Medication questions are some of the most common questions we get from patients, family members, and even other health care professionals. It is very important to speak with an OB/GYN regarding your specific medication questions of prenatal safety as some areas are not black and white.
Below is a typical, non-inclusive, list of medications that should be avoided during pregnancy. However, prenatal safety profiles are constantly being modified as new research and information is available.
– Not all antibiotics are bad during pregnancy. Typically medications in the family of fluoroquinolones or tetracyclines are avoided.
Examples of these are Cipro and Doxycycline respectively.
– Non steroidal anti-inflammatory drugs (NSAID’s) should not be used during pregnancy.
Examples include, but are not limited to Advil, ibuprofen, Motrin, Aleve. A safe over the counter pain medication is acetaminophen (Tylenol).
– Prescription medications that have narcotics in them may be used but with caution as long term use can cause neonatal abstinence syndrome. Talk to your OB/GYN about this if you are concerned.
Examples of narcotics are codeine, oxycodone, hydromorphone, and morphine just to name a few. They may be named Tylenol #3, Percocet, Dilaudid, and many more!
– Blood pressure medications that are considered diuretics, ACE-inhibitors, or ARB’s should be avoided during pregnancy.
Examples of these are Lisinopril, Valsartan, and HCTZ
– If you are concerned you may be on an unsafe blood pressure medication, call your doctor right away and switch to something that is safer to use during pregnancy
– Certain medications that are used to treat seizures are known to cause birth defects such as Valproic Acid. If you are considering pregnancy or just recently found out you are pregnant, do not stop medications! Talk to your doctor immediately about your individual needs and if there is a safer alternative for you.
– If you are on a blood thinner called Warfarin (Coumadin), talk to your doctor about switching to a safer option like Lovenox or Heparin.
– Certain medications for depression have been associated with birth defects such as Paxil. Use caution and talk to your doctor!
Have questions regarding prenatal safety? Contact us today at 407-478-6249 (Winter Park OB GYN location) or 407-478-6250 (Lake Nona OB GYN location)!
Bed rest is a common practice during pregnancy to help alleviate pregnancy complications. Bed rest increases blood flow to the placenta and can slightly increase a baby’s birth weight. The confinement period can be as temporary as a few days or can last months. Bed rest can pose many challenges to your daily routine and the confinement can become frustrating. Here are a few tips to help you cope during bed rest.
Bed Rest Discomforts
Bed rest is different for every person. You may be allowed to move around the house without doing any heavy lifting or your guidelines could be stricter – remaining in a sitting or reclining position, only getting up to use the bathroom. During bed rest, it is common to experience muscle soreness and other joint discomforts. Changing from position to position can help stimulate your muscles and relieve pressure.
Bed rest also poses the risk of developing blood clots, especially in the veins of your legs. If your health care provider approves, set aside time for stretching or other gentle exercises. This can greatly improve any joint pains you may have and the exercises can provide an outlet to relieve stress.
Below are some common exercises from the American Pregnancy Association that may be used:
- Squeezing stress balls
- Pressing your hands and feet against the bed
- Turning your arms and feet in circles
- Tensing or tightening your arm and leg muscles
Along with aches and pains, one of the most common side effects of bed rest is boredom. Some ways you can overcome this is by planning activities or things you want to get done before the baby arrives. Shop online for baby supplies, work on a scrapbook for your newborn, or read “What to Expect When Your Expecting”. Now is the time to pull out all those old to-do lists and start checking them off. And if you don’t feel like doing any of that, the remote is never too far away.
If you have questions or concerns about being on bed rest and want to learn more, schedule an appointment online with our OBGYNs in Orlando at Contemporary Women’s Care or call (407) 478-6249 today.
Being pregnant is both joyous and stressful, but a high-risk pregnancy can come with its own set of complications and difficulties. If you’re dealing with a high-risk pregnancy, here are some things you can do to make the process a little easier.
