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Nutritional Recommendations
• 8 – 10 glasses of water/ day—This is about 1 glass per hour while awake. Important because
of increased risk for urinary tract infections, and kidney stones. Also, being dehydrated may
increase your risk to have preterm contractions.
• 1200 mg of calcium= 4 glasses of milk or dairy servings or 2 Tums EX
• Add 300 calories to your daily diet
• We encourage you to stay active during your pregnancy. Walking and swimming are excellent
forms of exercise.
• Not more than 2 servings of caffeine/day if desired.
• Prenatal Vitamins: We would recommend that you begin taking a prenatal vitamin. Over the
counter prenatal vitamins are fine to take (Costco brand, Fred Meyer brand, etc.). We do not
recommend vitamins with herbs. If you wish to get a prescription for vitamins that can be
done at you initial visit with the doctor. If you are having trouble with nausea and vomiting it
would be okay to hold the vitamins until your visit.
Nausea and Vomiting
• Try to eat small amounts frequently throughout the day. If you are unable to eat during the
early part of the pregnancy you will make up the difference in the 2
nd
and 3
rd
trimester.
• Sip liquids constantly—The most important thing is to stay hydrated. If vomiting is
continuous and you are unable to hold down liquids, call us.
• Vitamin B6 50 mg 2 or 3 times/day up to 200 mg. may be helpful. This is over the counter at
your pharmacy.
Approved over the counter medications
• Tylenol (extra strength)—use as directed on the bottle.
NO ASPIRIN OR IBUPROFEN
• Cold medications—Sudafed, Tylenol Sinus, Tylenol Cold, Benadryl, Tylenol PM,
Chlortrimetron, Robitussin CF, Claritin, Zyrtec, Throat lozenges
• Tums, Mylanta, Maalox, Prevacid, Zantac, Pepcid
Dental Work
• Ok with local anesthesia only—no nitrous gas
• X-ray’s ok with lead shield.
• We do not recommend dental fillings in the first trimester of pregnancy due to increased risk
associated with cleft palate.
Call the office for the following:
• Vaginal bleeding
• Fluid leaking from vagina
• Temp over 101
***NO ALCOHOL, NO SMOKING****
No hot tubs, No saunas
OB Guidelines
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