An obstetrician specializes in prenatal care, and will work with you for the entirety of your pregnancy and delivery. A gynecologist, on the other hand, specializes in women’s reproductive health, but most doctors you’ll encounter in this field are OB/GYN doctors, which means they are trained in both.

Once you have a positive pregnancy test, you’ll want to start thinking about the obstetrician you’ll see for the duration of your prenatal care. Your first visit should happen at about 8 weeks after your last period. Contact your doctor as soon as you can to get your appointment scheduled.

Your first prenatal visit will be a time to talk to your doctor about your medical history, get the information you need about your pregnancy, and have a physical exam and possibly an ultrasound.

Due to an outbreak of the Zika virus, the Centers for Disease Control and Prevention (CDC) has issued a travel alert for South America, Central America, and the Caribbean. The virus is linked to birth defects and poor pregnancy outcomes. At OGA, the health of all pregnant women is of vital importance. If you are pregnant, you should avoid travel to these areas. If you have recently traveled, or cannot avoid traveling, to one of these locations, please contact your healthcare provider to discuss your risks.

Here are CDC’s answers to some of the common questions regarding the Zika virus.

Is there a vaccine to prevent infection or medicine to treat Zika?

No. There is no vaccine to prevent infection or medicine to treat Zika.

I am pregnant. Should I travel to a country where cases of Zika have been reported?

Until more is known, and out of an abundance of caution, CDC recommends special precautions for pregnant women and women trying to become pregnant:

• Pregnant women in any trimester should consider postponing travel to the areas where Zika virus transmission is ongoing. Pregnant women who do travel to one of these areas should talk to their doctor or other healthcare provider first and strictly follow steps to avoid mosquito bites during the trip.
• Women trying to become pregnant or who are thinking about becoming pregnant should consult with their healthcare provider before traveling to these areas and strictly follow steps to prevent mosquito bites during the trip.

CDC will update the travel notice as information becomes available. Check the CDC travel website frequently for the most up-to-date recommendations.

I am pregnant. How will Zika virus affect me or my unborn baby?

CDC has issued a travel notice (Level 2-Practice Enhanced Precautions) for people traveling to regions and certain countries where Zika virus transmission is ongoing. The most recent alert follows reports in Brazil of microcephaly and other poor pregnancy outcomes in babies of mothers who were infected with Zika virus while pregnant. However, additional studies are needed to further characterize this relationship. Further studies are planned to learn more about the risks of Zika virus infection during pregnancy.

Until more is known, and out of an abundance of caution, CDC recommends special precautions for pregnant women and women trying to become pregnant.

Is it safe to use an insect repellent if I am pregnant or nursing?

Yes! Using an insect repellent is safe and effective. Pregnant women and women who are breastfeeding can and should use an EPA-registered insect repellent and use it according to the product label.

Should a pregnant woman who traveled to an area with Zika virus be tested for the virus?

Contact your doctor or other healthcare provider if you are pregnant and develop a rash, fever, joint pain, or red eyes within 2 weeks after traveling to a country where Zika virus cases have been reported. Be sure to tell your healthcare provider where you traveled.

Can a pregnant woman be tested for Zika weeks or months after being in a country with Zika?

At this time, CDC does not recommend routine Zika virus testing in pregnant women who have traveled to a country with known transmission. First, there can be false-positive results due to antibodies that are made against other related viruses. Second, CDC does not know the risk to the fetus if the mother tests positive for Zika virus antibodies. Nor does the CDC know if the risks are different in mothers who do or do not have symptoms due to Zika virus infection.

For more information on the Zika virus and what it means for pregnant women, visit these sites or call us at (208) 888-0909.

CDC link

PAHO link

Your doctor will discuss the best options for you during your pregnancy, but in general prenatal vitamins are recommended as they provide additional folic acid and iron.

Most forms of exercise are safe to do throughout pregnancy so long as your take caution and do not overdo it. The safest forms of exercise are low impact and include the following:

• Brisk walking
• Swimming
• Cycling
• Low-impact aerobics

Other activities like jogging may be done in moderation. Activities like tennis and racquetball are generally safe, but changes in your balance during pregnancy may affect rapid movements.

You may want to choose exercises or activities that do not require great balance or coordination, especially later in pregnancy.

Exercise may be harmful to women with the following obstetrical conditions:

• Bleeding or spotting
• Low-placenta
• Threatened or recurrent miscarriage
• Previous premature births or history of early labor
• Weak cervix

For women with chronic medical conditions such as asthma, heart disease, or diabetes, exercise may not be advisable. In all cases, we advise you to talk with an OGA practitioner before beginning any exercise program. He or she will help identify the type of exercise that is right for you based upon your medical history.

