Your Pregnancy

Our team is committed to providing the most up-to-date obstetrical and medical care, as well individual approach during this highly important time in your life. We understand that you may have a lot of questions and we will do our very best to answer them at each visit.

Our doctors will see you at our office in Des Peres for your prenatal care. We will let you know how often appointments are needed, and also if any additional ultrasound examinations or other surveillance for your baby is medically necessary.

The hospital of choice for delivery is Mercy Hospital. We are very proud of all the state of art services that Mercy Hospital offers our patients. Please feel free to set up a tour and/or sign up for childbirth or sibling classes. In fact, the Women's and Children's Education Department is proud to offer fantastic educational resources, from individual classes to full courses developed to assist families in their preparation for childbirth and parenthood.

We are committed to making this a very smooth and anxiety-free experience for you. However, your doctor may not always be able to be there for your delivery, even though we all try very hard to do so. Our partners in the call pool may be the ones delivering your baby, but we want to assure you that you will get the best care.

Medications Approved for Use in Pregnancy

In general, it is best to try to avoid medications in the first trimester of pregnancy unless really needed. Listed below are some over-the-counter medicated approved for use during pregnancy. It is important to notify your doctor of any prescription drugs you are taking. If you have any questions, call the office.

Pain Medication:

  • Tylenol (acetaminophen) for minor aches and pains
  • AVOID aspirin, ibuprofen, Aleve

Decongestants/Cough Medicine:

  • Sudafed (pseudoephedrine) – avoid if you have high blood pressure
  • Robitussin CF, DM
  • Tavist D
  • Ocean Mist Nasal Spray

Antihistamines:

  • Claritin and Claritin D
  • Benadryl (do not drive while using, may cause drowsiness)
  • Zyrtec

Heartburn/Indigestion:

  • Tums or Maalox
  • Gas X
  • Pepcid
  • Zantac
  • DO NOT USE PEPTO BISMOL

Nausea:

  • Small, frequent meals of bland foods such as dry toast, dry cereal, saltine crackers
  • BRAT diet also may work well: bananas, rice, apple sauce, toast
  • Vitamin B6 25 mg three times daily
  • Doxylamine 25 mg AM and PM, 50 mg at bedtime
  • Sea Bands

Constipation:

  • Colace
  • Metamucil
  • Miralax

Hemorrhoids:

  • Preparation H
  • Tucks
  • Anusol

Yeast Infections:

  • Monistat
  • Gyne-Lotrimin

Toothaches:

  • Orajel
  • Tylenol

If you get sick and require an antibiotic, some are not safe to use in pregnancy. Make sure to let your primary care doctor know that you are pregnant and/or call our office.

Nutritional Information

If you are a vegetarian, please let us know so that we can counsel you further.

Take a prenatal vitamin daily with folic acid. It is also recommended that you take a DHA, omega 3 fatty acid supplement daily with your vitamin because it is beneficial for baby's brain and eye development. There are some formulations that have DHA already included in the vitamin. Some pharmacies, such as Schnuck's and Dierberg's offer a free program for you if you get a prescription for these.

Folic acid is essential for normal brain and spinal cord development also. Make sure that your vitamin contains at least 400 mcg of folic acid; however, most preparations contain more than this minimum amount.

Calcium is also very important. You should consume at least 1200 mg of calcium every day. Your prenatal vitamins contain only a portion of what you require. Make sure you supplement if you are not consuming a lot of dairy products.

Eating healthy during pregnancy is a must. The following are guidelines for you to review, UNLESS YOU HAVE BEEN INSTRUCTED OTHERWISE BY OUR DIETITIAN.

  1. Eat three meals a day and two or three snacks. Make sure you eat a lot of fruits and vegetables. Limit your saturated fat intake.
  2. Fish consumption: omega 3 fatty acids are found in fish and are beneficial for your health and for your baby's development. You should try to avoid eating fish that is high in mercury: shark, mackerel, tile fish, marlin, Albacore tuna, sea perch, catfish and orange roughy. Other fish products are safer: shrimp, canned light tuna, salmon, pollack, tilapia. 
  3. Caffeine: it is safe to consume up to 200 mg of caffeine/day. As an example, a typical soda would contain only 40-55 mg; drip coffee: 234 mg.
  4. Please avoid alcohol.
  5. In general, how much weight you should gain during pregnancy depends on your weight prior to getting pregnant. You can ask your doctor to let you know which category you fit into best based on you BMI.
  6. Due to risks of Listeria infection, which is very serious and potentially deadly for both mother and baby, please try to avoid deli meats (unless reheated to 160 degrees F) and soft cheeses such as feta, Brie, Camembert, blue-veined cheeses and Mexican style cheeses such as queso fresco. Hard cheeses (cheddar for example) and semi-soft cheeses (mozzarella) are safe.
Join Our Maternity Classes

Our experts help you throughout every stage of your pregnancy – before, during and after your child’s birth. View our classes.