Pregnancy

pregnancy-sidebar1The physicians and staff of Women’s Care believe that all women have the right to expect the best possible professional care and counseling before, during, and after their childbearing years. As an independent group, we are large enough to offer a wide spectrum of obstetric services in both Eugene and Springfield, yet small enough to ensure that each of our patients receives the complete and undivided attention she deserves. We will partner with you in the decision making process of your health care. We are proud of the comprehensive women’s services offered by Women’s Care.

Why choose Womens’s Care? Click here for reasons why we’re the preferred choice for women.

Office Hours
Our hours are 8am to 5pm, Monday through Friday. We will schedule your appointment at a time most convenient for you.

pregnancy-sidebar2Phone Nurse
A registered nurse is available during office hours for questions or to coordinate your care with your physician. For after hours emergencies call the nurse at 541-868-9700. Our answering service will promptly return your call.

Prescription Refills
Pharmacy refills are available. Notify the pharmacy by phone with 24 hour advance notice. They will call us for approval if necessary.

Insurance and Billing
Our business office has an experienced staff who are dedicated to assisting you. All insurance plans are accepted and we are contracted providers with many networks. We accept assignment on government claims (Medicare and Champus), and will bill your secondary insurance when appropriate. For your convenience we accept MasterCard, Visa, American Express and Discover.

Referrals
Obstetrics care does not require a referral from your primary care physician, regardless of your insurance plan. If you have a managed care plan, any specialty care other than those visits that are pregnancy-related or the annual exam do require authorization from your PCP.

Common Pregnancy Symptoms and Treatments

Heartburn

  • Eat smaller, more frequent meals
  • Try not to lie down within two hours after eating
  • Start taking Tums or Rolaids and increase as needed
  • If the Tums or Rolaids otherwise aren’t working, start Pepcid AC or Zantac (generic equivalents are fine)
  • Talk to your Women’s Care provider if these are not controlling your symptoms

Sore Throat

  • Chloraseptic spray or lozenges
  • Tylenol (Regular or Extra Strength)
  • Herbal tea with honey

Cold, Flu and Nasal Congestion

  • Tylenol (Regular or Extra Strength)
  • Tylenol-Cold, Tylenol Sinus, Dayquil / generic equivalents are fine
  • Vaporizer
  • Robitussin (plain or CF)

Gas

  • Phazyme or Gas X

Diarrhea

  • Increase clear fluids and avoid milk products
  • BRAT diet (bananas, rice, applesauce and toast)
  • Avoid spicy and greasy foods.
  • Imodium

Cough

  • Robitussin (Dextromethorphan)
  • Cough drops

Nausea/Vomiting

  • Try eating small frequent meals; avoid an empty stomach
  • Crackers, dry toast, hard candy, plain popcorn or dry cereal
  • Bland diet; avoid spicy and greasy foods
  • Sea Bands (over the counter)
  • Emetrol (over the counter) may settle your stomach
  • Vitamin B6 25 mg three times a day
  • Dry toast or crackers before getting out of bed in the morning
  • Avoid foods and odors that make you feel sick

Headache

  • Alternate warm and cold compresses
  • Tylenol (Regular or Extra Strength)
  • Rest, relaxation and massage
  • DO NOT USE Advil, Aleve or Aspirin unless directed by your doctor
  • Don’t skip meals

Constipation

  • Increase fiber – bran cereal or fiber supplement
  • Increase fluid intake
  • Exercise
  • Metamucil, Citrucel or Fiber Con (must be taken with 8 oz. of water)
  • Stool softeners – Colace 50-100 mg twice a day

Yeast Infections
Over the counter creams or inserts are fine – one, three, five or seven day preparations are all acceptable.

Varicose Veins

  • Support hose are very helpful.
  • Avoid standing for prolonged periods of time, elevate your legs several times per day

Urinary Tract Infection
If you feel you have a UTI, you should call the office. UTI’s in pregnancy have different symptoms, usually a cramping and/or feeling of pressure. You can help prevent UTI’s by drinking at least 64 oz. of water a day.

Spotting
Spotting is common, especially early and late in the pregnancy and after intercourse, however if you have any spotting, please call our office.

Hemorrhoids
Hemorrhoids are enlarged rectal varicose veins that are often itchy and painful (see “constipation”).

  • Try to avoid straining with bowel movements and constipation
  • Warm sitz baths for 20 minutes twice a day may help
  • Cream, suppositories or Preparation H
  • Tucks pads are particularly soothing when cold

Back Pain

  • Heat or ice (see which one is more effective for you)
  • Tylenol (Regular or Extra Strength)
  • Massages, physical therapy and chiropractic adjustments are safe during pregnancy. Prenatal yoga is excellent
  • Be careful when lifting – bend your knees, squat close to the load, and lift with your thigh muscles
  • Wear low-heeled, comfortable shoes

Sciatic Nerve Pain

  • Pressure on your sciatic nerve may cause pain or numbness in your lower back and down one leg.
  • Changing positions, massage, stretching, physical therapy, Tylenol or using a heating pad may improve your symptoms.
  • Prenatal yoga and back pain can be helpful.

Swelling
Swelling in your legs is very common at the end of pregnancy.

  • You may try elevating your legs
  • Support hose
  • Decrease sodium in your diet
  • Avoid prolonged standing or sitting in the same position
  • If you have sudden and severe ankle swelling and rapid weight gain or if you notice pain, warmth or swelling in one leg, please notify your provider. Soaking in a warm bath for 20-30 minutes at the end of the day may help

Insomnia
Warm baths; relax with soft music, massages. Try sleeping on your side with a pillow to support your knees and hip joints. Benadryl (25mg) on occasion may help if you have difficulty falling asleep. You may sleep in any position that is comfortable for you. Some books state you may ONLY sleep on your side, these are incorrect. You may feel more comfortable sleeping on your back; just place a pillow under your side to tilt your uterus. Try keeping to a regular sleep schedule.

Stretch Marks
Stretch marks occur in about 90% of women. They may occur on your abdomen, breast and thighs. Nothing prevents these but keeping your skin soft with lotion may help.

If any of the following occur, please call our office:

  • Vaginal Bleeding
  • Severe continuous headache
  • Severe pain in the abdomen
  • Persistent vomiting
  • Sudden escape of water from the vagina