Patient Resources
Prenatal Care Schedule
First Visit: • Orientation to the Practice • Discuss Prenatal Vitamins • Gather Patient History • Assign Due Date • Discuss Prenatal Laboratory Testing • Check weight, Blood Pressure, & Urine • Perform Physical Exam
12-28 Weeks: • Visits Every 4 Weeks • Listen for Fetal Heart Tones & Check Uterine Size • Order Penta Test Between 15 to 20 Weeks if desired • Check Weight, Blood Pressure, & Urine • Sign Up For Childbirth Education Classes and Find Pediatrician
About 28 Weeks: • Listen for Fetal Heart Tones & Check Uterine Size • Check Weight, Blood Pressure, & Urine • Order One-Hour Glucose Test • RhoGAM® Shot for Patients with Rh-Negative Blood Type
28-35 Weeks: • Visits Every 2 Weeks • Listen for Fetal Heart Tones & Check Uterine Size • Check Weight, Blood Pressure, & Urine
36 Weeks: • Obtain the Group B Strep Culture • Listen for Fetal Heart Tones & Check Uterine Size • Check Weight, Blood Pressure, & Urine • Discuss Labor & Delivery • Weekly Visits Begin
36-40 Weeks: • Listen for Fetal Heart Tones & Check Uterine Size • Check Weight, BP, & Urine • Cervical Examination Beginning Around 38 Weeks • Discuss Management Plan For Delivery On an Individual Basis
Medications in Pregnancy
Listed are medications that you can take during pregnancy for minor discomforts. In general, it is best to avoid any medications during the first twelve (12) weeks of pregnancy. If you are taking a prescription, we should be notified as soon as possible.
PAIN MEDICATION Tylenol (acetaminophen) for minor aches and pains, headaches. Regular or extra strength
HEARTBURN, INDIGESTION, GAS Tums, Pepcid, Rolaids, Tagamet, Gas-X, Maalox
DO NOT USE: Aspirin, Motrin, Advil, Aleve, Excedrin
DO NOT USE: Pepto-Bismol (contains aspirin)
COUGH/COLDS Robitussin (cough) Robitussin DM (non productive cough) Mucinex DM Tylenol cold, Tylenol Sinus, Tylenol Sore Throat
DECONGESTANTS Sudafed (pseudoephedrine) Avoid if high blood pressure Robitussin CF Mucinex and Mucinex-D/PE Ocean Mist nasal spray (saline solution)
ANTIHISTAMINES Zyrtec Claritin Benadryl
NAUSEA Small frequent meals Ginger Ale Vitamin B6 Sweet fruit syrup from canned fruits, i.e. pears/peaches
INSOMNIA (unable to sleep) Benadryl Tylenol PM
YEAST INFECTIONS Monistat (gently insert applicator 1 inch)
HEMORRHOIDS Preparation H (safe throughout entire pregnancy)
TOOTHACHE Orajel May see dentist, have cavity filling with Novacaine, have dental x-ray with lead shield. Dental Letter available upon request.
DIARRHEA Imodium Follow the BRAT diet (banana, rice, applesauce, toast)
CONSTIPATION Fibercon, Metamucil, Colace, Citrucel, Milk of Magnesia, Fiberall, Miralax
LICE TREAMENTS Rid (only)
SWEETENERS Nutrisweet • Equal • Splenda Use artificial sweeteners in moderation.
DO NOT USE: Kwell
DO NOT USE: Sweet and Low
Helpful OB Hints
Nausea, or vomiting (sometimes called morning sickness), may happen during the early months of pregnancy. It usually disappears after the third month. Here are some helpful suggestions: Here are some helpful suggestions:
• An empty stomach can cause nausea. Try eating frequent, small meals during the day. • Avoid large meals that can cause discomfort. • Drink fluids or eat soups between meals rather than at mealtime. Small amounts of apple juice or ginger ale are usually tolerated well. • Avoid greasy, fried foods. Try baked, broiled, or boiled instead. • Eat high carbohydrate foods such as crackers, dry toast, and hard candies before arising in the morning. • Because your appetite may not be tremendous, try to make sure the foods you eat are nutritious. • Smells from cooking hot foods may cause you to be nauseous. Cold foods may be better tolerated. • Lie down for a few minutes after eating a meal. • Be sure and have plenty of fresh air in the room where you sleep. Stale odors may upset your stomach. • Don’t take any medicines or home remedies for nausea or vomiting unless prescribed by your doctor. • Avoid sudden movements when getting out of bed. • Try a mild, bland diet. (BRAT diet) Bananas, Rice, Applesauce, Toast. • Take 50mg of Vitamin B6, 3-4 times a day as needed.
Suggested Foods Starches (potatoes, rice, noodles) Crackers, dry toast, dry cereal Fresh fruit or juice Cheese Cottage Cheese Peanut Butter Gelatin Vegetables (Carrots, peas, green beans) Beets, lettuce, and tomatoes) Popcorn (unbuttered) Carbonated Beverages
Foods to Avoid Fried Foods Gravies Radishes Cucumbers Cauliflower Turnips Brussel Sprout Casseroles Pizza Sausage Salami Bologna Hot Dogs Pie Chocolate Coffee Spicy Seasonings Butter Margarine Bacon Mayonnaise Onion/Garlic
Postpartum Instructions
Beginning parenthood can be an exciting yet frustrating time. There are changes in your body, your emotions, your relationships with friends and relatives, and in the way you live your life. As you leave the hospital and begin a new routine at home, you will develop the skills that you need to care for your infant. Relax and remember that you are not born with the skills; they are learned and it takes time. It is especially important to take care of your physical and mental well-being. A proper diet and daily exercise will increase your energy level and help you get back in shape. After delivery, you should continue to watch for any abnormal changes in your health. Call your doctor if you notice any of the following symptoms:
• Fever over 100.4 F (38C) • Nausea and vomiting • Painful urination, burning, urgency. • Bleeding heavier than your normal period. • Pain, swelling, tenderness in legs. • Chest pain and cough. • Hot, tender breasts. • Persistent episiotomy pain with increasing tenderness. • Having baby blues that last more than 2 weeks after delivery. • Having feelings of depression and anger.
Outreach Clinics
Call us at (217) 342-3337 to schedule an appointment at any of our Outreach Clinics VANDALIA Dr. Dawn McDaid has moved to a new location! She is there every 1st and 3rd Thursday of the month from 9:00 am-5:00 pm. at 1510 SUNSET DRIVE (SIHF Clinic)
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