Health Topics

Do's & Don'ts During Pregnancy

MORNING SICKNESS: If you feel sick to your stomach, try keeping a few soda crackers by your bed and eating them before you get out of bed. Try eating smaller meals more frequently. Call our office if you vomit every day. Call our office or Emergency Room at St. Joseph’s Regional Medical Center if you are unable to keep any liquids down for more than six hours. VITAMINS: Take your prenatal vitamin every day. If it upsets your stomach, try…

MORNING SICKNESS: If you feel sick to your stomach, try keeping a few soda crackers by your bed and eating them before you get out of bed. Try eating smaller meals more frequently. Call our office if you vomit every day. Call our office or Emergency Room at St. Joseph’s Regional Medical Center if you are unable to keep any liquids down for more than six hours.

VITAMINS: Take your prenatal vitamin every day. If it upsets your stomach, try taking it right before bedtime, or break it in half and try half at night. If it still makes you sick, stop taking it and call the office. Prenatal vitamins and iron are very toxic to children. (KEEP OUT OF CHILDREN’S REACH PRENATAL VITAMINS AND IRON ARE VERY TOXIC TO CHILDREN) Women living in northern latitudes should include 1,000-2,000 IU’s of Vitamin D3 daily.

VAGINAL BLEEDING OR SPOTTING: If any vaginal bleeding or spotting occurs, stay off of your feet as much as possible and call our office during office hours 208- 746-1383 ext 6510. If bleeding is as heavy as a period, or heavier contact our office or the OB/GYN on call, they can be reached by calling the office number after hours. In case of vaginal bleeding do not put a tampon in the vagina and avoid sexual intercourse.

COLDS AND FLU: Drink lots of fluids, especially water and juices. Take your temperature 2-3 times a day. If your temperature is over 101, call your family Doctor or our office. Although no medication is actually tested safe for pregnancy, the following over-the-counter medications seem to be relatively safe for use:

  • Acetaminophen – any brand (for example, Tylenol). You make take 2 regular strength or one extra-strength tablet every 4-6 hours for aches and fever.
  • Sudafed – (Not Sudafed Plus or PE) as directed on package, for congestion.
  • Robitussin DM – when needed for a bad cough. Call your primary care provider if you are coughing up green or yellow phlegm or if cough is severe. You may call or office if you cannot reach your primary care provider.
  • Warm salt water gargles can be soothing to a sore throat. You can also try Cepacol throat lozenges occasionally. If your throat is very sore, call your family doctor or our office.

AVOID: Aspirin, Ibuprofen. Call our office if you have a special need for medication not listed. Try to avoid most medications during the first trimester unless otherwise stated by your doctor.

Allergies: You may try ChlorTrimeton, Benadryl, Zyrtec, Claritin.

Constipation: Try to increase your fluid intake, natural fiber in the form of fruit, vegetables and dried fruit. If need you can try stool softeners and miralx.

Diarrhea: If you are unable to tolerate any food or fluids call our office and you may try Imodium for severe diarrhea. Remember to stay well hydrated.

HEARTBURN: You may use TUMS, Rolaids, Mylanta, Maalox, Gas-x, Gelusil or Gaviscon. Do not use Pepto Bismol. Gaviscon is a better product for true heartburn.

HEADACHES: Try 1 extra strength or 2 regular strength Acetaminophen (Tylenol) tablets. Rest and ice. Call our office or you family doctor if the headache is severe.

HEMORRHOIDS: Anisole is an over-the-counter medication that you can try. Try to keep your stool soft by eating high fiber foods like fruits, vegetables, whole grain cereal and bread. Also drink 6 – 8 glasses of water per day.

SWELLING OF YOUR HANDS AND FEET: Try to stay off of your feet more. Rest. Drink plenty of water and avoid salty foods. Wear support pantyhose. Avoid knee- high socks or stockings. Try to avoid sitting in a way that puts pressure on the back of your knees. Call our office or the on call Doctor at the hospital if you have sudden swelling of your face, or if there is a sudden increase in you swelling.

FAINTNESS OR DIZZINESS: This is a common problem during pregnancy and usually does not indicate a serious medical condition. Getting up slowly from lying or sitting positions best relieves it. If this becomes a frequent problem, do not drive or operate heavy machinery, and contact the office for further evaluation.

