Obstetrics

Prenatal Supplements Sweetwater OB GYN Associates Sugar Land

At Sweetwater OB GYN associates we have a very special place for our expectant mothers, we know how challenging each individual pregnancy can be, that is why our main focus is the health and comfort of our patients, with individualized prenatal plans for each patient. Our staff and office provides that peace of mind so you can feel comfortable and confident with your care.

For more information please use the following tabs where each trimester is explained and remember if there is any other questions please call us at 281-242-1400 we will be happy to hear from you!

At your first visit you will have a detailed intake with the provider. You will view and experience your ultrasound on our 30 inch high definition screen monitor and receive a keepsake picture of your baby.

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.

 

Quad Screen
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).

 

Amniocentesis
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 In this procedure, a sample of amniotic fluid is withdrawn from the mother’s abdomen using a needle.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)
  • Manicure/Pedicure

 

Nutrition:
  • 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 Vomiting in Pregnancy

 

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, Maalox, Pepcid AC, Zantac
Constipation Metamucil, Colace, Surfak, Citracel
Diarrhea ImmodiumClear 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 PRESCRIPTION.
Round Ligament Pain
Round Ligament Pain is common and normal in the 2nd trimester. It is usually experienced as short lasting sharp pains on the sides of the lower abdomen or groin. It is caused by the stretching ligament that supports the uterus as it grows. It is a normal condition.

 

Lightheadedness
Lightheadedness is caused by the expanding maternal blood volume in pregnancy. Drinking plenty of water (one gallon per day) and going slowly from lying or seated to a standing position can help. Eating small, frequent meals can stabilize blood sugars and help as well.

 

Level 2 Ultrasound
We encourage each patient to get a comprehensive ultrasound at 20-22 weeks. This is a detailed examination of anatomy and it is when you can find out the sex of the baby if you wish.

 

“Kick Counts”
At 28 weeks in your pregnancy, and until you deliver, we are asking you to perform fetal kick counts. This exercise attempts to assure us that the baby is doing well in your uterus while you are away from our office. We know from studies that fetal movement is a predictor of fetal well being.
  • At the time when the baby is most active, set aside one hour per day, once a day. Most often the baby will be most active in the early evening, but if the baby is most active in the morning, afternoon or in the middle of the night, use this time when the activity is the greatest.
  • Sit on the couch, bed or sofa, and wait for the baby to move. Note the time on your watch or a clock with the first movement.
  • Count 10 separate movements.
  • After the 10th movement note the time
  • If less than one hour has passed, the chances that the baby is doing fine is excellent. Resume your normal activities.
  • If it takes longer than one hour for the baby to move 10 times, then repeat steps 2-4 for one more hour. If it takes longer than one hour to feel 10 movements, call our office at this time.
The purpose of this exercise is to assess fetal well being. If you do not feel the 10 movements we want you to call us so we can evaluate the baby and reassure you that the baby is fine, or deliver the baby if there is a problem.
At 24-28 weeks, a glucose challenge test is performed which checks for gestational diabetes. You will be asked to drink a small flavored carbonated drink. Blood will then be drawn one hour later.

 

Rh Negative
If your blood type is Rh negative, (eg. O-, B-, A-, AB-), you will need an injection of Rhogam at 28 weeks of pregnancy. This medication contains proteins that will prevent you from having a reaction to a fetus that may be Rh positive.
We will test your blood at around 26-28 weeks and then you will receive the injection in the office after we have reviewed these results from the lab.
It is very important that you obtain this medication so that your baby and all future babies can remain healthy.

 

Group B Strep
At 35-37 weeks, a swab of the external vaginal area will be performed. This is a normal bacteria for adults and about 25% of adults will carry it at any given time. However it is not normal for babies. If you carry GBS you will receive an antibiotic through your i.v. when you are in labor.

 

Signs of labor
Call the office if you break your water, if you have sustained contractions every 5 minutes apart for over one hour, if you have heavy bleeding or if you cannot complete the Fetal Kick Counts.

 

Cord Blood Banking Information


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At Sweetwater OB GYN we are dedicated to provide the most comprehensive obstetric care based upon your health background. Our staff and experienced physicians have decades on the field that ultimately benefit each of our patients under any circumstances. We are here to make your pregnancy experience a remarkable each and every time. Call us today or make an appointment at 281-242-1400 and discover our state of the art facility that will make you feel at home surrounded by those you care.

Sweetwater OB GYN Associates


Obstetrics Sweetwater OB GYN Associates