The Importance of Safely Using Medication While Pregnant

Medication safety during pregnancy is important due to the potential risks to fetal development. While the majority of pregnant women use pregnancy-safe medications, a significant 28% use potentially risky medications. Understanding medication safety is crucial to avoid exposing the fetus to harmful substances that could affect its development.

Medication Safety Principles:

• Consult Healthcare Providers: Always consult with a health care provider before taking any medication to ensure it is safe and necessary.
• Understand Medication Risks: Be aware of the risks associated with medications, which can vary by pregnancy stage.
• Minimize Medication Use: Opt for the lowest effective dose and consider non-pharmacological treatments for mild symptoms.
• Monitor Treatment: Regular check-ups are important to monitor the effects of any medication taken during pregnancy.
• Stay Informed: Understanding both the risks and benefits of medications allows for informed decision-making.

It’s important to always discuss medication use with a health care provider to ensure safety of maternal and fetal health.

Safe Medications Available Without Prescription

Navigating the meds you can take during pregnancy can be challenging, especially when it comes to over-the-counter (OTC) options. However, certain non-prescription medications are considered safe to use during this critical time, helping to alleviate common illnesses without compromising maternal or fetal health.

Pain Relief

When it comes to managing pain during pregnancy, it’s important to choose meds that are safe for both the mother and the developing fetus. Here is a list of medications you can take while pregnant for pain:

Safe Medications:

• Acetaminophen (Tylenol): Widely recommended as the safest option for pain relief during pregnancy. It can be used to help manage headaches, mild body aches, and fever.

Medications to Avoid:

• Aspirin (Anacin, Bayer): Generally advised against during pregnancy, especially in the third trimester, as it may cause complications like premature closure of the fetal ductus arteriosus and inhibit labor. Your provider might recommend a daily mini dose of aspirin if you have certain risk factors to decrease your risk for high blood pressure later in pregnancy.
• Ibuprofen (Advil, Motrin): Belongs to the NSAIDs category, which can lead to issues such as reduced amniotic fluid and potential heart problems in the fetus if taken during the third trimester.

It’s crucial to consult with a health care provider before taking any medication, even those that are over-the-counter, to ensure they are safe for your specific stage of pregnancy and health condition.

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Digestive

Dealing with digestive issues during pregnancy is common, and there are several safe medications and home remedies that can help soothe discomfort:

Safe Medications:

• Antacids (Tums, Rolaids, Mylanta, Maalox, Pepcid, Prevacid): These are effective for neutralizing stomach acid and relieving heartburn and indigestion.
• Simethicone (Gas-X, Mylicon): This medication can help reduce bloating and discomfort from gas.

Home Remedies:

• BRAT diet (bananas, rice, applesauce, toast, or tea): This is a gentle diet recommended for nausea or diarrhea. These foods are bland and easy on the stomach, helping to reduce symptoms.

For more tips on managing digestive health during pregnancy and ensuring you’re getting the right nutrients, visit our article on Eating Healthy While Pregnant. This guide offers valuable advice on maintaining a balanced diet that supports both your health and your baby’s development.

Coughs and Colds

During pregnancy, managing symptoms of coughs and colds safely is crucial. Here is a list of medications you can take while pregnant for a cough or cold:

Safe Medications:

• Guaifenesin (Robitussin®): An expectorant that helps loosen mucus.
• Guaifenesin plus dextromethorphan (Robitussin-DM®): Combines an expectorant and a cough suppressant to relieve coughing.
• Cough drops: Generally safe and helpful for soothing throat irritation.
• Vicks VapoRub®: Can be applied to the chest and throat to relieve cough symptoms.
• Acetaminophen (Tylenol): Safe for reducing fever and relieving minor aches associated with colds.

For more information on managing flu and cold symptoms during pregnancy, refer to our guide on Flu Shots.

Allergy Relief

Allergies can be particularly bothersome during pregnancy. Here are safe options to relieve allergy symptoms:

Safe Medications:

• Diphenhydramine (Benadryl): Effective for treating allergy symptoms and is safe during pregnancy.
• Loratadine (Claritin): A non-drowsy antihistamine that helps relieve allergy symptoms.
• Cetirizine (Zyrtec): Another non-drowsy antihistamine considered safe during pregnancy.
• Saline nasal spray: Helps to clear nasal congestion without using medication.

Constipation

Constipation is a common issue during pregnancy due to hormonal changes and the pressure of the growing uterus. Here are some safe medications and remedies:

Safe Medications:

• Fiber supplements (Metamucil®, MiraLax®, Citrucel®, BeneFiber®): These supplements add bulk to stools, making them easier to pass.
• Laxatives (Colace®, Dulcolax®): Stool softeners and mild laxatives that are generally safe to use during pregnancy.

Maintaining a high-fiber diet, staying hydrated, and regular physical activity can also help relieve constipation during pregnancy.

Prescription Medications Safe for Pregnancy

Always consult a health care provider before taking any prescription medications during pregnancy to ensure they are safe for both the mother and the baby. While some prescriptions are generally considered safe, individual health needs can vary, making professional guidance crucial.

Common Safe Prescription Medications

Here are some commonly prescribed medications that are generally considered safe during pregnancy:

Antibiotics 

Certain antibiotics are safe to use during pregnancy and can be prescribed for bacterial infections. These include:

• Penicillin, Amoxicillin, and Augmentin: Commonly used to treat infections such as strep throat and urinary tract infections.
• Cephalosporins: Such as cefaclor and cephalexin, are safe options for treating a variety of bacterial infections.

Prenatal Vitamins 

Prenatal vitamins are crucial for a healthy pregnancy. They help ensure that the mother and baby receive essential nutrients, including:

• Folic Acid: Helps prevent neural tube defects and is vital for the development of the baby’s brain and spinal cord. The recommended daily intake is 400-800 micrograms.
• Iron Supplements: Necessary to prevent anemia, support the baby’s growth, and ensure a healthy pregnancy. Pregnant women typically need about 27 milligrams of iron daily.

