Restrictions and Advice

MEDICATIONS SAFE TO TAKE DURING PREGNANCY*

PAIN RELIEVERS

  • Tylenol -- for cold and “flu” symptoms
  • Excedrin (Aspirin-free)
  • Avoid taking ibuprofen (Advil, Motrin, Nuprin)
  • Avoid aspirin unless specifically recommended by your doctor

COLD/ALLERGY MEDICATIONS

  • Robitussin DM, PE or AC
  • Afrin Nasal Spray
  • Sudafed
  • Benadryl (May be taken at bed time to relieve congestion. Will make you very sleepy.)
  • Chlor-Trimeton
  • Humibid (Guaifenesin)
  • Cough Drops and Lozenges
  • Chloraseptic Spray
  • Antibiotics
  • Mucinex
  • Claritin/Zyrtec/Allegra

ANTACIDS

  • Tums
  • Maalox (Antacids containing aluminum can cause constipation. Antacids containing magnesium can cause diarrhea.)
  • Simethicone (Gas X or Mylicon)
  • Zantac
  • Omeprazole
  • Prevacid
  • Prilosec

CONSTIPATION

  • Drink plenty of water and eat high fiber foods to avoid constipation.
  • Colace
  • Milk of Magnesia
  • Dulcolax tablets
  • Metamucil
  • Senokot
  • Miralax

DIARRHEA

  • Immodium

OTHER

MISCELLANEOUS

  • Dental work and dental x-rays are okay. (No epinephrine though in the local anesthesia)
  • Insect repellent okay
  • Minor vaginal infections -- Monistat 1 or 3

 

HEMORRHOID TREATMENT

  • Tucks HC cream -- 4 times per day or suppository 2 times per day.
  • Witch Hazel (tuck’s pads) -- 2-3 times per day
  • Hemorrhid suppositories -- 2-4 times per day

*Although many other medications are completely safe to take during pregnancy, avoid taking any other medications unless our office specifically approves using it.

 

RESTRICTIONS

  1. No raw meat
  2. No alcohol
  3. No smoking (or less than 5 cigarettes per day if you cannot quit)
  4. Very hot baths or saunas may cause excessive dehydration and dizziness. It is probably best to limit exposure to these activities.
  5. No medications, other than those on the medication list, without calling the office first.
  6. Decrease caffeine intake to two cups of coffee a day (300 mg).
    • 1 cup of coffee = 6 cups of tea (5 minute brew)
    • 1 cup of coffee = 6 diet sodas
  7. There are no restrictions regarding the use of beauty products or salon treatments (hair dyes, etc.)
  8. There are no restrictions regarding the use of cleaning solutions. However, standard manufacturer’s recommendations caution against mixing cleaners, especially those that contain a chlorine derivatives. This advice applies to all people who use these products, including pregnant women.
  9. If you run a fever greater than 100 degrees, please call the office. Infections in pregnant women often require more aggressive treatment.
  10. The safety of artificial sweeteners has been disputed, and consequences of high intakes of their use in pregnancy can be controversial. According to the Mayo Clinic, artificial sweeteners are generally safe during pregnancy in limited quantities. You should be drinking plenty of water, fruit juice, and milk.
  11. No unpasteurized cheeses and dairy products. Any dairy product is OK as long as it is pasteurized.
  12. It is better to eat hard cheeses instead of soft cheeses because of possible Listeria contamination. If soft cheeses are consumed, be sure that they have been pasteurized. It will state "pasteurized" on the label. If not, avoid these while pregnant. Examples of soft cheeses: Mexican-style soft cheeses: queso blanco, queso fresco, queso de hoja, queso de crema, asadero. Other soft cheeses: feta (goat cheese), Brie, Camembert, blue veined cheeses (like Roquefort, Gorgonzola), mozzarella Along with hard cheese, it is OK to eat pasteurized processed cheese slices and spreads, cream cheese, and cottage cheese.
  13. No liver (first trimester only).
  14. Nearly all fish contain trace amounts of methyl mercury, which are not harmful to humans. However, long lived larger fish that feed on other fish accumulate the highest levels of methyl mercury and pose the greatest risk to people who eat them regularly. You can protect your unborn child by not eating excessive amounts of these larger fish that can contain high levels of methyl mercury: Shark, Swordfish, King Mackerel, Tilefish. Limit tuna fish to no more than two 6 oz. servings per week. 

 

GENERAL ADVICE

  1. Motor vehicle safety:
    • Wear a seat belt with shoulder strap at all times.
    • Empty your bladder prior to riding in a car (this will help prevent bladder injuries).
    • In the event of an accident, please contact the office for advice as soon as possible.
  2. Pregnant women are often hypersensitive to various smells (i.e. cheese, deodorant, perfume, paint, etc.) and they can easily become nauseated. This is not dangerous and is a normal part of pregnancy. However, for your own comfort, you should avoid things that you find nauseating.
  3. Period-like cramping and occasional sharp lower abdominal pains are common during early pregnancy and are not worrisome. These sensations result from the uterus growing.
  4. Any vaginal bleeding should be reported immediately to the office. Bleeding by itself does not necessarily indicate a problem, but it is clearly a sign that further evaluation will be necessary.
  5. Keep your prenatal vitamins safely out of the reach of children. These vitamins are potentially poisonous to children due to their high concentration of iron.
  6. Stay well hydrated. This will help minimize fatigue and also prevents dizzy spells or fainting episodes.
  7. To prevent hemorrhoids, avoid prolonged sitting. Treat constipation early and avoid straining on the toilet.