Heartburn, upset stomach, gas and bloating:

• Antacids: Maalox, Mylanta, Rolaids, Tums

• Simethicone (Gas-X, Maalox Anti-Gas, Mylanta Gas, Mylicon)

Cough or Cold:

• Guaifenesin (Hytuss, Mucinex, Naldecon Senior EX, Robitussin)

• Dextromethorphan (Benylin Adult, Robitussin Maximum Strength Cough, Scott-Tussin DM, Vicks 44 Cough Relief) 

• Guaifenesin plus dextromethorphan (Benylin Expectorant, Robitussin DM, Vicks 44E)

• Cough Drops

• Vicks VapoRub

Pain Relief, Headache, and Fever:

• Acetaminophen (Anacin Aspirin-Free, Tylenol)

Allergy Relief:

• Chlorpheniramine (Chlor-Trimeton allergy tablets)

• Loratadine (Alavert, Claritin, Tavist ND, Triaminic Allerchews)

• Diphenhydramine (Benophen, Benadryl, Diphenhist, Genahist)

Constipation and Hemorrhoids:

• Fibers:

• Psyllium (Konsyl-D,Metamucil, Modane Bulk, Perdiem)

• Polycabophil (Equalactin, Fiber-Lax, FiberNorm, Konsyl-Fiber, Mitrolan)

• Methylcellulose (Citruce, Unifiber)

• Other laxatives and stool softeners (Colace, Dulcolax, Maltsupex, Milk of Magnesia)

• Hemorrhoid creams (Anusol, Preparation H, Tucks)

Yeast infections and other fungal infections (athlete’s foot):

• Miconazole Nitrate (Monistat 7)

• Tolnaftate (Absorbine Athlete’s Foot Cream, Absorbine Footcare, Genaspor, Tinactin)

Insomnia:

• Diphenhydramine (Benadryl, Maxium Streanght Unisom SleepGels, Nytol, Sominex)

• Doxylamine succinate (Unisom Nighttime Sleep-Aid) 

Fruits:

• Should have at least 2 servings a day

  • 1 serving is a cup or piece of fruit, ½ cup of 100% juice, ½ cup of dried ex​fruit

• Eat a variety of fresh, frozen or canned fruits that do not have added sugars

• Limit fruit juice

Vegetables:

• Should have at least 3 servings a day

  • 1 serving is a cup of raw or cooked vegetables or 2 cups of leafy greens

• Eat a variety of fresh, frozen or canned vegetables without adding sauces or salt.

• Choose some vegetables that are dark green or orange.

Dairy:

• Choose 3 servings a day

  • 1 serving is a cup of milk, yogurt or soy milk, and 2 oz. of cheese

• Choose non-fat or low-fat (1%) milk

Grains:

• Aim for 6-8 servings a day

  • 1 serving is 1 slice of bread, 1 cup of cereal, ½ cup of rice, pasta or hot cereal, 1 small corn tortilla or a ½ small flour tortilla

• Choose whole grain for at least ½ of the time

  • Whole grains include brown rice, old fashioned oatmeal, whole grain bread, pasta or tortillas

• Avoid highly sweetened cereals

Fats and Oils:

• Use liquid oils from plants for cooking and in dressings.

• Aim for 2 tablespoons a day of oils (canola, olive or corn oil or soft tub margarine)

• Avoid fried foods

• Avoid solid fats like lard, stick margarine , butter or shortening

 

Proteins (Meat and Beans):

• Aim for 7 servings a day

  •    1 serving is 1 oz. of meat, fish, or   

poultry, 1 egg, a small handful of nuts, 1 tablespoon of peanut butter, 2 tablespoons of seeds, ¼ cup of beans, peas or lentils, or 2 oz. of tofu

• Grill, broil or bake.  Do not fry.

• Remove skin from poultry

• Eat lean meat (15% fat or less)

• Eat 12 oz. of fish per week.

• Limit high fat meats like sausage, hotdogs,   

              and bologna.
 

Do NOT Eat:

• Regular soda, fruit drinks or punch, sports drinks, or more than 1 caffeinated beverage a day, chamomile tea, or Peppermint Tea.

  • Instead, drink Water!

• Candy, chocolate, chips, cookies, donuts, muffins, biscuits, cakes, ice cream, frozen yogurt, sour cream or mayonnaise

  • Instead, choose fruits, vegetables, nuts and seeds as snacks.

Foods to Avoid!

