General Prenatal Health
We have assembled these basic guidelines to help with decisions about your health (and your baby's) during pregnancy. If you have any questions about these guidelines, please consult with your doctor.
Please do not hesitate to call our office if you have any problems or questions. Office hours are from 8:00am to 4:00pm, Monday through Friday. You may need to leave a message, as we triage the numerous phone calls we receive daily. We will return your call as soon as possible. In case of life threatening emergency, please dial 911.
All calls to our offices after 4:00pm will be forwarded to our answering service. All emergencies will be forwarded to the Practitioner on call.
During Your Pregnancy You Should Avoid
- Saccharin (reasonable amounts of NutraSweet/Aspartame are permissible)
- Tampon use
- Caffeine (Except in limited quantities: 1-2 caffeinated drinks per day. Products containing caffeine include: coffee, tea, colas, cocoa)
Common Medical Problems
Heartburn: You may use Maalox, Milk of Magnesia, Mylanta, Rolaids, Riopan, or Tums.
Colds: Increased fluid intake, especially clear liquids. Use vaporizer at night if congested. You may use Tylenol as directed for fever, aches or pains (do not use more than the recommended daily dose). Actifed, Benadryl, Drixoral, Robitussin, or Sudafed are over the counter medications that can be used in pregnancy and are available at your local drug store. Do not use any nasal spray except Ayr or Ocean nasal saline unless prescribed by your physician.
Fever: Call teh office immediately if your fever is above 100.4° F.
Headaches: Tylenol is fine. Do not use Advil, Aleve, Aspirin, or Nuprin.
Constipation: Increase your water intake to six to eight glasses per day. Increase bulk by eating more fiber, including bran cereals, fruits and raw vegetables. Stool softeners such as Colace, or fiber products like Citrucel, Fibercon, Konsyl, and Metamucil are permitted in pregnancy (no prescription needed). Do not use laxatives or enemas.
Morning Sickness: Eat six to eight small meals per day. Do not skip meals. Keep two to three saltine creackers by your bedside at night and eat them before getting out of bed. A small snack before going to bed may also help. Antacids, Altoid mints, ginger tea, and lemon drops may help.
Vomiting: If excessive, please call the office.
Dental Problems: These can and should be taken care of by your dental provider. Please notify your dentist of your pregnancy. Wear a shield for all X-rays. Nitrous oxide gas should not be used.
When Seeing Other Physicians: Be sure to let them know that you are pregnant. Clear all prescriptions with us and avoid X-rays when possible.
Weight Gain: A weight gain of two or three pounds per month for a total of 25-35 pounds is desirable if you are a normal weight. For women who are overweight, 15-25 pounds is recommended. For women who are underweight, 35-45 pounds is recommended.
Protein: Lean beef, chicken, and turkey (baked or broiled, not fried) are your best sources of protein.
Fish: Eat no more than four ounces (about one small serving) of tuna per week. Limit your total intake of tuna and cooked fish to twice a week. Avoid swordfish, shark, king mackerel and tilefish (also called golden or white snapper) as these can contain potentially risky levels of mercury.
Listeria: Listeria is a very rare infection, affecting less than 1 in 100,000 people in the United States per year. Listeria bacteria is found in uncooked meats, uncooked vegetables, un pasteurized milk, and processed foods. To prevent listeria exposure, avoid soft cheeses, such as feta, Brie, Camembert, blue veined cheese, and Mexican style cheese such as queso fresco, queso blanco and Panela. Avoid hot dogs/luncheon meats/deli meats unless they have been properly reheated to steaming (or about 160°F). Avoid refrigerated meat spreads and refrigerated smoked seafood. Canned meat spreads or canned smoked seafood are fine. Practice safe food handling. Any pasteurized dairy products, such as cream cheese, are fine.
Milk: Two or three glasses of milk daily (low-fat, or skim is fine) are recommended. If you cannot drink milk, yogurt, cheese and calcium supplements are also good (Citracal, Caltrate, Tums or Viactiv).
Iron: Liver, peaches, grapes, dried apricots, raisins, egg yolks, fresh spinach, and peanut butter are rich in iron. An iron supplement will be recommended to you during your sixth month.
Seasoning: Onion, lemon, garlic and pepper are good choices. Avoid prepared salts like onion or garlic salt. Limit salt intake (hide your salt shaker!).
Recommended Snacks: Fresh fruits, fresh vegetibles, hard-boiled eggs, raisins, baked turkey or chicken.
Swellingin both legs is very common in pregnancy and will increase in hot weather, with prolonged standing and increased activity. Increase water intake to eight glasses per day and avoid adding sald to your food. Elevate your feet and legs above the level of your heart to improve circulation. Lie on your side when possible. Let your doctor know if you are experiencing swelling in the face or hands.
We do not recommend traveling during the first three months or the last three months of pregnancy. If you must travel, stop frequently, empty your bladder and walk. Travel to high altitudes may cause headaches, nausea, or shortness of breath until you become acclimated to the area.
You may continue to have sexual intercourse throughout your pregnancy, unless you feel uncomfortable or your doctor advises you otherwise.
We encourage you to maintain the same level of activity you had prior to pregnancy. However, avoid water skiing, any high impact sports, horseback riding, scuba diving, hot tubs and tanning beds. Pregnancy exercise videos may also be used.
It is unknown if permanents, highlighting, manicures/pedicures and/or coloring of hair is harmful to pregnancy. If you choose to undergo these treatments, they need to be done in a well-ventilated area by skilled/licensed professionals. Pregnancy massage is usually safe if the therapist is licensed and equipped with a special table.
Symptoms of Miscarriage
Active bleeding, passing of tissue or clots, or severe cramps are symptoms of miscarriage. If at any time you should have a sudden gush of water or leakage from the vagina, call the office immediately, even if there are no contractions.