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FAQ

TAKING MEDICATIONS DURING PREGNANCY

It is important to AVOID taking medications during pregnancy unless it is absolutely necessary. The following over the counter (OTC) products that are safe when used in moderation.
  • PAIN – Extra strength Tylenol
  • CONSTIPATION – Metamucil, Fibercon, Colace or Mira lax
  • DIARRHEA – Kaopectate or Gas-X<
  • HEADACHE – Extra strength Tylenol
  • HEARTBURN – Maalox liquid or chewable tablets, Mylanta, Rolaids, sodium-free Tums or
    Zantac
  • HEMORRHOIDS – TUCKS pads (witch hazel compresses), Preparation-H, sitz baths or ice packs
  • COLDS – plain Robitussin DM, plain red Sudafed (4hr), Mucinex, Tylenol, Ocean nasal Spray, Vicks vaporub, neti pot, throat lozenges or cough drops and use of a humidifier at night next to your bed
  • ALLERGIES – Claritin, Zyrtec or Benadryl
  • LEG CRAMPS – Sodium free Turns (up to 4 daily)
  • NAUSEA – half (1/2) tablet 25 mg Unisom with Vitamin B6
IF YOU ARE PRESCRIBED ANY MEDICATIONS BY ANOTHER PHYSICIAN- NOTIFY THE OFFICE

PRENATAL GENETIC TESTING

The purpose of maternal serum screening is to identify pregnancies that may be at increased risk for open neural tube defect {ONTD), Down syndrome or Trisomy 18. These tests are optional and we respect your decision, whether you decide to perform or forego.
All of these tests offered are non-invasive.

This test is serologic {blood) only. Does not detect open neural tube defects.
Results are given in 1st trimester and are less accurate than integrated screening.

This test combines serologic {blood) markers and ultrasound in both the 1st and 2nd trimester. Results are given in the 2nd trimester.

This test is serologic {blood) only. This screens for open neural tube defects only.
Drawn and results in the 2nd trimester.

This test is serologic {blood) only and is less accurate than integrated screenings,
Drawn and results given in the 2nd trimester.

Non-invasive prenatal screening {NIPS) is a serologic {blood) test that screens for Down syndrome, Trisomy 18, 13 and chromosome X & Y differences. This test requires a referral to a genetic counselor and insurance coverage varies.
Not all affected fetuses can be detected. Some may be missed by any of these screening tests.
Some women with normal fetuses may have abnormal screening results.
Abnormal Screening results may indicate the need to consider further testing, such as ultrasound and/or amniocentesis.

PREGNANCY CONCERNS AND RECOMMENDATIONS

Influenza vaccines recommended in flu season (October-March). Influenza vaccines with the type of preservative (i.e. thimerosal) used in trace amounts has not been shown to be harmful to pregnant women or babies. PREGNANT WOMEN SHOUlD NOT RECEIVE THE NASAL SPRAY VACCINE.
Tdap (Tetanus/diphtheria/pertussis) vaccines are recommended in the 3rd trimester.
MMR (Measles/Mumps/Rubella) vaccination IS NOT recommended in pregnancy. The FDA also recommends women should not become pregnant for 90 days after receiving the MMR vaccine.
Weight gain of 25-35 lbs during pregnancy is recommended; approximately 2-3 lbs per month, recommendations vary according to your pre pregnancy weight. Pregnant women need an additional 100-300 calories daily (equivalent to a glass of low fat milk). It is important for the health of you and your baby to eat a well balanced, low fat diet.
Daily prenatal vitamins are recommended throughout your pregnancy. Be sure to consult with your physician before taking additional vitamins, herbs or supplements as some may be unsafe while pregnant.
We strongly recommend you avoid alcoholic beverages, cigarettes, tobacco, marijuana and street dugs completely.
Limit caffeinated beverages to no more than 1-2 cups per day.
For more food safety information for pregnant women visit www.fsis.usda.gov

Exercise is recommended in uncomplicated pregnancies to strengthen muscles and prepare your body for delivery. Take it easy in the first trimester and limit exercise to approximately 30-45 minutes. Avoid exercise and activities with high risk of falling or causing trauma to your abdomen. If you have a history of preterm labor or incompetent cervix, please consult your physician before any strenuous or high impact exercise.

As your baby grows, you can experience normal aches and pains of pregnancy. As your uterus gets larger, you can have ligament pain which is located in the lower right or left sides of the abdomen and is typically described as a sharp, shooting pain. This kind of pain can worsen with exercise or change of position. Backaches and hip pain are common later in pregnancy. Tylenol and use of a heating pad can give relief. Massage therapy and seeing a chiropractor are okay in pregnancy and may require a referral.

Nausea and vomiting are one of the earliest signs of pregnancy. Some women can become quite sick and vomit frequently while others have very little nausea. Nausea is very common in the 1’1 trimester of pregnancy but can last longer. Here are some helpful tips to prevent nausea and vomiting:
  • Get out of bed slowly and avoid sudden movements. Before you get out of bed-eating a few dry crackers, dry cereals or toast can help relieve early morning nausea.
  • Avoid large meals. Eat 5-6 small meals throughout the day- high in protein and complex carbohydrates.
  • Avoid greasy, fried foods or anything highly seasoned or spicy.
  • Stay hydrated!!!! Avoid water when nauseated; instead try small sips of ginger ale or ginger tea, 7up or Gatorade.
  • Try eating popsicles if you are having trouble keeping liquids down.
  • Peppermint or ginger hard candies can also ease nausea.
  • Avoid citrus juices, tea or coffee.
  • Avoid unpleasant smells
  • Vitamin B6 and Unisom combined can work to prevent nausea and vomiting.
If severe vomiting persists you may require a prescription medication.

FREQUENTLY ASKED QUESTIONS IN PREGNANCY

Hair dying, manicure, pedicures are okay in pregnancy in well ventilated areas. Tanning beds are not recommended.

If you must, make sure the area is well ventilated.

Traveling and flying are okay in pregnancy- please check with your physician before traveling after 32 weeks gestation. For information on the Zika virus visit www.cdc.gov/zika.

Dental hygiene and care is important during pregnancy. Dental appointment guidelines include use of an abdominal shield during x-rays and Novocaine without epinephrine.

You can have sex during pregnancy unless you have complications or sex becomes painful or you experience vaginal bleeding.

If you have a cat, avoid changing the litter box. Toxoplasmosis is a rare infection that you can get from cat feces.

Hot tubs, Jacuzzi and hot springs are not recommended in pregnancy.