First Prenatal Visit
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- Planned/Desired
- Options counseling if needed
- Exam/pelvic/pap
- Ultrasound for dating
- Screening options: QUAD, Sequential, NIPS, invasive testing
- Pregnancy guidelines
- Weight:
- BMI under 18.5 should gain 28–40 pounds.
- Normal-weight women (BMI, 18.5–24.9) should aim for 25–35
- Overweight women (BMI, 25–29.9) should aim for 15–25
- Obese women (BMI, 30 or more) should gain only 11–20
- Food: Avoid unpasteurized dairy, large fish (swordfish, shark, king mackerel, tilefish, bigeye tuna etc), uncooked meat/seafood, uncooked deli meat, EtOH
- Drugs: Nothing unless cleared by MD. Tylenol okay if needed, PNV, Colace, FeSO4. NO NSAIDs!
- Exercise: Nothing that could leave a bruise on your belly! Moderate exercise is great.