Other Medications 

Depending on individual health needs, other medications may be prescribed by health care providers. These can include:

• Antidepressants: Certain SSRIs (selective serotonin reuptake inhibitors) such as sertraline (Zoloft) are considered relatively safe for managing depression and anxiety during pregnancy.
• Thyroid Medications: Levothyroxine is commonly prescribed to treat hypothyroidism during pregnancy.
• Diabetes Medications: Insulin is the preferred treatment for managing diabetes during pregnancy, as it effectively controls blood sugar levels without harming the fetus.
• Macrobid (Nitrofurantoin): Macrobid is commonly prescribed to treat urinary tract infections (UTIs) during pregnancy. However, it is generally recommended to avoid its use during the first and third trimesters due to potential risks to the baby.

The safety of medications can depend on various factors, including dosage, timing, and individual health conditions.

Medications to Avoid During Pregnancy

Certain medications should be avoided during pregnancy due to potential risks to the developing fetus. Here are examples of medications to avoid and the reasons why:

Pain Relief

NSAIDs (Ibuprofen, Naproxen)

• Ibuprofen (Advil, Motrin) and Naproxen (Aleve): These can cause complications like reduced amniotic fluid and heart issues in the fetus, especially if taken during the third trimester. It’s safer to use alternatives like acetaminophen (Tylenol).

Antibiotics

Tetracyclines

• Tetracycline antibiotics: These can affect the development of the baby’s teeth and bones, causing permanent discoloration of teeth and inhibited bone growth. Safer alternatives include penicillin or cephalosporins.

Other Medications

Certain Acne Medications (e.g., Isotretinoin)

• Isotretinoin (Accutane): This powerful acne medication poses a high risk of severe birth defects and should be avoided by pregnant women.

Some Herbal Supplements

• Herbal supplements like St. John’s Wort, ginkgo biloba, and ephedra can be harmful during pregnancy, potentially causing miscarriage and preterm labor. Always consult a health care provider before taking any herbal supplements.

Schedule a consultation with TrueCare for expert guidance on managing medications and prenatal care. 

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Illegal Drugs and Alcohol During Pregnancy

Using illegal drugs and consuming alcohol during pregnancy poses significant risks to both the mother and the baby, including birth defects, developmental delays, and miscarriage. Pregnant women should avoid these substances and seek help if struggling with substance abuse.

Risks Associated with Illegal Drugs

Examples of harmful illegal drugs include cocaine, heroin, methamphetamine, and marijuana. The effects of these substances on pregnancy can be severe:

Cocaine:

• Premature Birth: Cocaine use can lead to preterm labor and delivery.
• Low Birth Weight and Growth Issues: Babies exposed to cocaine in utero often have lower birth weights and smaller head sizes, which can indicate impaired brain development.
• Placental Abruption: Cocaine use can lead to placental abruption, a dangerous condition in which the placenta prematurely separates from the uterus. This can result in severe fetal and maternal hemorrhage and, in some cases, fetal or maternal death.
• High Blood Pressure: Cocaine use can cause dangerously high blood pressure during pregnancy, increasing the risk of complications for both mother and baby.
• Developmental and Cognitive Issues: Long-term exposure to cocaine in the womb may result in learning disabilities, behavioral problems, and impaired cognitive function in the child.

Heroin:

• Neonatal Abstinence Syndrome (NAS): Babies born to mothers who use heroin often experience withdrawal symptoms after birth, requiring specialized care to manage these symptoms.
• Premature Birth and Low Birth Weight: Heroin significantly increases the risk of preterm birth and low birth weight, which can lead to complications in the baby’s early development. 
• Developmental and Physical Delays: Long-term exposure to heroin during pregnancy can cause developmental delays, behavioral issues, and smaller head size in newborns. These delays can have lasting effects on the child’s physical and cognitive development.
• Stillbirth and Other Pregnancy Complications: Heroin use raises the risk of stillbirth, placental abruption (where the placenta detaches from the womb), and fetal growth restriction. These complications can lead to serious consequences, including preterm labor and premature rupture of membranes.
• Postpartum and Delivery Risks: Mothers who use heroin face an increased risk of postpartum hemorrhage and low amniotic fluid levels, which can complicate both labor and recovery.

Methamphetamine:

• Birth Defects: Methamphetamine use may increase the risk of severe congenital disabilities, including heart and brain abnormalities, which can have long-term health implications for the baby.
• Growth Restriction and Low Birth Weight: Babies exposed to methamphetamine in the womb often experience restricted growth, leading to lower birth weights. Meth use is also linked to additional complications such as placental abruption, high blood pressure during pregnancy, and stillbirth.
• Preterm Birth and Infant Death: The risk of preterm birth is heightened with methamphetamine use, which can lead to complications in the baby’s development. In some cases, meth exposure has been associated with infant death shortly after birth.
• Withdrawal and Behavioral Problems: Babies born to mothers who used methamphetamine may experience withdrawal symptoms after birth. Long-term effects can include attention deficit disorders, learning difficulties, and other behavioral challenges as the child grows.

Marijuana:

• Low Birth Weight and Growth Issues: Marijuana use is associated with lower birth weights, and regular use during pregnancy may also lead to smaller length and head size in newborns. These growth restrictions can contribute to various health complications after birth.
• Preterm Birth and Stillbirth: Regular marijuana use may increase the likelihood of preterm birth and stillbirth, posing serious risks to the baby’s survival and development.
• Developmental Issues: Exposure to marijuana during pregnancy may affect the baby’s developing brain, leading to long-term issues with attention, memory, and problem-solving skills. Some research even suggests a link to an increased risk of autism in children exposed to marijuana in utero.
• Mild Withdrawal Symptoms: Babies born to mothers who used marijuana regularly during pregnancy may exhibit mild withdrawal symptoms after birth, though these are generally less severe compared to other substances.
• Placental and Blood Pressure Risks: Marijuana use can also increase the risk of placental abruption and high blood pressure during pregnancy, further complicating the pregnancy and delivery process.

Alcohol:

• Fetal Alcohol Spectrum Disorders (FASDs): Consumption of alcohol during pregnancy can lead to a range of disorders characterized by physical, behavioral, and learning problems.
• Miscarriage and Stillbirth: Alcohol increases the risk of pregnancy loss.
• Growth Defects: Babies exposed to alcohol in utero may have growth restrictions and facial abnormalities.

