Integrated OB/Gyn at Parker

9397 Crown Crest Blvd
Ste 431
Parker, Colorado 80138

39.5482987, -104.7707932

Latitude: 39.5482987, Longitude: -104.7707932

Integrated OB/Gyn at Parker

Our Services

Welcome to women's care at Integrated OB/GYN 

Our board-certified gynecologists (GYN) provide expert care to women from puberty to menopause and beyond in the Parker and the Denver metro area. We invite you to explore the links below to learn more about our women services provided at our practice. We look forward to providing you with the highest quality well-woman and gynecologic care.

Services:

  • Women's Health Services
  • Women's Health Screenings
  • Birth Control Methods
  • Natural Family Planning 
  • Infertility
  • Endometriosis
  • Teen Gynecologic Care
  • Teen Puberty Guide
  • Minimally Invasive Gynecologic Surgery
  • Menopause
  • Women's Care

    Well-Woman Care

    At Integrated OB/GYN, well-woman care is at the heart of our practice. We want to help women create and maintain good health throughout their lives. We can serve as your primary care physician, providing you with overall health physicals as well as well-woman exams. Having an OB/GYN as your primary care physician allows you to keep the same physician from adolescence to pregnancy and for issues that involve both your overall health and your gynecologic health, such as menopause, thyroid disorders, or immune disorders.

    Gynecologic Care

    As board-certified gynecologists, all four Integrated OB/GYN physicians are well-trained in diagnosing and treating gynecologic conditions, such as uterine bleeding, fibroids, endometriosis, and prolapse. We always begin with a conservative treatment plan and make sure you have the information you need to make decisions about your health.

    Our doctors have advanced training in minimally invasive surgical options for gynecologic surgery. We use innovative laparoscopic and hysteroscopic techniques that allow surgeries to be performed through tiny incisions.

    • Minimally invasive surgery, including use of the da Vinci® Surgical System
    • Endometrial ablation
    • NovaSure® ablation
    • Essure®, tubal ligation, and D&C
    • Hysteroscopy and sonohysterogram

    Breast Care

    We provide comprehensive breast care to our patients, including annual clinical exams and consultations regarding any changes in your breasts. We also will work with you to determine your individual risk of breast cancer and recommend a customized screening program for you. We refer our patients to The Trio Breast Center at Parker Hospital, which is certified by the National Accreditation Program for Breast Centers.

    Menopausal Care

    As women begin the second half of their lives, there are many changes that occur. At Integrated OB/GYN, we help women through this transition by educating them about the physiological and emotional changes occurring and offering a variety of treatment options, from natural therapies to hormone replacement.


    Our top priority is keeping our patients healthy.

    At Integrated OB/GYN, we believe the best way to do this is by providing our patients with accurate and current health information. It is very important women get their essential health screenings, such as a clinical breast exam and annual well-woman exam. These screenings allow our physicians the opportunity to detect diseases and illnesses early, when they are most treatable. Please review the chart below on timing and importance of a few highlighted screenings.

    Teen Wellness Exam

    • Why: Establish a relationship with your physician.
    • When: Age 13-15 or earlier if sexually active.
    • Frequency: Annually. Consultation and urine screening as needed.

    Pap Test

    • Why: This test can find pre-cancers before they develop into cervical cancer.
    • When: Age 21.
    • Frequency:
      • Pap every three years from ages 21-29.
      • Pap every five years along with HPV testing ages 30-65.
      • Pap may be stopped after 65 if there have been three negative paps or negative HPV tests.
      • Pap may be stopped if removal of uterus and cervix occurred due to non-cancerous issue.
      • Continued screening may be needed, even after 65, as determined by your physician
        • Source: American Society for Colposcopy and Cervical Pathology (ASCCP), American Society of Clinical Pathology (ASCP), American Cancer Society (ACS) Cervical Cancer Screening Recommendations, 2012: ASCCP 2012 Standards 12/2013.* These are general recommendations regarding type and timing of screening. Your physician will individualize your care as needed.

    Clinical Breast Exam

    • Why: Detects any abnormalities in the breast tissue.
    • When: In your 20s.
    • Frequency:At least every three years in your 20s and 30s; but preferably, annually during your well woman exam. (American Cancer Society)

    Mammogram

    • Why: Detects breast cancer in its earliest stage.
    • When: Age 40 for most women. If you have a family history of early breast cancer, your doctor may recommend a baseline mammogram at a younger age.
    • Frequency: Annually. (American Cancer Society)

    Bone Mineral Density Assessment using DXA (x-ray of the spine and hip)

    • Why: Determine a woman’s risk for having a bone fracture.
    • When: 65 years old or younger if at risk (i.e. postmenopause, smoking, family history of osteoporosis, eating disorder).
    • Frequency: Every 2 years or per doctor's recommendation. Source: Goldstein, S.G. Osteoporosis. OBG Management Vol 25, No 12, December, 2013

    * These are general recommendations regarding type and timing of screening. Your physician will individualize your care as needed.

    Please speak with your primary care physician about additional preventative screenings you may need, such as heart health tests and colon cancer screenings.

    3D Mammography Now at The Trio Breast Center

    What is a 3D mammography breast exam? 

    Tomosynthesis, also called 3D mammography, is the latest advancement in breast screening technology. This revolutionary new screening and diagnostic tool, takes 15 images of the breast from all angles and reconstructs them into one image. The 3D X-ray allows radiologists to look through the breast instead of viewing a flat image. Tomosynthesis picks up smaller masses than traditional 2D scanning, with less overlap of tissue that can obscure suspicious spots. 

    What are the benefits for 3D mammography breast exams? 

    With conventional digital mammography, the radiologist is viewing the complexities of breast tissue in one flat image. Sometimes breast tissue can overlap, giving a false illusion that normal, healthy tissue appears abnormal. Looking at breast tissue in one millimeter slices, decreases tissue overlap and provides a clearer, more confident assessment. The latest studies show that 3D mammography increases the detection of invasive cancers by 40 percent while decreasing the need for follow-up imaging by 15 percent. Parker Hospital is charging the same price for 3D scans as the traditional digital mammogram; this new technology will not result in an increased fee for patients.

    Read more on 3D mammography available at Parker Hospital.


    Birth Control Pill

    A birth control pill is an oral contraceptive. There are two types of birth control pills, a combination pill and a mini-pill. The more widely-used combination pill contains two forms of hormones, estrogen and progestin—the synthetic form of progesterone. When taken as directed, the estrogen and progestin work together to prevent pregnancy by suppressing ovulation. Birth control pills can be taken to prevent or reduce the frequency of your periods. The mini-pill is a low dose progestin-only pill. The mini-pill is an alternative for women who want to take an oral contraceptive but want to avoid estrogen. Birth control pills are available in a chewable form for those who prefer not to swallow pills.

    * If you smoke or are over the age of 35 your risks of complications increase.

