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The following information will help help you to understand how many
visits you will have with us during your pregnancy and what we will
do for you at each visit. We have also included a list of current
over the counter medications that are considered safe in pregnancy.
We look forward to seeing you for your obstetrical care.
| OBSTETRIC
9 MONTH CHECKLIST |
Questions
Please contact your doctor's assistants with any questions
you might have:
|
| |
Nurse |
Medical Assistant |
| Dr. Reeves |
Debbe Taylor |
Ida Lee,
Margia Funez |
 |
| Dr. Nebgen |
|
Monica Olvera |
|
| Dr. Hutton |
Nan Righter |
|
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| |
Scheduling
|
|
|
| 0 - 28 wks |
every 4 weeks |
|
|
| 28 - 35 wks |
every 2 weeks |
|
|
| 36 - 40 wks |
weekly visits |
|
|
| 1st Trimester (conception
to 14 weeks) |
1st visit
(5-7 wks) |
- Confirmation of pregnancy with urine pregnancy test (UPT)
if necessary, ultrasound (to confirm due date), brief exam,
and history. OB packet given for review (discussion of tetra
screen, cystic fibrosis screening, CMV, toxoplasmosis, exercise,
sexual activity, physicians on call, medications safe in
pregnancy, and answering service).
- OB labs (collected in our office – blood draw and
urine sample).
|
2nd visit
(7-10 wks) |
- Complete medical history, physical exam, pap smear, review
of OB labs, review of future course of pregnancy. Meeting
with business manager and insurance manager.
|
| 2nd Trimester (14 –
28 weeks) |
| 16 – 20 wks |
- Tetra screen blood draw, if age < 35 (collected in
our office).
- Amniocentesis, if age > 35 or other genetic risk factors.
|
| 20 – 24 wks |
- Anatomy scan (fetal sex determination if visible) usually
at Methodist MFM, 9th Floor Smith Tower.
|
| 24 wks |
- Upon completion of this apt., if you are Rh negative,
you will be given a Lab requisition for The Methodist Hospital.
You will hold on to this form until your 28 week visit whereas
you will need to plan to arrive 30 min or more prior to
this apt. You will go to the 5th floor, Smith Tower,The
Methodist Hospital lab first and get your blood type retested.
They will then give you the Rhogam. Bring this medication
to our office and we will administer the injection.
|
| 3rd Trimester (28 –
40 weeks) |
| 28 wks |
- Rhogam administration if blood type is Rh negative Rh(-)
(See 24 week directions).
- Glucose test, (1hr test, no fasting necessary) and Complete
Blood Count draw for anemia.
- Review preterm labor, Braxton hicks, and kick counts.
- Choose pediatrician and tell physician.
- Register and tour The Methodist Hospital or St. Lukes.
- Sign up for Childbirth classes.
|
| 35 – 36 wks |
- Group B Streptococcus culture (to determine the need for
antibiotics in labor).
|
| 37 – 41 wks |
|
| 39 – 40 wks |
- Repeat cesarean section if previous C/S, desiring repeat
C/S.
|
| 40 + wks |
- Biophysical profile (BPP) and amniotic fluid index (AFI)
by ultrasound to determine fetal well being in posterm pregnancy.
|
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COMMON
MEDICATIONS- SAFE TO USE DURING PREGNANCY
*do not take Aspirin, Ibuprofen, Advil,
Aleve, or Motrin in pregnancy* |
|
OVER
THE COUNTER |
PRESCRIPTION |
| ANALGESICS |
Tylenol
Extra Strength Tylenol |
|
|
| ANTIEMETICS (NAUSEA) |
Emetrol
Dramamine |
Phenergan Zofran |
|
| ANTACIDS |
Tums/Rolaids
Maalox
Mylanta |
|
|
| ANTIFLATULENT |
Mylanta gas
Maalox II
Phazyme
Gax X
Anything that has Simethicone |
|
|
| ANTIHISTAMINES |
Benadryl 25mg
(not in 1st trimester)
Allegra, but NOT Alegra
D
Claritin, but NOT Claritin
D |
Zyrtec 10mg (not in 1st trimester) |
|
| COUGH |
Robitussin DM
Robitussin PE |
Robitussin with Codeine
Tessalon Perles |
|
| DECONGESTANTS |
Chlor-Trimeton
Saline nasal spray
Afrin nasal spray |
|
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| DIARRHEA |
Kaopectate Imodium |
|
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| IRON SUPPLEMENTS |
Slow Fe Tablets (minimizes stomach upset) |
|
|
| LAXATIVES |
Milk of Magnesia
Glycerin Suppositories
Dulcolax Suppositories |
|
|
| LEG CRAMPS (calcium) |
Tums/Rolaids
Calcet
Oscal |
|
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| STOOL SOFTNERS |
Metamucil
Colace
Dialose (plain)
Surfak |
|
|
Please call the nurses if your symptoms are not relieved
in 24-48 hrs., or if fever is present. This is especially
important for problems such as diarrhea, nausea, vomiting,
cough or fever. Please contact the nurses before taking any
medications not on this list.
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