We provide comprehensive obstetric care for normal and high risk pregnancies. As
parents ourselves, we understand that pregnancy is an exciting but sometimes
scary time. We do our best to put you at ease and encourage the entire family
to participate in the experience.
- at your first visit you will have a detailed intake
with the nurse and you will meet your doctor. You will receive an ultrasound
on our 30 inch flat screen monitor and
receive a keepsake picture of your baby. A pap smear and routine blood work will be performed.
Tests for Chromosomal Abnormality
These are optional tests available to help detect chromosome abnormalities
such as Down syndrome. It is a personal decision whether to have these
tests performed. Some reasons would be maternal age greater than 35 years
old, a prior infant with abnormalities, or personal preference. If you are
interested in these tests, we can have one or more scheduled:
CVS (Chorionic villus sampling)
- This is an invasive test that can
be done around 10-12 weeks. During a CVS, a small sample of 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 tests for Beta HCG and PAPP-A proteins. These
combined tests can detect 90% of babies with Downs Syndrome and 97% of babies
with Trisomy 18.
- This is a maternal test offered from 16-20 weeks.
Where blood is drawn to check the levels of 4 proteins
(alpha-fetoprotein, HCG, estriol, inhibin A). This helps screen for Down’s
syndrome, Spina Bifida and Trisomy 18. However there is a small risk of false positive (the test is abnormal
but the baby is normal) and false negative results (the test is normal but the
baby is abnormal).
- This is an invasive test that can be performed at 15-18 weeks. It
will reveal the baby’s exact chromosomes. In this procedure, a sample of amniotic
fluid is withdrawn from the mother’s abdomen using a needle. These cells are then
cultured in the lab for about 2 weeks.
ACTIVITIES GENERALLY CONSIDERED SAFE DURING PREGNANCY
- Color your hair
- Paint with an open window
- Exercise- Ask for guidelines
- Lifting up to 20lbs
- Sexual intercourse
- Flying until 36 weeks of pregnancy
- Traveling more than 2 hours away until 36 weeks of pregnancy
- TB test
- Flu shot (after 13 weeks of pregnancy)
Nausea and Vomiting in Pregnancy
- Attempt to eat a well balanced diet. Do not over eat sweets or carbs
such as white rice, pasta, or breads. Small frequent meals with balanced
protein, fat, and carbohydrates will keep blood sugar levels stable.
- Lemon drops and ginger can also help with nausea
- Do not eat swordfish, shark, mackerel, or tilefish
- 2 servings of fish such as salmon, catfish, and shrimp are acceptable and actually recommended
- Stay away from processed lunch meats and hot dogs unless heated
Nausea and occasional vomiting is upsetting but is very common from 6-12 weeks. If
you cannot keep food or water down for 24 hours or more, call the office. Small
frequent meals and fluids may help as well as avoiding unpleasant odors.
Ginger in many forms can relieve nausea. It can be in the form of ginger root
capsules (desiccated ginger…same stuff used for cooking), tea made from
freshly grated ginger, ginger ale (with real, rather than artificial ginger),
ginger cookies, or a product called Ginger Works which is ginger in some sort of
thick, sweet syrup.
Wrist acupressure bands for motion sickness help some. These can be purchased
in most drug stores.
MEDICATION FOR MINOR ILLNESS DURING PREGNANCY
*Please refer to this list before calling the doctor’s office. Only call Doctor
ON-CALL if it is a TRUE EMERGENCY.|
**Our Physicians only have privileges at Oakbend Medical Center, Methodist Hospital
Sugar Land, St Luke's Sugar Land and Memorial Hermann Sugar Land Hospital. All other facilities will not contact your physician.
|SYMPTOM||MEDICATION (FOLLOW DIRECTIONS ON BOX.)|
|Headache, Fever, Pain||Tylenol or Tylenol ES ONLY. *No Aspirin, Motrin, or Aleve.|
|Stuffy Nose, Headaches||Actifed, Benadryl, Saline Nasal Drops, Tylenol, Claritin, Pseudoephedrine.|
|Cough||Triaminic, Robitussin DM|
|Sore Throat||Chloraseptic, Cepacol|
|NOTE:||If you experience a sustained fever greater than 100.5 with
any of the above symptoms, please call the office.|
|Heartburn, Gas||Mylanta, Tums, Maulax, Pepcid AC, Zantac|
|Constipation||Metamucil, Colace, Surfak, Citracel|
Clear liquids for 24 hours
Call PCP for appointment. If diarrhea lasts 48 hours
|Nausea, Vomiting||Vitamin B6, Emmetrol, Clear liquids for 24 hours.|
Call for appointment if it lasts 24 hours.
|Painful Urination||Please call office|
ALL MEDICATIONS LISTED ABOVE ARE AVAILABLE
AT YOUR LOCAL DRUG STORE WITHOUT A