    Long Acting Reversible Methods

    An intrauterine device (IUD) is a long acting reversible form of contraception. An IUD is a small plastic device that is inserted during an office visit. There are three IUDs currently on the market, ParaGard® (10 year), Mirena ® (5 year), Skyla® (3 year). IUDs are nearly 100 percent effective (with perfect use), long-term and are easily reversible. ParaGard® is hormone free. 

    Birth Control Implants

    An implant is a flexible rod the size of a matchstick that is placed under the skin of your arm. It releases a small amount of progestin, preventing pregnancy by thinning the lining of the uterus, suppressing ovulation and thickening cervical mucus. The rod lasts for 3 years and is 99 percent effective with perfect use.

    NuvaRing®

    The NuvaRing® is a ring shaped hormonal contraceptive. It is about 2 inches in diameter and is placed into the vagina at the beginning of your cycle and changed monthly. The ring releases a small amount of progestin and estrogen once in contact with the vagina. The ring is about 99 percent effective with perfect use.

    Please talk to your Integrated OB/GYN physician if you have further questions regarding the above birth control information. The listed birth control methods do not prevent the spread of sexually transmitted infections.

    Resources

    Source: 
    BabyCenter®


    Natural Family Planning

    Natural family planning is an umbrella term for certain methods used to achieve and avoid pregnancies.

    These methods are based on observation of the naturally occurring signs and symptoms of the fertile and infertile phases of a woman's menstrual cycle. 

    Couples using NFP to avoid pregnancy abstain from intercourse and genital contact during the fertile phase of the woman's cycle.  No drugs, devices, or surgical procedures are used to avoid pregnancy.

    NFP reflects the dignity of the human person within the context of marriage and family life, promotes openness to life, and recognizes the value of the child.  By respecting the love-giving and life-giving natures of marriage, NFP can enrich the bond between husband and wife.

    Source:  
    Standards for Diocesan Natural Family Planning Ministry, p. 23

    Resources

    For additional reading and resources on natural family planning, please explore the links below.

    As your trusted partner in women's care, our Integrated OB/GYN physicians are happy to expand and provide further support on the below topics. 


    NaProTECHNOLOGY

    NaProTECHNOLOGY (Natural Procreative Technology) is a women's health science that monitors and maintains a woman's reproductive and gynecological health. It provides medical and surgical treatments that cooperate completely with the reproductive system.

    NaProTECHNOLOGY uses the Creighton Model FertilityCare™ System biomarkers to monitor easily and objectively the occurrence of various hormonal events during the menstrual cycle.  This provides valid information that can be interpreted by a woman and by physicians who are specifically trained in this system.

    Unlike common suppressive or destructive approaches, NaProTECHNOLOGY works cooperatively with the procreative and gynecologic systems. When these systems function abnormally, NaProTECHNOLOGY identifies the problems and cooperates with the menstrual and fertility cycles that correct the condition, maintain the human ecology, and sustain the procreative potential.

    A NaProTECHNOLOGY approach to the infertile couple has the following goals:

    1. It works towards assessing the underlying causes of the reproductive abnormality.
    2. It allows for the treatment of these underlying causes.
    3. It assists the couple in achieving pregnancy while maintaining the natural acts of procreation.
    4. If the treatment program is unsuccessful, research into the unknown causes is undertaken.
    5. If medically unsuccessful, the program will assist with successful family building by being supportive of adoption.

    *This information is attributed to content from the Pope Paul VI Institute website.


    Endometriosis

    Endometriosis occurs when the tissue that normally grows and lines the inside of your uterus, grows outside of your uterus. 

    This tissue responds to estrogen that fluctuates during your monthly cycle causing it to break down, bleed and form scars. As a result, you may experience pain in the lower part of your abdomen and back. The scar tissue may also cause difficulty getting pregnant. Your Integrated OB/GYN physician may suspect you have endometriosis if you experience pain:

    • When you urinate or have a bowel movement and this worsens during your period.
    • When you have sex, or after sex.
    • During your monthly periods.
    • Between your periods.

    Other symptoms you might experience include:

    • Heavy periods.
    • Bleeding between periods.
    • Difficulty getting pregnant.
    • Enlarged ovaries that your physician can feel during your exam.

    If your physician suspects you have endometriosis, a surgical procedure known as laparoscopy may be suggested to look for tissue outside your uterus and remove it. There are also several medical treatment options available for endometriosis and your doctor may discuss these options with you.

    Resources

    Endometriosis Overview (Mayo Clinic)

    American College of Obstetricians and Gynecologists: Endometriosis - Frequently Asked Questions

    Sources: 
    American College of Obstetricians and Gynecologists:
    FAQ013 Gynecologic Problems-Endometriosis
    Up-to-Date, 2013


    A Teen Focused Approach

    At Integrated OB/GYN, we understand that seeing a gynecologist (GYN) for the first time can be an uncomfortable and scary experience for teens, however pre-teen and teen gynecologic care is extremely important.  

    We understand that the needs of teens and young women are unique and different from those of older women, and we take this into account in how we approach the care provided to our teen patients. We create a safe and welcoming environment where adolescents feel comfortable talking to our physicians and staff about their health questions and concerns.

    The American College of Obstetricians and Gynecologists (ACOG) recommend that teens start seeing a gynecologist between the ages of 13 and 15, to develop a personal and trusting relationship with their physician. During your appointment your provider will discuss your health history, health concerns you may be experiencing, talk to you about how your body works and provide tips on developing healthy habits. If you are sexually active, our physicians can provide important information on birth control methods and the prevention of sexually transmitted infections (STIs). Screening for sexually transmitted infections, such as chlamydia and gonorrhea, are tested through a urine sample.

    During your appointment you will review:

    • Breast anatomy: appearance and texture of normal breast tissue
    • Your menstrual cycle (your period)
    • Reproductive and sexual coercion (unwanted pressure for sexual intercourse) 
    • Risks for sexually transmitted infection
    • Risks for alcohol and substance abuse   

    Your provider will do a breast exam when you turn 20 years old and will do a Pap smear and pelvic exam when you are 21 years old.

    The HPV Vaccine

    Integrated OB/GYN offers the Gardasil ® vaccine in our office. The HPV vaccine helps protect women from most cervical cancers. In addition to providing cervical cancer protection, Gardasil also defends against most genital warts. The HPV vaccination can help protect against HPV virus 6, 11, 16 and 18.

    The vaccines are given in three doses over six months. It is recommended to be administered between the ages of 11 and 26. For the most benefit, girls should receive the HPV vaccine before they become sexually active. Your Integrated OB/GYN physician can talk to you about the benefits and risks of the HPV vaccine.

    Teen Birth Control Options

    Below is a chart of birth control methods popular among teens. This chart does not include all birth control methods available on the market. Please consult your Integrated OB/GYN physician with any questions or concerns you may have regarding the below.

    Birth Control Type

    Benefits

    Frequency

    Oral contraceptives (the pill)

    Most popular form of contraceptive among teens. 99% effective when taken as directed. Reduction of bleeding or no periods during use on specific pill brands.

    Daily

    IUD Mirena® (5 year) Skyla® (3 year) Paraguard® (10 year non-hormonal)

    Nearly 100% effective (with perfect use) and easily reversible.

