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> 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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