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Your Guide to Prenatal Care:
Why It Matters and What to Expect
Congratulations on your pregnancy! We’re dedicated to providing the best care to help ensure a safe, healthy pregnancy for both you and your baby. This guide covers the importance of prenatal care, the routine visits involved and how to reach us for any questions or appointments.
Southwell Physicians for Women:
Southwell OB/GYN:
Why is Prenatal Care Important?
Why is Prenatal Care Important? Prenatal care is the medical care you receive during pregnancy to monitor your health and your baby’s development. Regular visits help to:
- Monitor Your Baby’s Growth: Ultrasounds, heart rate checks and growth measurements ensure your baby is growing properly
- Check Your Health: Blood pressure, weight and routine blood tests identify any issues that could impact your or your baby’s health
- Screen for Complications: Early detection of gestational diabetes, anemia, or high blood pressure allows for treatment that can prevent serious complications
- Provide Education and Support: Each visit gives you a chance to ask questions, learn about what to expect and receive guidance on diet, exercise and other aspects of a healthy pregnancy
What to Expect at Prenatal Appointments
Prenatal visits follow a set schedule with some flexibility based on your needs. Here’s a general overview:
1. First Trimester (Weeks 4–12):
- Initial Visit: A comprehensive appointment where we review your medical history, confirm your pregnancy and schedule your upcoming prenatal tests
- Regular Checkups: Blood tests, urine tests and an initial ultrasound to confirm the due date
2. Second Trimester (Weeks 13–27):
Monthly Visits: Routine measurements, baby’s heartbeat checks and an anatomy ultrasound around 18-20 weeks to ensure your baby’s organs are developing well
Screenings: Tests for gestational diabetes and anemia, along with any additional screenings as needed
3. Third Trimester (Weeks 28–40):
- Bi-Weekly, then Weekly Visits: Visits become more frequent to monitor you and your baby as you approach delivery; we’ll check your baby’s position and discuss your birth plan
- Group B Strep Test: Done between 35-37 weeks to check for bacteria that could affect your baby during delivery
Safe Medications During Pregnancy
Safe Medications During Pregnancy Pain Relief
- Acetaminophen (Tylenol): For general pain and headaches; avoid ibuprofen, aspirin, or naproxen unless advised by your doctor
Cold and Allergy Relief
- Diphenhydramine (Benadryl): For allergies and sleep aid
- Loratadine (Claritin): Non-drowsy option for allergies
- Chlorpheniramine (Chlor-Trimeton): Another safe option for allergies
- Saline Nasal Spray: For nasal congestion
- Cough Drops: Safe for sore throats, but check for any added ingredients like menthol or decongestants
Digestive Issues
- Antacids (Tums, Mylanta): For heartburn relief
- Ranitidine (Zantac) or famotidine (Pepcid): For more severe heartburn, as recommended by your doctor.
- Laxatives (Colace, Metamucil): For constipation relief
Nausea and Vomiting
- Vitamin B6: Often recommended for nausea; consult your doctor for dosage
- Doxylamine (Unisom): Sometimes paired with Vitamin B6 for nausea relief
Yeast Infection Treatments
- Miconazole (Monistat) or Clotrimazole (Gyne-Lotrimin): Topical antifungals are usually safe for treating yeast infections
Important Tips
1. Avoid herbal supplements without approval; many have not been proven safe for pregnancy
2. Stay Hydrated: Sometimes hydration alone can alleviate mild symptoms like headaches and constipation
3. Consult First: Always ask your healthcare provider; they may adjust recommendations based on your specific needs
This list provides options typically considered safe, but every pregnancy is unique so it’s essential to check with your doctor before starting any new medication.
Warning Signs All Pregnant Women Should Be Aware Of
Warning Signs All Pregnant Women Should Be Aware Of Your and your baby’s health are important throughout your pregnancy. While some symptoms are normal, certain warning signs may indicate a serious issue. If you notice any of the following, contact your healthcare provider immediately.
