> Obstetrics

Our physicians are delighted to be able to share in the joy and excitement of pregnancy. We understand that you will have many questions during this time. You may want to keep a journal during your pregnancy to record any questions or concerns you may have as well as exciting moments such as baby’s first kick. There are several reference books available at the library or bookstore. “What to Expect when you’re Expecting”, for example, is a wonderful guide that takes you week by week through pregnancy and answers many of the most commonly asked questions.

Please keep a list of questions for doctor to answer at your visit so that you are sure all of your concerns have been addressed.  

If you have a concern that you feel cannot wait until your next visit you may call the office during regular business hours and ask to speak to the phone nurse. Our phone nurses are highly trained in obstetric and gynecology triage and will discuss your concerns with you. Our physicians are not available by phone during business hours. The on-call physician is available evenings and weekends for emergencies only by calling 815-932-7474.

For more Obstetric information see Patient Education

Click here to print out "What to expect during your pregnancy"
 


Frequently Asked Questions about pregnancy

Travel Cold/Allergy Hair Perms Saunas/Hot Tub/Tanning Booths Nausea/Vomiting
Exercise
Work Swelling Exposure to Chickenpox Headaches Constipation Bleeding Gums
Sex
Leg Cramps Safe to paint Heartburn Hemorrhoids Yeast Infections Herbs and Vitamins

 

Travel
In the absence of obstetric or medical complications, pregnant women can travel safely up to 34 weeks of gestation.  The risk of swelling and blood clots in the legs are increased by long hours of travel.  This risk may be decreased by the use of support stockings, periodic movement of the legs (walking at least every two hours) and staying well hydrated.  Always wear a seat belt when traveling by car.


Cold / Allergy

Over-the-counter (OTC) medications may not be safe during pregnancy.  Many OTC medications are combinations of medications.  Read package labels and package inserts about safety during pregnancy - nearly all medications contain this information. 

Some OTC medications can be used safely during pregnancy:
 

●  Sudafed will help with nasal congestion and runny nose.
●  Tylenol will help with fever and generalized body aches.
●  Robitussin will help with cough.
●  Sucrets throat lozenges will help with sore throat

 

 

 


Hair Perms / Hair Dyes


Hair dyes are most likely safe during pregnancy.  Since formation of the baby's organs occurs in the first trimester, it would be reasonable to hold off any unnecessary exposures until you are beyond 13 weeks in the pregnancy.  Be aware that pregnancy hormones can affect hair reaction to chemical treatments / perms / dyes.  Results may not be what are expected.
 

 

 

 

Saunas / Hot tubs / Tanning Booths
Prolonged exposure in a sauna or hot tub may cause an increase in your core body temperature.  There is a possibility that a significant increase in core body temperature during critical periods of the baby's development (first trimester) could result in birth defects.  Pregnant women are advised to limit their time in saunas / hot tubs to 10 minutes.

 

 

 


Nausea and Vomiting
An early symptom of pregnancy for some women is nausea, with or without vomiting.  This is often called morning sickness, whether it occurs in the morning or throughout the day.  Nausea often begins around the 6th week of pregnancy and improves by the end of the first trimester (about 13 weeks gestational age).

Common recommendations to minimize nausea and vomiting of pregnancy include:
 

 

●  Eat small meals frequently throughout the day
●  Eat High protein snacks
●  Avoid spicy or fatty foods
●  Eat dry toast or crackers in bed before getting up in the morning
●  Find out which foods, smells, or situations make you nauseated.  Avoid them when       possible.


Exercise

In the absence of either medical or obstetric complications, 30 minutes or more of moderate exercise per day is recommended for pregnant women.  Activities with a high risk of falling or those with high potential for contact / abdominal trauma should be avoided.  After the first trimester, pregnant women should avoid lying flat on their backs. 

Warning signs to terminate exercise while pregnant include:

●  Chest Paint
●  Vaginal Bleeding
●  Dizziness
●  Severe shortness of breath
●  Preterm Labor

General Exercise Guidelines include:

●  Begin exercising gradually.  Start with 15-minute sessions and build up to 30 minute sessions over time.
●  Always allow enough time to warm up and cool down.
●  Notify your doctor if you experience any of the warning signs listed above.