    3,5, or 10 years

    Nexplanon Implant® (implanted in the upper arm)

    99% effective (with perfect use). Long acting reversible method.

    3 years

    NuvaRing®

    99% effective (with perfect use). Same active hormones  
    as found in the pill. Do not have to take a daily pill.  

    Once a month

    The above birth control methods do not prevent the spread of sexually transmitted infections (STIs).

    We look forward to providing gynecologic care and support to our teen patients in a comforting and welcoming environment. 


    What Teens Can Expect During Puberty

    At Integrated OB/GYN we understand puberty can be a challenging transition period in teen’s lives and we are dedicated to providing education, support and quality care to our teen patients. Below is our puberty guide covering important topics pre-teens and teens may experience as they transition into womanhood. At your next office visit, feel free to discuss any of the below topics further with your Integrated OB/GYN physician.

    • What is Puberty
    • Increase in Height and Weight
    • Breast Development
    • Your First Menstrual Period
    • Other side effects you may experience during your menstrual period
    • Mood Swings

    Some girls may experience a decrease in self-esteem and body image satisfaction as they go through puberty. It’s important to reach out for support during this time and understand the changes your body is going through. Remember, many young women face similar challenges as they mature from childhood into womanhood.

    For additional information on teen puberty and the information provided above please visit, WebMD.

    Sources: 
    WebMD
    Raising Children Network


    Minimally Invasive Gynecologic Surgery

    Our gynecologists (GYN) at Integrated OB/GYN are trained in cutting edge minimally invasive gynecologic surgery, including  da Vinci ® Si ™ HD Robotic Surgical System  techniques and equipment. Minimally invasive surgery requires just a few small incisions each about a half-inch long to allow for the insertion of small surgical instruments. A thin lighted tube with a camera, known as a laparoscope, is inserted through a small incision, allowing your doctor to perform the surgery. These smaller incisions generally result in less blood loss during surgery, less pain, less risk of infection, a shorter hospital stay (often without an overnight stay) and a faster recovery than traditional surgical approaches.

    Minimally invasive laparoscopy is an option to:

    • Remove uterus, ovaries and fallopian tubes
    • Look for and potentially remove growths such as fibroids
    • Look for and treat conditions such as endometriosis and explore for explanation of pelvic pain
    • Look for and treat ectopic pregnancy
    • Perform a tubal ligation

    Resources


    Menopause

    As women begin the second half of their lives, there are many changes that occur.

    One of the major changes women experience is menopause. At Integrated OB/GYN, we guide women through this transition, providing education about the physiologic and emotional changes that commonly occur and offer a variety of treatment options, from natural therapies to hormone replacement. Menopause is also a time we assess breast and bone health. We determine screening plans based on individual preferences, family history and risk factors.

    What is Menopause and What Causes It?

    Menopause is a natural event that signals the end of the fertile phase of your life. Before your final menstrual cycle, you may begin to experience symptoms signaling menopause onset. This transition period is known as peri-menopause and varies in length from woman to woman.

    During peri-menopause, hormone levels gradually change. Less estrogen and progesterone are produced, and finally your ovaries stop the release of monthly eggs. As a result of the changes in hormone levels, your menstrual periods occur less often and will eventually stop altogether. Once you have not had a period for 12 months you are said to be in menopause and in most cases can no longer get pregnant.

    Common signs of peri-menopause and menopause include:

    Some women experience more symptoms than others. Your physician at Integrated OB/GYN is happy to review your symptoms and discuss treatment options that will work best for you.

    Menopause Treatment Options

    Several treatment options are available including herbs, acupuncture and hormone replacement therapy. Consult your Integrated OB/GYN physician for information about HRT and other prescription and non-prescription remedies used to help with menopause symptoms.

    If hormone replacement therapy is right for you, your doctor will discuss your options that may include “bio-identical” or “natural” hormones. Such hormones are said to be identical to the hormones produced by your body during your childbearing years.

    If you prefer to avoid prescription medications, there are several lifestyle changes that can help reduce your symptoms:

    • Irregular periods     
    • Hot flashes/Night sweats
    • Sleep difficulties (insomnia)
    • Irritability
    • Vaginal Dryness
    • Avoid caffeine, alcohol and spicy foods
    • Dress lightly and in layers
    • Get adequate calcium and vitamin D in food or supplements
    • Get plenty of exercise
    • Perform Kegel exercises daily to strengthen the muscles of your vagina and pelvis
    • Try relaxation techniques such as yoga, tai chi or meditation
    • Use a vaginal moisturizer such as Luvena

    Resources

    The North American Menopause Society (NAMS)  
    MenoNote: Menstrual Calendar 
    MenoNote: Bioidentical Hormone Therapy 
    MenoNote: Treating Hot Flashes  
    MenoNote: Vaginal Dryness

    Sources:  
    The North American Menopause Society (NAMS), 2012
    Up-to Date, 2013

  • Pregnancy

    Congratulations on your pregnancy!

    Thank you for choosing us to provide you with the highest quality obstetric (OB) care during your pregnancy. As an active partner in your OB care and pregnancy, we look forward to supporting you through this special journey. We welcome you to learn more about the OB and pregnancy care provided at Integrated OB/GYN.

    Providing expert pregnancy care (obstetrics) in the Parker/Denver metro area

    We strongly believe in relationship based care, providing you with as much information as possible, so you feel empowered and comfortable throughout your pregnancy. As your pregnancy progresses, we will educate you on the different stages you will experience, and the various tests your baby will need.

    Our partnership with The BirthPlace at Parker Adventist Hospital, allows us to provide you and your baby with the best possible care. All of our babies are delivered at The BirthPlace, where a team of highly trained perinatologists, 24/7 on-call anesthesiologists, neonatal specialists from Children's Hospital Colorado and International Board Certified Lactation Consultants (IBCLC), are standing by ready to care for you and your baby.

    We look forward to supporting, educating and caring for you through your pregnancy journey and beyond.

    In addition to traditional pregnancy and delivery care, we offer:

    The BirthPlace at Parker Hospital

    We are proud to deliver at The BirthPlace at Parker Adventist Hospital, which consistently ranks among the top hospitals in the country for patient satisfaction. Our partnership with The BirthPlace allows us to provide you and your baby with expert care. A team of highly trained perinatologists, 24/7 on-call anesthesiologists, neonatal specialists from Children’s Hospital Colorado and International Board Certified Lactation Consultants (IBCLC), are ready to care for you and your baby.

    We look forward to educating, supporting and caring for you throughout your entire pregnancy and delivery.


    Welcome to your first trimester!

    The first trimester is the first three months of your pregnancy. This is an exciting and important time during your pregnancy, and we are here to help guide you through it. Below are some important first steps and warning signs to pay close attention to, to help ensure a healthy pregnancy.