Severe Abdominal Pain or Cramps
- Mild cramping can be normal, but intense pain may signal a problem like miscarriage, ectopic pregnancy, or placental issues
Heavy Bleeding or Spotting
- Light spotting can be normal, but heavy bleeding (like a period) is concerning and should be evaluated right away
Severe Headaches or Blurred Vision
- These symptoms could indicate preeclampsia, a condition that can lead to serious complications for both mother and baby
Sudden Swelling in Hands, Feet, or Face
- Gradual swelling can be common, but rapid or severe swelling may be another sign of preeclampsia
Decreased or No Fetal Movement
- After 28 weeks, you should feel your baby move regularly; seek medical attention if movements significantly decrease or stop
Fever of 100.4°F (38°C) or Higher
- A high fever could be a sign of infection, which may harm you and your baby
Pain or Burning During Urination
- This can be a sign of a urinary tract infection (UTI), which should be treated promptly to prevent complications
Persistent Vomiting
- Occasional nausea is common, but persistent vomiting may lead to dehydration and malnutrition, requiring medical care
Sudden Shortness of Breath or Chest Pain
- This may indicate a serious condition like blood clots or heart issues; seek emergency care immediately
Vaginal Leaking of Fluid
- Any gush or trickle of fluid from the vagina could mean your water has broken prematurely, which requires immediate medical attention
Trust Your Instincts
If something doesn’t feel right, always contact your healthcare provider; it’s better to get reassurance than to wait too long to address potential complications
For any of these warning signs, call your doctor or go to the nearest hospital right away. Remember, staying informed and alert is key to maintaining a healthy pregnancy for both you and your baby.
Preparing for Successful Breastfeeding: A Guide for Pregnant Women
Preparing for Successful Breastfeeding: A Guide for Pregnant Women Breastfeeding is a wonderful way to bond with your baby and provide essential nutrients for their growth and development. Here’s how you can prepare before your baby arrives to help ensure a smooth breastfeeding journey and make you feel more confident.
1. Learn About Breastfeeding
Educating yourself about breastfeeding is one of the best ways to prepare. Here are some ways to do this:
Attend a breastfeeding class: We offer a virtual breastfeeding class for you to take any time during your pregnancy (click here to register)
Read books or watch videos: There are many resources that provide visual guidance and tips for breastfeeding
Talk to other moms: Learning about their breastfeeding journeys can provide you with practical tips and support
2. Connect with a Lactation Consultant
A lactation consultant is a breastfeeding expert who can help you navigate challenges or questions about breastfeeding. Consider meeting with one during pregnancy to:
Get a personalized plan: They can give advice on positioning, feeding schedules and what to expect in the early days
Find local resources: Your pediatrician’s office may have a lactation consultant to help you after delivery (click here to find a pediatrician)
Identify any potential issues early: If you have medical conditions or are concerned about breastfeeding, a lactation consultant can help address these concerns before your baby arrives
3. Prepare Your Body for Breastfeeding
Your body will naturally change to support breastfeeding, but here are some tips to ensure you’re physically ready:
Breast care: You don’t need to do anything special, but keeping your nipples clean and avoiding harsh soaps that could dry them out can help prevent irritation
Nipple shape: Some women have inverted or flat nipples; if you’re concerned about how this might affect breastfeeding, talk to your doctor or lactation consultant for tips like using breast shells or doing nipple exercises
Breast pumps: While not always necessary at the beginning, it’s helpful to familiarize yourself with how breast pumps work; if you’re planning to return to work or will need to be away from your baby for long periods, a pump can help maintain your milk supply
4. Plan for the First Few Weeks
The first few weeks are critical for establishing your milk supply and getting into a good breastfeeding rhythm. Here’s how to prepare:
Skin-to-skin contact after birth: Plan to have immediate skin-to-skin contact with your baby after delivery; this helps trigger your milk production and encourages your baby’s natural instinct to latch
Rooming in with your baby: Keep your baby in your hospital room as much as possible so you can feed frequently and respond to their hunger cues
Learn baby’s hunger cues: Watch for early hunger signs like rooting (turning their head and opening their mouth), sucking on their hands, or smacking lips; feeding on demand helps establish your supply and keeps your baby well-fed
5. Build a Support System
Breastfeeding can be challenging—especially in the early days—so having a strong support system is key to long-term success.
