As individual advice differs greatly between pregnancies, the following information should be used as a general guide. This information should be used in conjunction with the pamphlets provided in your pregnancy folder.
Most importantly, Neil is happy to answer any questions and discuss any concerns at your antenatal visits.
For urgent matters, call
- Rooms (during business hours) (03) 9418 8127
- Call service (after hours) (03) 9387 1000
- Labour ward
- Epworth Freemasons (03) 9418 8302
- St Vincent’s Private (03) 9411 7111
- Mercy Hospital for Women (03) 8458 4058
- First visit: 8-12 weeks
- 12-28 weeks: Every 4 weeks
- 28-36 weeks: Every 2 weeks
- 36weeks – Delivery: Every week
- Post natal visit: 6 weeks after delivery
Extra visits may be necessary depending on your particular circumstances
- Penicillin and “Penicillin like” antibiotics eg: Amoxycillin, Augmentin, Cephalexin
- Simple pain killers with/without codeine eg: Paracetamol (Panadol, Panemax) & Panadeine
- Anti-nausea medication eg: Metoclopramide (Pramin, Maxalon), Ondansetron (Zofran)
- Laxatives eg: Metamucil, Movicol, Fybogel
The Mother to baby website has a fantastic list of fact sheets regarding medication use in pregnancy. Please check with me if you have any concerns about newly prescribed medications.
Many pregnant patients reasonably ask whether it is safe to continue their normal cosmetic routines or about other common everyday exposures. While a lot of these exposures haven’t necessarily been tested specifically on pregnant women, The Mother to baby website (scroll down to “Other common exposures”) has very detailed and considered fact sheets on many of them. I encourage patients to read through these for more information in making their decision. As always, if you have further questions, please feel free to contact me for more information.
- Eating small, frequent meals through the day. Avoiding foods that may precipitate nausea
- Drink plenty of fluids (small amounts throughout the day)
- Vitamin B6 (pyridoxine) 25mg three times per day (available over the counter), Ginger tablets
If these measures do not work, please call me through the rooms to discuss other options.
- Small, frequent meals
- Avoid eating meals too close to bedtime (within 30-60 minutes)
- Avoid foods that trigger symptoms eg: fatty, spicy, acidic foods
If these measures do not work, antacid medications are safe in pregnancy.
Ranitidine 150mg daily (available over the counter) should be tried first.
Hayfever and allergy symptoms can be troubling during pregnancy. Many of the nose sprays and antihistamines used to help with these symptoms are safe to use in pregnancy.
Promethazine (Phenergan) and Polaramine. Safe to use in pregnancy however, they will cause drowsiness. As such you should take precautions, and avoid driving, if used during the day.
Newer, non-sedating antihistamines (eg: Claratyne, Telfast, Zyrtec) have not been studied as much in pregnancy. Studies to date, however, have shown no increase in pregnancy complications. I suggest they be used as a last resort if symptoms are very disabling.
Steroid based nose sprays are safe to use during pregnancy. eg: Beconase allergy & hayfever. They also provide longer relief from symptoms than the nose sprays below.
Nasal sprays that cause constriction of the blood vessels should be avoided eg: Otrivin, Vicks
Prior to pregnancy
Rubella and Varicella (Chicken pox virus)
- Booster immunisation is advised before becoming pregnant to those with no/low immunity
Influenza (Flu, Swine Flu)
- Flu is particularly serious for pregnant women and their babies- both unborn and newborn. Flu vaccination is strongly advised if you are going to be pregnant during the flu season (March –October). The seasonal flu vaccine covers both seasonal flu and swine flu. It is SAFE and EFFECTIVE.
Pertussis (Whooping cough)
- This is a serious infection that mainly affects very young babies. Adult immunity from childhood generally wanes over time. If infected, these adults usually have a mild form of the disease but may pass on the infection to young babies. As such, booster immunisation to whooping cough is recommended for all adults who are going to be in close contact with young babies.
- Therefore, I highly recommend the following actions to reduce the possibility of infection in these most vulnerable young infants.
- ALL adults who will be in close contact with the newborn baby should have a Whooping cough booster (Boostrix) if they have not had one in the last 10 yrs. This can occur at ANY TIME.
- Pregnant patients should have a Whooping Cough booster between 28-34 weeks to maximise the transfer of protective antibodies to the fetus.
- Recommended in ALL pregnancies, irrespective of when last Boostrix vaccine was administered.
- Vaccinate young infants as per the National Immunisation Schedule at 2, 4 and 6 months.
- The vaccine is currently free for parents.
- Listeria – Soft cheeses (brie, camembert, feta, ricotta -unless cooked), pate, pre-prepared salads/ unwashed vegetables, processed meats (unless cooked), soft serve ice-cream and raw seafood should be avoided.
- Toxoplasmosis – while this is generally associated with kittens and cat litter, it may also be acquired by eating undercooked meat or from unwashed vegetables/handling soil after gardening.
The NSW Food Authority provides an excellent, comprehensive summary of what to eat and what to avoid.
Please feel free to discuss any particular dietary concerns with me.
Zika is a mosquito borne virus. Zika virus infection in a pregnant woman may cause severe birth defects. The virus is mostly transmitted through bites from the infected Aedes mosquito. These mosquitoes are daytime biting mosquitoes, with increased activity around sunrise and sunset. There have been some cases of sexual transmission of the virus from an infected partner (male and female) to pregnant patients.
There is currently negligible risk of Zika virus transmission anywhere in Australia. As such, travel to any Australian destinations during and while planning a pregnancy is safe. Various destinations overseas however, have been associated with a HIGH risk of Zika virus transmission and my advice is to AVOID travel to these destinations during any part of the pregnancy.
A comprehensive list of these countries is available on the Australian Department of Health website – countries affected by outbreak of Zika.
Unfortunately, several of the South East Asian countries that many Australian tourists visit each year are included in this list.
Patients may CONSIDER deferring travel to countries at MODERATE risk of Zika virus transmission.
Women planning a pregnancy are directed to the Australian/New Zealand College of Obstetricians statement at RANZCOG Zika virus statement
A full explanation of the issues related to Zika can be found on the Australian Department of Health website
As a general rule, performing aerobic exercise so that you can have a “chat” while completing the exercise or keeping your heart rate mostly under 150bpm (beats per minute) is considered safe.