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Southwest Ob/Gyn

1ST Trimester

1ST Trimester ~ Less than 14 weeks, 0 days

Tests for Chromosomal Abnormality

CVS (Chorionic Villus Sampling) this is an invasive test that can be done around 10-12 weeks. During a CVS, a small sampling of the cells is taken from the placenta.

Nuchal Translucency/Ultra Screen – This is a minimally invasive test performed between 9-13 weeks from the last menstrual period. A transvaginal ultrasound is used to measure the neck fold (or nuchal translucency) of the baby. A blood test is also performed that test is also performed that tests foe Beta HCG and PAPP-A proteins. These combined tests can detect 90% of babies for Downs Syndrome and 97% of babies with Trisomy 18.

Cystic Fibrosis - (also known as CF or mucoviscidosis) is a recessive genetic disease affecting most critically the lungs, and also the pancreas, liver, and intestine. It is characterized by abnormal transport of chloride and sodium across epithelium, leading to thick, viscous secretions.[1

Counsyl - is a preconception carrier screen for more than 100 single gene disorders. The test is simultaneously less expensive yet far more comprehensive than currently available assays for cystic fibrosis and Ashkenazi Jewish diseases

Quad Screen – This is a maternal test offered from 16 – 20 weeks. The quad screen is a prenatal test that measures levels of four substances in a pregnant woman's blood:

  • Alpha-fetoprotein (AFP), a protein made by the baby's liver
  • Human chorionic gonadotropin (HCG), a hormone made by the placenta
  • Estriol, a hormone made by the placenta and the baby's liver
  • Inhibin A, another hormone made by the placenta

Results of the quad screen indicate your risk of carrying a baby who has certain developmental or chromosomal conditions, such as spina bifida or Down syndrome not whether your baby actually has these conditions.

Amniocentesis -  (also referred to as amniotic fluid test or AFT) is a medical procedure[1] used in prenatal diagnosis of chromosomal abnormalities and fetal infections,[2] in which a small amount of amniotic fluid, which contains fetal tissues, is sampled from the amnion or amniotic sac surrounding a developing fetus, and the fetal DNA is examined for genetic abnormalities.

Safe Medications During Pregnancy

You may use this as a guideline for medications safe to use during your pregnancy. Please call the office if your symptoms persist or if you have a fever over 100.4 degrees.

Cold Symptoms
For allergy or cold symptoms, you may take Sudafed or Sinus Tylenol, Robitussin (Plain or DM) for cough, and Sucrets or Chloraseptic Lozenges for sore throat associated with allergies or a cold.

Indigestion
Mylanta (either chewable or liquid), Maalox, Mylicon, Gaviscon or Tums are all safe to take for indigestion. If you have persistent problems with indigestion, there are some things you can do: eat small, frequent meals, avoid carbonated beverages and spicy foods, do not drink through a straw, and do not lie down after eating. If these changes don't help or if you have nausea and vomiting or severe abdominal pain, contact your physician.

Headaches or Discomfort
Tylenol - Regular or Extra Strength. Ibuprofen may be used in the first and second trimesters ONLY. DO NOT USE ASPIRIN. Call the office if pain persists or if headaches are accompanied by blurred vision, pain in the upper right abdomen, sudden weight gain, or swelling of the face and/or hands.

Minor Bladder Irritations
Eliminate all carbonated beverages, coffee, and tea from your diet. Increase your water intake to 8-10 glasses per day and drink 3-4 glasses of cranberry juice per day. If not better within 24 hours, please call the office.

If urinary symptoms include hesitancy when you start to void, a strong sense of urgency to void, increased frequency and burning on urination, fever, chills, low abdominal pain or cramping, back or flank pain, blood in the urine, or foul-smelling urine, please call the office immediately.

Swelling
Do not add salt to your food (get rid of the salt shaker!) and limit or omit high-sodium foods such chips, salted nuts, pretzels, soy sauce, bouillon and canned soups, bacon or ham and other processed meats. Many canned and processed foods contain a lot of sodium. Check nutrition labels and limit your sodium intake to 2 gms per day. Elevate your feet whenever possible. Please call the office if swelling continues, if you notice significant swelling in your face or hands, or if swelling is accompanied by a headache or epigastric pain.

Backache
Avoid wearing shoes with heals and standing for long periods of time. Sit in chairs that provide good back support. A warm bath, heating pad, or cold compresses can help ease back pain. You may take Tylenol as needed for pain. Call the office if backache continues.

In the late second and third trimesters, back pain can be a sign of preterm labor or urinary tract infection. If you have back pain that is intermittent and rhythmic, doesn't respond to any of the above treatments, or is accompanied by severe pain and/or fever, call the office immediately.

Nausea
Try eating dry crackers before getting out of bed in the morning. Eat every two or three hours throughout the day. Avoid smells that trigger nausea, highly seasoned or fatty foods, alcohol, caffeine, and cigarette smoke. Sometimes peppermints or ginger tea can help reduce nausea. Do not take prenatal vitamins on an empty stomach or if feeling nauseated. If not controlled with diet, try Emetrol (if not diabetic) or Nestrex. If vomiting continues, call the office.

Leg Cramps
Avoid standing or sitting with your legs crossed for long periods and stay well-hydrated. Eat a balanced and calcium-rich diet. Get regular exercise and stretch your calf and thigh muscles by stretching them three times a day and before you go to bed (see below). Lie down on your left side to improve circulation to your legs. Try taking a warm bath before

If you do get a cramp, immediately stretch your calf muscles by straightening your leg - press down on your heel first and gently flex your toes back toward your shins. It might hurt at first, but it will ease the spasm and the pain will gradually go away. Walking around for a few minutes after the cramp subsides may be helpful, too.

Call the office immediately if your muscle pain is continuous and is accompanied by redness, warmth, tenderness, or swelling. These can be signs of deep vein thrombosis.

Stool Softener
Surfak, Docusate, Dialose, Metamucil, Fibercon are all safe to take during pregnancy.

Constipation
Try to avoid constipation by staying well-hydrated (drink plenty of fluids), eating fresh fruits and vegetables, and exercising. Milk of Magnesia or Senekot are safe to take for constipation.

Diarrhea

If you have diarrhea, you should stick to a bland or clear liquid diet until the diarrhea subsides. It is safe to take Kaopectate or Imodium to treat diarrhea after 12 weeks of pregnancy. If diarrhea lasts more than 48 hours or is accompanied by weakness and fatigue, nausea and vomiting, right upper abdominal or epigastric pain, headache, blurred vision, bleeding from the gums or from minor trauma, jaundice or yellowing of the skin, or pain in the shoulder or neck, call the office immediately.

Hemorrhoids

To prevent hemorrhoids (or piles), eat a healthy diet that includes fresh fruits and vegetables, drink plenty of liquids, exercise regularly, use a stool softener (if needed), and avoid standing or sitting in the same position for prolonged periods. If you develop

You will get most of the vitamins and minerals you need from a healthy diet. However, it is difficult to get enough calcium, iron, and folic acid (a B-vitamin that helps to prevent defects of the brain and spinal cord known as neural tube defects) from the food you eat. Therefore, we recommend that you take a prenatal vitamin every day.