Guidance on Seeking Help:

If you or someone you know is struggling with substance use during pregnancy, it is crucial to seek help immediately. There are various resources and support systems available, including:

• Healthcare Providers: Consult your doctor or a health care professional who can provide guidance and support.
• Support Groups: Join groups for pregnant women dealing with substance abuse, such as those offered by local community centers or hospitals.
• Rehabilitation Programs: Look for specialized programs that cater to pregnant women, offering medical and psychological support tailored to their needs.

By seeking help and support, pregnant women can improve their health outcomes and ensure a healthier start for their babies.

General Tips for Medication Use During Pregnancy

Using medications safely during pregnancy is essential. Here are some tips:

1. Consult Healthcare Providers: Always talk to your doctor before taking any medication.
2. Read Labels: Check for warnings and active ingredients related to pregnancy.
3. Follow Dosages: Use medications exactly as prescribed.
4. Avoid Self-Medication: Don’t take medications based on advice from non-professionals.
5. Keep a Medication List: Track all medications and share this with your health care provider.
6. Seek Alternatives: Use non-medication treatments when possible.
7. Stay Informed: Keep updated with the latest guidelines from reliable sources.

For additional support, consider joining our Virtual support groups.

TrueCare’s Pregnancy and Maternal Health Services

TrueCare offers comprehensive services for expectant mothers, including:

• Prenatal Care: Regular check-ups and monitoring.
• Nutritional Counseling: Diet guidance for a healthy pregnancy.
• Behavioral Health Services: Support for mental health.
• Education and Resources: Classes on childbirth, breastfeeding, and newborn care.

Schedule a consultation with TrueCare for personalized advice on medication use and more. Learn about our Pregnancy & Prenatal Care services and ensure a healthy pregnancy for you and your baby.

DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE

The information, including but not limited to, text, graphics, images, and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you read on this website.

The post List of Medications You Can Take While Pregnant appeared first on TrueCare.

A doula is a multifaceted professional who works with expectant persons and their partners, with a focus on a family’s life during the sensitive period when support makes the most difference and creates long-term positive experiences. Trained and experienced in providing emotional support, physical comfort, and non-clinical advice, doula’s act as a coach and confidante before, during, and after childbirth to help achieve a healthy and satisfying birthing experience.

What is the Difference Between a Doula and a Midwife?

Midwives are health care providers who are trained to oversee low-risk pregnancies, labor, and birth. As registered nurses, they can provide obstetric and gynecological services, conduct exams, and help with common gynecological concerns such as sexually transmitted infections, urinary tract infections, or yeast infections. Midwives also support birthing people during labor and in the postpartum period with breastfeeding and birth control.

A doula is not the same as a midwife. Doulas typically do not have formal training in the medical field and are not medical providers. The doula is a professional labor and birth attendant who is specifically trained to provide the birthing person and any associated family, if participating, with education, physical comfort, emotional reassurance and encouragement throughout the labor, birth, and postpartum process. They are not trained to deliver babies or care for the birthing family in any medical capacity.

Does a Doula Give Medical Advice?

Doulas do not perform medical tasks, give medical advice, or make decisions for the family as they are not trained medical professionals. The doula acts as a companion, coach, and provider of objective information to help the expectant parent make informed decisions in conjunction with their health care providers.

The doula further breaks down and explains information provided by the hospital and clinic staff into terms that the birth person and family can understand. Doulas encourage the birthing person to ask the provider questions about any information they do not understand. For example, the doula may describe a procedure and why it is done, clarify the procedure’s risks and benefits, and identify alternatives. A doula will not try to influence the mother’s decision regarding the birthing procedure. A doula never contradicts a health care provider but ensures the parent-to-be fully understands the medical direction being given and offers guidance on the birth plan if there are personal expectations about what will happen.

What Does a Doula Do?

Doulas guide expectant persons through the intimate and transformative experience of having a baby. If a partner is involved, that support person is included in the process. Doulas serve as an unbiased, nonjudgmental resource, pointing pregnant persons toward evidence-based information to help them stay informed and empowered throughout pregnancy and birth. In addition, doulas offer guidance and community resources regarding maternal self-care, lactation, and other issues pertinent to healthy parenting through the first six weeks postpartum.

In general, doulas focus on four primary areas:

1. Information – Providing prenatal and postpartum resources and referrals related to labor and birth.
2. Communication – Fostering positive communication with doctors, midwives and nurses, supporting informed decision making, and helping women advocate for themselves.
3. Emotional Support – Using relaxation techniques and encouragement to create a calm birth environment.
4. Hands-on Support – Assisting with walking, breathing and position changes, providing breastfeeding support, and utilizing natural options, such as massage, to relieve stress and anxiety.

Some doulas focus on specific areas and can perform different roles depending on your needs. “Full spectrum” doulas can provide support to people during the entire pregnancy, from birth to abortion or miscarriage or adoption. This concept highlights how doulas provide support regardless of pregnancy outcome. Full spectrum doulas have knowledge and training and can take on diverse client needs.

Antepartum doulas offer professional, compassionate doula support to families that are experiencing a difficult pregnancy, an otherwise healthy pregnancy with overwhelming variables, or one that comes with medically directed limitations. Doula support can include assistance with daily household tasks.

Labor or birth doulas provide continuous care during labor and act as advocates for the family. They may assist in communicating with medical staff for the patient to make informed decisions.

Postpartum doulas support new parents during the first few weeks after birth by caring for and feeding the baby and performing household tasks. A postpartum doula is not a nanny or a baby nurse. They have knowledge about postpartum recovery, breastfeeding, and newborn care.

When Should I Use a Doula?

Enlisting a doula is a personal choice that depends on your birth plan, prenatal education, and medical birth team. There is no wrong time to enlist a doula, as they can be helpful at any stage of pregnancy!

In the prenatal stage, doulas can:

• Meet with you during the second or third trimester to get acquainted.
• Teach relaxation and breathing skills.
• Answer questions about the birthing process.
• Explain labor and delivery procedures and possible complications.
• Help you develop a birth plan.

During labor, some doulas can stay by your side to provide comfort and support while involving and reassuring the partner, if present. The doula will also help with:

• Relaxing and resting using gentle massage and touch.
• Getting into comfortable positions.
• Getting sufficient nutrition and fluids.
• Communicating your preferences to the medical staff.