Involve your partner: Share breastfeeding resources with your partner and help them understand how they can support you; they can help by bringing the baby to you, making you comfortable and encouraging you to take care of yourself
Seek out a support group: Look for local breastfeeding support groups or online communities where you can share experiences, ask questions and get advice from other mothers
Prepare for challenges: Be ready for potential hurdles like latch issues, sore nipples, or low milk supply, and know that help is available; reaching out early for support can prevent small issues from becoming big challenges
6. Stock Up on Breastfeeding Essentials
Having the right tools on hand can make breastfeeding more comfortable and convenient:
Nursing bras and tops: Invest in comfortable, easy-access bras and tops for breastfeeding
Nursing pillows: A nursing pillow can help position your baby at the right height for breastfeeding, reducing strain on your back and arms
Breast pads: Keep some disposable or washable breast pads handy to absorb any leaks between feedings
Nipple cream: Many new mothers experience nipple soreness; applying a lanolin-based cream can help soothe and heal any irritation
7. Be Patient and Flexible
Breastfeeding is a learned skill for both you and your baby, so it’s normal for it to take time and practice. Keep these points in mind:
Frequent feedings: Newborns often feed every 2-3 hours; frequent feedings in the early days are normal and help build your milk supply
Growth spurts: During growth spurts, babies often want to feed more frequently; this is temporary but important for increasing your milk supply
Don’t compare yourself: Every breastfeeding journey is different so it’s important to focus on what works best for you and your baby
8. Know When to Get Help
Early intervention can make a huge difference. If you experience any of the following, reach out to your healthcare provider or a lactation consultant:
Difficulty getting baby to latch properly
Painful nursing sessions that don’t improve
Concern about milk supply (too much or too little)
Engorgement, clogged ducts, or mastitis
9. Take Care of Yourself
Caring for yourself is critical to successful breastfeeding:
Stay hydrated and eat well: Breastfeeding can make you thirsty and hungry, so drink plenty of water and eat a balanced diet rich in nutrients
Rest when you can: Breastfeeding and caring for a newborn can be exhausting, so try to sleep when your baby sleeps and don’t hesitate to ask for help with other tasks
Manage stress: Staying calm and relaxed helps with milk letdown; try deep breathing, listening to calming music, or asking for support if you feel overwhelmed
Final Thoughts
Breastfeeding can be a rewarding experience, but it’s important to be prepared and to know that help is available when you need it. By educating yourself, building a support system and practicing patience, you’ll give yourself the best chance for a successful and fulfilling breastfeeding journey.
Remember, every mother’s journey is unique. Do what works best for you and your baby, and know that your healthcare provider and lactation consultant are there to support.
We wish you and your baby a healthy and happy breastfeeding experience!
What You Need to Know About Syphilis During Pregnancy
What You Need to Know About Syphilis During Pregnancy Syphilis is a serious sexually transmitted infection (STI) that can affect anyone, but it poses unique and significant risks during pregnancy. It’s important for pregnant women to understand what syphilis is, how it can impact their health and their baby’s, and why it’s important to be aware of the risks in South Georgia.
What is Syphilis?
Syphilis is caused by a bacteria called Treponema pallidum. It’s primarily spread through sexual contact with an infected person. The disease progresses through different stages if left untreated: primary, secondary, latent and tertiary. Early detection and treatment are critical, especially during pregnancy, because untreated syphilis can cause serious health problems for both you and your baby.
Stages of Syphilis:
Primary Syphilis: Usually marked by a painless sore (or sores) called a chancre at the site of infection; it can appear anywhere from 10 to 90 days after exposure
Secondary Syphilis: Symptoms may include skin rashes, swollen lymph nodes, fever and mucous membrane lesions (this stage can occur weeks after the primary sore heals)
Latent Syphilis: In this stage, the infection is still in the body but there are no visible symptoms
Tertiary Syphilis: If left untreated for years, syphilis can cause severe damage to organs, including the heart, brain and nerves
Why Is Syphilis a Concern During Pregnancy?
If syphilis is left untreated, it can cause congenital syphilis, which means the infection is passed from mother to baby during pregnancy. Congenital syphilis can lead to serious complications for the baby, including:
Miscarriage or stillbirth
Premature birth
Low birth weight
Severe birth defects, such as deformed bones, hearing loss, or blindness
Developmental delays or seizures
Early treatment with antibiotics, such as penicillin, can prevent these complications—making early detection crucial.
