Your pregnancy is a time of exciting change and the beginning of a life long journey. Your body is going though many changes and knowing what is normal and what to be expected will hopefully remove any unnecessary concerns.
As the OB GYN San Antonio TX women trust most during their pregnancy, we are here for you every step of the way to answer questions and give you the right guidance.
During your pregnancy you may want to avoid any medications unless they are absolutely necessary. You may take Tylenol sparingly for minor aches and pains, however you should avoid Aspirin and Ibuprofen. If you have a persistent temperature over 100.4 taken on two separate occasions, you should contact our office so we may rule out any illness related to your pregnancy. For additional medication usage, please refer to the Safe Medications page.
During your pregnancy you should also avoid the following:
- Douching or use of tampons
- Cat litter boxes
- Consumption of raw meats
- Hot tubs and saunas
- Non-pasteurized cheeses and dairy products (listeria risk)
- Moderation and consumption of fish 2-3 times a week. It is recommended to avoid large fish.
You should avoid intake of artificial sweeteners such as aspartame and sucralose. We do not have sufficient evidence of the safety or potential harm of these products relative to pregnancy.
ACOG Practice Advisory Updated Interim Guidance for Care During Zika Virus Outbreak
ACOG and SMFM have issued an UPDATE to the Practice Advisory on the Zika virus issued on January 21, 2016. This update includes updated guidance for management of pregnant women and new guidance for women of reproductive age based on CDC’s updated MMWR dated February 5, 2016.
ACOG encourages providers to contact state health departments for local direction on handling specimens for testing. Please see a list of State Health Department Contacts here.
Additional resources include CDC’s Interim Guidelines for the Evaluation and Testing of Infants with Possible Congenital Zika Virus Infection, Questions and Answers for Healthcare Providers Caring for Pregnant Women and Women of Reproductive Age with Possible Zika Virus Exposure, Questions and Answers: Zika and Sexual Transmission, and CDC’s new Zika virus microsite which is syndicated and will automatically update should you post on your own website.
These and other links found on ACOG and CDC’s websites are helpful resources, and may be beneficial to post on your practice website as resources for patients.
Caffeine consumption should be limited to the equivalent of 2 or fewer caffeinated beverages per day. Excessive caffeine intake of greater than 6 or more servings per day has been shown in some controversial studies to be associated with pregnancy loss.
When seeing another physician, please advise them that you are pregnant and feel free to clear all prescriptions with our office.
Avoid having any unnecessary x-rays performed. If an x-ray needs to be done, be sure to advise the technician of your pregnancy and shield the abdomen with a lead drape if possible.
If you have not seen your dentist in the past year, we advise that you do so after your first prenatal visit. Poor dental hygiene gets worse during pregnancy and has been associated with premature birth. Fillings and extractions may be done safely. Your dentist may use local anesthetic and properly shielded x-rays without danger to your baby. If any questions arise, have your dentist call us.
Fortunately, most women with normal pregnancies are able to continue to work throughout their pregnancy. There are a few job situations that require modifications. If you are concerned about your particular job requirements, discuss them with your doctor. If you require job modification or discontinuance, we will give you a written statement to that effect.
These are available through the hospital and are recommended. There are also private classes available. They provide information regarding the process of childbirth, anesthesia methods and modes of delivery. Classes on other topics such as infant CPR, breastfeeding, childcare and car seat usage are also available.
It is fine to travel during your pregnancy (including air travel), unless otherwise advised. After 34 weeks, we ask that you stay close to both your hospital and your doctor.
We encourage women to explore new exercise options during pregnancy. You should avoid any exercises lying flat on your back after 20 weeks and you ideally want to keep your heart rate below 140. You should avoid all contact sports, water and snow skiing or horseback riding. Use common sense in your exercise regimen. It is ideal to stay cool and to avoid raising your core body temperature.
A weight gain of 2-3 pounds per month or a total of 20-25 pounds is desirable. Women who are overweight when they become pregnant may not need to gain this much and women who are underweight at the beginning may need to gain more. Weight reduction is never advised during pregnancy. A well-balanced diet in protein, healthy carbohydrates and fats are best during pregnancy. Adequate calcium can be obtained through the diet alone. 2-3 glasses of low fat or skim milk a day is recommended. If you cannot drink milk other good sources of calcium are yogurt, hard cheeses, or green leafy vegetables. If you still cannot get enough dietary calcium, please add a daily calcium supplement of 400-600 mg a day.