In the postpartum stage, a doula can provide support, education, and encouragement through:

• Teaching you how to care for the new baby, including the partner, if involved.
• Providing breastfeeding education.
• Ensuring you get plenty of rest.
• Making sure you eat regularly, stay hydrated, and are comfortable.
• Teaching older siblings how they can help you.

Your doula will also make sure you think of post-delivery considerations, such as creating a postpartum plan and discussing feeding goals for the infant.

What Are the Benefits of a Doula?

Research conducted over 20 years shows that doulas can positively impact many areas of the birth process, especially for women in in the most vulnerable populations and respecting communities.

Clinical Benefits can include:

• 50% reduction in the cesarean rate
• 25% shorter labor
• 60% reduction in epidural requests
• 40% reduction in Pitocin (synthetic oxytocin) use
• 30% reduction in analgesia use
• 40% reduction in forceps delivery
• 9% decrease in pain medication use
• 34% less likely to rate their childbirth experience negatively
• Better APGAR scores for baby

The benefits of a doula go far beyond what happens before or during delivery.

Doulas help pregnant women:

• Understand medical information from their provider
• Communicate better with the medical team
• Adhere to medication and crucial lifestyle changes for preventative measures
• Adopt healthy coping mechanisms
• Feel empowered to ask questions and self-advocate for their care and their babies care

Doulas provide emotional support:

• Decreased anxiety
• Increased confidence
• Boosted self-esteem
• Improved postpartum mental health
• Family bonding and support for partners and siblings
• Offers relaxation techniques, encouragement, and a calm environment.

Doulas provide physical support:

• Increased movement
• Improved relaxation
• Comfort and reassurance
• Lactation support

How to Find a Doula

Doulas usually aren’t members of a hospital staff. Asking your doctor, friends, and family members for recommendations can usually provide good sources to choose from. Before selecting a doula, meet with the candidate to ask questions such as:

• What is your training, certification, and experience?
• How many clients do you take a month?
• What does prenatal and postpartum doula care look like for you?
• How many births have you attended?
• Do you have a backup or mentor that supports you?
• How much do you charge?

As of January 1, 2023, doula services were added as a Medi-Cal benefit to members on Medi-Cal insurance.

TrueCare offers doula services at low- to no-cost to all patients enrolled in the health center’s prenatal program, including those with Medi-Cal or private insurance as well as self-paying patients.

Most private insurance plans don’t cover doula services, so you may have to pay out of pocket. Choose a doula who’s knowledgeable, whose rates you can afford, and whom you like and trust.

TrueCare Doula Services

Doulas have typically been accessible only to women who can afford the additional out-of-pocket cost. However, a growing body of evidence has highlighted the value that doulas bring to care teams and care coordination.

As part of TrueCare’s commitment to reducing maternal and infant mortality rates, TrueCare received a $2 million dollar grant to provide doula services to build a doula program for San Diego communities. TrueCare is the only health center in Southern California to receive this grant, reinforcing the organization’s mission of providing comprehensive, affordable, and culturally sensitive health care options.

“As a person-focused health center with integrated women’s health services and a comprehensive offering for quality physical and mental health care, we are excited to be a systemic force in bettering pregnancy experiences and health outcomes for both moms and babies,” said TrueCare Chief Medical Officer / Chief Operations Marie Russell, MD.

TrueCare’s doula services put community at the center. Individuals that represent the populations we serve are trained to become doulas and provide pregnancy, birth and postpartum support to individuals and families from their community. Our model is designed to connect pregnant families to dignified doulas in their community who are trained and financially compensated to provide doula support. In addition to providing support, doulas are also supported by mentors who offer guidance as needed and organize ongoing training development tailored to serve their needs. TrueCare’s doula model encourages compassion, cultural and linguistic understanding, and community support.

Doula services at TrueCare can include:

• Creating a birth plan and postpartum plan
• Outlining birthing experience wishes
• Alleviating fears and concerns about pregnancy, labor and delivery, and beyondv
• Providing support through the postpartum transition
• Teaching birthing persons and their support team (if involved) coping techniques
• Having dedicated visits to offer tools and techniques for the birth support person to empower them for the big event!
• Providing emotional support at every stage of pregnancy and after
• Discussing feeding goals and ways to attain them
• Discussing nutrition for mom and baby

To enjoy a special kind of prenatal and postpartum comfort and guidance, ask about TrueCare’s doula services. TrueCare offers a wide-range of health care services, including dedicated Women’s Health centers and comprehensive Pediatric Care for a healthy start to life.

Additional Resources:
Dona International
International Childbirth Education Association
What To Expect.com
International Doula Institute
Cochrane

DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE
The information, including but not limited to, text, graphics, images, and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you read on this website.

The post What Is a Doula and Why Pregnant Families Should Know appeared first on TrueCare.

As a new mom, there is a lot going on after your baby arrives. You spend almost every waking moment caring for your newborn, which makes taking time for yourself difficult.

As hard as it might be at times, we encourage moms to make sure they at least schedule and make it to their postpartum checkups. These medical checkups are to make sure you’re recovering well from labor and delivery, and adjusting to all the changes a new baby brings. Even if you’re feeling fine, this is an important part of your overall pregnancy care.

Self-care for Postpartum Depression

Diet – It is important for new mothers to continue their well-balanced pregnancy diet, which should include whole grain breads, cereals, fresh fruit, vegetables, protein, and dairy products. Drinking 8-10 glasses of liquids a day is also recommended. If breastfeeding, it is advised to add one additional milk serving daily. It is best to limit drinks like coffee, teas, sodas, or other caffeinated drinks, and to avoid alcohol while breastfeeding.

Breast Care – Proper breast care is essential for nursing mothers. It is recommended to wash your hands before nursing and clean your breasts with only water. If you have sore nipples, make sure you have a proper positioning/latch. A little of your own breast milk or lanolin rubbed in after each feeding will help symptoms resolve. If you need additional assistance with breast care related to nursing, lactation professionals are available to help.

