New Mothers

Congratulations!

Valley OBGYN wants to be among the first to say Congratulations to you and your family on this new development in your life.  We are just as excited to be a part of this journey.

 

What’s next?

Your first Obstetrics (OB) visit will be with a nurse prior to your 8th week of pregnancy.  This visit can either be conducted in the office, or over the telephone if you would like to save yourself a trip to the office as this appointment will not include a physical exam, ultrasound, or any fetal heart monitoring.

 

During this visit, the nurse will review your health history to include medications, previous pregnancies and any pertinent medical conditions we should know about to help us work towards a safe and healthy pregnancy.  It will be important for us to know if you have a history of chicken pox, herpes simplex virus, or ectopic pregnancies.  We will ask you what your height and current weight is.

 

The nurse will discuss with you a list of frequently asked questions such as:

  • Your history with Alcohol/tobacco use
  • Safe medications during pregnancy
  • Exercise
  • Hot tubs
  • Hair color
  • Sex
  • Travel
  • Seatbelt usage
  • Household cleaners
  • Weight gain
  • Vaccinations during pregnancy
  • And reasons you should contact your healthcare provider

 

The nurse will also order prenatal vitamins for you if you are not already taking them.

 

There are several laboratory tests that are ordered for all our pregnant patients–regardless of age, race or background–that will be ordered following your nurse visit.  Our goal is to have the test results available prior to your first visit with your physician.  These tests include:

  • Complete Blood Count
  • Urinalysis
  • Syphilis Test
  • Rubella Screen
  • Blood Type, Rh Factor and Antibody Screen
  • Urine Culture
  • Drug screening (this is routine for all patients)
  • HIV
  • Thyroid
  • STD (Sexually Transmitted Diseases)

 

Our goal is to schedule a follow-up office visit for you with the physician of your choice within 2 weeks of your nurse visit, ideally before you reach your 10th week of pregnancy.  During this visit, you will have a pelvic exam and a pap smear (if you are due for an annual exam).  Your vitals will be recorded:  weight and blood pressure, and we will take a urine specimen to monitor your blood sugar and protein.  Your vitals will be recorded every appointment throughout your pregnancy.  Your physician will discuss genetic screening options and ultrasound timing with you at this visit.

When you are about 28 weeks into your pregnancy, we will schedule an appointment for you to come in and visit with your physician for a special blood glucose screening test.  Your physician may order additional lab tests depending on your health history and your current health needs.

 

At around 36-38 weeks, your physician will order a Group B Strep Culture.

 

You will have regularly scheduled visits every 4 weeks until your 7th month of pregnancy.  At that time, we will schedule your appointments every 2 weeks.  In your 9th month of pregnancy, we will schedule your appointments every week as you get closer and closer to delivery time.  Your vitals will continue to be monitored and we will start monitoring your baby’s heart tones to be sure that your baby is not in distress.  Your physician will also start performing pelvic exams to check and see if your cervix has begun to thin out and dilate, as well as the position of your baby.

 

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After your baby has been born:

About 6 weeks postpartum (after your baby is born), we will schedule an appointment for you to come in and visit with your physician to see how you and your baby are doing.

You will find other frequently asked questions (FAQs) on our web site, recommended websites, and other helpful information for expectant mothers.  However, we’re only always just a phone call away if you have other questions or concerns.

 

 

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. Please reference the American Pregnancy Association of Listeria and Pregnancy.
  • 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 here: http://www.doh.wa.gov
  • 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  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 a variety of prenatal classes to help you and your family prepare for the arrival of your baby. In these classes they discuss nutrition, stages of labor, pain management and breathing, types of birth, post-delivery care, infant CPR, newborn care and lactation. The Prepared Childbirth Class is typically a 5-week class that is offered at various times throughout the year at a cost of $50 per couple. Please call 509-473-5446 or email This email address is being protected from spambots. You need JavaScript enabled to view it. and Shelley will be happy to help you enroll. https://www.multicare.org/valley-community-events-classes

 

Recommended Websites:

 

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.

 

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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