TRAVEL: The doctors are not opposed to travel up to a month before your due date, as long as there has been no bleeding or other complications with your pregnancy. If you will be riding in a car for a long distance, it is a good idea to get out of the car every 2 hours and walk around for at least 5 minutes and schedule frequent bathroom stops. Flying is okay if in pressurized planes, as long as you are not anemic. For long distance travel, be aware of local medical facilities along your route.

OTHER THINGS TO AVOID: Hot tubs, saunas, tanning booths, hot springs. Do not drink alcoholic beverages including beer and wine. Do not use any “recreational drugs.”

Glucose Test Diet Instructions

Orders have been sent to our lab for a glucose tolerance test. The following diet instructions have been specially designed for you for use prior to this test. It is designed to supply the proper amounts of food needed to obtain an accurate test of how well your body burns carbohydrates. It is very important that you eat at least the amounts shown on the diet; however, you may eat more than these amounts, or additional types of food, if…

Orders have been sent to our lab for a glucose tolerance test. The following diet instructions have been specially designed for you for use prior to this test. It is designed to supply the proper amounts of food needed to obtain an accurate test of how well your body burns carbohydrates. It is very important that you eat at least the amounts shown on the diet; however, you may eat more than these amounts, or additional types of food, if desired. Just please be certain to eat everything listed on the diet. Snacks are permitted.

  1. Eat the food listed each day for three (3) days, plus anything else you desire.
  2. No food or liquid, except water, should be consumed after 10pm the night prior to your test on day four (4).
  3. Continue to take only those medications prescribed by your doctor.

Breakfast:

  • Fruit (1 banana, 1 orange, ½ grapefruit, or ½ cup of fruit juice)
  • Cereal (1/2 cup)
  • Bread (1 slice)
  • Milk (1/2 cup)
  • Sugar (2 teaspoons)

Lunch:

  • Meat, cheese, or egg (as desired)
  • Bread (2 slices) or spaghetti, macaroni, rice, or noodles (1 cup, cooked)
  • Dessert (fruit, cake, pie, or cookies)
  • Milk (1 cup)
  • *Meat, tomatoes, etc. can be added as desired

Dinner:

  • Potato (1 medium)
  • Vegetable (at least ½ cup)
  • Bread (1 slice)
  • Meat (as desired)
  • Milk (1 cup)
  • Dessert (tapioca, rice pudding, or fruit)

If you have any questions concerning the test or instructions, please call our office at 208-746-1383, extension *6500 and we will be happy to answer your questions. Thank you.

Pregnancy Topics

Breastfeeding Help

Newman Breastfeeding Clinic & Institute offers a wealth of free online resources for breastfeeding mothers as well as health care professionals. Learn more.

Newman Breastfeeding Clinic & Institute offers a wealth of free online resources for breastfeeding mothers as well as health care professionals. Learn more.

Lamaze

Lamaze is a nonprofit organization that promotes a natural, healthy and safe approach to pregnancy, childbirth and early parenting. Knowing that pregnancy and childbirth can be demanding on a woman’s body and mind, Lamaze serves as a resource for information about what to expect and what choices are available during the childbearing years. Learn more.

Lamaze is a nonprofit organization that promotes a natural, healthy and safe approach to pregnancy, childbirth and early parenting. Knowing that pregnancy and childbirth can be demanding on a woman’s body and mind, Lamaze serves as a resource for information about what to expect and what choices are available during the childbearing years. Learn more.

Getting A Good Start With Breastfeeding

PERKS FOR MOM AND BABY The hormone produced while breastfeeding relaxes mom and baby which decreases stress hormones and its negative effects. Increases oxygenation and improves vital signs. Introduces baby’s tummy to “good” bacteria to help fight off “bad” bacteria and improves digestion making baby less fussy with tummy aches. Baby is warmest and uses less energy keeping warm while nursing and skin to skin with mom. Earlier breastfeeding success = earlier discharge from the hospital. Earlier success and more…

PERKS FOR MOM AND BABY

  • The hormone produced while breastfeeding relaxes mom and baby which decreases stress hormones and its negative effects.
  • Increases oxygenation and improves vital signs.
  • Introduces baby’s tummy to “good” bacteria to help fight off “bad” bacteria and improves digestion making baby less fussy with tummy aches.
  • Baby is warmest and uses less energy keeping warm while nursing and skin to skin with mom.
  • Earlier breastfeeding success = earlier discharge from the hospital.
  • Earlier success and more skin to skin time = increased milk production.
  • Improved parent – infant bonding.
  • Breast milk adapts to baby’s needs depending on your baby’s age and the time of day.