If you need additional assistance with nursing, TrueCare offers virtual breastfeeding support groups. If you are a WIC member, call our Breastfeeding Helpline at (888) 477-6333 (7:30am-4:30pm, Mon-Fri).

Cesarean Birth – If you have had a cesarean birth, you will see a clinician approximately one week after delivery. In the meantime, it is important to keep your incision clean and dry and avoid scrubbing it. Washing with soap and water is okay.

TrueCare’s Dr. Eimaneh Mostofian adds, “I highly recommend avoiding any type of cleaning products, soaps, hydrogen peroxide, alcohol on the skin to clean the incision. Effectively, leaving the incision alone and keeping it covered and supported by placing a peri-pad over the incision is sufficient. If you start to notice a separation, excessive moisture, a foul smell, or bleeding from the incision site, please call your provider.”

Bleeding – After giving birth, you will have a menstrual type bleeding called “lochia.” It is similar to a heavy period the first few days. The flow will become lighter, and its color will change from red/brown to light pink to yellow. It is recommended to rinse around your vagina every time you use the toilet. Do not put anything in your vagina, not even a tampon, until you have been seen for your postpartum exam.

Stitches – If you have stitches and they are uncomfortable, warm showers and baths are soothing. You may also take Tylenol or Motrin/Ibuprofen every 4-6 hours. If you experience severe or constant pelvic/abdominal pain, please call your provider.

Hemorrhoids – If hemorrhoids are bothering you, you may put Tucks pads on your hemorrhoids. Adequate fluid and fiber intake, as well as walking, will help you avoid constipation. If you have a bathtub, soaking in a hot bath can help too.

After Birth Pains – You may notice cramps as the uterus returns to normal size. If they are uncomfortable, taking Tylenol or Motrin/Ibuprofen every 4-6 hours will help with the pain. If you experience severe or constant pelvic/abdominal pain, please call your provider.

Emotional Changes – Many new mothers feel emotional and may feel like crying one minute and laughing the next. Physical changes and lack of sleep can make this more difficult. It is important to set aside some time for yourself and try to relax with a bath, reading, or meditation/journaling. Allowing friends and relatives to help you so that you can get plenty of rest is also recommended. If you feel your emotional changes are troublesome to you, or if you need to talk to someone, please call your provider.

Rest – It is important to rest whenever the baby rests. Getting help so someone else can do the housework, cooking, and shopping is recommended. After two (2) weeks, you may start walking 15-20 minutes a day for exercise. Do not pick up anything heavier than your baby until you have your six (6) week postpartum exam.

Bottle-Feeding Mothers – If you choose to bottle-feed your baby, avoid any stimulation to your breast and wear a properly fitted bra. Apply ice packs if breasts are full or engorged. You may also take Tylenol or Motrin/Ibuprofen every 4-6 hours for discomfort. It may take 3-5 days for your milk to dry up; but it is not unusual for it to take up to 10 days. Medication is not needed for milk to dry up. We do not encourage pumping if you choose to exclusively formula-feed your baby, as this will only cause you to produce more milk.

When to call your provider:

• If you develop a temperature of 100.4 or greater.
• If you are saturating two (2) pads in an hour.
• If you are having trouble urinating.
• If you are having difficulty breastfeeding or if you have painful red lumps in your breast.
• If you have strong abdominal pain that is not better after taking Ibuprofen.
• If you have foul smelling vaginal discharge or discharge from your stitches.
• If your cesarean incision appears red, has discharge and/or is getting more painful.

Is it the Baby Blues or Postpartum Depression?

The baby blues may start within a few days of giving birth and fade away after the first 2 weeks. New mothers may feel weepy, drained, anxious, irritable, and overwhelmed.

Up to 20% of new mothers may have feelings of hopelessness, inadequacy, irritability, sadness, and loneliness that last longer than a few weeks. They may also cry a lot, have trouble eating or sleeping, may not feel bonded to the baby, and may think about hurting themselves.

Many mothers may experience postpartum anxiety on its own or together with symptoms of depression. Mothers may feel nervous or have a constant worry about the baby. They may feel panicky or experience panic attacks that feel like they are losing control. They also may have repetitive thoughts of harming or harm coming to the baby. Some mothers may have had a traumatic pregnancy or birth experience that they keep re-experiencing in their mind.

Postpartum Psychosis is a rare condition often associated with an underlying mental health disorder and usually occurs within the first few weeks after birth. The mother may have severe mood swings, hallucinations, and irrational or delusional thoughts involving harming themselves or baby. Postpartum Psychosis is a serious condition that requires immediate medical attention.

Do you ever feel like this?

• Crying a lot
• Irritable, anxious, or overwhelmed
• Sleep or eating problems
• Feeling like something is just not right

If you experience any of the above symptoms, reach out for help.

TrueCare’s Women’s Health providers are here to ensure your prenatal care, labor, delivery are as healthy as they can be. That level of quality care continues after pregnancy too! Contact TrueCare for all your women’s health needs. Our providers are here for you!

Additional resource: The San Diego Postpartum Health Alliance operates a support and referral line: at (619) 254-0023 or visit PostpartumHealthAlliance.org for more information.

Resources:
National School of Healthcare Science
Centers for Disease Control and Prevention
American College of Obstetricians and Gynecologists
Cleveland Clinic

DISCLAIMER: THIS WEBSITE DOES NOT PROVIDE MEDICAL ADVICE
The information, including but not limited to, text, graphics, images, and other material contained on this website are for informational purposes only. No material on this site is intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health care with any questions you may have regarding a medical condition or treatment and before undertaking a new health care regimen, and never disregard professional medical advice or delay in seeking it because of something you read on this website.

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Benefits of  Midwifery Care

Midwives are experts in managing normal pregnancy and birth and in recognizing when complications requiring obstetrician care are needed. They focus on providing moms-to-be with physical, emotional, and psychological support throughout their pregnancies. Midwives spend more one-on-one time with each woman they care for, promoting wellness and  ensuring all questions and concerns  are addressed in pregnancy and during labor, birth and afterwards. This helps each woman feel confident in their ability to be the best mother they can be.

