- 28 Week Visit (Midwife Patient Form)
- Congratulations (Midwife Patient Form)
- Exercise Guidelines For Pregnancy and Postpartum
- Fetal Kick Counting Chart
- Gestational Diabetes
- Listeriosis and Pregnancy
- Notice of Privacy Practices
- Perineal Massage During Pregnancy
- Prenatal Instructions
- Prevention of Iron Poisoning in Children
Most Frequent OB Questions
What if I am taking Antidepressants?
What can I take if I have allergies?
- Claritin D
- Benadryl 25mg 2x a day or 50mg @ bedtime
- Benadryl Cream
- Calamine Lotion
- Any saline nasal spray
- Eye Drops (Tears Naturale)
What can I take if I have a cold?
- Actifed or Actifed plus
- Robitussin or Robitussin DM (even in the first trimester)
- Sudafed or Sudafed Plus
- Saline Nasal Spray (AYR, Ocean Nasal Spray)
- Throat Lozenges (any kind)
- Tylenol, Tylenol Plus, Tylenol Sinus, Extra Strength Tylenol (Acetaminophen)
- Vicks Vapor Rub
- Warm saltwater gargles (1 tsp salt and 8oz warm water)
- Vitamin C 500-1000mg daily
You may also try the following relief measures:
- cool mist water
- homemade chicken noodle soup
Make sure to increase your fluid intake, rest and use Tylenol as needed. You should use as little medication as possible, especially for the first trimester. If your temperature reaches 101 or higher, or you experience chest pain of any kind you need to call the office. If your symptoms last longer than 7-10 days call.
What can I take if I have a fever or pain?
What can I take for a headache while I am pregnant?
- Things you can try to relieve a headache without medication are to sit in a dark quiet room, apply a cold pack to your head, and make sure you are staying hydrated. You should drink at least one glass of water every 2 to 3 hours. Avoid caffeine such as coffee, tea, soda, or chocolate. If you experience vision changes, or you have a persistent headache unrelieved by Extra Strength Tylenol, call the office.
- If you have a sinus headache, you may take Actifed, Sudafed, Tylenol Cold, or Tylenol Sinus. If you have no improvement or if symptoms worsen in 7 days call the office.
- If you experience blurred vision, sudden weight gain, and/or increased blood pressure accompanied with your headache, call the office ASAP.
What can I use for Hemorrhoids?
- Preparation H cream or suppository
- Dermoplast spray
Try the following to help relieve discomfort:
- Sitz baths
- MOM packs (2×2 gauze soaked in milk of magnesium / refrigerate, apply to rectal area)
- Sit on pillow or donut pillow
- High fiber cereal – 2 bowls of All Bran per day
- May need stool softener (Colace)
- Avoid sitting on stool for any length of time – on and off
- Painful, unrelieved with above measures should be seen same day, may need to be incised.
What is safe to take for heartburn while I am pregnant?
- Any over the counter antacid that does not contain aspirin, Amphogel, Gaviscon, Gelusil, Maalox, Mylanta, Riopan, Rolaids, Tums, Zantac, Pepcid, tagamet, DO NOT use baking soda.
- Also, things to try to help relieve heartburn are to eat slowly, chew food well, eat frequent small meals (low fat), avoid spicy, greasy foods, sit up straight, chew gum or hard candy, drink fluids between meals instead of with meals, elevate head of bed, no smoking or alcohol.
What if I have bleeding?
You should monitor if:
- First episode occurred following intercourse or manual exam or vaginal penetration i.e. tampon.
- Does not involve discomfort or cramping
- Is a scant amount
You should call if:
- Bleeding increases or does not stop.
- You develop cramping or discomfort.
- You have a second episode of bleeding.
If bleeding occurs during the second or third trimester call the office.
What should I do if I am constipated?
- Any over the counter fiber
- Dulcolax suppository
- Duphalac Liquid
- Fleets enema
- Metamucil (powdered drink or flavored wafers)
- Mineral Oil (1/4 cup mineral oil; mix with applesauce; may need to start with every 12 hours and then reduce to daily. Taper off as stools improve)
- Milk of Magnesia
A few you could try to help other then medication would be to avoid bananas, increase your bulk containing foods such as apples with the skin, bran cereal, broccoli, cauliflower, celery, dried peaches, prunes and raw carrots. Also, increase your water intake to 6 glasses per day.
What should I do if I have diarrhea?
What if I have vomiting?
- If diarrhea or vomiting continues over 24 hours call the office.
What if I have a Herpes outbreak during my pregnancy?
