What to Expect during Pregnancy

Office Visits:

At your confirmation of pregnancy visit  you will see the doctor to initiate your obstetrical care.  We will also review your medical, surgical and gynecologic history.  At that time, you will be provided with much information about caring for yourself during your pregnancy.   At subsequent visits you will see the doctor or our nurse practitioner every four weeks until you are 30 weeks pregnant.  Then, you will return every two weeks until you are 36 weeks pregnant and then weekly until delivery.  Some women do require office visits more frequently and you will be made aware of the need for any additional appointments. 

Prenatal Testing:

You will have prenatal bloodwork drawn which includes a complete blood count, blood type, HIV, syphilis, sickle cell testing if indicated,  and screening to see if you are immune to Rubella.  This information will help us to better care for you and your baby.

We offer testing to screen your baby for any anomalies or aneuploidy, which are extra chromosomes such as Down’s syndrome, an extra 21 chromosome or Trisomy 18, an extra 18 chromosome.  A nuchal translucency test can be done at 12-14 weeks and consists of blood testing and an ultrasound.  An alternative test can be done at 16 weeks and only consists of blood testing.  Only one of the tests is performed and this testing is not required but rather is a personal choice for the patient.

Between 24-28 weeks you will be tested for gestational diabetes.  This involves coming to the office in the morning before you eat and you are given a sweetened drink.  You will have your blood drawn one hour after finishing the drink.  This test can usually be scheduled to be done on the same day as one of your regular visits.

At 36 weeks you will have a vaginal culture for Group B Strep.  Group B Strep is a bacteria that some women colonize in the vagina.  Group B strep is not harmful to you, however if you test positive you will require antibiotics during labor to prevent the bacteria from being transferred to your baby.

Ultrasound:

Ultrasound images are one of the most exciting parts of your pregnancy and Athens OBGYN has the most up to date ultrasound equipment available with 3D images.  During your first visit with the doctor you will get your first look at your baby.  Another ultrasound will be performed at 20 weeks. The purpose of this ultrasound is to ensure that your baby is growing and developing appropriately. This is also the when you may find out if you baby is going to be a boy or a girl. These are the anticipated routine ultrasounds, although some patients may require additional scans.  Ultrasounds are done on a medically necessary basis only and are ordered by your doctor based on this.

At 26-30 weeks you have the opportunity to have a “Fetal Photo” session.  This is available for you in our office, however it is NOT covered by insurance.  This is an exciting ultrasound that includes a DVD of your baby and 3D pictures on CD.  The Fetal Photo sessions are not for diagnostic purposes and are not evaluated by a physician.  Please ask one of our staff for more information on this. 

Medications:

A list of over the counter medications “allowed” in pregnancy appears below.  Please ask us before you take any other medications.  Occasionally you may need prescription medications during your pregnancy.  You will not be prescribed anything that is not safe for you or your baby.  Please be sure we are always aware of any medications you are taking, whether we have prescribed them or prescribed by another physician.

Other:

If you are currently smoking we would like to help you quit to ensure a healthy baby.  Alcohol should not be consumed during pregnancy.  Caffeine intake should be limited. 

If at any time you have any questions or concerns, please do not hesitate to call our office at 548-4272.  If you are in labor or have an emergency, please press “1” for our “emergency line”.  If you have a problem or question the triage nurse will be glad to help you or direct your call to the doctor if necessary.   She can be reached by calling 706-548-4272 option 207 during office hours.   

If you are in labor or have an emergency after office hours you can reach the doctor on call by dialing the office number 548-4272 at any time.   The answering service will contact the doctor on call for you who will then call you back immediately. 

MEDICATIONS DURING PREGNANCY

Nausea

  • B-6 Vitamins, 25mg 3 times a day, increase to 50mg 3 x per day
  • Dramamine (Non-sedating or regular)
  • Unisom 1/2 tablet at bedtime (may use w/B-6)
  • Seabands

Cold & Allergies

  • Chlortrimeton
  • Robitussin DM
  • Sudafed (only in 2nd or 3rd trimester)
  • Benadryl 25mg
  • Mucinex or Mucinex DM
  • Saline nasal spray
  • Claritin (over the counter)

Heartburn / Gas *(Works for both)

  • Mylanta
  • *Rolaids
  • *Maalox
  • Tums
  • Gaviscon
  • Zantac (over-the-counter)
  • Pepcid
  • Gas-X
  • Phazyme
  • Bean-0

Headaches / Aches, Pain

  • Tylenol (Regular – 2 every 4 hours) (Extra-strength 2 every 6 hours)

Constipation

  • Surfak or Colace
  • Over-the-counter fiber supplements, i.e. Metamucil, BeneFiber, etc.

Diarrhea

  • Imodium AD

Prescription Medications:
If you are currently taking a prescription drug, talk with your doctor. He or
she will determine if the medication is appropriate for use during pregnancy.
 

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We specialize in obstetrics and gynecology, which includes the examination, diagnosis, prevention and treatment of women's health problems.
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Athens Obstetrics & Gynecology
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