How to reach us: During regular business hours (Monday-Friday 8a-5p) please call 509-924-1990. For after hours (nights, weekends, Holidays) please call the same number and you will be directed to our answering service. Please let them know who your provider is and how many weeks pregnant you are as well as your reason for calling. The on-call provider will return your call. If you have questions or concerns during regular business hours, we do have a nurse on staff to assist you. In case of emergency when you are unable to reach our office, please go directly to Valley Hospital Labor & Delivery (509) 473-5431.

 

Frequently asked Questions:


Alcohol/Smoking:

It is best to avoid alcohol when you are pregnant, especially during the first 4 months. Women who drink regularly drink during pregnancy can have babies with mental retardation, Fetal Alcohol Syndrome and other deformities.
Smoking is hazardous to your health at any time however there are specific problems with smoking during pregnancy. Smoking reduces the amount of oxygen available for your baby and reduces the ability of the placenta to delivery nutrients for the baby. Women who smoke have an increased risk for miscarriage, premature labor, placental separation and increased risk for fetal growth restriction. We highly recommend your quit smoking during pregnancy and postpartum. This same recommendation is also for smoking marijuana and other recreational drugs.


Medications:

  • Pain/fever/headaches: Regular or extra strength Tylenol or Acetaminophen (avoid Ibuprofen and other NSAIDS) Increase fluids
  • Constipation: Milk of Magnesia, Metamucil, Citrucel, Colace (stool softener), Increase dietary fiber
  • Cold or Allergy Symptoms: Plain Actifed, Plain Sudafed, Saline Nasal Spray or Drops, Breathe Right Strips, Tylenol Sinus, Tylenol Cold, Zyrtec, Claritin, Benadryl, Neti Pot Vaporizer/Humidifier ( Avoid NyQuil)
  • Cough: Robitussin, Robitussin DM, Triaminic, Cough Drops
  • Heartburn: Maalox, Rolaids, Tums, Mylanta, Pepcid AC, Zantac, Papaya enzyme chews
  • Gas Pain: Mylicon, Phazyme, Gas-X, Lactaid Ultra
  • Diarrhea: Kaopectate, Immodium AD, Metamucil for bulking or slowing stool (Avoid Lomotil)
  • Skin Rash: Hydrocortisone cream, Cortaid, Topicort, Caladryl Lotion, Benadryl Cream, Benadryl 25 mg tablet
  • Yeast Infection: Monistat 7, Clotrimazole Cream
  • Nausea: B6 50mg twice a day, Unisom ½ tablet at bedtime, Emetrol, Peppermint/Ginger Tea
  • Insomnia: Benadryl, Unisom, Sominex, Tylenol PM, Non caffeinated tea
  • Hemorrhoids: Tucks, Anusol, Preparation H, Sitz Bath
  • Leg Cramps: Calcium (500mg) daily with Magnesium (250mg) at bedtime. Natural Calm at bedtime

 

Foods to Avoid:

  • Raw fish, raw shellfish, sushi containing raw fish & oysters and smoked fish.
  • Undercooked meat, hot dogs, deli meat & poultry. All deli meat should be heated until steaming to prevent listeria.
  • Raw or lightly cooked eggs or foods containing them.
  • Unpasteurized milk or other milk products or juices
  • Unpasteurized and pasteurized soft cheeses (Camembert, feta, brie and blue veined cheeses). Some Queso Fresco cheeses are also unpasteurized.
  • Refrigerated Pattes and meat spreads
  • Raw sprouts (alfalfa sprouts)
  • Fish with Mercury (shark, swordfish, king mackerel and tilefish. Canned light tuna generally has lower amounts of mercury but should only be eaten in moderation- up to 12 oz per week) Please reference the Department of Health healthy fish guide @ http://www.doh.wa.gov/CommunityandEnvironment/Food/Fish/HealthyFishGuide
  • Avoid large amounts of caffeine (less than 200mg/day is recommended-equivilent to 1 12oz cup of coffee).
  • Artificial sweeteners

 

Exercise:

  • Avoid impact exercises such as jumping or jarring activities
  • Avoid becoming overheated
  • Avoid excessive stress to your lower back area
  • Limit the intensity & time of your workout to the same level as you were pre pregnancy
  • Reduce weight bearing exercises (running, weight lifting)
  • Avoid any exercises lying flat on your back late in pregnancy


Hot Tubs/Saunas:

Very hot water and steam should be avoided especially during the early part of your pregnancy. Avoid immersing your entire body into the hot tub with elevated temperatures. Saunas should be avoided.


