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Rochester Hills Offices
1701 E South Boulevard
Suite 200 & 350
Rochester Hills, MI 48307

P: 248.997.5805
F: 248.997.5811
Troy Offices
4550 Investment Drive
Suite 200-A & Suite 200-B
Troy, MI 48098

P: 248.218.4073
F: 248.519.6004

Patient Frequently Asked Questions

Obstetrical Questions

See below for basics on pregnancy restrictions and recommendations for a normal, healthy, pregnancy. Every pregnancy, mother, and fetus is different and your unique pregnancy may require that you vary from what you see below. Always go with the recommendations/restrictions you have received from your provider. You can always reach us with questions or concerns at (248) 997-5805.


Alcohol

No amount of alcohol is considered safe during pregnancy. We stronglyy discourage any consumption of alcohol or recreational drugs during pregnancy as it significantly increases the risk to the baby. Please inform your provider of any substances you are using.

Breastfeeding

Options

  • Exclusively breastfeed (feed breast milk only, either directly from breast or by pumping)
    • This method is considered by the American Academy of Pediatrics, and multiple other organizations, to be the best/ healthiest/ cheapest for feeding.
  • Breastfeeding + supplementing formula
    • This method is considered to be for the convenience of parents, or may be needed in specific medical situations that your pediatrician will recommend.
  • Not breastfeed, feed with formula only
    • This is recommended only for patients with specific medical conditions or patients who must take certain medications (i.e. should not breastfeed.)

Breast evaluation

  • Your breasts should be evaluated by your provider at ~36 weeks of gestation if you have any of the following, to see if there are recommendations to help improve your chances of successful breastfeeding:
    • Prior breast surgery which involved cutting of the nipple
    • Flat nipples
    • Inverted nipples

Breastfeeding supplies

  • Our office will supply you with a prescription for a breast pump at your 36 week visit.
  • You will need to contact your insurance company regarding where and when you may obtain your pump.

Classes

  • Beaumont offers 2 types of breastfeeding classes: a classroom setting, as well as an online class.  Classes can be scheduled at www. classes.beaumont.edu, or call Beaumont’s scheduling line 800-633-7377.

Breastfeeding Support

  • If you are having difficulties breastfeeding, there are outpatient lactation consultants who can help, and who can see you quickly.  Please call our office for a referral.
  • Beaumont also has breastfeeding support M – F, 8:30am – 5pm; 248-964-6455.
  • Helpful websites:

Coffee / Caffeine

It is recommended that you consume no more than 200mg of caffeine per day, which is the equivalent of 2 small cups of coffee/day.

Dental Care

Dental care remains very important during pregnancy, especially as you are more likely to experience sore and sometimes bloody gums. DO get your routine checkups, including cleanings and fillings. If x-rays are necesary, make sure they cover your abdomen with a lead apron. DO NOT consume nitrous oxide as part of your treatment. Make sure to inform the dentist/hygienist that you are expecting.

Exercise

It is recommended that during uncomplicated, low-risk pregnancies, you continue your pre-pregnancy routine with some modifications. Regular exercise will help keep you and the baby healthy, can help you meet your pregnancy weight gain goals, and can make labor and delivery easier! We recommend a moderate exertion, with your heart rate staying in the 130’s (Click here to learn how to check your pulse) for 30 minutes daily. Stop if you notice any vaginal bleeding, cramping, or if you are having difficulty catching your breath or are having any chest pain or dizziness. Drink lots of water! (You may be asked not to exercise if you are having any issues with blood pressure, preterm contractions, vaginal bleeding, growth concerns with the baby or multiple-birth pregnancy. This will be evaluated on a case-to-case basis). Check out the full selection of Prenatal Classes offered by Beaumont including exercise, yoga and swimming.

Food

The food limitations are because certain toxins in foods (like mercury) can cause signficant damage to your baby and food-borne viral and bacterial illnesses can be deadly to developing babies. Nasty bugs (Salmonella, Listeria, etc) that, when not pregnant, might just make you miserable with the symptoms of food poisoning, can actually cause fetal death, miscarriage, or other serious harm to your baby. So please, strictly follow the below guidelines on foods to avoid.

