New Pregnancy


Congratulations on your pregnancy.  We look forward to helping you achieve your dream and experience a wonderful pregnancy.  To that end, we have provided this handout with some general guidelines.  Please review this carefully.  If you have any questions, write them down and bring them with you to your first appointment with the doctor.  Thank you and congratulations again.

Note:  Please visit our website where you will find numerous resources for a healthy pregnancy as well as your health throughout your life cycle.  One of the resources will provide you the opportunity to register for a free weekly update on a typical pregnancy and other information to help you prepare for your baby.

Recommendations To Patients:

Abnormal Symptoms Which Should Be Reported Immediately:

  • Moderate bleeding from the vagina, bladder or rectum
  • Severe cramping with bleeding in the first trimester or cramping alone in 2nd or 3rd trimester
  • Fever of 101 or more and/or chills
  • Severe vomiting with inability to keep anything down for 24 hours or more
  • Burning with urination
  • Premature contractions (labor)
  • Leakage of fluid from the vagina (possible rupture of the membranes or bag of water)
  • Severe edema (swelling) of the face, hands or legs and feet
  • Severe headaches that don’t go away with Tylenol
  • Persistent visual disturbances (blurred vision, spots in front of your eyes) that don’t go away with rest.

You may have other problems, which will require unscheduled office visits.  During the regular weekday hours, there will be a nurse available in the office to talk to you and see if the doctor needs to see you about these specific needs.  The nurse will try to return your call within thirty (30) minutes and discuss any questions or problems you have.  Depending on the problem, it may be necessary for you to be evaluated in the Labor and Delivery area of the hospital; however, do not go the hospital without the physician’s knowledge unless

  • you have not received a call back within 30 minutes and
  • you believe that you have a serious problem.

Please do not have call blocking on your phone; we may not be able to get through to you.  Please try to limit these after hour calls to urgent problems only.  Prescription refills and minor complaints can be dealt with first thing the next morning.

Disability Requests During Pregnancy

The great majority of expectant mothers can continue to work until late in pregnancy without any problems.  Sometimes, however, the physical changes entailed in pregnancy or the demands of a woman’s job can create workplace difficulties.  Please let us know if you have any concerns in this regard.  We usually are able to suggest simple steps to deal with the fatigue, “morning sickness” or aches and pains that can be particularly challenging while you’re at work.

If you have more serious symptoms or concerns about potential workplace hazards to you or your baby, we will evaluate the situation and respond accordingly.

Precautions to Take During Pregnancy

Dietary Recommendations:

Avoid foods which you know by experience will cause gas or heartburn.  A proper diet is essential to your good health during pregnancy and to your infant’s good health.  We recommend fresh fruit and vegetables, lean meats (chicken and fish) and dairy products.  Do not cook with lead pots or eat out of lead bowls.  Raw meats should be avoided during your pregnancy.  Prenatal vitamins with iron are necessary and should be taken every day during pregnancy and breast-feeding.  Also avoid tuna fish and any large white fish, which could have high levels of toxins.  Fast foods and “junk fund” should be avoided because they contain excess fat, salt, sugar and other unnecessary nutrients.  Caffeinated beverages such as colas, tea and coffee should be taken in small quantities (less than 2 total servings per day).  Please refer to the separate handout on Foods to Avoid published by the March of Dimes.

Weight Gain:

It is recommended that you ideally gain between 20 and 35 pounds during this pregnancy.

When bathing, you should refrain from using very hot water and take precautions in getting in and out of the tub.  It becomes important to have an assistant help you out of the bathtub as pregnancy progresses.  Bathing in a sauna bath or hot tub should be avoided.

Dental Care:

Pregnancy induces changes in your gums and teeth, and dental care should be sought when necessary.  Major procedures, which require much manipulation or surgery, should be discussed with your obstetrician beforehand.


We encourage you to exercise regularly during pregnancy.  Specific exercises in preparation for childbirth will be taught to you during childbirth classes and attendance is highly recommended.  Daily walks are encouraged.  More programmed exercising should be discussed with your physician.  This includes aerobic dancing, jogging, skating, weight lifting, etc.  Following your exercise period, you should program a time when you can lie on your side (preferably your left side) for a minimum of one hour each day.  This has been shown to improve the circulation to the uterus and to your child and also allows the uterus to relax.  Keep your heart rate under 140 beats per minute (bpm) while exercising.