(Courtesy of Holistica Resort)
Know your type of high-risk pregnancy
There are various causes of high-risk pregnancies and each requires different types of treatment. While some high-risk pregnancies require full bed rest, others might require increased caution from the mother-to-be or special medication that reduces risk. Keep up with your doctor’s appointments and make sure to get as much information as you can about your type of high-risk pregnancy, and what you can do to protect your child.
Be aware of how your medical history affects your baby
If you have a pre-existing medical condition and are planning to conceive, talk with your doctor about how that condition will affect the pregnancy. Having a plan right from the beginning can make the process easier on you and your baby.
Eat healthy foods and monitor weight gain
Stick to a healthy diet rich in folic acid, calcium and iron while also taking a daily prenatal vitamin . This will help you and your baby get the right amount of nutrients throughout your pregnancy. As for weight gain, pregnant women at a healthy weight are often recommended to gain about 25-35 pounds. Speak with your doctor about your diet and nutrition to figure out what’s best for you, your body and your baby.
Keep your doctor’s appointments
The amount of appointments you will have to make might be overwhelming at first, but make sure you keep them. It’s important for your doctor to monitor your pregnancy and your baby closely. Your doctor might have to perform more ultrasounds and tests in order to keep track of the baby’s health. The doctor will also usually prescribe medications and monitor the effects of them, as well.
(Courtesy of runonbeat)
Stay organized and ask for help.
If bed-rest is recommended for your high-risk pregnancy, completing daily tasks can be stressful and overwhelming. Keep track of the things you want to get done and know when you need to ask for help. Get your spouse and family involved in the process. That way you will have a good support system with people to step in when you can’t get everything done yourself.
Stay calm and remember it’ll all be worth it.
Your high-risk pregnancy won’t let forever, and at the end of it, you’ll meet your wonderful baby. Hang in there and remember how important this time is for you and your family. And get ready to meet that beautiful child at the end of it all!
Need help coping with your high risk pregnancy? An Orlando gynecologist can help. Schedule an appointment online or call our office at (407) 478-6249.
The holiday season is sure to put an extra bounce in your step, especially with all the upcoming festivities, but it can also bring a lot of stress. Crowded stores, hectic schedules and long lines at the airport are hardly reasons to smile.
If you’re pregnant, the holiday season can give you some much needed time to relax. It is just as important to make sure that you’re as safe as possible while traveling in your delicate condition.
There has been some debate about whether or not it’s safe to fly during pregnancy, and the best way to get from one place to another. The best way to travel will depend on how far along you are, as well as your personal health. The second trimester, 14 to 27 weeks, is typically the easiest time to travel by plane because morning sickness has typically stopped and energy levels are higher.
It’s best to check with your doctor with any plans to travel, but especially so if you have a history of spotting, diabetes, high blood pressure during your pregnancy, or a previous premature birth. You might also want to consider getting written permission to fly from your Orlando OBGYN.
Most airlines have policies that prohibit women who are over 34-36 weeks pregnant from flying without a doctor’s note; some limits start as early as 28 weeks. Check with the airline prior to purchasing your ticket for their guidelines.
If you’re planning to drive to your destination, you need not worry about airbags harming your baby. Airbags were designed to keep you safe while in the car, so long as you’re wearing your seatbelt correctly. To minimize any risk, however, you can move your seat back as far as possible and tilt it back slightly, or sit in the back seat.
Even though the holidays are for relaxing, it’s important to make sure that you are still eating healthy for both yourself and your baby. Eat plenty of fresh fruit and vegetables, and make sure that you stay hydrated.
Contemporary Women’s Care, an OBGYN Orlando, has a few quick tips for the pregnant traveler:
- Reduce stress by planning ahead. Don’t wait until the last minute and remember that there will be delays.
- Take regular breaks and recharge. It’s easy to get lost in the numerous activities during your holiday, but remember that you need time to relax.
- Bring snacks with you to avoid feeling sick. Granola bars and dried fruit are healthier alternatives that will keep you full between meals.