If your outbreak is genital call the office.
- Wash hands thoroughly after urination
- No creams or lotions until after evaluation
- Cold compresses, tepid bath, or Domoboro compresses, locally, may be soothing
- Avoid sexual relations until no lesions
- If lesions are present at time of delivery, would not want to deliver vaginally.
- You will be treated during your last month of pregnancy with oral prophylaxis
What should I do if I feel dizzy?
- Avoid sitting, standing or lying flat on your back for long periods of time
- Avoid rising quickly
- Avoid large meals, eat frequent small meals
- Avoid hot baths, showers and hot tubs
- If feeling faint, always sit down on the floor or chair or lie down to avoid falling with syncope.
- If fainting or loss of consciousness has occurred call ASAP.
- If you are persistently dizzy, please call.
What if I am experiencing leg cramps?
- You may try a Calcium supplement 1200 to 1500mg daily (Total: including dietary calcium) or
- Dr. Scholls arch supports and support hose
What if I develop pain on one side that progressively worsens, bleeding, shortness of breath, shoulder pain, or light headedness or feeling “faint”?
What can I do for motion sickness?
- Pressure Point Bracelet
- Dramamine after first trimester
- DO NOT use Transderm scope patches (Scopolamine class C)
What can I do for nausea?
- Coke Syrup
- Vitamin B6 25mg twice a day – may be taken alone or with Unisom ½ tab (Rx)
- Emetrol (similar to Coke syrup without caffeine 1 to 2 tablespoons every 15 minutes until vomiting stops). If lose first dose, repeat in 5 minutes. If #5 doses without resolution: call office or on call doctor.
- Eat something before getting out of bed or sitting up – then stay in bed for 15 to 20 minutes
- Eat small amounts every 1 to 2 hours
- Cold foods are better
- Easily digested foods: rice, mashed potatoes, chicken, turkey, soups, jello
- Avoid spicy, greasy, fried foods
- If you are unable to keep fluids down or have decreased urination (need to be able to void at least every 3 to 4 hours) or dry mouth call the office.
What if I am experiencing painful or frequent urination?
I had an episiotomy, how should I take care of it?
-Use tub sitz baths (plain warm water) 10 to 15 minutes up to 3 times daily
What is round ligament pain?
We advise the following to help with the pain:
- Avoid sudden position change
- Support abdomen when coughing / pelvic support
- Low set heat pad to affected area
- Tylenol, plain or Extra Strength
Can I use an electric blanket?
Is it safe to use a heating pad while pregnant?
What are symptoms of labor?
- Lower, dull backache-rhythmic or constant
- Pelvic Pressure
- Intestinal Cramps
- Increase in vaginal discharge, bloody show, loss of mucus plug
- A general feeling that something is not right
If you have any of these signs, check for contractions
How to check for contractions:
- Empty your bladder
- Lie on your left side for one hour
- Place your hand on your uterus
- Feel for tightening of the uterus followed by softening (contractions)
- Time the frequency of contractions
- Using your fingertips, indent your uterus over the entire surface to feel the firmness of the muscle. When your uterus is relaxed, your fingers will indent easily. If you suspect you are having 4 or more contractions in one hour, call the office.
Can I see a chiropractor when I am pregnant?
Can I have dental work while I am pregnant?
- You may have x-rays if shielded
- You may have local anesthetic if not allergic (PLAIN xylocaine or lidocaine) (AVOID epinephrine)
- You may use acceptable antibiotics
- You may use Tylenol with codeine for pain (script)
What can I use for facial care?
- Cleocin T Gel or lotion (Lotion is preferred)
- Oral Erythromycin (Preferred)
- Benzyl Peroxide (Preferred)
- Azelaic Acid (Azelex Cream)-we do not advise
Avoid Metro Gel, Ret-in A, anything topical containing vitamin A, and Tetracycline. Anything over the counter that does not contain any of the following substances, are safe to use.
What Injections/Skin tests can I receive?
- Flu immunization may be given throughout entire pregnancy (especially to those in high risk areas) or if will be in second or third trimester during flu season.
- Hepatitis vaccine may be given if patient is high risk of if series has been already started prior to pregnancy.
- Tetanus may be given.
- TB Mantoux (PPD) test may be given.
- Avoid pregnancy for one month after small pox vaccination or close contact with vaccinated person for 3 to 4 weeks.
What should I do if I have Lice? (Head and Pubic)
- Make sure all nits are removed with the comb provided, may need to repeat in one week if still living lice, wash in hot soapy water all combs, brushes, bed linens, pillowcases, clothing and hats.