Work
A woman with an uncomplicated pregnancy usually can continue to work until the onset of labor.  Women with medical or obstetric complications of pregnancy may need to make adjustments based on the nature of their activities, occupations, and specific complications.


Swelling

Most pregnant women notice, especially near the end of the pregnancy, increased swelling in their legs, ankles, and feet.  Typically this is a normal finding.  Be careful with your sodium (salt) intake during pregnancy.  Consuming too much sodium may cause you to retain water, which can cause swelling and bloating.  When you are able to rest, keep your legs and feet elevated (on pillows) to help decrease swelling.  It is also important to drink plenty of water.
 

Exposure to Chickenpox
Pregnant women who have either had chickenpox in the past or received the chickenpox vaccine in the past are not at risk of complications/infection from a recent exposure to chickenpox.  Pregnant women who have no prior history of chickenpox are encouraged to avoid contact with individuals who have chickenpox. 

If you are pregnant:

●  and you have never had the chickenpox before.
●  and you have never received the chickenpox vaccine.
●  and you are exposed to someone with the chickenpox.

   ***PLEASE NOTIFY YOUR DOCTOR***


Headaches

About 15 to 20% of all pregnant women suffer from migraine headaches.  Many women notice an improvement in their headaches while they are pregnant.  If you must take medication for headaches during pregnancy, Tylenol is what we typically recommend.  Headaches may also be eased by drinking plenty of water.  Notify your doctor if your headache is not relieved by bed rest, increasing your water intake, or Tylenol.


Constipation

Your bowel habits will likely change during pregnancy.  Most women notice some constipation.  You can help avoid constipation problems during pregnancy by increasing your fluid intake.  A diet that is rich in fiber may relieve constipation.  Some patients may find it necessary to use a stool softener (Colace) in addition to dietary changes.


Bleeding Gums

Gums may be affected by hormones of pregnancy and become sensitive and bleed more easily.  This is a normal fining in pregnancy.  It is important to continue to floss and brush your teeth regularly.  Don't hesitate to visit the dentist during pregnancy.



Sex
Many couples question whether it is safe to have sexual intercourse during pregnancy.  Sexual relations are acceptable during a healthy, uncomplicated pregnancy.  It is typically recommended to avoid intercourse when the pregnancy is at risk for miscarriage or premature labor.  It is not unusual to experience mild spotting after intercourse.  However, you should notify your doctor if you experience heavy vaginal bleeding following intercourse.



Leg cramps
It is common to experience leg cramps in pregnancy,  particularly in the third trimester.  To treat or prevent leg cramps:

●  Exercise regularly - stretch calf muscles
●  Rest with legs elevated
●  Apply local heat
●  Massage calves/feet
●  Eat a diet rich in potassium (bananas) and calcium (dairy and greens, leafy vegetables)


Safe to paint

If someone else is willing to paint for you- allow them to do so.  However, if you chose to paint:

●  Avoid exposure to oil-based paint, leads and mercury.
●  Wear protective clothing - long pants, long sleeves, gloves.

●  Make sure area is well-ventilated.

●  Take frequent breaks.
●  Do not stand on ladders - your balance is not the same during pregnancy.


Heartburn
Heartburn discomfort is one of the most common complaints of pregnancy.  Eating small, frequent meals may help prevent this discomfort.  Avoid lying flat on your back, especially after eating a meal.  Antacids (TUMS, Milk of Magnesia, and Maalox) can also provide considerable relief.


Hemorrhoids
Hemorrhoids are a common problem during or following pregnancy.  Treatment includes avoiding constipation by eating adequate amounts of fiber and drinking lots of fluid.  Hemorrhoid medications (Tucks, Preparation H) are recommended to help relieve the discomfort of hemorrhoids.


Yeast Infections

Yeast infections are quite common in pregnant women.  They have no negative effect on the pregnancy but may cause discomfort and increased vaginal discharge.  Over-the-counter yeast medication creams are safe during pregnancy.  It is typically recommended to use the seven-day Monistat rather than the one or three-day Monistat.  Notify your doctor if symptoms do not improve after using the cream.


Herbs and Vitamins

Don't self-medicate with extra vitamins or herbal products.  Stop all supplements before pregnancy.  Just eat a well balanced diet and take one multivitamin or one prenatal vitamin everyday.  Over-the-counter prenatal vitamins are as acceptable as the prenatal vitamins available by prescription.

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