Signs that you are pregnant
Early in your pregnancy, our office reviews your medical history and performs prenatal testing to identify risks. We’ll screen for genetic abnormalities, gestational diabetes, STDs and other potential problems. You’ll receive information on vitamins, nutrition, and other topics. With appropriate treatment, we do our best to ensure your pregnancy is healthy despite any risks that may be found.
Some women experience nausea, vomiting, fatigue, breast tenderness, and/or mild pelvic cramping early in pregnancy. If symptoms are severe, call your doctor. Our office ensures that a doctor is available to our patients 24 hours a day, every day of the week.
At 20 weeks, we recommend an ultrasound to view the baby’ s anatomy and determine the sex. (If you prefer, we’ll keep the baby’s gender a secret until you deliver.)
As pregnancy goes on, you may experience some of these symptoms:
- back pain
- sciatic pain
- sleep disorders
- food cravings
- increased appetite
- changes in sexual desire
- breast discharge
- increased vaginal discharge
Expect your pregnancy to go a full 40 weeks. If you do not know your due date, please contact your doctor for an estimated due date. Elective induction (induced labor) can be done at 41 weeks.
What to avoid?
To ensure a healthy pregnancy, the following should be avoided. This list is not intended to be exhaustive.
Your pregnancy may require additional guidelines depending upon your personal situation.
Click on any of the items below for more information.
- Fish (medium to large quantities)
- Tanning Beds
- Hot Tubs
- Hot Baths
- Oral Sex (cunnilingus)
- Flying (after 36 weeks)
- Driving long distances (after 36 weeks)
- High-Impact Aerobics
- Some Sports
- Snow Skiing
- Rollercoasters, Water Park Slides, etc.
- Exposure to Chemicals
- Cat Litter Boxes
Medications during early pregnancy
Our preference is to avoid all medications during pregnancy. No medications should be taken during the first trimester (the first 12 weeks of pregnancy) unless medically necessary.
This list is not intended to be exhaustive. Do not take any medications that you are allergic to.
Do not take:
- Aspirin, or products that contain aspirin
- Ibuprofen (including Advil, Motrin, and other products)
- Alka Seltzer (which contains aspirin)
- Pepto Bismol (which contains aspirin)
The following medications are relatively safe to take during pregnancy if needed.
For the flu:
- Tylenol or Extra-Strength Tylenol
- Sudafed (regular)
- Robitussin or Robitussin DM
- Ocean Nasal Spray
- Chloroseptic Spray
- Maalox (in small amounts)
- Mylanta (in small amounts)
For nausea, try to eat small meals and snacks throughout the day. If necessary, these medications can be taken:
- Unisom (one tablet) with 10mg vitamin B6
- Premesis Rx
For constipation, increase your fiber by eating more fruits and vegetables. You may also consult a healthcare professional to change your prenatal vitamins to a product containing a stool softener. If necessary, these medications can be taken:
- Milk of Magnesia
- Colace or Surfak
For diarrhea, drink plenty of water and use Imodium. If the problem is severe or is not resolved within 3 days, call your primary care physician.
Monistat 7 or GyneLotrimin after 12 weeks.
Nutrition during first months of pregnancy
- During pregnancy, the average woman should gain about 25 to 35 pounds. You need only 300 additional.
- Calories per day, which is approximately equal to 2 extra glasses of milk.
- Eat a lot of fruits and vegetables to help avoid constipation.
- Cook beef and pork until well done to kill all parasites which could affect the baby as well as yourself.
- If you eat fish, consume less than 8 to 12 ounces per week. Avoid canned tuna, swordfish, shark and other predatory fish. These types of fish have been know to contain high levels of mercury. Avoid sushi entirely.
- Avoid caffeine and alcohol during pregnancy.
- Avoid aspartame products like Nutrasweet and Equal. Aspartame has not been proven to be safe during pregnancy.
- Avoid smoking cigarettes and exposure to second-hand smoke.
There are several options to consider when planning a delivery, including:
- Delivering by cesarean section or natural childbirth
- Indications for cesarean section
- Identifying the people that should be present during delivery (family members, etc.)
- Environmental factors such as music
- Entertainment items to pass away the time, such as games and cards
- Pain control alternatives (IV, medications, epidural, Lamaze techniques)
- Choices about body position during labor
Questions and answers about pregnancy
Your doctor can help you make decisions about some of the options above.
These are general guidelines for normal pregnancies. Recommendations for your situation may vary. Click
on any question below to see the answer.
- How much weight should I gain during pregnancy?
The ideal weight gain for average women is 25 to 35 pounds.
- When will I feel the baby?
Fetal movement is usually first detected between 16 and 20 weeks. After 27 weeks, the baby should move
at least 15 times per day. If the baby moves fewer than 15 times per day after 27 weeks, you should call
- Is it safe to use a hot tub or take a hot bath?
No, immersion in hot water should be avoided, including baths where the water temperature exceeds 101
degrees Fahrenheit. Saunas and tanning beds should also be avoided during pregnancy.
- Can I have sex during my pregnancy?
Yes, under most circumstances. Intercourse should be avoided if you have ruptured membranes, placenta,
previa, pre-term labor, vaginal bleeding, or if your doctor has instructed you to avoid intercourse for other
reasons. Oral sex (cunnilingus) should be avoided during pregnancy. Maternal fatalities have been known to
be associated with this type of oral sex.
- When is it safe to fly?
You can fly if you have a low risk pregnancy and are less than 36 weeks pregnant.
- How long can I drive?
It’s usually safe to drive more than 50 miles if you have a low risk pregnancy and are less than 36 weeks
pregnant. It’s best to stay at elevations under 11,000 feet and refrain from exerting yourself when you are at
- Can I exercise?
You can do low impact aerobics, take walks, swim and use a stairmaster or stationary bicycle. Keep your
heart rate under 140 beats per minute. Avoid sports where you can get hit by a ball, like basketball,
volleyball and softball. You should also avoid activities where you can fall hard, like horseback riding, skiing,
and bicycle riding.
- What about exposure to chemicals?
If you are working with household chemicals or paint, read the cautions on the label. It is usually OK to be
exposed to latex paint for four hours or less if you are in a well-ventilated room. Hair treatments such as
permanents, highlighting, or hair coloring can also expose you to strong chemicals. Again, this exposure is
usually OK in a well-ventilated room.
- I’ve heard that cat litter boxes can be dangerous. How?
You should avoid cleaning cat litter boxes, because the feces carry parasites that cause harm to the fetus.
- Can I deliver vaginally after I’ve had a C-section?
It’s possible. The risks and benefits of a vaginal delivery should be thoroughly discussed with your doctor.
- Do I have to have an episiotomy?
There are pros and cons to this procedure. This is something you need to discuss with your doctor so that
you can reach a decision together.