The Unique Risks of Syphilis in South Georgia
Certain regions, including South Georgia, have seen higher rates of syphilis compared to the rest of the country. These elevated rates are a result of various factors, including limited access to healthcare, higher levels of poverty, and lower rates of syphilis testing and treatment in some communities.
Why is Syphilis More Prevalent in South Georgia?
High rates of syphilis in the community: This increases the risk of transmission
Limited access to healthcare: Some areas in South Georgia have fewer healthcare resources, which may result in delayed or less frequent prenatal care
Lower testing rates: Routine STI testing, including syphilis screening, may not be as widespread in certain areas
Stigma and lack of awareness: There may be less open conversation about sexual health and syphilis, leading to fewer people seeking testing and treatment
Given these regional factors, it’s particularly important for pregnant women in South Georgia to be vigilant about syphilis testing and prevention.
How to Protect Yourself and Your Baby
It’s important to consider a few key steps, especially if you live in an area where the infection is more common.
1. Get Tested Early and Often
Routine testing: The CDC recommends that all pregnant women get tested for syphilis at their first prenatal visit; in high-risk areas like South Georgia, additional testing may be recommended later in the pregnancy
Test at delivery: It is often recommended to take another syphilis test before delivery to ensure the baby is not at risk
2. Practice Safe Sex
Use condoms during sexual activity to reduce the risk of contracting syphilis
Know your partner’s status: If your partner has syphilis or another STI, make sure they get treated to prevent transmission
3. Seek Prenatal Care Early
Early and consistent prenatal care is essential to monitor your health and the health of your baby; your healthcare provider will check for syphilis and other infections that could impact your pregnancy
4. Get Treated if Necessary
If you test positive for syphilis, treatment is available: Penicillin is the most effective treatment for syphilis during pregnancy and can prevent complications, but it’s crucial to complete the entire course of treatment as prescribed by your healthcare provider
Symptoms of Syphilis to Watch For
Sometimes, syphilis doesn’t show clear symptoms, especially in the early stages. If you notice any of the following signs, contact your healthcare provider right away:
Painless sores or ulcers in the genital area, mouth, or anus
Rash on the palms of your hands, soles of your feet, or other areas of the body
Fever, fatigue, or swollen lymph nodes
Sores or unusual discharge in the genital area
Remember, syphilis can be asymptomatic, meaning you may have the infection without any noticeable symptoms, so regular testing is critical.
Conclusion: Stay Safe, Stay Healthy
Syphilis is a serious concern, particularly during pregnancy, but with early detection, treatment and preventive care, you can protect yourself and your baby from its harmful effects. If you live in South Georgia, where syphilis rates are higher, it’s especially important to stay informed, get tested regularly, and communicate openly with your healthcare provider. By taking these steps, you’ll be on your way to a healthy pregnancy and a healthy baby.
If you have concerns or need more information about syphilis, contact your healthcare provider for testing, treatment and support.
High Blood Pressure in Pregnancy: What You Need to Know
High Blood Pressure in Pregnancy: What You Need to Know High blood pressure during pregnancy, also known as hypertensive disease, can lead to complications for both mother and baby. It’s important to understand what these conditions are, how they can affect you, and what you can do to manage them.
1. What Are Hypertensive Diseases of Pregnancy?
Hypertensive diseases are a group of conditions that involve high blood pressure during pregnancy. There are four main types:
Chronic Hypertension: High blood pressure that you had before becoming pregnant or that develops before 20 weeks of pregnancy
Gestational Hypertension: High blood pressure that develops after 20 weeks of pregnancy and is not associated with protein in the urine
Preeclampsia: A condition that develops after 20 weeks and involves high blood pressure along with signs of damage to other organs, like the liver or kidneys. It can lead to serious complications if not treated