    Important steps to starting your pregnancy off right:

    • If you think you might be pregnant, take an at-home pregnancy test 2 weeks after your missed period. If it's positive, call your doctor and schedule your first prenatal appointment between 6 and 8 weeks. Starting your prenatal care as early as possible will help increase your chances of a healthy pregnancy and healthy baby.
    • Stop drinking, smoking or using illicit drugs immediately. These substances are harmful to your baby.
    • Make sure you're taking a prenatal vitamin with folic acid in it. Folic acid helps with your baby's healthy brain development. Additional folic acid is recommended for a multiple birth pregnancy.
    • Morning sickness typically begins between your first and second missed period and can occur at any time of day. Experts believe there is a combination of factors that contribute to nausea, such as heightened sensitivity to smells, motion and temperature changes. Try to discover your triggers and make changes to help you feel better.
    • Start to read books, magazines and websites on pregnancy and childbirth.

    Warning Signs

    At Integrated OB/GYN our main goal is healthy moms and healthy babies. While most women will likely have healthy pregnancies and healthy babies, it's important to make sure you know the potential first-trimester threats. If you believe you are experiencing any of these symptoms, call our office 303-840-8780 or go to the nearest hospital immediately.

    Hyperemesis gravidarum (HG)

    "Morning sickness" in most cases is normal. But severe, persistent nausea and vomiting during pregnancy needs to be treated to ensure the mother and baby are getting the essential nutrients and fluids needed. If your nausea does not stop, you're losing weight, feeling dehydrated or faint, talk to your Integrated OB/GYN physician about potential medications or treatments to help ease your nausea.

    Ectopic pregnancy

    This occurs when the fertilized egg implants itself outside of the uterus, usually within a fallopian tube. Some symptoms of an ectopic pregnancy include abdominal pain, shoulder pain, vaginal bleeding and dizziness. An ectopic pregnancy can be life threatening. If you believe you might be experiencing one please call our office immediately, 303-721-1670.

    Miscarriage

    Is the loss of the fetus from natural causes before 20 weeks. The cause of a miscarriage varies and often is unknown.

    If you experience the following symptoms, call our office right away or go to the nearest hospital:

    • Mild to severe back pain
    • Menstrual-like cramping
    • Brown or bright red bleeding (with or without cramps)
    • Tissue with clot-like material passing from the vagina
    • Vaginal spotting may not indicate a miscarriage, but to be sure, call your doctor if you are experiencing any bleeding.

    If you have had a miscarriage and are coping with depression, your Integrated OB/GYN physician can put you in touch with resources, such as counselors and support groups.

    For more information on a miscarriage, please visit  WebMD Pregnancy and Miscarriage.

    Sources:

    WebMD, 
    American Pregnancy Association


    Prenatal care is an extremely important part of your pregnancy.

    Women who receive prenatal care are more likely to have a healthy pregnancy and baby. We welcome your family and friends to come with you to your prenatal visits. At each visit you can expect to have the following checked: urine, weight, blood pressure and additional assessments as needed.

    Normally, pregnancy lasts about 280 days or 40 weeks. This is calculated from the first day of your last period. Your prenatal visits will be scheduled monthly up to 28 weeks. You will then be seen every other week until 36 weeks. Once you have reached 36 weeks, you will visit us weekly until delivery. Adjustments will be made throughout your pregnancy to fit your individual obstetric (OB) needs.

    Please feel free to call our office with any questions or concerns you may have throughout your pregnancy, 303-721-1670.

    Below is a general outline of the frequency and content of your prenatal visits, as well as a description of your baby’s growth by week.

    6 - 8 weeks:

    • What to expect:
      • Your first prenatal visit will occur between 6 and 8 weeks.
      • 1st ultrasound to confirm pregnancy and due date
      • Discuss medical history
      • Pap smear if indicated
      • Blood work and screening tests
      • Prenatal counseling
    • Baby development: Your baby is the size of a lentil with the mouth, nose and ears forming.

    12 weeks:

    • What to expect:
      • Listen to baby’s heartbeat
      • Additional screening tests (optional)
    • Baby development: Your baby is the size of a lime with the big development of reflexes. Your baby’s fingers will soon begin to open and close, toes will curl and the mouth will make sucking movements.

    16 weeks:

    • What to expect: 
      • Listen to baby’s heartbeat
      • Optional genetic screening tests offered
    • Baby development: Your baby is about 5 inches long, and the size of an avocado. Your baby is now making urine which will actually become part of the amniotic fluid. The baby will practice "breathing" this fluid in and out of its lungs, which helps with lung development.  You will start to feel fetal movement between 18 and 20 weeks. Try sitting or resting quietly to feel these early movements of your baby. 

    20 weeks: 

    • What to expect:
      • Anatomy ultrasound to: Determine baby’s gender (optional); Take baby’s measurements; Evaluate baby’s growth and development
    • Baby development: You have made it to the halfway point. Your baby is now about 10 inches long, and about the size of a banana.

    24 weeks: 

    • What to expect:
      • Listen to baby’s heartbeat
      • Measure the size of your uterus
    • Baby development: Your baby now weighs about a pound and is the size of an ear of corn. The brain is growing quickly and the lungs are developing the “branches” of the respiratory “tree” along with the production of the substance that will allow for breathing outside of the womb.


    28 weeks: 

    • What to expect:
    • Baby development: You will notice more weight gain at this time. Your baby weights about 2 pounds and is the size of an eggplant. The eyesight is developing and light that filters in from the womb may be visible to your baby. Billions of neurons are forming in the brain and an increase in body fat is developing in preparation for the outside world. It is extremely important to have a healthy diet and get lots of nutrients at this time.

    30 -34 weeks:

    • What to expect:
      • Listen to baby’s heartbeat
      • Measure the size of your uterus
    • Baby development: Your baby weighs about 4 pounds and is the size of a large jicama. You’re gaining about a pound a week and roughly half of that is going to your baby. The baby now has toenails, fingernails and peach fuzz hair.

    35 - 36 weeks: 

    • What to expect:
      • Determine baby’s position
      • Vaginal culture to test for beta strep infection
      • Discuss when to call your provider
      • Cervical exam if indicated
    • Baby development: Your baby weighs about 5 pounds and is the size of a honeydew melon. Most of the basic physical developments are complete. Your baby will spend the next few weeks putting on some weight.

    37-40 weeks: 

    • What to expect:
      • Listen to baby’s heartbeat
      • Measure the size of your uterus
      • Cervical exam if indicated
    • Baby development: Your baby weighs about 6 pounds. The organs have matured and are ready for the outside world!

