Ob information

General Pregnancy Information
The content on this site provides only general information, is not medical advice and does not replace nor substitute for the professional medical advice related to your personal health. Medications:

Medications that in general are considered safe to use in pregnancy
Allergies, cold, or flu-like symptoms:
 Tylenol or Tylenol cold  Warm salt water gargles  Sudafed or the store brand equivalent only with pseudoephedrine, no products with phenylephrine should be used  Robitussin DM, Vicks cough syrup, Halls, or Vicks vapo rub Constipation
 ensure plenty of water intake daily and regular activity  Metamucil, Fibercon, Fiberall, Citrucel  Colace  And if no relief after these options try a glycerin suppository Diarrhea
 for 24 hours only and after 12 weeks of pregnancy- Kaopectate, First Aid Ointments
 Bacitracin, Neosporin, Hydrocortisone Headaches
 Small amount of caffeine if a migraine type headache Heartburn
 Milk will often do the trick otherwise try…  Maalox, Mylanta, Tums Hemorrhoids
 Preparation H, Anusol, Tucks, Witch Hazel Nausea and Vomiting
 small frequent meals – especially carbohydrates  ginger products such as ginger ale, ginger cookies/breads, ginger root  vitamin B-25-100mg daily  hydrocortisone ointment or cream  Caladryl lotion or cream Vaginal Yeast Infections

Sex
Sex in general is safe for both you and your baby during a normal
pregnancy unless you are told specifically by your doctor that it is not safe
for you. You may discover as you get further along that certain positions are
more comfortable than others. Some women will become more interested in
sex while others become less interested. How you respond is completely
individualized. Do not have sex or stop if you experience vaginal or
abdominal pain or experience bleeding or leaking of fluid.
Traveling
Traveling in general is safe during a normal pregnancy either by car or
plane. Most cruise ships require your trip to be completed prior to finishing
22 weeks pregnant to board the ship. Here are some guidelines to follow
while traveling…
 wear your seatbelt  bring a pillow for comfort  drink lots of fluids- mostly water  wear comfortable clothes including footwear  plan to get up or out of the car every 1-2 hours to use the bathroom and move around in order to decrease risk of developing blood clots  Unless there is an emergency do not plan on traveling after 35 weeks gestation. Airlines differ on rules about how late in a pregnancy a woman may fly. You may need a doctor’s note in late pregnancy to board a plane. Check with the airline if you are planning traveling late in your pregnancy. Be sure to get clearance from us before you make arrangements.  It is never a bad idea to take a copy of pertinent medical information with you if you are planning to travel. These can be provided to you by our office.

Hot tubs/Baths/Saunas
It is strongly recommended that you not use a hot tub until you are beyond
14 weeks of pregnancy. After that, you may use a hot tub safely as long as
your core body temperature does not get “too high”. The way to monitor this
is that if you are sweating while in the hot tub you and therefore your baby
are too hot. Get all the way out.
Exercise
Exercising is great for you and your baby and is recommended unless your
doctor advises specifically against it.
If you already exercise you may continue to do so. After about 20 weeks or
5 months you will want to avoid exercises that require you to lay flat on your
back, such as crunches. Stop if you get breathless. Drink more water to stay
hydrated. Avoid exercises that could cause you to fall especially later in
pregnancy when you center of gravity has changed. If you do not already
partake in a regular exercise program you can start, just start slowly.
Walking 15 minutes a day and increasing gradually to 45 minutes.
Dietary recommendations
 Caffeine is fine in small amounts- one cup of coffee: one can of soda per day; three or more cups (8 oz) of caffeine per day have been associated with miscarriage in first trimester.  Soft cheeses that have NOT been pasteurized should be avoided, this  Deli meat needs to be eaten at a steaming temperature, so sandwiches  Food cooked on a grill should be consumed when done, not after  Fish may be eaten if a 6oz or smaller serving, no more than 2 servings per week, smaller fish are fine but large fish should be avoided.  Shellfish in general is safe and may be consumed if cooked  Sushi is not safe in pregnancy unless it is cooked, no raw sushi  You should drink at least 64 oz of water per day, and 1-2 servings of calcium a day, fruit juices are high in sugar and even the all natural ones should be limited to no more than 8 oz total per day.  THERE IS NO SAFE AMOUNT OF ALCOHOL DURING PREGNANCY. There is also no “safer” type; all alcohol should be avoided from time of positive pregnancy test through to breast feeding.
Miscellaneous:
 do not use products that contain Aspirin
 do not change a litter box, if you must, you need gloves and most
 painting in general is allowable- there is usually no need for mask or gloves, just ensure good ventilation fans  Manicures, pedicures, massages, chiropractic care, hair coloring, and or straightening are all generally safe and can usually be done at anytime in pregnancy, just make sure technician working with you knows you are pregnant.

Source: http://www.hmwhs.com/files/2012/09/Pregnancy-information.pdf

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