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New moms!

CONGRATULATIONS!

JRMC is honored and privileged to be your choice for obstetrical care! This is an exciting time and the JRMC Gynecology & Obstetrics team wants to ensure that you receive VERY good care.

At your first appointment, which is usually at 10 weeks gestation, expect the following:

  • review health history
  • physical exam
  • ultrasound
  • lab work

Our team will schedule office appointments for every four weeks and continue monthly until approximately 28 weeks. After 28 weeks, our team will schedule appointments for you every 2 weeks until the month prior to your due date. We will then start seeing you on a weekly basis. In some cases, you may need to be seen more frequently.

For the best opportunity to connect to your personal medical records when you want it, where you want it, when it’s convenient for you, JRMC recommends you sign up for MyChart.

Printable List When in doubt, call JRMC Gynecology & Obstetrics.

ACHES, PAINS AND HEADACHES

Acetaminophen (Tylenol) Expecting mothers may take 1-2 extra strength tablets every six hours as needed (No more than 6 tablets or 3,000 mg per day). Avoid aspirin containing products unless specifically instructed by physician. Expecting mothers should avoid Ibuprofen and Napoxen (ex. Motrin, Aleve, Excederin, Advil). Remember: “Take Tylenol. Avoid Advil, aspirin and Aleve.

CONSTIPATION

Colace, Citrucel, Fibercon, and Miralax are all fine to consume while pregnant. Expecting mothers should also drink lots of water as well as eat fruits and veggies. Most of these medications won’t work if expecting moms don’t drink enough water.

HEMORRHOIDS

Expecting mothers experiencing hemorrhoids should increase fiber and water. Over-the-counter medications like Preparation H or Anusol may provide relief. If these are not working, please call and a provider may offer a prescription-strength medication.

HEARTBURN

Over-the-counter medications like Tums, Gaviscon, Mylanta, Maalox, Zantac 150, Prevacid or Pepcid AC may relieve heartburn. Avoid greasy, spicy and fried foods.

DIARRHEA

Immodium AD, clear liquids and a bland diet for 8-12 hours may help expecting moms experiencing diarrhea. A fever of 100.4 or greater, persistent diarrhea or vomiting require a call to the office: (701) 952-4878. DO NOT TAKE: Pepto Bismol because it contains aspirin.

NAUSEA

The best practice for nausea is to eat small, frequent meals. Diet and lifestyle changes may help. In addition: • take a multivitamin • try eating dry toast or crackers in the morning before you get out of bed to avoid moving around on an empty stomach • drink fluids often • avoid smells that bother you • eat small, frequent meals instead of three large meals • try bland foods. For example, the “BRATT” diet (bananas, rice, applesauce, toast and tea) is low in fat and easy to digest • try ginger ale made with real ginger, ginger tea made from fresh grated ginger, ginger capsules and ginger candies

Nausea medications- Safe nausea medications include: Emetrol, Unisom (one half tablet), Vitamin B6 and doxylamine. Vitamin B6 is a safe, over-the-counter treatment that may be tried. First try 50mg in the morning and evening and see if it helps. Doxylamine, a medication found in over-the-counter sleep aids, may be added if vitamin B6 alone does not relieve symptoms. A prescription drug that combines vitamin B6 and doxylamine is available. Both drugs—taken alone or together—have been found to be safe to take during pregnancy and have no harmful effects on the baby. If these are not working call (701) 952-4878 as you may need to be seen or have a prescription.

COLD/ALLERGIES/COUGH

Benadryl, Chlor-Trimeton, Tavist, Claritin D, Zyrtec, Mucinex and Robitussin DM are all safe to take during pregnancy. DO NOT TAKE phenylephrine-containing products like Sudafed PE.

YEAST INFECTIONS

Monistat 7 is the recommended treatment for expecting mothers with yeast infections.


 

For moms-to-be experiencing pregnancy related illnesses like colds, sore throats, ear aches, etc., our registered nurses are available by phone from 8 am to 4:30pm at (701) 952-4878. There may be times when we might recommend that you see your primary care physician if we feel they may be better equipped to manage your symptoms.

AFTER CLINIC HOURS CALL:  

Family BirthPlace at (701) 952-4807 for pregnancy-related emergencies such as vaginal bleeding or leaking of amniotic fluids.

Emergency Department at (701) 952-4845 for non-pregnancy related emergencies such as chest pain or shortness of breath.

 

To learn more about Gynecology & Obstetrics at JRMC:

Make an Appointment

 

Contact the JRMC Family BirthPlace