    Source: 
    BabyCenter ®


    Pregnancy Tips

    General Pregnancy Information

    • Get at least eight hours of sleep each night
    • Avoid hot tubs, saunas, and tanning beds
    • Avoid changing kitty litter
    • Wear gloves when gardening and using cleaning supplies due to skin sensitivity.
    • It is okay to have your hair permed or colored (suggested to wait until after the first trimester)
    • It is okay to get your nails done (acrylic) (suggested to wait until after the first trimester)
    • Sex and orgasms are safe during pregnancy unless otherwise instructed by your physician

    Pregnancy Nutrition Recommendations

    • Concentrate on foods high in nutritional value
    • Foods to avoid: junk food, soft cheese, pâtés, meat spreads, raw milk, uncooked hot dogs or lunch meats, raw or undercooked meats, shark, swordfish, tilefish, mackerel, marlin, orange roughy
    • 12 ounces per week of the following is okay: salmon, shrimp, crab, catfish, canned light tuna (not albacore)
    • Drink 8-10 glasses (64 ounces) of water per day
    • No more than one serving (8 ounces) of caffeine per day
    • Splenda in moderation

    10 Best Foods to Eat during Pregnancy

    • Eggs
    • Salmon
    • Beans
    • Sweet potatoes
    • Popcorn and other whole grains
    • Walnuts
    • Greek yogurt
    • Dark green, leafy vegetables
    • Lean meats
    • Colorful fruits and veggies 

    No smoking, alcohol use, or recreational drug use


    Pregnancy Checklist

    There are a few things you should complete during your pregnancy to prepare for the arrival of your baby. Below is a simple checklist to make sure you are as ready as can be.

    • Take a tour of The BirthPlace, call 303-777-6877 to register
    • Pre-register for your baby’s birth. Complete The BirthPlace pre-registration online, or call 303-269-4955 or fill out the hard copy provided in your BirthPlace guide.
    • Enroll in The BirthPlace comprehensive parent/family education baby classes, including Daddy Bootcamp, Happiest Baby on the Block and many more! View a full list of childbirth classes.
    • Contact Patient Financial Services to confirm insurance coverage and review any questions you may have about your coverage at 303-269-4954.
    • Select a pediatrician. If you don’t already have one, click here for a list of highly qualified physicians
    • Purchase a car seat, install it in your car and have a car seat safety check performed at a local Fire Department. To learn more, visit nhtsa.gov 

    Your Hospital Bag Checklist

    For Labor

    • Your focal point object- picture of something or someone you love
    • Toiletry items for you and your partnerf
    • Snacks to keep your support person energized.
    • Bathrobe, nightgown, slippers and socks
    • Relaxation items- massage oils or lotions, pillow
    • iPod/CD player and music of your choice
    • Digital camera/video camera
    • Suckers or hard candy for mom
    • Light reading material

    For Mom after Delivery

    • Nursing bra for breastfeeding moms, and/or good support bra
    • Going home outfit- something comfortable and roomy, along with comfortable, flat shoes.
    • Phone numbers of family and friends to share your big news! 

    For Your Baby

    • Infant car seat- you can’t leave the hospital without one
    • Going home outfit for baby (remember a cap and socks)
    • Receiving blanket
    • Diaper Bag

    Morning Sickness

    It is not clearly understood why morning sickness occurs. We know most women experience nausea and at least one third experience vomiting. It:

    • Usually begins between your first and second missed period.
    • Typically eases by the end of your third month and occasionally lasts throughout pregnancy.
    • Can occur anytime and can last a few minutes to many hours.
    • Does NOT mean there is something wrong with your baby.

    What causes morning sickness?

    Experts believe a combination of factors contribute to nausea. For example:

    • Women have heightened sensitivity to sights, smells, motion, temperature changes, fatigue and stress during pregnancy.
    • Abundant pregnancy hormones and low blood sugar increases your risk of developing nausea.
    • Pregnancy related changes to your digestive system may cause nausea.
    • Routine medications such as prenatal vitamins and iron may cause nausea.

    What can you do about it?

    Do what works for you! Discovering what triggers your symptoms and making some changes may help you feel better. For example: Avoid or decrease sights, sounds, smells that produce symptoms

    • Avoid or decrease sights, sounds and smells that produce symptoms
    • Get out of bed slowly and avoid sudden movements.
    • Eat saltines and whole wheat crackers before getting out of bed in the morning, at bedtime and when making a trip to the bathroom in the middle of the night.
    • Try taking your prenatal vitamins and iron before going to bed.
    • Adjust room temperatures to a cooler setting and have good airflow to reduce odors.
    • Go outside for some fresh air.
    • Get adequate sleep and rest.
    • Practice relaxation techniques.
    • Talk to your provider about unconventional measures (acupressure wristbands, acupuncture or hypnosis).
    • Get help and “budget your energy”; ask friends or family to help until you feel better.
    • Notify your provider if you lose weight, vomit more than three times a day and cannot keep anything down.

    What about eating and drinking?

    • Eat small, frequent meals every two to three hours
    • Carbohydrate foods such as crackers, toast, potatoes or cereal tend to digest easily and can help ease nausea
    • Consume food either very warm or very cold
    • Avoid greasy or fatty foods
    • Try small amounts of a single food – add variety as you feel better
    • Avoid highly seasoned food – lightly season and salt to taste
    • Weak tea, ginger tea, very cold carbonated drinks, fruit juices and crushed ice or ice-pops, may sit easier on your stomach
    • Try not to eat or drink at the same meal, sip fluids between meals
    • Sit upright after meals
    • Consider taste (salty, sweet, sour, bland, bitter) – one might be easier to tolerate than the others
    • Consider texture (soft, hard, smooth, lumpy, crunchy, wet, dry) – one might be more appetizing to you
    • Keep a food diary – you may find that eating certain foods at certain times of the day will help you  break the cycle of nausea and vomiting of pregnancy 

    What medications are used to manage nausea and vomiting of pregnancy?

    Several different medications are commonly prescribed to treat nausea and vomiting of pregnancy. Your physician will discuss the risks and the benefits of these medications. Some of the more common drugs are:

    • Doxylamine Succinate and Pyridoxine Hydrochloride (DICLEGIS)
    • Promethazine (PHENERGAN)
    • Prochlorperazine (COMPAZINE)
    • Metoclopramide (REGLAN)
    • Ondansetron (ZOFRAN)

    Medications During Pregnancy

    The first trimester is a critical time of development for your baby.

    Please use this list to assist you in choosing over-the-counter medications. Medications outside of this list may be safe, however, please call your provider before taking any medication. Follow the directions on the medication labels unless otherwise instructed by your physician.

    DO NOT TAKE Advil®, Aleve®, Alka-Selzer®, ibuprofen, Motrin® and Pepto-Bismol®

    THE FOLLOWING ARE ACCEPTABLE OVER-THE-COUNTER MEDICATIONS

    ALLERGIES/ITCHING Benadryl®, chlorpheniramine, Chlor-Trimeton®, Claritin®, Clemastine, Robitussin® CF, Tavist D, Zyrtec®

    COLD/CONGESTION Benadryl, Tylenol® Cold, Tylenol PM, Tylenol Sinus. Avoid products containing phenylephrine and pseudoephedrine in the first trimester.

