- 6-10 weeks-Pregnancy Confirmation visit – pregnancy test, ultrasound, and discussion with doctor
- 10-12 weeks– First visit- Complete physical exam, pap smear, cervical cultures, and blood work
- 24-28 weeks– Diabetic screen, blood test for Rh antibody, and Rhogam injection if Rh negative
- 35-37 weeks– Cervical cultures for infection and hemoglobin if previously low or anemic
You will see the doctor monthly until 28 weeks, twice monthly until 36 weeks, then weekly until delivery. More frequent visits may be required for high risk pregnancy.
Sonograms will be performed in mid-trimester (18-22) weeks, for fetal survey, or at other times as needed. Optional sonograms offered are listed below.
- 4-D Sonogram between 26-30 weeks
- Gender identity check as early as 16 weeks
These optional tests are not covered by insurance and will require cash pay at time of visit.
A prenatal panel will be drawn at your first visit. This is a screening profile of tests to be used as a reference throughout the pregnancy for management of care as well as detect silent infections that need to be treated. Other lab tests may be drawn depending on the needs of each patient.
Optional testing includes but is not limited to:
- Genetic testing Alpha Fetoprotein Quad screen- ( a blood test for Down’s Syndrome and Neural tube defect) at 15-20 weeks
- Amniocentesis (if age 35 or if have a family history of genetic disorder)
- NO ALCOHOL NO TOBACCO NO ILLEGAL DRUGS
- Exercise- you may participate in low impact aerobics/exercise unless otherwise indicated by medical staff. Walking is excellent exercise. Maintain your heart rate at less than 140 beats/minute
- Travel- You may travel by car or plane anytime during the pregnancy up to 36 weeks, unless otherwise instructed by the medical staff. Your trip will be more comfortable if you take frequent rest periods.
- Permanents- Any home or salon permanent will not hurt mom or baby, but may not successfully perm due to hormone changes of pregnancy.
- Sexual Relations- You may have sexual intercourse at any time during the pregnancy if comfortable, unless you have vaginal bleeding, leaking fluid or doctor instructions to abstain. You may have spotting or bleeding after intercourse, but it should resolve within 24 hours.
You may take the following medications at any time during your pregnancy without consulting our office. You do not need a prescription for these medications.
Call the office if you have a temperature over 100.4 for more than 8 hours.
- Tylenol (Regular or Extra Strength)
- Tylenol Cold/Sinus or Allergy
- Robitussin (Regular or DM) for cough
- Chloraseptic Spray
- Throat lozenges
- Mucinex (Regular or DM)
Hemorrhoids: Preparation H Annusol Tucks pads
Diarrhea: Imodium AD or Advanced Donagel Kaopectate
Nausea: Emetrol Vitamin B6
- Fleets Enema
- Milk of Magnesia
- Dulcolax Suppositories
Indigestion: (Do not take Baking Soda or Alka-Seltzer)
- Pepcid AC
- Prilosec OTC
Gas: Phazyme Simethicone Mylicon Gaviscon Gas X
Yeast: Monistat Mycelex Gyne-Lotrimin
Pain: Tylenol Heating pad Warm bath Warm compresses Increase fluids
Itching: Benadryl Calamine lotion Caladryl gel
Insomnia: Tylenol PM or Benadryl