Eclampsia: A severe form of preeclampsia that can cause seizures in the mother
2. Why is High Blood Pressure Dangerous During Pregnancy?
High blood pressure puts extra strain on your heart and blood vessels, which can lead to serious complications for both mother and baby, including:
Reduced blood flow to the placenta, which can cause the baby to receive less oxygen and nutrients
Preterm birth (giving birth before 37 weeks) or low birth weight
Placental abruption, where the placenta separates from the wall of the uterus too early, which can cause heavy bleeding
Damage to the mother’s organs, such as the kidneys, liver and brain
3. What Are the Symptoms of Preeclampsia?
Preeclampsia can develop quickly so it’s important to recognize the warning signs:
Severe headaches
Vision changes, like blurring or seeing spots
Swelling in your hands, feet, or face (especially sudden or severe swelling)
Upper right belly pain (under your ribs)
Sudden weight gain (more than 2-3 pounds in a week)
Nausea or vomiting in the second half of pregnancy
Difficulty breathing or shortness of breath
If you experience any of these symptoms, contact your healthcare provider right away.
4. Who is at Risk for Hypertensive Diseases of Pregnancy?
Certain factors increase your risk for high blood pressure during pregnancy, including:
First-time pregnancy (preeclampsia is more common in first pregnancies)
Previous history of preeclampsia or chronic hypertension
Carrying multiples (twins, triplets)
Obesity or being overweight
Being older than 35 years
Family history of preeclampsia or hypertension
Pre-existing health conditions, such as diabetes, kidney disease, or autoimmune disorders
5. How is High Blood Pressure Managed During Pregnancy?
Depending on the type and severity, your healthcare provider may recommend:
Frequent monitoring: More regular prenatal visits to check your blood pressure, urine and the health of your baby
Medications: Safe blood pressure medications may be prescribed to help control hypertension
Rest and lifestyle changes: Reducing stress, resting on your left side to improve blood flow and possibly limiting salt intake can help manage symptoms
Delivering early: In severe cases, especially with preeclampsia, your healthcare provider may recommend delivering your baby early to prevent complications
6. Can I Prevent Hypertensive Diseases During Pregnancy?
While not all cases can be prevented, you can lower your risk by:
Attending all prenatal appointments to monitor your blood pressure
Maintaining a healthy weight before and during pregnancy
Eating a balanced diet with plenty of fruits, vegetables and lean proteins
Staying active with gentle exercises, like walking or swimming (unless your doctor advises otherwise)
Managing stress through relaxation techniques like yoga or deep breathing
Avoiding smoking, alcohol and other harmful substances
7. What Happens if I Develop Preeclampsia?
If you develop preeclampsia, your doctor will monitor you closely, checking your blood pressure, kidney function and the health of your baby. If it becomes severe, your healthcare provider may:
Hospitalize you to manage your blood pressure and monitor you more closely
Administer medications to help control blood pressure and prevent seizures (like magnesium sulfate)
Plan for an early delivery if the condition worsens, especially if you’re past 34 weeks;
in mild cases, you may be able to continue your pregnancy with close monitoring
8. Will My Blood Pressure Return to Normal After Pregnancy?
In most cases, gestational hypertension and preeclampsia go away after delivery, but it’s important to monitor your blood pressure in the weeks following birth. Chronic hypertension may require ongoing treatment after pregnancy.
If you had preeclampsia, you are at a higher risk for future cardiovascular diseases, so it’s important to adopt heart-healthy habits like regular exercise, maintaining a healthy weight and avoiding smoking.
9. What Should I Do If I Have Concerns About My Blood Pressure?
If you’re concerned about your blood pressure or are experiencing symptoms like headaches, swelling, or vision changes, contact your healthcare provider immediately. It’s always better to get checked than to wait because early detection and treatment can prevent complications.
Final Thoughts
Hypertensive diseases during pregnancy can be serious, but with early detection and proper management you and your baby can stay healthy. Be sure to attend all prenatal
appointments for and follow your doctor’s advice. If you have more questions or need support, contact your healthcare provider for guidance and personalized care.
Take care of yourself, and remember that your health and your baby’s health are the top priorities.
We're here for you
With each visit, we’ll work together to make sure you and your baby stay on track for a healthy, happy pregnancy. If you have questions or need to schedule an appointment, don’t hesitate to reach out—we’re always here to answer your questions and provide the support you need.
