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Obstetrics

Being a smaller office we get to know our pregnant patients very well and enjoy the relationships we form over the course of their pregnancies. Whether this is your first baby or third you will likely have some questions. We are here to answer your questions and address your concerns. For your convenience we have put together the answers to some of the most commonly asked questions. We hope this will serve as a reference throughout your pregnancy.

First prenatal visit – We usually see OB patients for their first visit somewhere between 5 and 8 weeks into their pregnancy.  Prior to this time, there are no outward indicators that would allow us to monitor the pregnancy.  If you experience any difficulties prior to your first visit, things such as bleeding, cramping or severe nausea and vomiting, please call us at 303-730-8909.  We like to see you again at 10 to 12 weeks.  It is at that time that we will be able to feel the uterus enlarging and usually can hear the baby’s heartbeat for the first time.

Prenatal vitamins – We prefer that you take prescription prenatal vitamins because over-the-counter vitamins don’t contain enough folic acid.  Folic acid plays a role in cell growth, the development of DNA and helps to prevent some birth defects. Prescription prenatal vitamins contain 1 milligram of folic acid which is the recommended dose during pregnancy.

Diet - Good nutrition with a balanced diet is important during pregnancy. Choose foods from each food group every day and drink at least 48 oz. of water. If you smoke – STOP – and do not consume any alcoholic beverages.

Fish - Please look on the website www.efsan.fda.gov/seafood1.html Look under the products and choose “Seafood, What You Need To know About Mercury in Fish and Shellfish.”

Medicines - See separate listing. There are safe prescriptions drugs that can be prescribed during pregnancy.  If you have questions regarding a medication, please call us at 303-730-8909.

Ultrasound - Most patients will have an ultrasound as a general screening tool around 20 weeks.  Further ultrasounds will be based on medical necessity.

Cats - It is ok to have a cat but you should refrain from changing the litter in the box yourself.  Have someone else do that job until you are no longer pregnant.

Beauty issues – It is ok to have your hair permed and colored and your nails done with application of acrylic nails. Tanning beds, hot tubs and saunas are not okay to use.

Infant Car Seats – For information call 1-877-LUV-TOTS or carseatscolorado.com

SAFE DRUGS TO TAKE DURING PREGNANCY

(Other Medications may be safe but please call before use)

DO NOT USE

  • Alka Seltzer
  • Pepto Bismal
  • Anti-inflammatories such as Ibuprofen, Advil, Aleve
  • Any products that contain asprin (including creams)

Heartburn

  • Antacid
  • Gaviscon
  • Maalox
  • Tums
  • Tagamet
  • Rolaids
  • Axid
  • Pepcid
  • Mylanta
  • Prevacid

Constipation

  • Incrase fluids, bland diet (no bananas, rice, tea, toast, applesauce)
  • Warm prune juice
  • Dulcolax
  • Hot water
  • Colase
  • Milk of Magnesia
  • Surfak
  • Sun Sweet dried prunes
  • Any fiber (Metamucil, Fibercon)

Nasal Congestion

  • Sudafed
  • Actifed (will make you sleepy)
  • Saline Nasal Spray
  • Humidifier

Hemorrhoids

  • Preparation H
  • Sitz Baths
  • Anusol
  • Tucks Pads
  • Ice Packs

Cough

  • Robitussin DM
  • Trind-DM
  • Cepacol Spray
  • Pediatric NyQuil
  • Cough Drops
  • Vicks Cough Syrup

Diarrhea

  • Bananas, rice, tea, toast, applesauce
  • Fibercon

Sore Throat

  • Salt-water gargle
  • Any lozenges
  • Cepacol Spray

Headaches

  • Warm towels or heat to neck
  • Tylenol (extra strength is fine)
  • Massage
  • Lots of water

Antihistamines

  • Tavist D
  • Claritin
  • Benadryl
  • Chlor-Trimeton
  • Chlorpheniramine
  • Clemastine
  • Zytec

Yeast Infections

  • Over-the-counter Monistat (insert applicator only half-way so not to touch cervix)

West Nile

Dental Work

  • Ok to have with local anesthesia (if necessary)
  • If X-Rays are necessary, make sure to be double lead covered.

Nausea & Vomiting of Pregnancy

  • Vitamin B6 10-25 mg three times a day – May add Unisom
  • Ginger 250 mg four times a day