*This is a great guideline put together by the Mayo Clinic. This is another great pregnancy food guidelines by the March of Dimes. It also includes info on some vegetables, herbals, etc.

  • Seafood

  • AVOID any uncooked or undercooked fish or seafood (sorry, sushi!) What we’re concerned about? Bacteria!
  • Mind how it’s been handled, how long it’s been out of refrigeration, etc
  • Cooked fish- what we’re concerned about? Mercury!
  • AVOID: swordfish, shark, king mackerel and tilefish
  • LIMIT: (6 oz/week): albacore tuna, tuna steak
  • ENJOY (2 meals/wk): salmon, polluck, catfish, anchovies, trout, cooked shrimp and other seafood
  • Meat, Poultry, Eggs

  • AVOID any uncooked or undercooked meats
  • What are we worried about? Bacteria!
  • This means cook all hot dogs and lunch meats until they are steaming or avoid all together
  • Cook all meat until it is well done by thermometer
  • Mind how it’s been handled, how long it’s been out of refrigeration, etc
  • Avoid pates and meat spreads
  • Cook all eggs (yolk and eggwhite) until they are firm
  • Avoid raw dough and batter
  • Dairy Products and Juices

  • Avoid any unpasteurized cheeses, milks, and juices
  • Check labels to confirm pasteurization, if no label (at a restaurant, potluck, family gathering without packages available)- AVOID
  • What are we worried about? Bacteria that doesn’t get killed off (and would, in the pasteurization process)
  • GUILTY CULPRITS: soft cheeses like Brie, feta, blue, etc, apple cider (especially from the local cider mill) and other fruits juices
  • Always be sure to check the label yourself

Hair Dye

We advise you to wait until your second trimester (12 weeks pregnant) to begin using permanent hair treatments.

Massage

Yes, while lying on your left side, or at a specific prenatal massage salon where they have back and belly support to safely hold you and the baby while lying down. They may ask for a note from your practitioner, which we are happy to provide if there are no concerns.

OB visits

How often will I be seen in the office for prenatal visits? (this schedule is for an uncomplicated, low risk pregnancy)

  • 8 weeks, first visit
    Every 4 weeks from 8 weeks to 28 weeks, monitoring growth and changes
    Around 20 weeks, you will have a thorough anatomical ultrasound of the baby (ask about our 3D ultrasound!)
  • 24-28 weeks you will have a glucola (blood sugar) test for gestational diabetes
    Every 2 weeks from 28-36 weeks
    Every 1 week from 36 weeks to delivery

Over-the-counter Medications

There are common conditions that you might face during pregnancy. To help with symptom control, the following meds are considered safe while pregnant. Please note that no drug is 100% without risk or side effect and, of course, you should avoid any drug that has ever caused you an allergic reaction. As always, discuss management options with your practitioner.

Many brands have a multitude of options. Please carefully read the labels, as any “multi system” or “sustained action” forms of drugs might contain unsafe items. Also, always follow the instructions on the box, never exceeding the recommended amounts.

If you do not see a medication on this list, avoid or discuss it specifically with your practitioner.

  • Allergies/sinuses/cold and flu:
  • Benadryl (Diphenhydramine)
  • Claritin (Loratadine)
  • Robitussin DM (Guiafenesin/Dextromethorphan)
  • Halls cough drops
  • Cepocal lozenges
  • Chloroseptic
  • Sudafed (Pseudoephredrine) if no elevated blood pressure or heart rate
  • Tylenol (Acetaminophen) for aches
  • Saline nasal drops

 

  • Constipation: 
  • Diet changes- increase fruits, veggies, oatmeals, whole grains, fluids
  • Citrucel
  • Colace (Dioctyl Sodium Sulfosuccinate) 1-2 caps daily
  • Fibercon
  • Metamucil
  • Glycerin rectal suppository

 

  • Diarrhea:
  • Increase fluid intake and call if severe (>12 episodes in a day) or persists beyond 2 days

 

  • Fever:
  • Tylenol (Acetaminophen) and call for any temp > 101F
  • DO NOT TAKE IBUPROFEN OR ASPIRIN

 

  • GI upset or reflux:
  • Diet change- small, frequent meals, avoid spicy, greasy foods and extreme hot or cold foods
  • Stay upright for 1 hour after eating
  • Tums
  • Mylanta
  • Pepcid
  • Protonix
  • Zantac