- Vacuum couches, chairs, where head may rest
- Check other family members and treat as needed
What should I do if I have a rash on my body?
What kind of activity can I do when I am pregnant?
Are there any weight restrictions while I am pregnant?
Is it safe to travel while I am pregnant?
How do I know if I have a breast infection/Mastitis?
- Elevated temperature
- Red, sore area of the breast
- Flu like symptoms (i.e. chills, fatigue, aching joints)
- Symptoms occurring on just one breast
*If you have these symptoms, please call our office to schedule an appointment.
* If fever is absent, it is most likely a blocked milk duct. We recommend warm packs to the breast, an analgesic (Tylenol or Ibuprofen) and massage of the affected area.
- Things to try to help relieve your symptoms would be to apply warm packs to the breast, take Tylenol or Ibuprofen, get plenty of rest, and continue to nurse your baby. The infection is in the tissue, NOT the milk. If the baby will not take the milk, pump and toss for 2-3 days or until you no longer have a fever.
- If there is a purulent discharge from the nipple, DO NOT nurse, please call the office.
- If you are currently on antibiotics for a breast infection, your baby may get loose stools because of the medication.
- Massage the affected area, and if there is no improvement in 48 to 72 hours after antibiotics are started, please call.
What should I do if I have cracked or bleeding nipples?
- Use a nipple shield
- Air dry and expose to light (may use low set hair dryer, 1 ½ to 2 feet away to assist drying)
- May use pure lanolin on nipples (don’t need to wash off before nursing)
- Check position of baby and check latch on
- Rub on breast milk and allow to air dry
What should I do if my baby has thrush or I have thrush on my nipples?
- Apply Nystatin Cream externally to breast twice a day (30mg tube)
- You need to treat the baby at the same time
- Change breast pads every feeding (use disposable pads or maxi pads cut in half)
- Wash bra in hot water and air dry
- Wash babies’ pacifier, toys and bottles in hot, soapy water and allow to air dry.
- Watch for concurrent yeast infection
During your first gynecological visit to our office we will obtain a complete health history, evaluate need for various lab tests, and complete a physical exam tailored to your specific needs. You will see one of our health care providers and discuss appropriate screening tests for your age group. We will review any health problems and answer your questions. Then, we usually perform a complete physical exam. Follow up visits are scheduled based on your specific needs.
We like to simplify your first visit. If you would please print these forms and complete, then bring with you for your first visit.
After you have a positive home pregnancy test, call our office to schedule your initial appointment. Your first OB appointment will be your interview appointment where you will meet with either a nurse or one of our Certified Nurse Midwives. During that visit, you will be asked to complete a genetic screening questionnaire which will help us evaluate your unborn baby. The nurse or midwife will go over all of our office policies and procedures, current pregnancy education, and they will get a thorough health history. We would like to see you for your first appointment between 7-9 weeks gestation to be sure that you are able to take advantage of the screening blood tests that are offered at “The Group”. Once you have decided to see either the Physicians or the Certified Nurse Midwives, we will make a follow up appointment with the provider about two weeks following the interview appointment. Then, we will schedule follow up visits at four week intervals and every 1-2 weeks during the last stages of pregnancy.
We like to simplify your first visit. If you would please print these forms and complete, then bring with you for your first visit.
Our office is open from 8:00 AM to 5:00 PM daily, Monday thru Friday. We do close for traditional holidays.
After office hours, or on days when the office is closed, you can reach the physician on call by calling our office number, (563)355-1853. At night, our answering service will refer all calls promptly to the doctor, and the doctor will return your call as quickly as possible. There are times when that physician will be busy with other patients or on emergencies, so we do ask your understanding at those times.
Our office hours are by appointment. Experience has proven that this provides the most convenient and best service to you. If you find that you cannot keep your appointment, please notify us at the earliest possible time so that we can readjust our schedule.
If you have an emergency, call our office and we will rearrange the scheduled appointments so that a physician can see you as soon as possible.
As a courtesy to you, our staff will submit insurance claims for your medical care, so long as the proper insurance information is available to us on your first visit. Please bring in your insurance ID card for your primary and secondary insurance to every visit.
You are responsible for any amount not paid by your insurance carrier. There are often co-payments, coinsurances, deductibles, and other charges not covered in full by insurance carriers. These amount are due and payable at the time of each service or treatment. For your convenience, we accept cash, personal check, money order, Mastercard, Visa, or Discover for payment.
If you do not have insurance, payment is due in full at the time of service and before your delivery date. We will work with you to design a payment schedule that fits your needs. Please contact our Billing Office at (563) 355-1853 to make financial arrangements.