There are certain exercises and activities that can be harmful if done while pregnant. Please avoid the following:/p>

• Holding your breath during any activity
• Activities with a high risk of falling (downhill skiing, horseback riding, etc.)
• Contact sports (softball, football, volleyball, etc.)
• Activities that require extensive jumping, hopping, skipping, bouncing or running.
• Bouncing while stretching
• Deep knee bends, full sit-ups, double-leg raises, and straight-leg toe touches
• Any exercise that may cause even mild abdominal trauma
• Activities that include jarring motions or rapid changes in direction
• Exercise that requires lying on your back for more than 3 minutes (especially after your 3rd month of pregnancy)
• Waist twisting movements while standing
• Heavy spurts of exercise followed by long periods of no activity
• Exercising in hot or humid weather

For most women, getting a flu shot during pregnancy is safe and strongly encouraged. Talk to your doctor to find out when you should get the vaccine.

There are no firm restrictions against lifting heavy objects while pregnant. However, pregnant women’s bodies are more susceptible to musculoskeletal injury. Lifting heavy objects may result in damage to the muscles or joints so we recommend care be taken to use good body ergonomics and encourage you to enlist the help of others if there is any question about your ability to lift an object without putting unnecessary strain on your body.

Healthy eating during pregnancy is important for you and your baby. We encourage you to eat plenty of fruits and vegetables, to choose whole-grains (wheat bread, whole wheat pasta, brown rice, oatmeal, etc.) and to get 4 or more servings of dairy each day. If you eat meat, we encourage you to select lean cuts such as chicken or turkey without the skin.

You can eat fish in moderation. Up to 12 ounces of fish or shellfish low in mercury (shrimp, wild salmon, pollack and catfish are good options) is considered safe. Avoid improperly prepared or under-cooked food items.

Food items to avoid are unpasteurized soft cheeses (they could contain bacteria that are unsafe for your baby) and fish with high levels of mercury such as shark, swordfish, king mackerel, or tilefish. Do not eat more than one small can of albacore tuna each week.

Avoid caffeine or limit your intake to about 1-2 cups of coffee or tea each day. Caffeine is also found in many cola products so limit your intake of soda as well.

No amount of alcohol, tobacco or nicotine has been found to be safe during pregnancy.

Breastfeeding is good for both mom and baby. More and more women are choosing to breastfeed their babies because breast milk offers health benefits such as:

Babies
• The right amount of fat, sugar, water, protein and minerals
• Easier on digestions – breastfed babies have less gas, fewer feeding problems, and less constipation
• Antibodies that protect infants from certain illnesses such as ear infections, diarrhea, and allergies
• Lowered risk of sudden infant death syndrome (SIDS)
Moms
• Breastfeeding triggers the release of a hormone called oxytocin. It helps the uterus contract and return to its normal size more quickly
• Breastfeeding may make it easier to lose the weight gained through pregnancy
• Breastfeeding may reduce the risk of breast cancer and ovarian cancer

Exclusive breastfeeding is recommended for the first 6 months of a baby’s life. This means feeding only breastmilk and no other foods or liquids unless advised by the baby’s doctor.

Yes, it is safe to color your hair and whiten your teeth while pregnant.

At OGA, we have a better approach to better obstetrical care. This means OGA practitioners will collaborate on your pregnancy in the office and behind the scenes right up to (and beyond) your big day. You have the strength of our entire team to support you! We have a dedicated doctor on the labor and delivery floor whose primary responsibility is to ensure your delivery is done in the safest manner possible. This physician isn’t distracted by a busy clinic, isn’t being pulled away from a family function, and isn’t tired from inadequate rest. Their focus is entirely on you and the impending birth of your child.

Because our physicians share this responsibility, we offer the opportunity to meet each member of our team during prenatal visits. Some women choose to do so while others prefer to see the same practitioner throughout the entire pregnancy. Either option is fine. This is your pregnancy and you choose how you want to best learn the information about your care.

At OGA, we put women and their health first. We’ve designed your obstetrical care around evidenced-based medicine. That means throughout your pregnancy, you can be confident that we will provide professional recommendations and will apply sound principles and practices to achieve positive outcomes for you and your family.

Yes! OGA is dedicated to supporting all parties involved in infant adoption or surrogacy with compassion and sensitivity. We respect the unique needs of intended and prospective parents, birth parents, surrogates, and the newborns who connect them.
Birth parents will receive expert care during childbirth and our commitment to do all we can to meet your individual needs.
Intended parents will receive the same information and education we share with all women who have a new baby and the support and understanding they need to navigate these complex arrangements.

Yes. OGA is proud to deliver at St. Luke’s Meridian Medical Center because:

• the nursing care is excellent
• labor rooms and post partum rooms are located on the same floor
• 24-hour access to anesthesia services
• 24-hour access to obstetrical services
• Level II NICU services for infants born 32 weeks and older

Contact our office for information on how to arrange a tour of this beautiful facility or visit https://www.stlukesonline.org/health-services/service-groups/newborn-intensive-care.