Hair Color:

Hair color and many other hair treatments are not determined to be safe or unsafe during pregnancy.


Sex:

If you have a history of miscarriage, pregnancy related bleeding or other complications, talk with your health care provider. Otherwise, there is no reason to interrupt your normal sex life. Avoid intercourse if there is any suspicion that your membranes have ruptured.


Travel:

Travel is usually no risk to you or your baby. * However, you should not plan to travel long distances the last 4 to 6 weeks of pregnancy. Travel should be restricted earlier if you are pregnant with twins, bleeding, or having pregnancy related high blood pressure. If you are traveling long distances, make sure you get up & walk at least every hour to keep your circulation moving.
With recent Zika virus concerns, please visit http://www.cdc.gov/zika/pregnancy/question-answers.html for foreign travel recommendations.


Seat Belts:

Seat belts (shoulder & lap) are safety devices to protect you and your baby. Place the lap belt under the bulge in your abdomen, across your hips & thighs.


Household Chemicals & Insecticides:

Avoid heavy or prolonged to household chemicals, insecticides, pesticides and weed killers. Be sure to avoid lead based paint, use a mask & maintain proper ventilation if painting.


Weight Gain:

Sensible weight control during pregnancy is balanced between health diet, exercise and rest. Weight gain from fluid retention during the later stages of pregnancy can play an added role. An acceptable weight gain during pregnancy can range from 25-35 pounds in an average weight female. Your health care provider can recommend a goal weight gain for your pregnancy. A pregnant woman needs about 300 calories more each day than a non-pregnant woman.


Prenatal Vitamins:

ACOG recommends 27mg of Iron, 600mcg of folic acid, 1000mg of Calcium and 600iu of Vitamin D for all pregnant women. There are a variety of prenatal vitamins on the market that you meet these requirements. Also, our providers are happy to prescribe a prenatal vitamin should you choose.

 

Vaccinations:

  • Influenza vaccine is safe to take during pregnancy & will be offered by your provider during flu season.
  • TDap (Tetanus, Diphtheria, Pertussis) is recommended for all pregnant women by the CDC during the third trimester or late second trimester of pregnancy or at the start of pregnancy if the mother has never been immunized.


Reasons to call your healthcare provider:

  • Bleeding (vaginal, rectal, bladder)
  • Swelling to face or hands
  • Dimness or blurred vision
  • Severe or continuous headache
  • Abdominal pains that do not go away with heat & rest or bowel

 

Lactation Services:

We offer Prenatal and Postpartum lactation services at our Liberty Lake office with our lactation consultant, Melissa Morgan who is board certified with a specialty in normal breastfeeding and high risk lactation. Lactation services are covered by many insurances.


Prenatal Classes:

Valley Hospital offers Prenatal Classes to help you and your family prepare for the arrival of your baby. In this class they discuss nutrition, stages of labor, pain management and breathing, types of birth, post-delivery care, infant CPR, newborn care and lactation. This is typically a 6 week class or a 4 hour class that is offered at various times throughout the year at a cost of $60 per couple. Please call 509-309-6038 or email This email address is being protected from spambots. You need JavaScript enabled to view it. & Leah will be happy to help you enroll.

 

Recommended Websites:

 

Come to Valley OBGYN and experience advanced, compassionate care you can trust. To make an appointment, call 509.924.1990 or use our online Request an Appointment form. Visit us if you are a resident of Veradale, Spokane, Liberty Lake, Post Falls or CDA.

Obstetric Services
GYNECOLOGY Services

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