If at anytime you have any questions regarding your account, treatment fees, or insurance, please call and ask to speak to one of our Insurance Specialists.
Notice of Privacy Practices
Obstetrics & Gynecology Specialists,PC (OBGYN)
April 14th 2003
THIS NOTICE DESCRIBES HOW HEALTH INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION.
PLEASE REVIEW IT CAREFULLY.
The privacy of your health information is very important to us. We are required by law to:
- Maintain the privacy of your health information:
- Give you this Notice of our legal duties and privacy practices;
- Follow the terms of this Notice.
This Notice will remain in effect until we revise it. We reserve the right to change our privacy practices and terms of this Notice. Any changes we make will apply to all of the health information about you we maintain. We will make you aware of any changes by:
- Posting the revised Notice in our office;
- Making copies of the revised Notice available upon your request (either at our office or through the contact person listed in this Notice);
- Posting the revised Notice on our Web site.
WHAT IS HEALTH INFORMATION?
Your health information is information that identifies you and relates to:
- Your past, present or future physical or mental health or condition;
- The treatment we provide to you; or
- Payment for your past, present or future health care.
Your health information includes your name, address, Social Security number and other demographic information.
Typically, we keep your health information in our medical record and our billing records.
USES AND DISCLOSURES OF YOUR HEALTH INFORMATION
How may we use and disclose your health information?
We use your health information to make sure we can appropriately treat you, receive payment for our services and conduct our necessary health care operations. Some examples are:
Treatment: The doctors, nurses and other staff of OBGYN will use your health information to determine the medical care, tests, procedures and medications you may need. We may disclose your health information to coordinate or manage your health care. For example, we may disclose your information to another health care provider to order a referral, prescriptions, lab work or an X-ray for you.
Appointment reminders and other contacts: We may use your health information to contact you with reminders about your appointments, alternative treatments you may want to consider, or other of our services that may be of interest to you.
Payment: We will use your health information to check your eligibility for insurance coverage and prepare a bill to send to you or your insurance company. We will disclose your health information to others to bill and collect payment for our services. For example, in order to bill an insurance company, we will have to disclose information about when you were treated, the conditions you were treated for, and the type of treatment you received.
Health care operations: We may use and disclose your health information to allow us to perform functions necessary for our business of health care. For example, within our organization, we may use your information to help us train new staff and conduct quality improvement activities. We may disclose your information to consultants and other business associates who help us with billing, computer and transcription services. In limited situations, we may disclose information to allow other health care organizations to perform their health care operations. For example, we may disclose your information to your insurance company to allow them to conduct quality improvement activities.
Fundraising: We may use or disclose your demographic in formation and dates of treatment to contact you to raise money for OBGYN.
Research: We may use or disclose your health information for research purposes if a review board has determined that your privacy will be appropriately protected.
Required by law: We will disclose your health information when we are required to do so by law.
Workers’ compensation: We will disclose your health information to comply with workers’ compensation and similar laws that provide benefits for work-related injuries and illnesses.
Public policy: There are several situations in which the law permits or requires us to use or disclose your health information for public policy purposes. These are:
Public health concerns: We may disclose your health information to public health authorities for certain public health activities such as reporting births or deaths, preventing or controlling disease, and notifying persons who may have been exposed to a disease or may be at risk for spreading a disease.
Health oversight activities: We may disclose your health information to a health oversight agency to conduct audits, investigations, inspections and other activities necessary for the government to appropriately monitor the health care system.
Special situations: There are some situations that occur rarely, but may require or permit us to use or disclose your health information. These include:
Abuse, neglect or domestic violence: We may disclose your health information to the appropriate authorities if necessary to report suspected abuse, neglect or domestic violence.
Serious threats to health or safety: We may use or disclose your health information when necessary to avert aserious threat to the health or safety of you, another person or the public.
Organ donation: We may disclose your health information to an appropriate organization to facilitate organ or tissue donation or transplantation.
Problems with products: We may use or disclose your health information to report problems with medical devices or other products that are regulated by the Food and Drug Administration or to allow for product recalls, repairs or replacements.
Legal proceedings: If you are involved in a lawsuit or dispute, we may disclose your health information in response to a court or administrative order. We may also disclose your health information in response to a subpoena, discovery request, other lawful process by someone else involved in the dispute, but only if efforts have been made to tell you about the request or obtain a court order protecting your information.
