Obstetrics – During Pregnancy

Poor dental care may put you at risk for preterm labor – good personal hygiene and regular cleanings are important
X-rays may be done if needed, but use abdominal shielding
Antibiotics may be used if prescribed by your dentist; penicillin and erythromycin are best
If local anesthesia is used, have your dentist avoid the additive epinephrine
Exercise regularly- at least 3 times a week
Low impact is best – walking or swimming
Do not exercise flat on your back in the third trimester
Drink plenty of water (64oz per day)
Keep your heart rate under 140 bpm
Permanents and coloring are not felt to be harmful and may be done any time in pregnancy
Make sure the area is well ventilated
Leave the house/room if the fumes are making you nauseated
You may travel up to 35-36 wks if your pregnancy is uncomplicated The airline may require a letter from your physician or midwife which we can provide
Stretch your legs and walk at least every 60 min to prevent blood clots
Metal detectors in airports are safe
You will be tested for immunity to certain viral diseases at your first obstetrical appointment. You may be immune to certain viruses through previous exposure even if you don’t remember having the disease (such as Chicken Pox, Fifth’s Disease (Parvo), or cytomegalovirus (CMV)).
Contact our office if you are concerned about viral exposure A blood test can tell if you are at risk and should be done as soon as you suspect you were exposed. Shingles are low risk, but avoid direct contact if you are unsure if you have had Chicken Pox
Avoid unpasteurized, blue veined, or soft cheeses
Avoid shark, swordfish, king mackerel, and tilefish which contain the highest concentrations of mercury
Limit tuna steak (not canned tuna) to 4 oz/wk
Other fish are recommended up to 12oz/wk
Try to limit caffeinated beverages to one/day
If leg swelling is significantly one-sided or associated with muscle cramping, this could be a blood clot and should be evaluated immediately by a doctor
Elevate feet or hands
Avoid excessive salt intake
Rest on your left side
Use compression stockings
Increase your fluid intake to 8-10 glasses a day to make up for fluid lost into soft tissue.