For moms who prefer a more natural, and holistic approach to childbearing and birth, a midwife is an excellent choice. Midwives consider pregnancy a normal event in a woman’s life, not a disease requiring medical treatment. Midwives take a comprehensive approach to prenatal care focusing on providing women with education about all the options in her care and then supporting her decisions. This may  include for example, choices about what kind of tests she may or may not want to have during her pregnancy, the use of pain medications in labor and how she wants to feed her newborn. Women are given the information they need to make the choices that are right for them.

In general, midwives are said to prepare women for the labor and delivery process better than any other care provider. The trust and confidence you build  getting to know  your midwives meant that  your needs and desires will be well understood long before you go into labor. In addition to the teaching at each prenatal visit, the TrueCare midwives will refer you to a birthing class, can help you prepare a birth plan, and find a care provider for your new baby. They can also help you get connected to  support groups with other new moms or with other women learning to breastfeed or struggling with postpartum depression.

Rest assured that the TrueCare midwives not only know when a mom-to-be needs additional medical support, they work in collaboration with the TrueCare team of board certified OB Gyns and local high risk maternal fetal medicine specialists to ensure that you get the safest care possible.

Benefits of a Midwife During Labor & Delivery

The labor and delivery process is where midwives really shine. Moms who choose midwives as their primary care provider may desire a natural, vaginal birth where few to no medical interventions are utilized unless absolutely necessary. Midwives are trained to assist moms with holistic pain management, natural relaxation techniques, optimal birthing positioning, and so much more. However, if you desire to have an epidural during labor or are in favor or certain medical interventions, midwives are prepared for that too.

The benefits of having a midwife oversee your labor and delivery also include a number of health benefits for mom and baby. A decreased cesarean rate, a lower rate of induction, a reduced rate of regional anesthesia, decreased infant mortality rates, decreased risk of preterm birth, and increased satisfaction with quality of care are just a few benefits of a midwife.

Midwives are the experts in normal birth. They recognize and use  medical intervention only when  absolutely necessary, so moms who use midwives during labor and delivery are less likely to experience unneeded interventions, such as episiotomy, birth by forceps or vacuum, and more. These medical interventions have been linked to  later health concerns, so having a midwife by your side during labor not only helps moms heal faster after delivery, but it also helps babies stay healthy in the early days and for years to come.

Benefits of a Midwife for Postpartum Care

The first few weeks as a mom can be overwhelming, to say the least. Between elation at meeting your new bundle of joy, extreme exhaustion, and rapidly changing hormones, being a new mom can be quite a whirlwind. Thankfully the ongoing support of midwifery care can help you manage all of this. TrueCare midwives offer more follow-up visits after your birth to review all the  physical, emotional, and psychological changes you are experiencing and to offer extra help for breastfeeding, postpartum depression or anxiety or any other issues that may come up. Six weeks after your baby is born your midwife can guide you through your options for birth control and family planning. All TrueCare midwives can prescribe and manage all birth control methods so that you can focus all your time and attention on your new baby without fear of a surprise pregnancy.

The benefits of a midwife are far-reaching. From the moment you find out you’re pregnant until weeks after your sweet baby is welcomed into the world, a midwife can play a big role in your life, as well as your overall health and wellness and that of your child. If you select an TrueCare midwife for your prenatal care, labor and delivery, and postpartum care, you are sure to have a great experience and feel as confident and equipped as possible when it comes to birthing your baby and becoming a mom. Get in touch with TrueCare today to find a midwife near you.

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The Importance of a Balanced and Nutritious Pregnancy Diet

Babies get the fuel to grow and develop from your nutrition. Protein is a key component of their fetal body systems, so getting a substantial amount of protein each day is a big part of proper pregnancy nutrition. Carbohydrates are an energy source for both you and baby, so making sure you’re eating enough healthy carbohydrates, like whole grains and fruit, is vital. Healthy fats play a big role in the development of baby’s nervous system, as well as for vitamin absorption. While you shouldn’t ever overdo it on fats, it’s important to consume the recommended amount of healthy fats throughout your pregnancy.

Everyone knows that weight gain is a part of pregnancy, and since you don’t want to gain too much or too little, having a well-balanced pregnancy diet is incredibly important. One of the greatest misconceptions about pregnancy nutrition is that a mother is “eating for two.” While an increase in calories should occur at a certain point, it is nowhere near double the normal amount. Most women need about 300 extra calories per day in their second and third trimesters, but those should be nutritious calories rather than empty ones.

Dos of Pregnancy Nutrition – Foods to Eat

During your pregnancy, you’ll likely get a ton of information and advice from various people about your diet during pregnancy. It’s important to take their advice with a grain of salt and consult the experts and your doctor or midwife to ensure you are consuming the best diet for you and your baby. Here are some big “dos” for your diet during pregnancy.

DO eat a balanced diet – aim for 2-4 servings of fruit, 4 servings of vegetables, 6-11 ounces of grains (at least half should be whole grains), 3 servings of protein (lean and cooked well-done), and 4 servings of dairy each day.

• Lean Meats: Important for iron and protein; especially beef, pork, chicken, and turkey
• Yogurt: Important for calcium, probiotics, and many vitamins and minerals; Greek yogurt low in sugar is the best option
• Whole Grains: Important for fiber and vitamins; oatmeal, quinoa, cereals, bread, pasta, rice
• Avocados: Important for healthy fats and multiple vitamins and minerals; also can help with leg cramps due to high potassium levels
• Leafy Greens: Spinach, kale, turnip greens, broccoli, Brussels sprouts, asparagus
• Sweet Potatoes: Important for baby’s immune system, skin, and eyes; also helps with nausea
• Nuts: Almonds, peanuts, macadamia nuts, pistachios, walnuts
• Legumes: Important for folate and fiber; lentils, beans of all kinds, chickpeas, soybeans, black beans

DO eat seafood, but in moderation. Fish is packed full of protein, iron, and omega-3 fatty acids, all of which are vital to a healthy pregnancy. While you should avoid fish high in mercury and eat no more than 12 ounces of fish a week, eating well-cooked, pregnancy-safe fish is a definite DO!

• Pregnancy-approved fatty fish: Alaskan salmon, Atlantic mackerel, herring, sardines, and anchovies

DO consume as many vitamins and minerals in your food as possible, in addition to taking a prenatal multivitamin. Folic acid, calcium, and iron are generally considered the most important for pregnant women.