 

  • Pain/Headache:
  • Tylenol (Acetaminophen)
  • DO NOT TAKE IBUPROFEN OR ASPIRIN

 

  • Hemorrhoids:
  • Anusol
  • Preparation H
  • Tucks
  • Witch hazel

 

  • Leg cramps:
  • Stretching, heat and regular exercise
  • Tums (Calcium carbonate) 2-4 tabs (max 15 tabs/day)

 

  • Nausea:
  • Try small, frequent meals, flat Coke or ginger ale, ginger tablets, tea, peppermint, chewing gum, lemon drops
  • Vitamin B6 (25 mg tablet) with ½ tab Unison 2 x daily
  • Sea Bands
  • Good article on morning sickness

 

  • Skin problems:
  • Neosporin
  • Bacitracin
  • Benadryl cream
  • Caldryl lotion
  • Hydrocortisone cream/ointment
  • Oatmeal bath

 

  • Vaginal Yeast infection:
  • Monistat 7 (Miconazole vaginal cream)

Pregnancy dating- how do I figure out how far along I am?

Start with the first day of your last period (LMP) and plug it into an online pregnancy calculator

Prenatal vitamin- when should I start taking one? How do I pick which one?

Before you get pregnant, when you begin to try to conceive is the best time, and then take it throughout your pregnancy and beyond. Check to make sure that the brand you choose contains a minimum of 400mcg (0.4mg) of folic acid. It is also recommended that you take one containing additional Omega-3 fatty acids,  DHA. Additional Iron supplementation may be required, discuss with your practitioner.  Click here for more details.

Preparation for Labor/Delivery:

We recommend you seek educational opportunities to, not only help prepare you for birth, but also for infant care. Check out Beaumont’s prenatal and infant classes here.

Prescription medications- which of my normal meds can I keep taking?

This is something that is very important to discuss with your practitioner, preferably BEFORE you start trying to conceive. Some medications are perfectly safe for the baby while others can be very dangerous, even deadly to the baby. Discuss all home medications and supplements at every visit.

Swimming/Baths

Swimming in a fitness pool is a wonderful exercise during pregnancy, and can help ease back tension. AVOID scalding hot baths and any jacuzzi or sauna while pregnant. You do not want to raise your core body temperature above 100F.

Travel- Can I travel during pregnancy?

Traveling by car or plane is fine up to 34 weeks in an uncomplicated pregnancy. Stop to walk around every hour and drink plenty of fluid. If flying, check you’re your airline before you book the flights, as each airline has different guidelines about how far into your pregnancy that will let you travel. We are happy to provide you a note proving your gestational age. If you must travel >1 hr away after 34 weeks of pregnancy, we recommend carrying a copy of your prenatal records with you in case you should go into labor while away from our care.

Vaccines- what vaccines should I get while pregnant?

All pregnant patients, during any trimester, should receive the flu shot to prevent infection. Not only can the flu make you miserable, but it can be dangerous for you and your baby.

During flu season, Oakland Macomb Ob/Gyn is offering flu shots to all pregnant patients. They are also available at some pharmacies for a nominal fee. For more information on the flu shot.

Also, for pregnant patients: pertussis (whooping cough) is on the rise and can be very harmful to a newborn. Please get your Tdap vaccine update, after 28 weeks gestation, and have every member of your family and all caregivers for the baby get theirs, too. For more informatin on the pertussis vaccine.

Zika Virus 

It is essential to avoid contact with a mosquitos infected with Zika during pregnancy and in the months leading up to pregnancy, as it known to cause birth defects. The virus can be transmitted between sexual partners. There are travel advisories in Mexico, South And Central America, the Caribbean, the Pacific Islands, parts of Asia, and parts of Miami, Florida.

Follow this CDC link for the latest updates and information, alone with ‘Zika Travel Information’ for an up-to-date service the CDC offers which allows you to text your travel destination and find out if there are Zika warnings. Information is changing rapidly, so stay abreast to the new CDC recommendations.

If you have any questions/concerns about travel during or in anticipation of pregnancy, or if you think you may have been exposed, please don’t hesitate to talk to your Oakland Macomb provider.