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.

How do I schedule childbirth classes?

Classes are held at Rose Medical Center. You can find a list of classes online.

When do I call or come in for labor?

*** This applies only to women who are 36 weeks or more! ***

Your contractions should be five minutes apart or less (from the start of one to the start of the next one), about one minute long, and present for at least one hour. An easy way to remember when to call for labor is to remember 5-1-1. Your contractions should be strong enough that you must stop what you are doing, including talking, and breathe through them. If you feel you could sleep through your contractions, you are unlikely to be in labor. If you have a history of rapid labor, please discuss this with your doctor at your prenatal visit.

When your membranes rupture (water breaks), the fluid will gush or leak. You will not be able to control it. Usually the fluid will run down your leg if you do not have a pad on. Even if you are not having contractions, you should still call the office if your water breaks. If you are unsure if your water is broken, please call us.

If the baby is not moving as much as he/she normally moves:

  • Eat or drink something
  • Lay down on your side
  • Count the baby’s movements. If you do not count 10 movements within one hour, call the office.

If you are bleeding abnormally:

  • Call the office if you are bleeding as heavily as a period.
  • It is not uncommon to spot or bleed after an exam or at the start of labor.
  • It is not uncommon to see a large strand of bloody mucous, also known as your mucous plug. You do not need to worry about the timing of your mucous plug and can wait to call until your labor signs meet the above criteria.

Call the office 24 hours a day, 7 days a week when you go into labor: (303) 321-2166. If it is after-hours or during the weekend, you will automatically be forwarded to our answering service. They will contact the doctor on call, who will promptly return your call.

Please note, if you have caller I.D. and do not accept blocked calls, you will need to remove the call block by dialing *87 in order for the doctor to call you.

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).

Dietary Guidelines:

  1. Eat small frequent meals
  2. Place crackers or toast next to your bedside and nibble before getting up.
  3. Drink only small amounts of fluids with meals as your stomach fills quickly. Try sipping most of your fluids between meals
  4. Low fat foods are easier to digest (low fat milk, yogurt, lean meat, broiled or canned fish, poultry without skin, apple sauce).
  5. Eat carbohydrates that are easy to digest (rice, pasta, potatoes, cereals, crackers and ginger snaps).
  6. Avoid highly seasoned food.
  7. Avoid foods that give you gas (cabbage, broccoli, onions, buttermilk, pinto or pork beans).
  8. Eat protein snacks before going to bed.
  9. Drink water, peppermint tea, ginger tea, Gatorade, 7-UP, and ginger ale
  10. Guard against dehydration.

General Guidelines:

  1. Get plenty of fresh air.
  2. Remove strong odors from your surroundings.
  3. Rise slowly from bed; give yourself a few minutes to adjust.
  4. Wear non-restrictive clothing
  5. Rest
  6. Use a heating pad or hot water bottle to sooth sore abdominal muscles from vomiting.

Medications:

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 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.

This is a list of over -the-counter medications that can be safely taken while pregnant and breast feeding. They can be taken as directed on the bottle or label. Generic equivalents of the listed medications are also safe. If any of the problems listed below persist more than one week, please contact your individual physician.

Common cold, cough, head congestion:

  • Robitussin
  • Tylenol
  • Robitussin DM
  • Actifed
  • Benadryl
  • Chloraseptic
  • Sudafed
  • Pseudoephedrine
  • Claritin
  • Chlorpheniramine
  • Chlor-Trimeton
  • Mucinex
  • Guaifenesin
  • Dextromethorphan
  • Sudafed Cold & Cough
  • Ocean Mist Nasal Spray
  • VICKS Vapor Rub
  • Any Throat Lozenge

Allergies:

  • Claritin
  • Loratadine
  • Benedryl
  • Naphazoline Eye Drops
  • Visine-A
  • Clear Eyes

Stool Softeners:

  • Colace
  • Surfak
  • Metamucil
  • Fibercon
  • Milk of Magnesia
  • Docusate Sodium

Hemorrhoids:

  • Tucks Wipes
  • Preparation H
  • Anusol/Anusol HC

Heartburn/Indigestion:

  • Mylanta
  • Tums
  • Maalox
  • Rolaids
  • Pepcid
  • Prilosec
  • Zantac
  • Ranitidine

Headache/Back Pain:

  • Tylenol
  • Acetominophen
  • Extra Strength Tylenol
  • Tylenol PM

Diarrhea:

  • Kaopectate
  • Imodium AD

Skin Rashes And Topicals:

  • Aveeno
  • Benadryl Cream
  • Caladryl
  • 1% Hydrocortisone
  • A & D Ointment
  • Lanolin Nix/Rid-for head lice
  • Benzoyl Peroxide
  • Proactiv Products
  • Neosporin
  • Aloe Gel
  • Self Tanner

Yeast Infections:

  • Monistat
  • Miconazole
  • Gyne-Lotrimin
  • Clotrimazole

There are many antibiotics that are safe to use in pregnancy: Amoxicillin, Penicillin, Augmentin, Cephalexin, Keflex, Clindamycin, Zpack, Azithromycin, Erythromycin, Macrobid. If an antibiotic you have been prescribed is not on this list, please call to ask us.

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.

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.

The Zika virus is spread by the Aedes species mosquito. In adults, the Zika virus typically causes only mild symptoms. Some patients may develop fever, rash, joint pain, or conjunctivitis (red eyes). But, if you get the Zika infection during pregnancy, your baby may be at risk of brain defects, including a condition called microcephaly.

There are currently outbreaks in many countries and territories, including Puerto Rico, the US Virgin Islands, Mexico, Costa Rica, and Brazil. Fortunately, there have not been any locally-transmitted cases of the Zika virus in Colorado, or in other US States.

If you are pregnant, we strongly recommend that you and your partner avoid travel to areas where the Zika virus is present. The CDC maintains an updated list of affected areas.

If you are currently trying to conceive, we strongly recommend that you are your partner avoid travel to areas where the Zika virus is present. And, if you have recently traveled to an affected area, we recommend delaying pregnancy for a short time to ensure the virus is no longer present in your body. Please visit the CDC website for further information.

If you are in an area with mosquitos, please use insect repellant (DEET and picaridin are safe for pregnant and breastfeeding women). Please also wear long pants and long-sleeved shirts. Visit the CDC website for more information on Zika virus prevention.

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 you 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 boarding, 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 doneif 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.