 
Foods with Potential for Listeria
Cold cuts, hot dogs, and sausages can carry Listeria and also contain high level of nitrates which can also be harmful to babies.  Heating these to 165 degrees Fahrenheit will kill the Listeria but will not alter the nitrates.  In general, it is best to simply avoid these all together.
Undercooked or Unpasteurized Foods
Cook food well, and avoid raw fish (sushi).  Soft cheeses can spread foodborne illnesses that can be especially serious when pregnant. To be on the safe side, avoid feta, blue cheeses, and all unpasteurized cheeses, eggs, dairy, and juices. When purchasing dairy, check to see if the item is pasteurized. It should be clearly marked on the packaging.
Alcohol
There are more reasons to not drink while pregnant than there are reasons to drink. For one, the child will be at risk for fetal alcohol syndrome from just one drink a day. Some articles and studies have shown that having just a single drink a day is okay, but those seem to be eclipsed by the number of studies that have shown again and again the negative effects of drinking on a developing baby.
Caffeine
Caffeine should be reduced or cut out of your diet when pregnant. The March of Dimes recommends just a 12 ounce cup of coffee per day at a maximum.
 
 
Foods High in Mercury
Fish are an excellent source of omega-3-faty acids and are high in proteins that are great for developing babies.  Unfortunately, many fish contain high levels of mercury and should be avoided.  The FDA recommends limiting fish consumption to 12 ounces of cooked fish per week (roughly 2 servings).  Avoid raw or undercooked fish entirely and only consume those commercially caught.  Keep fish frozen or refrigerated until you are ready to use it.     
AVOID Eating
Limit to one 6 oz. serving per week
Enjoy two 6 oz. servings per week

• Mariln,

• Orange roughy,

• Tilefish,

• Swordfish,

• Shark,

• Mackerel,

• Tuna (Bigeye, Ahiuna

• Sea Bass,

• Bluefish,

• Grouper,

• Tuna (White Albacore, Yellowfin, chunk light, skipkack),

• Bass,

• Carp,

• Cod,

• Halibut,

• Lobster,

• Mahi-Mahi,

• Monkfish,

• Skate,

• Snapper,

• Sea Trout,

• Anchovies,

• Butterfish,

• Catfish,

• Crawfish,

• Croaker,

• Flounder,

• Haddock,

• Herring,

• Mullet,

• Salmon,

• Sardines,

• Shad,

• Shellfish (Clam, Crab, Oysters, Scallops, Shrimp)

• Sole,

• Squid (calamari),

• Tilapia,

• Freshwater Trout,

• Whitefish,

• Whiting

Exercises To Do When You Are Pregnant
 
These exercises are good for pregnant women to do:
 

 

1. Kegel Exercises

Before the 4th month:

• Lie on your back. Put a pillow under your head and neck.

• Let your arms lie next to your sides.

• Bend your knees. Put feet about 12 inches apart. Keep your soles flat on the floor.

• Squeeze tight the muscle around your vagina and anus. Hold these muscles tight for about 5-10 seconds. You can find these muscles when you pee (urinate). Stop the flow for a second. Those are muscles you want to tighten and relax.

• Slowly let your muscle relax.

• Do kegels up to 10-20 times in a row, at least 3 times each day.

After the 4th month:

• Stand or sit to do Kegels.

• Do not lie on your back. Your growing uterus can put too much weight on the large blood vessels in your back. You and your baby may not get enough oxygen if you lay on your back.

• Do Kegels up to 10-20 times in a row, at least 3 times each day.

1. Pelvic Tilt

Before the 4th month:

• Lie on your back on the floor.

• Press the small of your back against the floor while you let out your breath.

• Relax your spine while you take a deep

• Repeat this 5 times, twice a day, when possible.

Routine Testing

o Infections: Many infections can easily be transmitted to your baby and nearly all transmissions can be prevented. As a result, we recommend screening for:
o Group B Streptococcus: Done after 35 weeks, this test checks for bacteria in the vagina or anal area that could cause infection in the newborn.
o Rubella
o Rapid HIV Testing: HIV Testing is offered to any woman in labor who has not been tested prenatally. This testing can also be offered if a laboring woman desires.
o Sexually Transmitted Infections: Chlamydia, Gonorrhea, Syphilis
oUltrasound: This safe and easy test uses sounds waves to visualize the developing baby. After applying a clear gel over the abdomen, the ultrasonographer moves a small, plastic, camera-like device – called a transducer – across the area. The device sends high-frequency sound waves to a monitor that shows the number of babies, their size, structure and position in the uterus. Ultrasound also can be done vaginally, and this may be necessary if you are early in your pregnancy or if the length of your cervix needs to be checked. An ultrasound may be recommended in order to determine the age of the pregnancy, to monitor the growth and development of the fetus, or to evaluate the fetal anatomy.
o Blood type incompatibilities: This is a blood test during the first trimester, at 28 weeks and at delivery.
o Prenatal Glucose Challenge Test: This is a test that checks how well your body uses sugar (glucose). During this test, the level of glucose in your blood is measured after drinking a special sugar solution. This test is often used to screen for diabetes during pregnancy.

