What matters most is that the moment feels personal, thoughtful, and true to you and your relationship.

How Can I Share My Pregnancy News in a Meaningful Way?

A meaningful pregnancy announcement often comes from intention rather than scale. Thoughtful, personal gestures tend to create the most lasting memories, especially when they reflect your relationship and the moment you are sharing. Pregnancy announcements do not need to be elaborate or public to feel special. In many cases, simple details are what make the experience feel genuine and unforgettable.

If you are looking for inspiration, consider ideas that create a shared moment rather than a performance.

Popular and creative announcement ideas:

  • A handwritten love note tucked inside a favorite book or journal
  • Baby socks or a onesie wrapped like a gift and presented during a quiet moment
  • A “future parent” card slipped into a planned date night or celebration
  • A surprise breakfast featuring a baby-themed treat or message
  • A custom puzzle or game that reveals the news piece by piece

These ideas work because they leave space for real, unfiltered reactions. Whether it is laughter, happy tears, or a brief moment of surprise, the emotion feels authentic. Long after the announcement itself, many people remember how the moment felt rather than exactly what was said, making these simple, intentional ideas especially meaningful.

Making the Moment Meaningful and the Journey Supported

Pregnancy announcements mark the beginning of something deeply personal and life-changing. Whether shared through a simple note or a creative surprise, the moment deserves care and intention. These early memories often become part of the story you carry with you throughout pregnancy and beyond.

Just as important as the announcement itself is having the right support in place moving forward. At Medical City Plano, Dr. Leveno, OBGYN supports patients from the earliest stages of pregnancy, offering guidance that helps reduce uncertainty and build confidence.

As Leveno often reminds patients, “Those first conversations matter. They help set the tone for the entire pregnancy and give you a place to ask questions without feeling rushed.”

If you are ready to begin your pregnancy journey or have recently shared your exciting news, expert prenatal care with Dr. Leveno can help you move forward with reassurance and clarity every step of the way.