- Be comfortable with clothing and footwear. Make sure that you have good blood circulation and don’t spend too much time standing or sitting, and stretch your body every so often.
- Avoid any activities that might put you or the baby in harms way. Instead of scuba diving, relax under the palm trees; don’t do anything that puts you at risk for falling.
With these tips in mind, you’re ready to make the most of your holiday travel! For answers to additional questions on traveling while you’re pregnant, contact our female OBGYNs in Orlando at Contemporary Women’s Care at 407-478-6249
In 2009, about 33% of American women gave birth via cesarean section according to the Centers for Disease Control and Prevention. There are a number of reasons why a woman may have this procedure instead of a traditional vaginal birth.
If you are aware that you are having a cesarean section , it is a good idea to prepare for the big day beforehand. Knowing the date and time you’ll be giving birth can be useful for making sure everything runs as smoothly as possible. Here are some tips to use in the weeks before the time comes.
Prepare for the hospital stay
After the surgery, you’ll be staying at the hospital anywhere between 2-3days. Pack a bag with comfortable clothes you’ll want to wear during that time. Avoid tight waistbands and bring sweatshirts or sweaters and warm socks. Also pack personal items like deodorant, soap and a hair brush. Be sure to bring your driver’s license or other picture ID, insurance information and any paperwork the hospital asked you to fill out beforehand.
Follow the hospitals preoperative procedures
Your doctor will most likely want to run tests to check for medical issues that could affect the surgery. These can include blood tests and urine samples, and may also include tests on the baby if the C-section is a result of a complication or health risk. You’ll most likely also be asked to meet with an anesthetist to discuss anesthesia options.
Know the procedure you’ll be having
Research the C-section procedure and talk to your doctor beforehand to prepare yourself. That way, you’ll feel less nervous when the time comes. Ask whether or not your partner is allowed to be in the room with you, and what your hospital’s norms are. Make sure to plan for the post-op, as well, when the doctor will briefly take the baby away to be weighed and measured. When you have an idea of what’s ahead for you, the experience will be less frightening.
Plan for nursing your newborn
For many mothers, the first nursing experience is very important. If you plan to nurse, make sure to talk to your doctor about the hospital’s procedure on nursing, so that you can build an appropriate plan together. It’s also a good idea to research the best way to nurse, so that you’ll be prepared when the time comes.
Plan for recovery
Giving birth requires recovery no matter what, but undergoing a C-section involves a longer healing process. In addition to dealing with the usual postpartum effects, you’ll be recovering from major abdominal surgery. Your doctor will probably prescribe pain medication; make sure to tell the nurse or doctor if you feel an unusual amount of pain or discomfort. In the weeks following the birth, treat your body gently and kindly and follow the doctor’s orders for caring for the incision.
Ask for Help
After a C-section, you’ll not only be recovering from surgery, you’ll also have a newborn that requires constant care. Your significant other may not be able to take time away from work, so get someone who can help you care for your child during your recovery. Whether you have family that can stay with you, a good friend or neighbor, or a community organization, someone should be on hand to help you with your child as well as with any complications you may have.
Still have questions about getting a c-section? Contact the Orlando OB GYN team at Contemporary Women’s Care at 407-478-OBGY (6249) and schedule your appointment today!
On Saturday, December 7th, Contemporary Women’s Care (CWC) of Orlando will be hosting its last Infant CPR and Newborn Care Class for this year. Both classes are open to anyone who wishes to participate.
The Orlando Infant CPR Course is taught by a member of the CWC community who is both an Emergency Medical Technician (EMT) and Registered Nurse (RN). This two-hour class is $35 per person or $50 per couple.
To supplement the infant CPR course, a complimentary Orlando Newborn Care Class will follow. The Newborn Care class is led by a Board Certified Pediatrician – Dr. Dolly Ubhrahni. Dr. Ubhrahni will focus on simple techniques to care for your baby. The Newborn Care Class is at no additional cost to you. Topics include breastfeeding, bottle feeding, diaper changes, sleeping habits and more!