Specialty Testing

To find out more about your baby, your physician may recommend any of the following tests:
o Cystic Fibrosis Screen: This is a test that detects changes in the genes (mutations) that are associated with cystic fibrosis. Cystic fibrosis is a condition where the person suffers from thick secretions on the body. It mainly affects the lungs and gastrointestinal system, and it generally requires special therapies tomanage. Since you do not have cystic fibrosis, this test will check to see if you are a carrier of this
condition (indicated by one affected gene and one unaffected gene). If you are a carrier, your partner will be tested to evaluate if he, too, is a carrier. If both of you are carriers, then there is a one in four chance that the baby could have cystic fibrosis (from the two affected genes). The chance of a baby being affected is quite small. If found during pregnancy, the only options are termination or early intervention after birth. All babies will be screened for cystic fibrosis after birth as part of the newborn screening.
Note: Insurance companies do not always cover all tests. It is highly advisable for you to check with your insurance company about coverage for specific tests.
o Hemoglobinopathy Screening: This test is recommended if you are found to have anemia that isn't due to a more common cause, such as iron deficiency or if you are of Mediterranean, southeast Asian or African descent.

Genetic Screening:

There are various options for screening as outlined below.
o Ultrascreen: A very recent test involving a blood test and ultrasound done between the 11th and 13th weeks of the pregnancy. This involves measuring free beta-HGC and PAPP-A in the blood and an ultrasound to look for thickening around the neck. This test can detect Down syndrome up to 85 to 90 percent of the time, with a 5 percent false positive rate (test is positive but baby is normal). However, a normal test does not mean the risk is zero, nor does it guarantee a healthy baby.
Note: Insurance companies do not always pay for this test. It is highly advisable for you to check with your insurance company about coverage for this test.
o Quadruple Screen (Quad Screen): This test involves a blood test measuring four components in the mother’s blood: HCG, AFP, estriol and inhibin-A. The test also determines the odds of Down syndrome, other genetic abnormalities and neural tube defects (incomplete closing of the back of the brain or spine). This test detects Down up to 85 percent of the time, with a 5 percent false positive rate. This test also is useful for the possible detection of abnormalities in the baby’s growth and placenta function later in the pregnancy. However, a normal test does not mean the risk is zero, nor does it guarantee a healthy baby.
o AFP test: This is a blood test that is drawn during the second trimester and is used to screen for neural tube defects. Less than one in every 500 babies will develop a neural tube defect. The neural tube is the part of the developing baby that becomes the brain and the spine. When it does not develop normally, the result is either spina bifida or anencephaly. Spina bifida means “open spine” and requires surgery after the baby is born. Depending on the size and location of the opening, the child may have trouble with bowel and bladder control, walking and learning. Anencephaly occurs when the brain and skull do not develop. A baby with this
condition does not live very long after birth. Less than one in every 270 babies will develop Down syndrome, a disorder caused by an extra chromosome. Chromosomes are the structures inside of each cell that hold our genes, the information that determines who we are, what we look like and how the body parts grow and work. Children with Down syndrome have mild to moderate mental retardation and have a greater risk of heart defects and other health problems.
o Amniocentesis: This is a procedure done by a perinatologist (obstetrical doctor who handles high-risk pregnancies). The test involves inserting a small needle into the fluid surrounding the baby at 16 weeks of pregnancy or later. It is greater than 99 percent accurate and is generally recommended to confirm if any elevated risks are identified on the ultrascreen or quad screen. Any pregnant woman over the age of 35 is offered this test for chorionic villus sampling diagnosis. The risk of pregnancy loss is 1 out of 200. The test can also pick up 95 percent of neural tube defects.
o Chorionic Villus Sampling: This procedure is performed by a perinatologist and involves inserting a needle into the placenta, either through the abdomen or the cervix. This is done between 10 and 13 weeks of pregnancy, with 99 percent accuracy for genetic testing. Like the amniocentesis, it is offered to all women age 35 and older. The risk of pregnancy loss is 1 out of 100 (higher than the amniocentesis), with recent studies showing a risk of limb defects of 1 in 3,000. The test is not able to detect neural tube defects.
o Level II Ultrasound: This is an ultrasound done by a perinatologist between 18 and 20 weeks of pregnancy. The test screens for physical abnormalities in the baby. Some specific findings may be associated with Down syndrome or other chromosome problems. The sensitivity of this test is up to 70 percent accurate, according to medical studies.
o Fetal Echocardiography: For babies at increased risk of heart defects, this special ultrasound checks the baby’s heart.
o Other: If you or your partner has a disease or condition that is transmitted to family members, genetic counseling may be recommended to assess the chance that the baby may acquire this condition.
Fetal Well-Being
o Fetal kick counts: This is recommended for all pregnancies from 28 weeks until delivery. Please refer to handout provided or found on our website for instructions on how to perform this simple test.
o Biophysical Profile: This special ultrasound checks the baby’s movement, body tone, breathing and amount of amniotic fluid. It is usually done as a follow-up to other tests.
o Nonstress Test: An electronic monitor is attached to the mother’s abdomen to record the baby’s heart rate during the baby’s movement. Uterine contractions also can be detected.

