Prenatal Obstetric Care

Initial Evaluation

  • Prental care for Waukesha ob/gyns at Women's HealthcareWe do require a confirmation pregnancy test to be done at our office. If you have a history of infertility or miscarriage, we will do blood work. If the confirmation test is done at a primary care physician’s office, we do require a copy of the results.
  • After a confirmation test is performed, you will be scheduled for a new prenatal visit between 8-10 weeks.
  • If you have a history of miscarriage or infertility, you will be brought in for an early pregnancy ultrasound after your lab tests reach the appropriate level.

Diet during pregnancy

  • Best Waukesha prenatal obstetric careYou should be taking a prenatal vitamin to supplement folic acid, calcium and iron which are important to your developing baby.
  • Limit caffeine intake to 1-2 caffeinated beverages a day (small cup of coffee = 8oz; tea, 1 can of soda = 12 oz).  Increased amounts of caffeine have been shown to increase the risk of miscarriage.
  • Stay hydrated throughout the day, drinking at least 64 oz of water or other beverages a day.
  • Do not eat undercooked or raw meats, poultry and fish.  This includes sushi.
  • Limit intake of fish for mercury exposure.  Do not eat shark, swordfish, tilefish or king mackerel.
  • Avoid unpasteurized cheeses.  In many restaurants, these cheeses are pasteurized.  Make sure to ask.  If you buy it at the grocery store, make sure you are buying pasteurized products. Cheeses more likely to be unpasteurized include feta, Brie, and gorgonzola cheese.
  • Minimize the deli meat in your diet to less than once per week.  If you do eat it, microwave or toast it to kill off bacteria.

Exercise during pregnancy

  • Expert Waukesha prenatal careStaying active during pregnancy can help reduce muscle aches, increase energy, improve mood and posture and help you sleep better.
  • Regular activity in pregnancy can also help you prepare for labor and childbirth.
  • Avoid jerky or high-impact motions that can increase your risk of injury since pregnancy hormones can cause laxity of the ligaments that support your joints.
  • Walking, swimming, cycling and aerobics are great forms of exercise during pregnancy. Keep your heart rate below 140 beats per minute.
  • Some activities should be avoided during pregnancy including downhill skiing, contact sports, and scuba diving. Other activities with a risk of falling should be avoided as well including water skiing, horseback riding, mountain climbing, and gymnastics.
  • If you have risk factors for preterm labor or are suffering from vaginal bleeding or premature rupture of membranes, you may be advised to avoid exercise.
  • Be sure to talk with your provider regarding your exercise routine.

Other tips in pregnancy

  • Tips to Relieve Nausea
    • Prenatal Care MukwonagoAlthough nausea can occur at any time of the day, it may be worse in the morning. To help prevent nausea:
    • Eat small, light meals at frequent intervals.
    • Get up slowly. Eat a few unsalted crackers before you get out of bed.
    • Drink water with lemon slices.
    • Eat a Popsicle in your favorite flavor or suck on hard candy like peppermints.
    • Drink flat sodas.
    • Try ginger tea or ginger capsules.
    • If you cannot tolerate food or liquids, call our office
    • Medications for Nausea in Pregnancy
  • Travel
    • Prenancy travel tips from Waukesha Obstetricians at Women's HealthcareTravel by car is a good choice, as you can stop, get out, and stretch. Bring snacks and water along. Fasten the lap belt below your belly, low over your hips. Also be sure to wear the shoulder harness.  You should do leg exercises or get out and walk for a couple of minutes every 2-3 hours of your trip.
    • Air travel is permissible nationally until approximately 36 weeks. You may ask for a copy of your records when traveling.
    • If you are flying, you may need a letter from us for the airlines.  You should avoid going through any security detectors that use x-ray technology. Unless there are complications, you can travel by plane until 1 month prior to your due date. You should also do leg exercises or walk around the cabin during a flight.
  • Intimacy
    • There is no reason to stop having sex while you’re pregnant. You or your partner may notice changes in desire. Desire may be less in the first trimester, due to nausea and fatigue. In the second trimester, sex may be very enjoyable. The third trimester can be a challenge comfort-wise. Try different positions and see what’s best for you both.
  • Lifestyle
    • Pregnant woman sitting on a benchWhat matters most is protecting your baby from this moment on. If you smoke, drink alcohol, or use drugs, now is the time to stop. If you need help, let us know.
    • Smoking increases the risk of losing your baby or having a low-birth-weight baby. If you smoke, quit now.
    • Alcohol and drugs have been linked with miscarriage, birth defects, mental retardation, and low birth weight. There is no safe amount of alcohol consumption in pregnancy and therefore should be avoided altogether.
    • Avoid the use of recreational drugs (such as marijuana), overuse of prescription and over-the-counter drugs and alcohol.
    • Avoid changing cat litter boxes.  If there is no one else to change cat litter boxes at your house, use gloves and wash your hands thoroughly after changing the litter box.
    • Hair treatments may be done but be aware that a perm may not last as long due to the way hair can change from pregnancy. You should also realize that it is not uncommon for women to see extensive hair loss in the three to six months following delivery.
    • Saunas, whirlpools and hot tubs can be used as long as the water temperature does not exceed 100 degrees.
    • Tanning booths are not recommended.
    • Well water should be checked by the State of Wisconsin. A test kit can be purchased from Wisconsin State Lab of Hygiene at (608) 262-3911.
  • Vaccines
    • The Hepatitis vaccine may be given during pregnancy if it is indicated by the patient’s exposure status. The Tetanus vaccine is also safe during pregnancy. You may have the TB test done if needed. The flu shot is highly encouraged if you are pregnant during flu season. The Rubella vaccine is not recommended during pregnancy.
    • Centers for Disease Control and Prevention Guidelines for Vaccinating Pregnant Women
  • Dental work
    • If dental work is needed, it should be done. Laughing gas is not to be used but novocaine may be used. No sulfa drugs or tetracycline, unless approved by your physician. Drugs in the penicillin family are okay. Medically indicated x-rays are okay if you are properly protected with a lead apron.
    Contact Women's Health Care Waukesha OB-GYN physicians Dr. Laura Epperson Dr. Dana Akiya, andDr. Elizabeth Thompson for prenatal care in our Waukesha, New Berlin, Muskego and Mukwonago offices