DO try to eat more “whole” foods and avoid eating too many processed foods. If this is a challenge, aim for at least one form of produce at every meal, even if it’s cooked or was previously frozen.

DO vary the color of your foods by eating a “rainbow,” as they say. Different colors foods have different vitamins and minerals in them, so if you’re not into researching the nutritional makeup of everything you eat, just aim to have a colorful plate at every meal.

Don’ts of Pregnancy Nutrition – Foods to Avoid

Fear can be a huge issue during pregnancy, so rather than nitpicking and panicking about every little thing, we simply recommend staying as healthy as possible and making the best decisions you can for you and your baby. That being said, there are a handful of things you should stay away from during pregnancy, as numerous studies have shown that they can be dangerous for you and your baby.

DON’T drink a lot of caffeine Depending on who you talk to, you’ll get a different amount of how much caffeine is okay and how much isn’t.
Avoiding caffeine as much as possible is in your best interest, as caffeine has been linked to increased risk of miscarriage, higher blood pressure, and a higher heart rate. If you HAVE to have caffeine, try to keep it under 200 mg a day, and remember that it can be found in more than just coffee. Teas, chocolate, medicine, and ice cream can all have varying amounts of caffeine. Green teas, often perceived as a healthier choice, also contain caffeine, typically ranging from 15 to 50 mg per cup.

DON’T eat deli meat, unless it is thoroughly heated before consuming. This includes smoked salmon, hot dogs, sausage, and any other cured meats. If you’re really craving a sub or sandwich of some kind, be sure to microwave or otherwise cook the meat to steaming before you eat it to ensure you minimize the likelihood of contracting listeriosis, which is a bacterial illness that can cause complications during pregnancy.

DON’T eat unpasteurized cheeses, milk products, or juices. Pasteurization is a process that heats milk products and kills any potentially harmful bacteria. Avoid soft cheeses (Brie, blue cheese, feta, most cheese dip) and raw or otherwise unpasteurized milk. Unpasteurized juices can also contain bacteria from the fruits or vegetables it is made from, such as E. coli or salmonella, which can make you incredibly sick and can potentially be passed on to your unborn baby.

DON’T eat raw or undercooked meat. This includes sushi, hamburgers, steak, and any other type of meat. Undercooked and raw meat can be contaminated with listeria and other bacteria that can lead to extreme sickness and complications during pregnancy.

DON’T drink alcohol. While some health care providers may tell you that small amounts are okay, the risks associated with alcohol consumption during pregnancy are simply not worth it. Opt for mocktails, non-alcoholic spritzers, or other beverages that are safe to consume while pregnant.

DON’T eat undercooked, raw, or runny eggs. This is the same concept as eating raw or undercooked meat—you increase your risk of bacteria-induced sickness when consuming undercooked eggs. This includes, unfortunately, not licking the spoon when making cakes, brownies, and cookies.

In general, aiming for a healthy, balanced pregnancy diet is not as hard as it may seem. Eat a variety of foods, don’t overdo it, and avoid the big no-nos. If you do that, healthy pregnancy nutrition will be easy to come by! If you’re looking for more specifics about what you should and shouldn’t eat, or even just a more basic, straightforward list, we’ve got you covered. Check out the good and the bad below, followed by some surprising statistics and some more in-depth information about pregnancy nutrition.

What to Eat While Pregnant

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The Stats About Nutrition During Pregnancy:

Your nutritional needs don’t change drastically when you become pregnant, but some vitamins and nutrients are incredibly important during pregnancy. You need more folic acid, iron, and calcium during pregnancy than you did before. While some women are more predisposed to nausea, constipation, and heartburn during pregnancy for a variety of reasons, studies have shown that consuming a healthy, balanced diet, drinking enough water, and remaining active during pregnancy can help lessen some of these unpleasant symptoms.

Healthy Weight

A 2010 study by the Institute of Medicine found that 48% of women gained more than the recommended amount of weight during their pregnancies, leading to difficulties during delivery, additional risks to baby, and more difficulty losing weight post-pregnancy.

In the United States, the prevalence of excessive gestational weight gain ranged from 38% to 54% across different states (CDC), leading to difficulties during delivery, additional risks to the baby, and more difficulty losing weight post-pregnancy.

Gaining too much weight during pregnancy is not only a problem of weight retention for mom after the baby is born. It can also lead to risks during pregnancy, such as preterm labor, preeclampsia, gestational diabetes, gestational hypertension, possible birth defects, and shoulder dystocia in babies.

Daily Diet

More than a third of pregnant women reported in the NHANES study consumed diets that were below the estimated average requirement for critical nutrients like vitamins D and E, iron, and magnesium. An astounding number of pregnant women do not consume the recommended daily amount of many important nutrients: 97% don’t get enough folate, 79% don’t get enough calcium, and 100% don’t get enough iron.

Birth Defects

A proper, well-balanced diet during pregnancy can significantly reduce the risk of many birth defects, including neural tube defects (such as spina bifida and anencephaly), congenital heart disease, cleft palate, and more.

Why Avoid These Foods While Pregnant?Why avoid these foods while pregnant?

You’ve got the basics down now. You know the foods to avoid while pregnant and you know the best foods to eat while pregnant. But you may be wondering what the big fuss is about the foods you should and shouldn’t eat while your baby is growing inside you. Yes, you want your baby to be as healthy and safe as possible, but why is sushi unsafe? Why shouldn’t you eat undercooked eggs? And why the limit on caffeine? Read on to learn the “whys” of all the foods to eat and avoid while pregnant.

Risks of Infection

Undercooked meat (including fish) and highly processed meat (like lunch meat) bring risks of infection due to bacteria or parasites. Cooking kills any potential hazards in the meat, so everything you eat should be well done. If you contract a parasite or bacteria, you could just get a little sick, or you could have much more severe consequences. Your baby could experience severe neurological issues, blindness, epilepsy, mental retardation, or stillbirth. This is definitely a strong contender for the most important “what not to eat while pregnant” food.

Raw or undercooked eggs bring the risk of salmonella. Usually, salmonella results in the mother being very sick with fever, nausea, cramping, diarrhea, and vomiting. In extreme cases, stomach cramps can affect the uterus and lead to premature birth or stillbirth.

