Pregnancy Care

From the second you find out you are pregnant, a lot of things begin to race through your mind.

Am I healthy enough for my baby?
When am I due?
Is it a boy or a girl?
How far along am I?
What do I do next?

Take a deep breath and relax

This is one of the most amazing and special moments for a woman. Let us help put your mind at ease. Our Pregnancy Care program will help guide you and your baby through all the stages of this amazing time in your life.

Pregnancy Care Schedule

1st Obstetrician Visit

We will listen for a fetal heartbeat and answer any questions you may have. You will be given an order for your initial blood work.

Follow Up Visits

Visits will include weight, blood pressure, and urine testing. We will listen for the fetal heart beat, measure the size of your uterus, and answer any questions you may have. The frequency of follow up visits will change as your pregnancy progresses

  • 10-28 weeks: every 4 weeks
  • 28-36 weeks: every 2 weeks
  • 36-40+ weeks: every week

CALL OFFICE OR REPORT TO LABOR & DELIVERY IF THE FOLLOWING OCCUR:

  • Pre-term Labor: less than 37 weeks with 4 or more contractions per hour.
  • Term Labor: greater than 37 weeks with painful, regular contractions 5 minutes apart or less
  • Decreased fetal movement
  • Leaking or gush of fluid
  • Vaginal bleeding
  • Temperature of 100.4° or greater
Lab Work

During your pregnancy we will be performing numerous lab tests to help ensure the health of you and your baby. Lab Work Requisitions will be sent electronically or given to you.

12-16 weeks

Prenatal panel, HepB/HIV screening and thyroid function testing. Optional testing: Quad screen – a blood test to screen for Down’s Syndrome, Trisomy-18, and open neural tube defects, i.e. spina bifida.
16 Weeks- 20 Weeks: Optional Ultrasound to determine gender* – costs $35.

20 Weeks

Routine anatomy ultrasound ordered. Ultrasounds are performed here at our office. Additional ultrasounds may be ordered by your provider in addition to the 20 week scan if medically necessary.

24 Weeks (or later)

Optional 3D/4D scan* (fun scan) – costs $120

28 Weeks

1 hour glucose tolerance test (screens for gestational diabetes) and CBC. If your blood type is Rh negative, a blood antibody screen will also be drawn and tested. Rhogam injections will be given if needed.

36 Weeks

A culture is done to check for group B strep.  This is also the time for you to pre-register at the hospital for your delivery, call (435)688-4035.

*The gender check and 3D/4D scans are not covered by insurance.

 Concerned about Zika Virus?

Click here for more information

Pregnancy Medication Guide

If possible, we encourage you not to use any medications during the first 13 weeks of your pregnancy. All herbal medications need to be cleared by the doctor.

Allergies

Acceptable Medications

  • Benadryl
  • Zyrtec
  • Claritin

Cold & Flu

Acceptable Medications

  • Tylenol – for aches and pains
  • Plain Sudafed – for congestion (not combination formulas)
  • Robitussin or Delsym – for coughing
  • Chloraseptic or Cepacol lozenges – for sore throat

When to Contact the Doctor

  • Fever over 101°
  • Productive cough (coughing up green/yellow phlegm)
  • Not getting better in 2-3 days
  • Anytime you are concerned and feel you should be seen

Dental

Acceptable

  • See dentist. Inform him/her of your pregnancy
  • Have x-rays with abdominal shield
  • Novacaine, most antibiotics, and most pain pills are okay.

If you or your dentist have any questions, please call.

Headaches

UNACCEPTABLE MEDICATIONS

Do not take Aspirin, Advil, Aleve, or any other over the counter pain medication without your Doctor’s clearance.

Acceptable Medications

Tylenol – 2 tablets every 4 hours

When to Contact the Doctor

  • If you are dizzy or have blurred vision
  • If your headache is not getting better

Nausea & Vomiting

Acceptable Medications

  • Vitamin B6
  • Ginger or Ginger Tea
  • Unisom

When to Contact the Doctor

  • If you are unable to keep liquid down for more than one day
  • If you are weak, dizzy, or dehydrated

Nose or Gum Bleeding

Nose bleeds and gums bleeding are common in pregnancy.

When to Contact the Doctor

If the bleeding is persistent or if you are concerned

Constipation

Acceptable Medications

  • Colace or Senacot – stool softeners (take up to twice daily, may take 1 week to take effect)
  • Konsyl Easy Mix – stool softener or natural laxative
  • Milk of Magnesia (if constipated, in spite of stool softeners; take as directed)

Diarrhea

Acceptable Medications

  • Imodium
  • Kaopectate
  • BRATT Diet (consists of bananas, rice, applesauce, tea, toast)

Heartburn & Gas

UNACCEPTABLE MEDICATIONS

  • Prilosec

Acceptable Medications

  • Tums
  • Pepcid AC – over the counter, 1 daily continuously
  • Prevacid – over the counter, 1 daily continuously to prevent acid build up
  • Mylanta
  • Maalox

When to Contact the Doctor

  • If abdominal pain is severe or does not respond to medications

Hemorrhoids

Acceptable Medications

  • Konsyl Easy Mix – daily, to keep stool soft
  • Preparation H or Anusol
  • Tucks

Leg Cramps

Acceptable Medications

Oscal 500 (or similar otc calcium) – twice per day

When to Contact the Doctor

If the leg pain is only on one side

Leg Swelling

It is normal to have swelling in both legs by the end of the day

When to Contact the Doctor

If the swelling is only in one leg.

If you have any questions or concerns, please call

435-674-0999