Women's Care, P.A., Johnson County

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Common Problems in Pregnancy

In order to address some of the common discomforts of pregnancy, we have put together a short guide.  Please call us if these guidelines do not help with your problems.

Allergies

Approved medications:  Claritin, Claritin D, Tylenol Sinus, Actifed, Sudafed, Benadryl, Chlortrimetron, Zyrtec, Zyrtec D

Back Pain

Back pain in very common and may be experienced throughout your pregnancy.  Most people experience pain in the lower back but some also have pain in their upper back.  Keeping yourself well hydrated will help reduce back pain.  Hot water bottles and heating pads can also provide relief.  Back stretching exercises are useful and brochures are available in the office, just ask at your next appointment.  In addition, there are pregnancy belts that may be purchased at maternity shops to help support your back.  Massage therapy is also encouraged.

If your pain is associated with a fever of more than 100.4 F, burning when you urinate, or blood in your urine, this may indicate a urinary tract infection.  Call our office if this occurs.  Also, back pain that comes and goes every 5-10 minutes may indicate pre-term labor; you should call immediately if this happens.

Approved medications:  Tylenol or any acetaminophen product

Approved devices:  Heating pad on low setting, maternity belt

Constipation

To help combat constipation, try to drink at least 6-8 glasses of water per day.  Try to eat foods rich in fiber such as high fiber cereals, crackers, beans, fruits and vegatables.  Prunes and prune juice are also helpful.

Approved medications:  Metamucil, Citracil, Colace, Perdiem, Konsul and Fiber-con.  Milk of Magnesia and Ducolax pills or suppositories may be used for severe cases.

Diarrhea

It is most important to stay hydrated when this occurs.  Most often diarrhea is a self-limiting problem and will usually last less than 24 hours.  If diarrhea persists or is accompanied by a temperature greater than 100.4 F, please call our office. 

Approved medications:  Imodium AD or Kaopectate

Dizziness

Dizziness and a feeling that you may pass out are very common in pregnancy.  It can be due to a lowering of your blood pressure that normally occurs in pregnancy.  Dizziness may also indicate low blood sugar that also normally occurs in pregnancy.  To combat dizziness, drink plenty of water and eat small, frequent meals throughout the day.  Change positions gradually.        

Gas

Approved medications:  Simethicon, Gas-Ex

Headaches

Headaches in pregnancy are common and are usually the result of the normal increase in circulation that is experienced during this time.  While frequency of headaches may increase in pregnancy, some can be prevented.  Headaches can be precipitated by hunger so try to eat small, frequent meals throughout the day.  Sometimes they are due to dehydration so drink 6-8 glasses of water per day.  If you have a history of migraines, please bring this to the attention of your doctor.

Approved medications:  Tylenol

Heartburn

To help with heartburn, avoid greasy, spicy foods, chocolate and caffeine.  Stop eating at least 4-6 hours before going to bed, and prop your head up with pillows at night.

Approved medications:  Mylanta, Maalox, Tums, Pepcid AC and Zantac

Insomnia

Approved medications:  Benadryl, Unisom and Tylenol PM

Hemorrhoids

Avoiding constipation is helpful in preventing painful hemorrhoids.  Again, 6-8 glasses of water per day and fiber in your diet will help.

Approved medications:  Tucks, Preparation H and Annusol Cream or suppositories

Sore Throats, Colds and Coughs

Please call if you have a temperature over 100.4 F.  Otherwise, you may use any of the approved medications.  Please remember that more sore throats, colds and coughs are due to a virus and antibiotics will NOT help.  If the drainage turns green or you have a temperature of more than 100.4 F, this may indicate a bacterial infection and you may need to be seen and possibly use an antibiotic.

Approved medications:  Any cough lozenges, Sudafed, Actifed, Dimetapp, Robitussin DM, Tylenol Cold and Flu, Mucinex and Vicks nasal spray

Nausea

Nausea is a common problem throughout pregnancy.  Small, frequent meals instead of three large meals can be helpful.  Bland foods are often best tolerated.  Recommended foods for easier digestion are bananas, rice, applesauce, dry toast and plain tea.  Stay away from fatty, greasy, spicy foods.  Try to drink as much fluid as possible.  Carbonated beverages are sometimes better tolerated during nausea.  All foods and liquids are best tolerated at room temperature.

Approved medications:  50 mg of Vitamin B6, Unisom, Mylanta, Maalox, Pepcid, Zantac and Tums

Approved devices:  Sea Bands

Sinus Problems

Approved medications:  Saline Mist Nasal Spray, Chlortrimetron, plain Sudafed, Actifed, Benadryl, Tylenol Sinus, Vicks nasal spray

Vomiting

Unfortunately, some vomiting is normal during pregnancy.  However, not being able to keep anything down for more than 6 hours may be a problem.  Please contact our office if this occurs.  Otherwise, when the vomiting subsides, try to keep down liquids (room temperature) and the foods listed under nausea.

Diabetic patients - please consult with your physician prior to taking the above noted medications, and/or check for sugar-free products.

Over the Counter Drugs Not Recommended in Pregnancy

Aspirin, Ibuprofen, Motrin, Advil, Aleve, Pepto-Bismol

Please ask about any other medications not listed.

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