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Hair coloring and nail care are safe during pregnancy. 

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Your teeth and gums may experience sensitivity throughout the pregnancy. Inform the dentist of your pregnancy and shield your abdomen if x-rays are necessary. Use of local anesthetics is safe during pregnancy. Contact our office with any questions about dental care. 

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You can have sex unless you are having complications or sex becomes too uncomfortable.

There are times when exercise and sex should be avoided. This includes vaginal bleeding, leaking amniotic fluid, preterm labor, or certain placental conditions. 

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Yes, you may see a chiropractor while you are pregnant.  Our practice does not make referrals to the chiropractor, but you may decide to go on your own if you please. Try to avoid any x-rays. 

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Traveling is safe during pregnancy for uncomplicated pregnancies. After 36 weeks, we recommend staying close to home. When you do travel, be sure to take breaks to stand up/walk around at least every two hours. If traveling by vehicle, wear a seat belt, position it under your abdomen as your baby grows. If you are involved in a car accident, please call immediately. You may need to be monitored. Please call if you are traveling outside of the U.S. or in Zika states. Please check CDC website for updated travel restrictions.

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Click here to learn more about breast infection/Mastitis

Obese women have an increased risk for having a large for gestational age infant, post term birth, and other pregnancy complications. 

CLICK HERE for more information about obesity and pregnancy.

CLICK HERE for more information about weight control and keeping fit during pregnancy. 

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Call the office

• Recent, noticeable increase in feet and ankles
• Swelling of face and hands

Call the Provider Immediately

• Swelling accompanied by headache or upper abdominal pain
• Swelling with decreased fetal movement
• Elevated blood pressure (>140/90) if using home monitoring 

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30 minutes of exercise is recommended daily in uncomplicated pregnancies. This could include walking, jogging, biking, aerobics class, yoga, swimming, etc. Weight training is acceptable. Listen to your body during exercise and drink plenty of fluids. After 20 weeks, avoid lying flat on your back and avoid activities with a high risk of falling or trauma to your belly (i.e. snow skiing, kickboxing, horseback riding).

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Call the office

• If less than 36 weeks, call if contractions are every 15 minutes (4 per hour)

Call the Provider immediately

• If 37 weeks or more and contractions are every 5 minutes apart, lasting 1 minute, for 1 hour
• Water breaks; small leak or as a gush
• Bleeding is more than a period 

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Rest and warm (NOT hot) baths. Use correct posture and try to avoid heavy lifting. May also use a maternity belt. Heating pad on back is okay and an icepack can be beneficial, too.

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You can take Tylenol or Extra Strength Tylenol. If vision changes accompanying headache, or no relief, call the office.

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Rest, increase fluids, Benadryl, or over-the-counter (OTC) Chlor-Trimeton, humidify your home or bedroom, saline nasal spray. Avoid decongestants if you have high blood pressure.

Call the office: 

• Temperature of 101 degrees (Fahrenheit) or higher
• Green or yellow mucus develops
• Persistent cough for more than 7-10 days

Call the Provider Immediately:

• Breathing is difficult or wheezing occurs

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Gargle with warm salt water 4x a day & at bedtime. Run humidifier at night. Throat lozenges, hot tea, & cough drops. If cough is productive, can take over-the-counter (OTC) expectorant (like Robitussin or Robitussin DM) to loosen phlegm. Tylenol for pain or fever.

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If temperature is 101 degrees (Fahrenheit) or higher, call the office, take plain Tylenol and increase fluids.

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Over-the-counter (OTC) Claritin or Benadryl. Avoid decongestants.

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For prescription meds you may use the following:

• 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. 

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Sit in soothing tub of warm (NOT hot) water. Use over-the-counter (OTC) medicated wipes like Tucks. Avoid constipation (see below).

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Some bleeding/spotting may occur after an internal exam and intercourse. This does commonly occur in 1^st trimester.

Call the Provider Immediately

• Bleeding is spotting with mild cramping
• Bleeding is heavy (using a pad every 2 hours)
• 2^nd & 3^rd trimester cramping or bleeding
• Cramping is equal or worse than menstrual cramps 

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Common in 1st trimester.

Call the office

• Unable to keep down liquids and solids for more than a 24 hour period
• Weight loss of more than 3-5 pounds

Call the Provider Immediately

• Signs of dehydration occur (e.g. dry mouth, fatigue/lethargy, poor skin turgor)
• Abdominal pain accompanied by vomiting

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Avoid spicy foods and large meals. Avoid reclining after meals. Try over-the-counter (OTC) Tums or Pepcid AC. 

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Screening tests are used to estimate whether your fetus is at higher risk or lower risk of having a certain condition. CLICK HERE for additional information. 

Underweight women with a low weight gain during pregnancy appear to have an increased risk of having a low-birth weight infant and preterm birth. There is an increased risk of ‘small for gestational age’ births in women who gain less than the recommended weight, based on pre-pregnancy weight.  

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Increase fresh fruits and juices, bran and water (6-8 glasses above normal intake). Over-the-counter stool softener (if not in prenatal vitamin). 4 oz. prune juice at night until normal. Can add fiber like Metamucil. 

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If accompanied by vomiting and/or fever, stick to a clear diet like chicken or beef broth, jello, 7-Up, ginger ale, or Gatorade for 24 hours. Then can add bananas, plain toast or crackers, rice or plain applesauce. If not back to normal in 48 hours, call the office. 

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Round ligament pain is sharp, sudden pain in the groin area caused by the uterus growing to accommodate the baby. Move carefully and avoid sudden movements. Turn over carefully when you are in bed or getting up. Get off of your feet. 

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Wear support pantyhose and low-heeled shoes. Elevating feet and warm (NOT hot) baths may help. Increase milk intake. 

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It’s normal to feel tired. You may also notice you need more sleep than usual. Try to get at least 8-10 hours per night. Listen to your body.

After 20 weeks try to sleep on your side to allow for maximum bloody flow to your baby. Lying on your back can cause your blood pressure to drop. You may also find it helpful to put a pillow behind your back and between your knees to improve comfort. As your pregnancy progresses, use more pillows and frequent position changes to stay comfortable. 

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There is no safe amount of alcohol so we recommend avoiding all alcohol during pregnancy. Drinking alcohol can cause birth defects, mental retardation and abnormal brain development.

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If you smoke cigarettes, marijuana or e-cigarettes, so does your baby. This is a very important fact of pregnancy. Here are some known complications from smoking during pregnancy.

• Low birth weight baby
• Placental abruption
• Preterm premature rupture of membranes
• Stillbirth

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