These informative courses will prepare you to act quickly in an emergency situation and to gain confidence as a new parent. Join us for our next class Saturday, December 7th from 10:00 am to 2:00 pm.
Questions? Want to register?
Contact Contemporary Women’s Care of Orlando today – (407) 478-6249
Classes will take place at CFP Physicians Group – 985 SR 426, Casselberry, FL 32707.
From 10 a.m. – noon. This two-hour class is $35 per person or $50 per couple
To make the learning experience as comprehensive and useful as possible, it is followed immediately by a complimentary Newborn Care Class from noon – 2 p.m. led by a Board Certified Pediatrician – Dr. Dolly Ubhrahni. Dr. Ubhrahni will be focusing on simple techniques to care for your baby. With topics like breastfeeding, bottle feeding, diaper changes, sleeping habits and more, this free class aims to inform and increase your confidence as a parent!
With the knowledge gained, you will be well equipped to act quickly and calmly in an emergency!
The first woman to receive anesthesia during labor had a difficult time believing that she had given birth. Dr. James Young Simpson gave her chloroform on a handkerchief and, on January 9, 1847, became the first physician to deliver a child while the mother was under anesthesia. Since then, many women have chosen to use some type of drug to ease labor pains. The most popular of these drugs is epidural anesthesia.
According to the book “What to Expect When You’re Expecting,” more than 50% of women giving birth request an epidural by name. Epidural anesthesia is injected directly into the spine to block spinal nerves from registering pain. This, in turn, helps to relieve labor pains in the lower back, pelvis, womb and perineum. Receiving an epidural can be somewhat uncomfortable, but some women prefer this temporary discomfort in lieu of greater pain from a natural birth.
An epidural can be a great way to ensure that the mother is engaged in the delivery process. Because her pain is manageable, she can focus on pushing and bringing her child into the world, rather than becoming distracted by the pain brought about by her contractions.
If you decide to bypass an epidural, relaxation techniques may help to keep you calm and focused during your baby’s delivery. Many women learn breathing exercises, the most popular being Lamaze. More radical trends include hypnosis, water births, or having a masseuse on hand to give comfort and assistance during the labor.
Whatever you decide, make sure you are well informed. The most important thing is that you are calm and collected for your delivery. As long as you are comfortable with the decision that you make, you will be better prepared to handle the ups and downs of your delivery. Contact the experts at Contemporary Women’s Care in Orlando we’ll be sure to help you make the best decision for your pregnancy!
All the talk about 40 being the new 20 can get a bit confusing, especially for women wanting to have children after their twenties have set sail. But what does this new attitude even mean? Can women in the 21st century now spontaneously add twenty years to their fertility clocks?
Well, no. But defying the archaic myth that one-third of women 35 to 39 will not get pregnant on their own is empowering women in their mid-to-late thirties.
You’re 35. No, All Hope Is Not Lost.
So, what does this massive step forward mean? Simple: It means 34-year old singles no longer feel the need to procreate with the first available man for fear that it will be their last chance before infertility kicks into full gear. Women today are far more educated and powerful than ever before and that means many are choosing to create careers prior to creating families. Plus, divorcees just getting back in the dating scene at 35 no longer need to panic that all chances of having kids of their own have poured down the proverbial drain.
BUT, There Can Be Cause For Concern.
To say there are no drawbacks to getting pregnant after 35 would be highly misleading. According to the Center for Disease Control and Prevention, aging not only decreases a woman’s chance of having a baby, but also increases her chances of miscarriage and of having a child with a genetic abnormality.
“But I FEEL Young!”
That’s great, but this increase in infertility as a woman ages has little to do with how she feels. It is because her ovaries become less able to release eggs as she gets older; therefore, the eggs that are present are more likely to have complications.
