Visit Frequency

• We will see you about every 4 weeks

Baby Movement

• Many women begin to notice movement at about this time

• The first movement described as “bubbles” or “butterflies”

Financial/Insurance Overview/OB Contract Overview

• Usually conducted at your second OB visit.

Prenatal Class Information

• Please see our fill list of classes under the Patient Resources Tab.

Hospital Registration

• In order to better care for you, anticipate your needs and facilitate the admission process to Labor and Delivery, we ask that you register at Clovis Community Medical Center by your 32nd week of pregnancy so that they may obtain your medical history, pediatrician information, and sign the necessary paperwork required for delivery.

Common Discomforts

• Breast Leaking

Cause

• A normal response to hormones in preparation for breastfeeding.

• May start as early as the end of the first trimester.

What to do

• Keep breasts dry

• Breast shields

Dizziness

Cause

• A drop in blood pressure due to the cardiovascular changes in pregnancy

What to do

• Rise from laying down position slowly

• Rise from sitting position slowly

Bacterial Vaginosis Cause

• Fishy Odor

• Greenish Discharge

What to do

• Contact your provider

• Yeast Infections

Cause

• Higher levels of the hormone estrogen

• Higher levels of glucose in vaginal discharge

• Looks like a white, cottage-cheese discharge that itches.

What to do

• Contact your provider

• Cotton underwear

• Keep area dry

• No pantyhose

Heartburn

Cause

• Increased hormone production of progesterone

• Relaxation of the opening between esophagus and stomach

• Slowed emptying of stomach and intestines

• Increase in uterine size

• Worse in 2nd and 3rd trimester

What to do

• Small, frequent meals

• Low-fat meals (fat slows the emptying of the stomach and intestines)

• Decrease cold drinks with meals

• Sit upright for at least 3 hours after eating

• Sleep with 2-3 pillows at night

• Maalox, Mylanta or Tums for symptom relief

• Prevacid, Lansoprazole, Pepcid, Famotidine, Tagamet, Cimetidine over the counter for symptom prevention.

Painful Sex

Cause

• Pelvic and vaginal swelling due to growing uterus

• Fear “hurting” the baby

What to do

• Positional changes are ok

• Lubrication, Coconut Oil or Uber Lube

Round Ligament Pain

Cause

• Stretching and pressure of the heavy uterus on ligaments that support the uterus

Symptoms

• A sharp pain shoots into groin area

• May have vaginal pain or pressure

• Worsened by activity 

What to do

• Bend knees onto the stomach

• Support uterus with a pillow

• Warm baths

• Change positions

• Maternity support belt

Stretch Marks

Cause

• Can appear as early as the 2nd trimester (14 weeks)

What to do

• Bio oil can be purchased over the counter. Cocoa Butter and other butters may or may not help but may sooth dry skin.

Vaginal Discharge

Cause

• Higher levels of the hormone estrogen

• More mucus is made leading to more vaginal discharge that is white and thick

What to do

• Good hygiene

• No pantyhose

• Cotton panties

What is Happening?

• Baby is putting on more fat tissue

• At about 20 weeks may feel the baby move

• Muscles continue to develop as baby moves

• Nails begin to form

• External sex organs become distinctly male or female

• Facial features become more distinct

• Teeth are growing underneath the gums

• The eardrums and bones of the middle ear are formed so that the baby will begin to hear and react to the noisy world of the uterus

• Hair begins to grow on the baby’s body and eyebrows are growing

• During the 4th month, your baby is 5 inches long and weighs about 4 ounces

• In the 5th month, your baby’s brain cells increase rapidly

• Your baby’s sucking reflex is stronger and may suck his thumb

• Vernix begins to form which is the fatty, cheesy, yellowish substance that covers the skin

• By the end of the 5th month, your baby is about 7 inches long and weighs 10-12oz