Obstetrics

Your primary provider will make every effort to attend your delivery.  However, we rotate call coverage as a group practice, and any one of our physicians may attend your delivery. You always have the option to see other physicians in our group for prenatal visits to meet them, but this is not mandatory.

  • Tylenol® (regular or extra strength) for fever and headache
  • Robitussin® DM for cough
  • Cough drops (Halls®, Ricola®, etc.) and Chloraseptic® spray for sore throat
  • Sudafed® for congestion
  • Benadryl®, Zyrtec® or Claritin® for allergies
  • Imodium® or Kaopectate® for diarrhea
  • Colace®, Milk of Magnesia® or Metamucil® for constipation
  • Monistat® or Gynelotrimin® for yeast infections
  • Tums®, Maalox®, Zantac® or Pepcid® AC for heartburn
  • Ginger, Unisom®, Vitamin B6 (50 mg daily) or Sea-Bands® for nausea

  • New obstetrical lab: done at first prenatal visit and includes blood type, complete blood count, hepatitis B, syphilis, rubella, HIV and urine culture.
  • First trimester screening (optional): lab work done between 15-18 weeks to screen for Down syndrome.
  • Ultrasound: Typically done close to 20 weeks to evaluate fetal anatomy.
  • Glucose test: Done between 24 and 28 weeks to screen for gestational diabetes.
  • Group B Streptococcus: Done at 36 weeks.
  • Other testing may be recommended based on personal or family history.

If you had chicken pox as a child, you are immune and there is no cause for concern. If you have not had chicken pox, then please call our office.
“Slapped cheek” syndrome is also known as fifth's disease. This viral infection is caused by parvovirus B19. It rarely causes infections affecting the fetus, but please notify our office if you have been exposed.
If this is your first pregnancy, you'll most likely feel your baby move around 16-22 weeks, even though he/she has been moving around since about 7 or 8 weeks. Mothers who have been pregnant before may notice the movement sooner since they’re familiar with the feeling. Some women have compared the feeling to a bubble popping in their stomach or butterflies fluttering. As pregnancy progresses, the kicks and movement will get stronger and more regular.
 Yes
Travel by air or car is fine as long as emergency care is available near your destination and as long as your pregnancy is uncomplicated. Travel should be completed by 32-34 weeks.
Yes. Intercourse is safe during pregnancy. Spotting can occur up to 48 hours after intercourse and is considered normal. If bleeding becomes heavier or if it is associated with pain, then please call our office.
We would encourage continued regular exercise at the same level of activity that you had before pregnancy. There is no heart rate restriction. If exercise becomes uncomfortable, then decreasing the amount or intensity of activity is appropriate.
Sleeping on the back has never been scientifically proven to cause problems in pregnancy. Most pregnant women will become uncomfortable sleeping on their backs as the pregnancy progresses. Sleeping on their sides may be more comfortable. A long body pillow can often help provide comfort when side sleeping.
We recommend limiting caffeine intake to no more than two hot or cold drinks containing caffeine, or less than 200 mg daily.
Any cheese that has been pasteurized is safe to eat in pregnancy. This includes any soft cheeses.
Most fish and shellfish are safe during pregnancy. We would recommend avoiding excessive consumption of specific fish that could contain mercury, including tuna, shark, mackerel and tilefish. Specifically, we would limit consumption to no more than a tunafish sandwich weekly. Please see the FDA website for more information.
There are some measures you can take to help prevent or remedy morning sickness.   To PREVENT morning sickness, try the following suggestions:

  • Eat a piece of bread or a few crackers before you get out of bed in the morning or when you feel nauseated
  • Get out of bed slowly and avoid sudden movements
  • Have some yogurt, cottage cheese, juice or milk before you go to bed or before you get up
  • Eat several small meals during the day so your stomach doesn’t remain empty for long
  • Eat high protein foods (eggs, cheese, nuts, meat, etc.), as well as fruits and fruit juices
  • Drink soups and other liquids between meals instead of with meals
  • Avoid greasy or fried foods
  • Avoid spicy, heavily seasoned foods

   To REMEDY morning sickness, try these suggestions:

  • Sip soda water (carbonated water) when you begin to feel nauseated
  • Take deep breaths
  • Drink spearmint, raspberry leaf, ginger or peppermint tea
  • Take Vitamin B6 (pyridoxine HCL) – 50 mg. in the morning and at noon; take 100 mg. in the evening
  • Emetrol® can be purchased over the counter at any pharmacy and is safe to use

The mucous plug (a clear, gelatinous blob-like barrier that has “corked” your cervix throughout your pregnancy) occasionally becomes dislodged as dilation and effacement begin. Though the passing of the plug (which not every woman experiences) is a sign that your body is preparing for the big day, it is not a reliable signal that the big day has arrived. Labor could still be several weeks away, with your cervix continuing to open gradually over that time. In other words, there’s no need to call your doctor or frantically pack your bags.
Severe headaches, contractions, bleeding, cramping or any loss of fluid from the vagina, decreased movement of your baby, fever over 100.4º, severe or sudden swelling (face, hands, ankles or feet), or blurred vision should be reported to your doctor immediately.
For constipation, try eating high fiber foods, such as:

  • Bran, whole grains, cereals
  • Fruit (fresh or dried)
  • Raw vegetables
  • Cooked vegetables
  • You may also try taking Metamucil®, Citrucel®, Fibercon®, Milk of Magnesia®, Colace®, Miralax® or Surfak®

Purchase Anusol® HC or Preparation H® at the pharmacy and follow directions on the box. Use a bulk fiber such as Metamucil® or Citrucel® or a stool softener such as Senokot®.
You may try Rolaids®, Maalox®, Tums® or Mylanta®. You can also try Pepcid® AC or Zantac® over-the-counter.
If you are near your ideal body weight when you become pregnant, the recommended weight gain for pregnancy is 26 to 28 pounds. For women pregnant with more than one baby, the recommended weight gain varies depending on the number of babies and your pre-pregnancy weight. Please ask your doctor for specific information.
Regardless of how long you decide to breast feed (nurse or pump) your baby, at some point you will be ready to stop. There are several ways to accomplish this. While it is possible to stop “cold turkey,” we don’t routinely recommend that since it tends to be very uncomfortable/painful for you. Some babies may gradually wean themselves as they take formula or solids or both. Once you make the decision, we recommend that over the course of one to two weeks, you begin eliminating one session of nursing/pumping every two to four days depending on how much milk you have. Try to pick different times of the day. For example, if you first eliminate one in the morning, the next one should be at night. That way, you allow your body to slowly reduce production of milk. It is not necessary to take a medication to stop (“dry up”) your milk. Finally, it is normal that there may be a tiny amount of leakage for up to one year after you stop. There is no need to “check” by squeezing on your nipple after you have quit, as that may cause you to make more milk.