Also, as a woman ages, other factors that were not as impactful in her teens or twenties begin to take a much heavier toll on her fertility likelihood. That added stress from working overtime or extreme weight gain/loss can make getting pregnant or delivering a healthy baby even more difficult. Hence, on those days when the whole world seems to be taking a nap on your shoulders…remember to take it easy. And yes, stressing about infertility can make you MORE infertile, so find healthy ways to relieve stress and always nurture your body in a way that will make the pregnancy process easier for you.
Now, For Some Good News…
While infertility increases after age 35, there is some good news for first time mothers in their mid-to-late thirties who want multiple children. A 2009 study done by the Gynecology and Obstetrics Journal found first time mothers aged 35 and above have higher odds of having a second pregnancy shortly after their first pregnancy.
While this snippet of information should ease your mind, you don’t want to wait too long to get pregnant because menopause will kick in around your 50s and then it WILL be too late and will also significantly increase your child’s chances of complications.
Just To Be Safe!
If you’re 35 and pregnant or trying to become pregnant, you want to keep a close eye on your fertility. The best way to do this is to see a doctor who can help guide you in the right direction for a safe and pleasant pregnancy. You can contact Contemporary Women’s Care for all of your prenatal and fertility questions or concerns.
Everyone has different opinions and bits of knowledge about pregnancy–and pregnant women get to hear all of it. Excited friends, family and coworkers like to share “did you knows” with expecting moms, but not all of what they say is true. While your friends and family are probably not trying to trick you, they may very well be misinformed. There are a surprising number of pregnancy myths, but these common ones are overdue for debunking!
You’ll only feel sick in the morning.Actually, queasiness and so called “morning” sickness can persist throughout the day, or even start at night. It’s called morning sickness because it’s more likely to occur on an empty stomach–like in the morning before a woman eats. Not only can it strike at any time, but morning sickness doesn’t always end with the first trimester of pregnancy. If you do experience it, try eating right when you wake up, snacking on high-carb foods throughout the day, and avoiding things that trigger it.
You’ll glow. Increased blood volume can make you glow and have thicker hair but this is certainly not the case for all women. Changing hormones can cause a variety of skin changes, and they’re not all glowing. The same things that cause a “glow” in some pregnant women can lead to broken blood vessels, spider veins, moles, skin tags, and acne in others. The good news is that many of these conditions will go away after delivery, and some conditions (like acne) can be treated during pregnancy with the help of a dermatologist.
You’re eating for two! Some myths are scary, but we almost wish this one was true! The fact is though, your baby is small and really doesn’t need 3 extra, adult-size servings to continue developing. Expecting moms who are at a normal weight, only need around 250 to 300 extra calories a day during the last six months of pregnancy.
You should skip the coffee. This is partially true. Women should ease up on caffeinated beverages when pregnant, but one cup of coffee a day is considered okay. Everything in moderation.
All women feel happy during pregnancy. Pregnancy is supposed to be a happy, glorious time, right? Not necessarily. Pregnancy can make many women nervous or anxious, especially if it’s their first. Bottom line: being pregnant doesn’t automatically make you all happy, all the time. Pregnant women can still experience mood swings, anxiety, stress, and other unpleasant emotions. This is normal, pregnant women are still human beings.
Surprised that these myths aren’t true? We don’t blame you. Some pregnancy myths keep circulating years after they’ve been proven wrong. Pass these myths along to your friends and family to stop the spread of misinformation! And before you go and believe another pregnancy myth just remember: take everything you hear with a grain of salt, and when in doubt always ask your pregnancy doctor!
Having a baby is such an exciting time! In only a few months you get to meet your bundle of joy. It’s important to keep your baby safe and secure until then so he or she can grow properly. Here are some pregnancy safety do’s and don’ts to keep you and baby safe.
1. See your doctor regularly.
This is an important one. Some women have perfect pregnancies without even a hiccup along the way. But that’s not always the case. Your doctor is the one who can tell you if your baby is growing properly, or if there are any complications that make you a high risk pregnancy. Your doctor can also give you care tips for yourself and baby to make sure you’re both getting everything you need.