TIPS TO MAKE IT BETTER

  • Place mother and infant skin to skin at birth and allow baby to start breastfeeding with no interruption.
  • Room in with your baby at the hospital to help pick up on your baby’s feeding cues and allow baby to suckle more frequently.
  • Start feeding baby before he/she starts crying (crying is a late sign of hunger). Look for smacking of lips and rooting.
  • No bottle or pacifiers until latch and milk supply is well established. Milk supply increases and maintains by the suckling on the nipple, emptying the milk from the breast and by not allowing baby to suckle on anything else. Supplementation will decrease milk production.
  • Skin to skin (baby dressed down to at least a onesie or naked…..the more skin contact the better) while cuddling with baby and during feedings …Daddy, too! Skin to skin proves to be very beneficial for baby’s physical and mental health and does so for up to 8 weeks.
  • Learn about latch ahead of time…take a class, research on the internet, etc.
  • Have father of baby, family and friends on board to support and help you.

WHAT TO EXPECT

  • You and your baby will have to “learn” to breastfeed.
  • The first days are practice and may present challenges.
  • You’ll have colostrum first- there doesn’t seem to be much and it is clear to yellow in color, but don’t worry-baby’s tummy only holds a marble sized amount and it is made to be easy on the new little tummy.
  • Babies lose weight due to water loss – up to 10% is normal, but baby should return to its birth weight by 2 weeks of age.
  • Babies are sleepy and don’t nurse much the first day (except for right after delivery).
  • Then in the first few days after birth, baby will want to latch a lot. The sucking that the baby is doing is what helps bring your milk in……..it can be normal to nurse for a whole hour, sleep for 2, nurse for 1 and on and on. Don’t worry feedings will shorten and satisfy baby longer as your milk comes in and baby gains weight.
  • Your milk will come in 3-5 days after baby is born and your breasts will be very full and tender- keep nursing to relieve the pressure.
  • Babies cry a lot – period. Expect that they will and know that it doesn’t necessarily mean something is wrong with baby nursing or your milk. Keep trying to nurse and comfort the baby and call for professional help if needed.
  • Your nipples may become chapped and sore, but if the baby hurts you while latching, seek professional help.
  • Newborn babies don’t have a schedule and “cluster” feeding is common, where babies nurse frequently at a certain time of day. This can prepare baby for longer sleep cycles and increase milk production.

AND MORE…

  • Human milk is the perfect food, for this baby at this time!
  • The first 2 weeks are usually the most challenging and then it gets much easier and more comfortable.
  • Don’t be afraid to ask for breastfeeding help from professionals…..call the phone nurse line (208)746-1383 ext 6510 and speak with the nurse about making an appointment with Andrea Hedrick, our nurse midwife and lactation specialist. SJRMC Family Beginnings also has a lactation consultant and their number is (208)799-5430.
  • At times you may need a break, so much that you can’t follow all the tips, and that is ok.
  • HIV+ moms, please ask about breastfeeding.

For more information and tips see:

Breastfeeding Videos

Pregnancy Induced Hypertension

The following is only a concern for those in the last trimester that have been diagnosed with “PIH”. Pregnancy Induced Hypertension can be a sign of pre-eclampsia that is a condition of pregnancy marked by high blood pressure and excess protein in your urine. Pre-eclampsia often causes only modest increases in blood pressure, but can lead to serious complications. Please call your provider or SJRMC L&D if you have been diagnosed with PIH and have these signs and symptoms: Headaches…

The following is only a concern for those in the last trimester that have been diagnosed with “PIH”.

Pregnancy Induced Hypertension can be a sign of pre-eclampsia that is a condition of pregnancy marked by high blood pressure and excess protein in your urine. Pre-eclampsia often causes only modest increases in blood pressure, but can lead to serious complications.

Please call your provider or SJRMC L&D if you have been diagnosed with PIH and have these signs and symptoms:

  • Headaches
  • Nausea and vomiting
  • Sudden increase in swelling to your lower extremities, hands or face.
  • Seeing spots or blurry vision
  • Right upper quadrant abdominal pain
  • Just feeling “not well”, “icky” or “different”

SJRMC L&D 799-5430/ VMC 746-1383 ext.6510