    CONSTIPATION Increase fluids, warm prune juice or plain, hot water, Colace®, Milk of Magnesia, dried prunes, increase dietary fiber or supplement (Metamucil®, Fibercon, Citracel)

    COUGH Cepacol spray, cough drops, pediatric NyQuil®, Robitussin DM, Trind-DM, Vicks® Cough Syrup (consult your physician prior to taking cough syrup)

    DIARRHEA Eat bananas, rice, applesauce, tea, or toast. Imodium (not to use longer than 24 hours)

    FEVER Tylenol Extra Strength (two every six hours), call if temperature is greater than 100.4 degrees Fahrenheit

    GAS Mylicon 80, Phazyme 125

    HEARTBURN Antacid, Gaviscon®, Maalox®, Mylanta®, Pepcid®, Rolaids®, Tagamet, Tums®, Zantac®

    HEADACHE Tylenol Extra Strength (three times a day), acupuncture, drink plenty of water, ice pack on the neck (helpful for migraine headache), massage, warm towel/heat to neck (helpful for tension headache). If your headache is one-sided or associated with blurred vision, please call our office.

    HEMORRHOIDS Anusol, hydration, ice pack, Preparation H®, sitz baths, Tucks® Pads, Wet Wipes

    MOTION SICKNESS Benadryl, Bonine®, Dramamine®

    NASAL CONGESTION Actifed, Benadryl, humidifier, Saline Nasal Spray, Sudafed®

    NAUSEA Eat small amounts of food several times throughout the day. Sip liquids constantly – it is very important to stay hydrated. If vomiting is continuous, call us immediately. Vitamin B6 (50mg two to three times per day up to 200mg) or ginger (250mg four times per day) may be helpful, as well as Unisom® with doxylamine.

    SIDE PAIN Many women experience side pain during pregnancy, especially while exercising, stretching and lifting. This is usually caused by a growing uterus pulling on ligaments. For relief, rest and take Tylenol. A maternity support belt may also be helpful in relieving side pain.

    SORE THROAT Cepacol spray, salt-water gargle and throat lozenges. See your primary care provider if symptoms last more than three days.

    If you have questions regarding these or other medications, or if symptoms persist, please call our office.

    *For more information on medications during pregnancy, please visit American Family Physician.

     


    Your Delivery

    When it comes time for delivery, you’re in charge.

    We welcome your birth plan and will work with you to make sure it is followed as closely as possible while ensuring the safety of you and your baby. Your Integrated OB/GYN physician and The BirthPlace team are your partners in developing and executing your customized birth plan.

    When is it Time to Go to the Hospital?

    If this is your first baby:
    Call us when your contractions are 3-5 minutes apart, lasting at least 30-40 seconds and have been occurring for one hour.

    If this is not your first baby:
    Call us when your contractions are 5-7 minutes apart, lasting at least 30-40 seconds and have been occurring for 30 minutes to one hour.

    Schedule an Appointment If:

    • You are having regular contractions, menstrual-like cramping, or dull backache.
    • You think your water has broken (a large gush or a continuous leak).
    • You have vaginal bleeding similar to a period.
    • You are having pelvic pain, pelvic pressure, and increase or change in your vaginal discharge.
    • You feel your baby’s movements are unusual in any way or less than normal.
    • You are vomiting and it does not subside, especially if you are unable to keep down fluids.
    • You have a fever of 100.4 degrees Fahrenheit or more.
    • You have a headache unrelieved by Tylenol, visual changes, pain or pressure under ribs, swelling of hands and/or face, or a weight gain of five pounds in one week.
    • You have any uncertainties regarding labor or your pregnancy.
    • You have a general sense that something isn’t right.

    Please call our office (including nights or weekends) if you have any questions or concerns and we will be happy to assist you, 303-721-1670.


    The BirthPlace at Parker Hospital

    The BirthPlace at Parker Adventist Hospital  delivers an amazing experience for new moms, families and guests, immersing you in the utmost of safety, comfort and confidence. From large private birthing suites, gourmet room service and a unique family-centered approach to care, The BirthPlace combines advanced medical expertise with comfort and confidence. Their highly skilled team is ready to handle anything—including high-risk pregnancies, multiples and premature babies. The following features make it clear to us you will have a wonderful birthing experience at The BirthPlace:

    • OB nurses average more than 10 years of experience. Dedicated to participating in continuing education, all staff is certified in electronic fetal monitoring, neonatal resuscitation and use state-of-the-art simulators in training to ensure the highest level of care.
    • Private and luxurious birthing suites and in-room sleeping accommodations for your spouse or support partner.
    • Flat screen TVs, adjustable lighting and free Wi-Fi in every room.
    • OBIX perinatal fetal monitoring system provides your doctor access to vital fetal and maternal patient information—such as fetal heart rate, contractions and mother’s blood pressure in real time directly to your doctor’s mobile device.
    • Hugs Infant Security System, 24/7 controlled access to the unit and hallway video surveillance, ensures the safety of your newborn and family.
    • Babies room-in, but have access to the WellBaby nursery when mom needs a break.
    • The BirthPlace is a milk depot for the Mothers’ Milk Bank of Denver. Through this partnership, human donor milk is provided to all NICU and healthy term infants requiring breastmilk supplementation.
    • Parker Adventist Hospital received the Colorado Can Do 5! Breastfeeding Excellence Starts Today (B.E.S.T.) award.
    • Spacious family-friendly lounge and children’s activity area.
    • Newborn photos- Mom365 Online Photo Program.
    • Gourmet room service provided by the Peakview Café.
    • Complimentary tea cart serving gourmet desserts and beverages.
    • Perinatologists, neonatologists, OB/GYNs and a partnership with Children’s Hospital Colorado, forms a world-class medical team ready to support you and your baby. 
    • Dedicated surgical suites for cesarean births.
    • Access to The Parker Perinatal Center, staffed by leading experts in perinatology, who care for patients with maternal or fetal care needs.
    • 11 bed, Level III NICU with state-of-the-art fetal monitoring and Giraffe® OmniBed incubator technology.
    • 24/7 anesthesia coverage available for all your pain management needs.
    • International Board Certified Lactation Consultants (IBCLC), available seven days a week to provide breastfeeding support and education.
    • Comprehensive childbirth and parenting classes available through The BirthPlace including: Childbirth Preparation, Daddy Bootcamp, Happiest Baby on the Block and much more!

    Breastfeeding Support

    Selecting your baby’s feeding plan, to breastfeed or bottle feed, is a very important decision.

    The most important factor is making sure your baby gets the proper nutrition needed. We know there are a lot of things that factor into your decision, and we are here to help support and educate you. We respect each family’s feeding plan decision; however, we do encourage our moms to keep in mind that studies have shown that breastfeeding, for any length of time, provides the best nutrition for your infant’s growth and development as well as provides extremely valuable health benefits for mom.

    Benefits of Breastfeeding

    The American Academy of Pediatrics and The American Academy of Obstetricians and Gynecologists, state that breastfeeding is the preferred method of feeding an infant. Below are some important breastfeeding benefits:

    • Protective nutrients for baby- Breastmilk naturally has the right balance of nutrients for your baby. Some of these nutrients help protect your baby from common childhood illnesses such as diarrhea, ear infections, pneumonia and sudden infant death syndrome. Breastfed babies are also less likely to develop asthma.
    • Lower cancer risk- Moms who breastfeed have shown a decreased risk of breast and ovarian cancers.
    • Lower risk of PPD- Women who breastfeed may have a lower risk of postpartum depression.
    • Reduced obesity risk- Babies who are breastfed for six months are less likely to become obese later in childhood or adulthood.
    • It’s free- Families can save between $1,200 and $1,500 in formula in the first year.