2. Maintain exercise.
Just because you become pregnant doesn’t mean you have to become a couch potato! Exercise can help you adjust to your new body. Exercise may help with back aches, sore muscles, constipation and trouble sleeping! It can also help you regain your pre-baby body more quickly after birth. Whether you worked out frequently before you became pregnant, or not at all, it’s important to make sure you talk to your doctor before you start exercising.
3. Wear a seatbelt.
One of the easiest ways to protect your baby is to wear your seatbelt every time you get in a car! Pregnant or not, it’s always a smart idea to wear your seatbelt, so if you didn’t make a habit of it before you were pregnant, hopefully you’ll continue the habit after your baby is born.
4. Know what you’re eating.
When eating for you and your baby it’s important to know exactly what you’re eating! There are foods that are good for you and allow you to get all your pregnancy nutrition. There are also foods that are best avoided for the safety of your baby. To learn more about each topic check out our blog posts: Pregnancy Superfoods: What to Eat While Pregnant and What Foods to Avoid While Pregnant.
5. Check out your medications.
There are some great prenatal vitamins that can help ensure you’re getting all the vitamins you need during your pregnancy, but herbal remedies and supplements are generally cautioned. Some over the counter drugs are safe to take, but you need to consult with your doctor and ask them specifically. They might also be able to provide information on natural alternatives to some common pregnancy side effects like nausea.
1. Exercise too much.
Exercise is both a Do and a Don’t! The reason for this is while moderate exercise can be great for you and your baby, it’s important to understand that too much exercise can cause harm. When exercising, don’t get overheated or cause extremely labored breathing. Don’t participate in any activities where you may fall or get knocked into roughly. You can avoid exercise worries by making an exercise plan with your doctor.
This is one that most people won’t need to worry about, but it’s still worth mentioning. If you need to have an x-ray done in your abdominal area and are pregnant, or think you might be pregnant, let your doctor know. Depending on the reason for the x-ray your doctor will evaluate whether to go through with it or not.
3. Taking too hot baths.
Taking a hot bath, sitting in a Jacuzzi, or spending time in a sauna, are all activities that raise your body temperature. While slight body temperature raises are fine, prolonged exposure to heat can overheat your body and cause stress to the baby. In order to make sure this doesn’t happen, keep your body temperature under 101 degrees.
4. Handling toxic chemicals.
The word “toxic” says it all. Your baby is developing rapidly and is more sensitive to harmful chemicals, especially in the first trimester. Some toxic chemicals to avoid are mercury, pesticides, lead, and BPA’s.
5. Smoking, drinking and drugs.
All inhalation of smoke causes harm to the lungs, and reduces the amount of oxygen your baby gets. Not to mention all the harmful chemicals cigarettes contain! Smoking while pregnant results in lower birth weights, underdeveloped bodies, possible heart defects, and decreased brain development, depending on smoking levels during pregnancy.
There is some discussion about drinking alcohol during pregnancy. In some parts of the world drinking a glass every once in a while is OK, in the United States it is advised against as no amount of alcohol is proven safe while pregnant. Alcohol exposure can result in Fetal Alcohol Spectrum Disorder, which can cause learning disabilities, facial deformities, speech delays and other problems for your baby.
Drugs like methamphetamines, marijuana, PCP, LSD, heroin, and cocaine can all cause serious problems for you and your baby. These drugs can cause miscarriage, premature birth, low birth weight, development problems, learning disabilities, placental abruption, feeding problems, breathing difficulties, brain damage, and infant death. It’s important to remember that whatever goes into your body goes into your baby’s body. If you go through withdrawal so does the baby, this can cause tremors, muscle spasms and sleeplessness. If you are using drugs and think you might be pregnant stop immediately and consult a doctor.
The ultimate goal of pregnancy is a healthy baby. To help ensure this, make sure you visit your doctor regularly and share any questions or concerns you have with them. To schedule a visit with a doctor visitwww.myobgynorlando.com.