Your Baby’s Movement At about 28 weeks, you will be asked to start counting the number of times that you feel your baby move in a two-hour period during the baby’s most active time of the day. You should feel at least 10 movements in two hours. Directions for Fetal Kick Counts  Count your baby’s movement every day. Normal is 10 movements in two hours.  Count the movements around the same time every day. It is usually best to count in the evening after a meal.

How to Count:

Relax.

Have something to eat or drink (if you have not recently eaten).

Find a comfortable position (lying on your left side is best).

Count any movements that you feel.

You should count 10 movements in two hours.

You can stop counting when you have reached 10 movements.

IF YOU DO NOT COUNT 10 MOVEMENTS IN TWO HOURS, GO TO THE MATERNITY UNIT AT JOHN F KENNEDY MEMORIAL HOSPITAL FOR FETAL MONITORING. IF YOU ARE OUT OF TOWN, GO TO THE NEAREST HOSPITAL.

Delivering at John F. Kennedy Memorial Hospital
The Birthing experience tours and breast feeding education: Classes are available from 5-7 pm on Thursdays. Please call (760) 775-8174 to make a reservation. Please meet in the maternity waiting room adjacent to the maternity entrance. Adults only please.

Childbirth Classes (Includes Breastfeeding Class)
Classes are on the 1st Wednesday of every month from 6:15-8:15pm at Jadabugs Baby Boutique. This course costs $150 per couple and includes 4 sessions

Breast feeding Clinic
Classes are every Wednesday from 10 am - 2 pm at Jadabugs Baby boutique. This course is free of charge and is taught by Joanna Whitlow, a lactation consultant.

New Mother’s Support Group
Classes are on Friday mornings at 10am at Jadabugs Baby boutique. Preregistration is required. It is a postpartum support group facilitated by a group counselor and will cover a wide range of topics. This course is free of charge but a donation of $25 is requested to support Families, Inc.
​
Happiest Baby on the Block Care Class
Schedule is unavailable. It is held at Jadabugs. Please contact them for the schedule. The class will help you master Harvey Karp’s soothing techniques that he describes in his book and movie titled “Happiest Baby on the Block.”


Basic Supplies You Will Need for Your Baby
○ Crib and/or bassinet
○ Diaper wipes
○ Sheets (crib and bassinet)
○ Diaper pail
○ Waterproof crib pads
○ Diaper ointment
○ Receiving blankets
○ Baby T-shirts
○ Dozens of cloth or disposable diapers
○ Baby sleepers
If using cloth diapers:
○ Socks or booties
○ Waterproof pants
○ Diaper pins or clips
○ Hat
○ Towels
○ Baby washcloths
○ Baby shampoo and soap
○ Baby lotion
○ Car seat
○ Stroller
○ Changing table or pad or towel to use
○ Thermometer, rectal
○ Infant bulb syringe
○ Baby swing (optional)
If formula feeding:
○ Baby nail clippers
○ Bottles with caps
○ Bottles with nipples
If breast feeding:
○ Disposable liners for bottles (if
needed for your bottles)
○ Breast pads
○ Measuring cup
○ Nursing bras
○ Supply of formula recommended
○ Breast pump (optional)