Pregnancy Questions in Pueblo, Colorado
When can I schedule my first prenatal visit:
We would like to see you for your first prenatal visit around the 7th or 8th week of pregnancy, calculated from the first day of your last menstrual period (or 5-6 weeks since conception). Please call sooner if you have a known history of ectopic pregnancy.
Nausea can be a normal symptom in pregnancy. It is often a related to the increases in pregnancy hormones (HCG). It is important for you and your baby to receive nutrition and the following suggestions may help. Most nausea decreases considerably after the first trimester (12weeks).
- Eat small frequent meals
- Place crackers or toast next to your bedside and nibble before getting up.
- Drink only small amounts of fluids with meals as your stomach fills quickly. Try sipping most of your fluids between meals
- Low fat foods are easier to digest (low fat milk, yogurt, lean meat, broiled or canned fish, poultry without skin, apple sauce).
- Eat carbohydrates that are easy to digest (rice, pasta, potatoes, cereals, crackers and ginger snaps).
- Avoid highly seasoned food.
- Avoid foods that give you gas (cabbage, broccoli, onions, buttermilk, pinto or pork beans).
- Eat protein snacks before going to bed.
- Drink water, peppermint tea, ginger tea, Gatorade, 7-UP, and gingerale
- Guard against dehydration.
- Get plenty of fresh air.
- Remove strong odors from your surroundings.
- Rise slowly from bed; give yourself a few minutes to adjust.
- Wear non-restrictive clothing
- Use a heating pad or hot water bottle to sooth sore abdominal muscles from vomiting.
DO NOT take any anti-nausea medicines without consulting your healthcare provider. You may want to avoid taking your prenatal vitamin for a couple of days. Some women are very sensitive to the iron and the concentrated vitamins. You may also take ½ of your prenatal tablet at bedtime and the other ½ at lunchtime. Other helpful over the counter supplements include:
- Vitamin B6 75 mg (either 25 mg 3 times a day or 75 mg once a day)
- TUMS twice daily
- Unisom ½ tablet once or twice per day
- Acupressure Bands or Copper Wrist Bands
If, despite the above suggestions, you are still unable to tolerate food or liquids, please call the office to speak with our nurse or to make an appointment to see your physician.
What kinds of fish do I need to avoid?
All fish should be thoroughly cooked to avoid
bacteria that can harm your pregnancy. Some fish are high in mercury and should
be eliminated from your diet: shark, swordfish, mackerel, and tilefish. Lower
mercury fish is safe to eat in moderation; eat up to 12 ounces of fish or
shellfish per week which is equivalent to two servings. Lower mercury fish
include shrimp, canned light tuna, salmon, pollock and catfish. Canned white
tuna has more mercury than canned light tuna, therefore if you choose white
tuna please limit yourself to one 6 ounce serving per week.
What is Listeria/ What cheese can I eat?
Listeria is a food-borne illness that can be
harmful to you and your pregnancy. It is rare infection, but you can eliminate
certain foods from your diet to reduce your risk of exposure to this bacteria.
Do not eat unpasteurized dairy products. Do not eat soft cheese such as Feta,
queso blanco, Brie, Camembert, or Blue Cheese unless the label states it has
been pasteurized or has been made with pasteurized milk. This same bacteria can
be found in deli prepared salads (for example pre-made egg salad), deli meats,
bologna, and hot dogs. Heating foods to a steaming temperature kills this
bacteria and makes the food safe to eat.
Generally, 1 to 2 servings of caffeine per day
are safe during pregnancy. You may choose to switch to decaffeinated products
at this time if you wish.
There are no known problems with NutraSweet or
Splenda use in pregnancy. However, low-sugar naturally flavored foods are ideal.
It is safe to travel during pregnancy assuming
that you are having no complications. If traveling by car please wear your seat
belt, periodically stop to stretch, empty your bladder, and hydrate yourself.
After 35 weeks our physicians do not recommend traveling long distances since
you can deliver at any time. However, if you must travel after 35 weeks, please
schedule an appointment to see the doctor before you leave. This, however, does
not mean complications could not arise while you are out of town. Most airlines
require a letter from your doctor stating that it is safe for you to travel.
Please check with the airline for their specific requirements.
Exercise during pregnancy:
We encourage moderate exercise during and after
pregnancy. If you are an avid exerciser, you can often maintain much of your
current routine. Listen to your body, and decrease your level and amount of
exercise as needed. If you do not normally exercise, this is not the time to
start training for your first triathlon! However, if you are in good health, we
encourage you to start walking or swimming at least 30 minutes a day, most days
of the week. If you are feeling dizzy, exhausted or faint, please stop
exercising and rest. Pregnancy yoga is safe and recommended; be sure you have a
pillow tucked under your right hip to prevent laying flat on your back. High
contact sports, and sports with a high risk of falling, are not recommended. If
you have medical problems (heart disease, lung disease, obesity, extreme
sedentary lifestyle) or pregnancy complications (history of or high risk for
preterm labor, placenta previa, incompetent cervix) please speak to your doctor
prior to exercising.
Boating and swimming are fine but we recommend
against water sports such as water skiing, jet skiing, knee boards, etc. You
may snorkel but may not scuba diving during pregnancy. You may alpine/snow ski
depending on your level of expertise. If you are a beginner, it is not recommended.
If you are intermediate to advanced skier, please do so with extreme caution –
watching out for other skiers. We do not recommend skiing after your 18th week.
Cross-country skiing and snow-shoeing are safe during pregnancy.
It is safe to have dental cleaning done during
pregnancy. Bleeding gums may be noticed more at this time. Local anesthetic
with or without epinephrine may be used for fillings. Dental x-rays may be done
if necessary, but your abdomen should be shielded with a lead apron. If not
necessary, wait until after your pregnancy to have x-rays done.
It is safe for you to give or receive hair and
nail treatments. Self-tanning lotions are also safe to use during pregnancy.
Painting is safe as long as the room is well
ventilated. When painting, it is best to use a water-base (rather than an
oil-base). If nausea, light-headedness, headache, or dizziness occurs, stop and
get some fresh air. Do not sleep in a freshly painted room for at least 24 hours.
You may notice an increase in vaginal discharge
at this time due to pregnancy hormones. Personal hygiene is usually all that is
required. A panty liner may be helpful in absorbing moisture and keeping the
area free from irritation. Vaginal douching is not recommended during
pregnancy. If itching, burning or odor is noticed, please call our office.
It is perfectly fine for you to take a warm bath
or shower. It is also safe for you to use an electric blanket or heated
waterbed. It is not safe for you to use a hot tub, sauna, or whirlpool. All
these things raise your core temperature, which is not good for the baby.