Law Enforcement: We may disclose your health information for law enforcement purposes, as long as we follow specific requirements and restrictions. For example, we may disclose your information to comply with the laws that require the reporting of certain types of injuries, to help identify or locate a criminal suspect, or to provide information about the victim of crime.
Coroners, medical examiners and funeral directors: We may disclose your health information to a coroner, medical examiner or funeral director to allow them to perform their duties.
Specialized government functions: We may disclose your health information as it relates to some specialized government functions, such as military or veterans activities or national security.
*Inmates: If you are an inmate of a correctional institution or in the custody of a law enforcement official, we may disclose your health information to the institution as necessary to provide you with health care, protect the health and safety of you or others, and maintain the safety and security of the institution.
When may we make other disclosures of your health information?
For some purposes, we will give you the opportunity to agree or object to a disclosure of your health information. These purposes are:
Persons involved in your care: If you are present, we may disclose your health information to a relative or other person involved in your treatment or payment for your treatment, but only if you have had an opportunity to agree or object to that disclosure. For example, you may indicate that you don’t mind us disclosing your information to a friend or a family member by allowing them to join in your meeting with your doctor. If you are not present to agree or object, we will use our professional judgment to determine if disclosing your health information is in your best
Notification: We may disclose your location and general condition to notify a family member, personal representative or other person responsible for your care.
Facility directory: Unless you notify us that you object, we will use your name, location in the facility, general condition and religious affiliation to maintain a facility directory. This information may be provided to members of the clergy and, except for religious affiliation, to other people who ask about you by name.
Other uses and disclosures of your health information not covered in this Notice will by made only with your written authorization. If you authorize us to use or disclose your health information, you may revoke that authorization in writing at any time. If you revoke your authorization, we will no longer use or disclose your information for the purpose covered by your authorization. You must understand, however, that we are unable to take back any disclosures we have already made in reliance on your authorization.
YOUR RIGHTS REGARDING YOUR HEALTH INFORMATION
You have several important rights with regard to your health information. The following explains those rights and how you may exercise them.
Right to inspect and copy: You have the right to inspect and copy your health information. We ask that you submit your request to inspect or copy in writing. We may charge you a reasonable fee. In some limited circumstances, we may deny your request to inspect or copy your information. If that happens, you may ask that the denial be reconsidered. Your request and the denial will then be reviewed by a different licensed health care professional- not the one who originally denied your request. We will comply with the decision that professional
Right to request amendment: If you believe that health information we have about you is incorrect or incomplete, you may ask us in writing to amend the information. You must explain the reasons for your request. We may deny your request if the information you are asking us to change:
Was not created by us (unless the person that created the information is no longer available to make the amendment);
- Is not part of the health information kept by or for us;
- Is not part of the information you are permitted to inspect and copy; or
- Is already accurate and complete.
If we deny your request, you have the right to file a statement of disagreement with us. Your statement will include in any disclosures of your information we make in the future.
Right to request restrictions on uses and disclosures of your health information: You have the right to ask us to limit how we use and disclose your health information for your treatment or our payment and business operations purposes. You may also ask that we not disclose your health information to family members or friends involved in your treatment or payment of your treatment. We are not required to agree to your request for a restriction.
However, if we do agree, we will comply with our agreement unless there is an emergency or we are otherwise required to use or disclose the information.
Right to request confidential communications from us: You have the right to ask us to communicate with you about health maters in a specific way or at a specific location. For example, you may ask that we only contact you at work or by mail. We ask that you make your request for confidential communication in writing. We will comply with reasonable requests.
Right to receive an accounting of certain disclosures of your health information we have made:
You have the right to ask us to give you an accounting of certain disclosures of your health information we may have made. This accounting will not include all disclosures. For example, it will not include disclosures made:
- For your treatment;
- For payment for your treatment;
- For your business operations purposes;
- To, or authorized by, you;
- To others involved in your care or payment for your care.
We ask that you submit your request for an accounting in writing. You may ask for up to six-years of disclosures, but the accounting will not include disclosures made before April 14, 2003. One accounting within any 12-month period will be free of charge. We may change a reasonable fee for additional accountings, but we will notify you of the fee and allow you to withdraw or modify your request before we process it.
Right to receive a copy of this notice: You have the right to receive a paper copy of this Notice, even if you have agreed to receive it electronically.
IF YOU HAVE COMPLAINTS OR QUESTIONS
If you have questions about any of this information in this Notice, please contact our office @ 563-355-1853. If you think your privacy rights have been violated, you may file a complaint with us by contacting our office. We support your right to the privacy of your health information. We will not retaliate in any way if you file a complaint with us or with the Department of Health and Human Services.