    Breastfeeding Support at The BirthPlace

    The BirthPlace has International Board Certified Lactation Consultants (IBCLC) available seven days a week. IBCLC’s have advanced training in breastfeeding support and education. All breastfeeding mothers are seen by a lactation consultant during their stay at The BirthPlace, to help mothers and families initiate and maintain breastfeeding.

    The BirthPlace is a milk depot for the Mothers' Milk Bank of Denver. Through this partnership we offer human donor milk to all NICU and healthy term infants requiring breastmilk supplementation. Parker Adventist Hospital was also awarded the Colorado Can Do 5! Breastfeeding Excellence Starts Today (B.E.S.T.) award.

    For more breastfeeding support, download a copy of The BirthPlace breastfeeding guide.

    Potential Breastfeeding Issues

    You may experience some common breastfeeding issues once you begin nursing. Please notify your Integrated OB/GYN physician immediately if any changes in your breasts occur.

    Common breastfeeding conditions:

    Engorgement- Within two to five days of delivery, your breasts begin producing milk. This causes more blood flow to the breasts, making them full and swollen. This engorgement typically passes within a few days with frequent nursing and pumping as needed. If you are experiencing flu-like symptoms or a fever, please call us, this can be a sign of infection.

    Plugged milk duct- If your body makes milk faster than you’re feeding or pumping, this may result in a plugged milk duct. Symptoms include redness, swelling or a small, hard lump in the breast. The lump may be tender to the touch. Nursing frequently, changing positions, and pumping as needed, will likely make you feel better. Breast massage and heat application may be soothing. If the symptoms don’t subside, call us. Without treatment, a plugged duct can develop into mastitis.

    Lactation mastitis- This infection typically occurs within the first three months after delivery. If you experience breast pain, swelling, warmth or redness of the breast, fever or feeling ill, please schedule an appointment to be seen.

    Thrush- This common yeast overgrowth occurs in a baby's mouth and can be transferred to your nipples during breastfeeding. You may notice that your nipples are itchy, pink, red, shiny or burning, or you may experience a shooting breast pain during or after nursing. Your baby can get white patches inside the mouth or on the tongue.  Your baby may cry while nursing or suckling on a pacifier due to associated discomfort. Please schedule an appointment if you or your baby display any of these symptoms.

    Resources:

    U.S. Department of Health and Human ServicesNational Institutes of Health

    Sources: 
    U.S. Department of Health and Human Services
    National Institutes of Health


    Postpartum Care

    Congratulations on the arrival of your baby!

    We hope you had a positive experience with our practice and received exceptional care from our entire staff here at Integrated OB/GYN. Now that your pregnancy is over, it is time to focus on your postpartum recovery and childcare. We provide comprehensive postpartum care to ensure you are healing properly after your delivery and answer any questions you may have.

    Postpartum Office Visit

    Schedule your follow up office visit six weeks postpartum for vaginal delivery and two weeks postpartum for C-Section. If you have questions before your check-up, please call our office, 303-721-1670.

    Download our full postpartum care information sheet.

    Your Activity Level

    • Limit your activity for the first two weeks after delivery. Pelvic rest for six weeks (no tampons, douching, or sexual intercourse).
    • No vigorous exercise for six weeks.  Mild exercise (walking) can be resumed after two weeks if you delivered vaginally.
    • To alleviate swelling elevate your legs, stay hydrated, and limit your salt intake.
    • You may drive a car as long as you are not taking prescription pain medication.
    • Avoid heavy lifting over 10-15 pounds for four weeks.

    Diet

    Continue the same diet you were on while you were pregnant, making sure you maintain a well-balanced diet with plenty of fresh fruits, green leafy vegetables, fiber and calcium. Drink a minimum of eight glasses of water per day.

    Examples of a few healthy food options:

    • Eggs
    • Salmon
    • Beans
    • Sweet potatoes
    • Popcorn
    • Whole grains
    • Walnuts
    • Greek yogurt
    • Dark green, leafy vegetables
    • Lean meats
    • Colorful fruits and veggies

    C-Section Incision

    • Try to keep your incision clean and dry.  Dab area dry after showering.
    • DO NOT use medications or creams (i.e. lotions or Neosporin®) unless directed by your physician.
    • Steri-strips (medical tape) are used to support your incision. Your doctor will remove any that remain at your two week follow up appointment.
    • Some numbness and/or itching around the scar is normal.
    • Call us immediately if you notice any redness, pain or drainage from the incision.

    Vaginal Stitches

    • Vaginal stitches are absorbable.
    • Keep the area as clean as possible, spray with plain water and pat dry.
    • Warm/cool sitz baths or tub soaks two to three times a day will ease the discomfort.
    • Apply cold packs at 20 minute intervals.
    • Apply chilled witch-hazel pads.
    • May use over-the-counter Dermoplast® spray.
    • Apply warm water to the area after urination using a squeeze water bottle.
    • Wipe from front to back to prevent infection.

    Call us immediately if you experience any of the the following:

    • Fever greater than 100.4 degrees Fahrenheit.
    • Excessive vaginal bleeding—saturating one to two pads per hour.
    • Excessive abdominal pain.
    • Signs of a breast infection: hard, tender and possibly reddened areas of the breast associated with a fever greater than 100.4 degrees Fahrenheit.
    • Signs or symptoms of postpartum depression.
    • Unrelieved headaches or headaches associated with blurred vision.
    • For C-section patients: redness, excessive pain, odor or drainage from the incision.
    • Isolated redness, pain or swelling.
    • Shortness of breath or chest pain, call 911.

    Postpartum Depression

    Giving birth is a joyful experience, but it can also make a new mom feel overwhelmed, stressed and even sad. About three-quarters of women will experience postpartum “blues” within the first few days after delivery, but those feelings typically disappear within four weeks.

    Postpartum depression can last up to a year and produce severe symptoms, which include:

    • Guilt or feelings of worthlessness
    • Fatigue, lack of interest in normal activities
    • Sleeping too much or too little
    • Lack of interest or over concern for the baby
    • Thoughts of harming the baby, self, family or others

    Pregnancy FAQs

    What are the signs of pregnancy?

    For most women, the first sign will be a missed period. Other signs include:

    • Tender, swollen breasts
    • Fatigue
    • Slight bleeding or cramping
    • Nausea (with or without vomiting)
    • Food aversions or cravings
    • Headaches
    • Constipation
    • Mood swings
    • Faintness and dizziness
    • Increased basal body temperature (your temperature immediately after you wake up)

    I think I might be pregnant. What does this mean?

    While the pregnancy tests sold at the drug store are generally reliable, false positives can occur. It’s important that you come in for an office visit to confirm that you’re pregnant, establish your due date and begin the appropriate prenatal care.

    I’m newly pregnant and experiencing some bleeding. What does this mean?