Restricted Fetal Growth

Caffeine, while okay in moderation, should be avoided in excess during pregnancy. You’ve probably heard this, but you may not know why. Unborn babies aren’t able to metabolize, or break down, the caffeine effectively, which can result in a buildup of caffeine in their tiny bodies. This can bring about restricted fetal growth and low birth weight, which can later lead to an increased risk of infant death and an increased risk of chronic disease during adulthood.

Unpasteurized milk, juice, and cheese all bring about a risk of contracting bacteria, such as listeria, salmonella, E. coli, and the like. These infections, in addition to making mom sick, can bring about life-threatening problems for the unborn baby. Make other choices and check out our list of what to eat when pregnant to get more nutrients and vitamins while avoiding dangerous foods during pregnancy.

Alcohol is a big no-no during pregnancy, even though some people are convinced it’s safe in moderation. Not only does it increase the risk of stillbirth or miscarriage, but it can hugely impact your baby’s brain development, and it can cause heart defects and mental retardation. It’s not worth the risk to your child to enjoy a few glasses of wine, so just avoid alcohol altogether during your pregnancy.

Toxics

You may wonder why there are “pregnancy-approved” fish and other fish that are off-limits. The fish you should avoid during pregnancy are high in mercury, like swordfish, king mackerel, and tuna. Mercury is often found in water where these fish live, and it can be incredibly toxic to you and your unborn baby. It can negatively affect your nervous system, your immune system, and your kidneys, and it can bring about serious developmental issues in babies and children.

Pregnancy Care at TrueCare

Our commitment to women’s health shines brightest through our comprehensive pregnancy care services. Staffed by compassionate professionals who specialize in obstetrics and prenatal care, we ensure every expectant mother receives the highest quality of personalized care. At TrueCare, our Women’s Health Services include regular health checks, nutritional guidance, childbirth education classes, and access to specialists if needed. Schedule your appointment today!

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Top 5 Foods to Eat While Trying to Conceive

The truth is, if you are fertile, and if the timing is right, you can get pregnant no matter what you do or don’t eat. But, if you eat the following list of foods when trying to conceive, you can help increase fertility and the vitamins and minerals in the foods will help to keep you and your baby healthy.

Folic Acid

This vitamin has been proven to reduce a baby’s risk of neural-tube birth defects, such as spina bifida, and it is linked to a lower incidence of heart attacks, strokes, cancer and diabetes. You can take a supplement or prenatal vitamin to increase your intake of folic acid. In addition, you can eat folate-rich foods, such as dark green leafy vegetables like spinach or kale, citrus fruits, nuts, legumes, whole grains and fortified breads and cereals.

Omega-3s

Omega-3s are important for a baby’s brain and eye development and have many other pregnancy-related benefits, including lowering your risk of preterm birth, reducing your chance of preeclampsia and easing depression. It’s important to get omega-3 fatty acids from foods because your body doesn’t make them. To get the most omega-3s out of your food, eat cold water fatty fish like salmon, tuna or sardines.

The U.S. Food and Drug Administration (FDA) says that women trying to conceive can safely eat up to 12 ounces a week of low-mercury fish, such as shrimp, canned light tuna, salmon or catfish. The FDA has posted a full list of pregnancy safe fish on their website.

Dairy

Adding dairy to your diet is good for bone health but is essential for preparing your body for pregnancy because you’re getting calcium and protein. To increase your chances of getting pregnant, try switching to full-fat dairy products: one study found that women consuming a serving of full-fat milk each day decreased their chances of a certain kind of infertility, according to a New York Times article.

Fruits and Vegetables

Pineapple is loaded with beta-carotene (which helps keep your hormones in check and prevents early miscarriage) and contains a substance called bromelain, which has been shown to mildly support implantation through its anti-inflammatory properties.

Other fruits and vegetables that include a healthy dose of beta-carotene include carrots, cantaloupe, leafy greens and sweet potatoes. When choosing which fruits and vegetables to eat be sure to choose ones in a variety of colors. Fruits and vegetables provide a lot of essential nutrients and antioxidants which can help decrease inflammation in the body.

Drink Lots of Water

Water plays a key role in moving hormones throughout the body. It also helps thin out cervical mucus, which may make it a little easier for your partner’s swimmers to get to their goal. Keeping your body hydrated is essential because water carries oxygen and nutrients to your cells, tissues and organs.

Knowing what to eat when trying to get pregnant can help you in your journey to conceive. The bottom line is that eating a nutritious, balanced diet may help fuel your fertility through food and, if you do become pregnant, it will give your baby the healthiest start!

How Can I Increase My Chances of Getting Pregnant?

While changing your diet alone may not be enough to help you get pregnant immediately, it certainly will increase chances of pregnancy for most women. If you’re not already doing it, tracking your ovulation and menstrual cycle can help you time things right to up your odds of conceiving. You can do this on your own by checking your basal metabolic temperature and charting changes that often line up with ovulation. You can also utilize an ovulation predictor kit for at-home use. You may also wish to talk to your doctor about blood hormone tests or ovarian ultrasounds to perfectly pinpoint when you ovulate and therefore when the best likelihood of conceiving will be.

If you’re still wondering how to increase chances of pregnancy and wish to do it more naturally, you should consider chiropractic care. While chiropractors focus primarily on the spine, chiropractic adjustments impact every area and system of the body because the spine houses the spinal cord, through which all major messages from the brain travel. The health and function of reproductive organs and systems are linked to the health and alignment of the lumbar spine, so while it isn’t a foolproof or guaranteed method, getting adjusted by a local chiropractor can help to increase chances of pregnancy.

Trying to Get Pregnant? TrueCare Can Help

Whether you are just facing infertility for the first time or you have been on your journey for a while, know that you are not alone. If you find yourself constantly wondering and researching, “How can I increase my chances of getting pregnant?” turn to TrueCare for help. Our conveniently located clinics are all over North County and our teams of doctors are here to help you. Our comprehensive care includes access to a wide variety of specialists, and we can assist you in finding new ways to increase fertility and improve your overall health to prepare to carry a baby. Find a Women’s Health location near you today.

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