danger signs
Report any of the following to the doctor or clinic, or go immediately to the hospital:
  • Blood or fluid from the vagina.
  • Vomiting for 24 hours.
  • Severe headache.
  • Sudden swelling of the face, hands or ankles.
  • Fever over 100.5 F.
  • Unusual problems with your eyes: blurring of vision or spots before your eyes.
  • Sharp or continuing pain in the stomach area.
  • Pain or burning when passing urine.
General Questions
WHAT TYPE OF PHYSICAL ACTIVITY IS ALLOWED DURING PREGANCY?
Walking, hiking, elliptical, and swimming are the best forms of exercise during pregnancy.
  • Use caution with yoga, pilates, weights, etc.
  • Avoid over stretching, as you are more prone to joint injuries.
  • Do not let your heart rate exceed 130 bpm. If you can’t talk at a normal level during exercise then you are working too hard.
  • Your exercise should not exceed 15 to 20 minutes at a time. Then rest for no less than 20 minutes, which you can use for stretching as long as your heart rate returns to normal.
ACTIVITIES TO AVOID DURING PREGNANCY
Jogging & running: Refer to your provider with questions.
  • Hunting & fishing: You need to talk to your provider at your next visit, or call the office before going out.
  • No snowmachining, four wheeling, etc..
  • No horseback riding
  • No snowboarding, skiing, rollerblading, etc.
  • No bike riding after 20 weeks.
  • No contact sports i.e. football, wrestling, hockey etc.
  • No amusement park, fair and/or carnival rides.
  • No hottubs, saunas, or tanning beds. Baths are fine.
If you have any questions about any other activities feel free to call the office.
It is ok to get your hair done while you are pregnant, however, sense of smell is heightened which may make you nauseated. It is also ok to get your nails done while you are pregnant. Make sure the area is well ventilated.
HOW CAN I DEAL WITH NAUSEA?
This is most likely to occur if your stomach is empty. Eat small frequent meals, possibly six times daily. Don’t let your stomach get empty.

Don’t eat greasy, fatty or spicy food. Drink small sips of liquid before or an hour after meals, not with meals. If you do get nauseous, lie down with your head on pillows and open a window to get fresh air.

Be sure to let the clinic or doctor know if your nausea or vomiting doesn’t go away or seems to get worse.

CONSTIPATION
Eat high-fiber foods, including fresh fruits and vegetables; whole grain breads; high fiber cereals; and beans, such as kidney and pinto beans. Drink plenty of liquids. Try to increase your activity, such as walking. Don’t use laxatives.
DIZZINESS/FAINTNESS
Dizziness can be caused by the growing uterus pressing on major blood vessels, which causes a blood pressure drop and also by changes in your hormones. When rising from bed or a chair, rise slowly and sit at the edge for a few minutes before standing. Also, try some deep breathing. Avoid low blood sugar by eating five or six small meals a day.
ACID INDIGESTION/(HEARTBURN)
“Heartburn” is a burning felt in your chest, but it has nothing to do with the heart. Food does not move out of your stomach as fast as it did before you became pregnant. Stomach acid can “back up” into your esophagus. You may taste a little sour fluid in your mouth. To help relieve heartburn:

  • Avoid greasy and spicy foods.
  • Avoid large meals, especially right before going to bed.
  • Sleep propped up, with your head elevated.
  • Sip milk.
  • See medication list. For heartburn in pregnancy.
  • IF YOU HAVE ANY TYPE OF FALLS YOU NEED TO CALL OUR OFFICE, EVEN IF YOU FEEL FINE.

    Pregnancy do's and dont's
    DO’S
  • Do eat healthy, nutritious, well-balanced foods.
  • Do avoid alcohol, cigarettes, energy drinks and caffeine.
  • Do continue to exercise or start an easy exercise program if it’s okay with your doctor or midwife – but do not lift anything that could strain your abdominal muscles.
  • Do plan to visit your dentist during your pregnancy. Tell your dentist you are pregnant so that precautions can be taken if X-rays are necessary.
  • Do try to get at least eight hours of sleep every night.
  • Do continue to use your car’s safety belt.
  • Do consult your doctor before you take any medications. Many drugs, including herbal supplements can cross the placenta and can hurt your baby.
  • Do take a prenatal vitamin. Taking it with a snack at bedtime can minimize potential nausea.