    There are a few things that can be causing the bleeding; it’s hard to know for sure without being seen by one of our physicians. Roughly 25 to 30 percent of pregnant women have spotting or bleeding early in their pregnancies. Light spotting is common, especially after intercourse. Implantation bleeding (which occurs when the fertilized egg attaches to the uterus lining) or changes in the cervix can cause bleeding and should not alarm you. But any flow of blood can be a sign of an infection, threatened miscarriage or ectopic pregnancy. If you’re experiencing a flow of blood, call our office right away or go to the nearest hospital.

    Smoking

    We suggest you stop smoking during pregnancy and breastfeeding. There is no safe amount to smoke while you are pregnant, but if you must smoke, limit your cigarettes to 5 or fewer a day. If you do decide to smoke, limit all smoking to outside your home and outside your car.

    Alcohol

    There is NO safe amount or kind of alcohol to drink during pregnancy, and there is NO safe time in pregnancy to drink. Stop all beer, wine, and liquor drinking.

    How much weight will I gain when I’m pregnant?

    Weight gain is essential to ensure your baby has the nutrition he or she needs to develop. Your doctor will monitor your weight throughout your pregnancy to make sure you are gaining the appropriate amount and baby growth is on target. Eat healthy, nutritious foods during your pregnancy to give the best possible nutrients to your growing baby.

    Medication

    Please refer to the American Family Physician medications page for a detailed list of approved medications to take during pregnancy. It is best to discuss any medication you are planning to take with your physician before taking it.

    Morning Sickness and Vomiting

    It is not clearly understood why morning sickness occurs. We know most women experience nausea and at least one third experience vomiting.

    It:

    • Usually begins between your first and second missed period
    • Typically eases by the end of your third month and occasionally lasts throughout pregnancy
    • Can occur anytime and can last a few minutes to many hours
    • Does NOT mean there is something wrong with your baby

    What causes morning sickness?

    Experts believe a combination of factors contribute to nausea.

    For example:

    • Women have heightened sensitivity to sights, smells, motion, temperature changes, fatigue and stress during pregnancy
    • Abundant pregnancy hormones and low blood sugar increases your risk of developing nausea
    • Pregnancy related changes to your digestive system may cause nausea
    • Routine medications such as prenatal vitamins and iron may cause nausea

    What warning signs should I be concerned about?

    You know your body best. So, anytime something doesn’t feel right with you or your baby, call our office immediately. But there are some symptoms you shouldn’t ignore:

    • Bleeding or leaking fluid from the vagina
    • Sudden or severe swelling in the face, hands or fingers
    • Severe or long-lasting headaches
    • Discomfort, pain or cramping in the lower abdomen
    • Fever or chills
    • Discomfort, pain or burning with urination
    • Problems seeing or blurred vision
    • Dizziness
    • Persistent vomiting with the inability to keep down fluids

    Exercise

    We encourage you to stay active according to your comfort level. We recommend you exercise 30 minutes per day, keeping your pulse at a maximum of 140 beats per minute. Regular exercise helps prevent gestational diabetes and may reduce your risk of postpartum depression. Walking, yoga, and swimming are excellent forms of exercise. We discourage skiing, snowboarding, backpacking, scuba diving, or sky diving. Although it is safe for you to go to the mountains, do not exercise in extreme environments.

    Parent/Family Baby Education Classes

    The BirthPlace educators bring a wealth of experience and knowledge to each parent/family baby class. They offer several comprehensive baby classes including Daddy Bootcamp, Happiest Baby on the Block, Safety & Infant/Child CPR and many more! Check out a full list of BirthPlace classes.

    Ultrasounds

    At 6-8 weeks, we perform a vaginal ultrasound to confirm how far along you are in your pregnancy. A second ultrasound will be performed around 20 weeks to view the anatomy of your baby—your baby’s gender can be relieved at this time.

    Tanning

    We urge you to NOT tan while pregnant or trying to get pregnant.

    Coloring or perming your hair

    We advise that you do not color your hair until after your first trimester (first 3 months of your pregnancy).

    Can I travel when I’m pregnant?

    Discuss all travel plans in the third trimester (after 28 weeks) with your provider. Traveling itself does not cause problems, however, the concern is that you may not have immediate access to medical care should problems arise. You may go to the mountains, but limit your activity to below 10,000 feet due to lower oxygen levels at higher elevations. Before traveling, check with your travel provider (i.e. airline, cruise line) for individual pregnancy policies.

    Can I have sex when I’m pregnant?

    Sex and orgasm are safe during pregnancy as long as you are not having problems with bleeding, placenta previa or preterm labor.

    How often should I feel the baby move?

    Expect to feel first fetal movement (or quickening) between 17 and 20 weeks. If you have had a baby before, you may notice this movement earlier. Some women have described the sensation as butterflies fluttering or popcorn popping. The first few times you feel this movement you might attribute it to gas or hunger pains, but once they happen more frequently you will learn the difference. Once you enter your third trimester sit or rest quietly to feel your baby’s movements; you can expect to feel 10 movements in a two hour period. Keep in mind that your baby’s movements increase as the day progresses and babies are most active late at night. If you feel less than ten movements in a two hour period, please call our office.

    I’m experiencing headaches. What can I do?

    Headaches are fairly common in pregnancy, and are more likely during the first and third trimesters. It’s believed that the surge of hormones and increased blood volume in the body are the cause of the headaches. Stress, caffeine withdrawal, low blood sugar and lack of sleep can aggravate headaches. You can take two regular or extra-strength Tylenol (three times a day) as needed. If Tylenol doesn't relieve your headaches, please schedule an appointment.

    Can I take herbs or natural supplements while I’m pregnant?

    Please consult your physician prior to taking an herbal or natural supplements.

    When is it Time to go to the Hospital?

    If this is your first baby:

    • Call us when your contractions are 3-5 minutes apart, lasting at least 30-40 seconds and have been occurring for one hour.

    If this is not your first baby:

    • Call us when your contractions are 5-7 minutes apart, lasting at least 30-40 seconds and have been occurring for 30 minutes to one hour.

    Call Us If:

    • You are having regular contractions, menstrual-like cramping, or dull backache.
    • You think your water has broken (a large gush or a continuous leak).
    • You have vaginal bleeding similar to a period. A small amount of bloody show during labor is normal.
    • You are having pelvic pain, pelvic pressure and increase or change in your vaginal discharge.
    • You feel your baby’s movements are unusual in any way or less than normal.
    • You are vomiting and it does not subside, especially if you are unable to keep down fluids.
    • You have a fever of 100.4 degrees Fahrenheit or more.
    • You have a headache unrelieved by Tylenol, visual changes, pain or pressure under ribs, swelling of hands and/or face, or a weight gain of five pounds in one week.
    • You have any uncertainties regarding labor or your pregnancy.
    • You have a general sense that something isn’t right.
       

    Please call our office (including nights or weekends) if you have any questions or concerns and we will be happy to assist you, (303) 721-1670.

    Please call our office if you are experiencing any of these symptoms, as you may require additional treatment.