  • DON’TS
  • DON’T smoke during pregnancy. If you feel that is impossible, get help or cut down to a bare minimum. It has been proven that smoking contributes to miscarriages and retards fetal growth.
  • DON’T clean your cat’s litter box. Cat’s feces carry toxoplasmosis, a potentially fatal fetal disease. Raw meat also carries the disease, so don’t feed it to your cat and don’t eat raw meat.
  • DON’T use alcohol or drugs of any sort, even nonprescription medications, unless your doctor says otherwise. This includes aspirin, laxatives, nose drops, cold remedies, antacids, sleeping pills and topical medications.
  • DON’T begin a reducing diet now unless your doctor has planned it for you.
  • DON’T panic should you find you’re spotting – just call your doctor right away. A small amount of spotting is common for many women in the first trimester.
  • Frequently asked Questions about Tests durning Pregnancy
    Instructions for a one hour Glucose tolerance test
    Your provider has orderd a blood test called one hour Glucose tolerance test. This is a test to screen for diabetes during your pregnancy (gestational diabetes). However, if you have a family history of diabetes or other risk factors, you may need to be tested several times during your pregnancy. To prepare fo this test:
  • Do not have anything to eat or drink (except for water) at least one hour before drinking the Glucola.
  • Drink the entire bottle of Glucola. It tastes better cold and it is okay to drink it over ice. There is no need to gulp it down but do not take more than 10 minutes to drink the glucola.
  • Do not have anything else to eat or drink (except for water) until after your blood has been drawn.
  • We need to draw your blood one hour after you have finished drinking the glucola. Please be in the office ten minutes before we need to draw your blood. Let the receptionist know what time your lab needs to be drawn.
  • Plan to bring a Protein snack (no sweets) to have after your labwork is done. This will help with any nausea or light headedness you may feel.
  • The results may take 48 hours or more to get to our office. We will notify you only if the results are abnormal. An abnormal glucose test does not mean that you have gestational diabetes, only that you will need to have further testing.

    Please feel free to call and speak with a nurse if you have questions about this test.
    Frequently asked Questions about Medications
    WHAT CAN I TAKE FOR A COLD?
  • Plain Tylenol for discomfort and fever
  • Plain Robitussin or Plain Mucinex for a cough
  • Benadryl at bedtime if congestion keeps you awake
  • Cough drops that do not contain menthol are ok to use

  • Please call the office if you have a temp over 100.5 that is not relieved with Tylenol
    WHAT CAN I TAKE FOR A HEADACHE?
  • Tylenol
  • Hydration is the key, make sure you are drinking 2-3L daily
  • Rest, lay down in a dark room. May try placing ice pack or heating pad around neck.
  • May try caffeine in moderation
  • Eat something

  • If symptoms are still not relieved with the above, please go to the ER or urgent care.
    WHAT CAN I TAKE FOR A HEARTBURN?
  • Tums
  • Over the counter Pepcid or Zantac. Pepcid to be taken as directed, or Zantac 75mg up to four times daily.
  • Make sure to elevate head at night when sleeping.
  • Avoid spicy foods, dairy products, carbonated beverages, or anything that is causing you a problem.
  • WHAT MEDICATIONS SHOULD I NOT TAKE?
  • No Ibuprofen-this may cause baby’s heartbeat to stop. No Motrin, Aleve, or Naprosyn.
  • No Aspirin-unless directed by your OB doctor.
  • No Decongestants-these may constrict the blood vessels in the placenta which can decrease blood flow to the baby. They may also cause you to have increased blood pressure.
  • No Herbal medications-there are many side effects with different herbals so avoid taking anything until you talk to your doctor. Please bring all herbal medications to your doctors appointment to discuss.
  • No Acne medications
  • No Xanax or valium which may cause birth defects.
  • For any other medications, please call the office before taking them.
    Frequently asked Questions about labor
    WHAT ARE THE SIGNS OF PRETERM LABOR?
  • Uterine Contractions – four or more per hour. Feels like abdomen is tight, may be painless, uncomfortable, or menstrual-like cramps. May be felt low in the abdomen near the pubic bone. They may be constant or come and go.
  • Lower, dull backache that radiates to the side or the front. This may or may not be relieved by change of position.
  • Pelvic pressure or heaviness in the lower abdomen, back, or thighs. It may feel as though the baby is pushing down.
  • Intestinal cramps, a feeling of “gas pains”, with or without diarrhea.
  • Increase or change in vaginal discharge. May become pink, brown-tinged, mucousy, or watery.
  • A general feeling that something is “Not Right”.
  • References
    Books
    YOUR PREGNANCY & BIRTH: Fourth Edition, The American College of Obstetricians and Gynecologists, Washington, DC, Meredith Books, 2005