Are you having back pain with any of the following?
We understand that you are experiencing one or more of the health issues that might be impacting your back pain.
We recommend that you discuss these health issues with your doctor before proceeding with this program.
Once you are cleared by your doctor to do this program, we hope it helps you find relief from your back pain.
Did you know that up to half of all pregnancies are surprises? While you may not be planning to become pregnant, it's still important to protect and improve your health. The time between conception and when a woman knows that she is pregnant is especially important – when good health practices can make a real difference.
A surprise pregnancy can change your life. If you don't want to get pregnant, take some time to review your birth control options. We can help you choose the best option for you and your lifestyle.
If you are planning to get pregnant in the near future, please schedule a visit with us. We want to help make sure that your body is ready to welcome a new baby. We will help you focus on specific issues that could affect your pregnancy, even before you know you are pregnant. We can discuss:
We hope that you make these healthy choices even if you are not planning to become pregnant. These tips are for every woman and can help you stay as healthy as possible.
If you are of childbearing age, take 400 micrograms (400 mcg or 0.4 mg) of folic acid every day, even if you are not planning to become pregnant. Since many pregnancies are surprises, this is good advice for all women between the ages of 18 and 45. The easiest way to do this is by taking a standard multivitamin daily.
Studies show that folic acid plays an important role in lowering the risk for certain birth defects (called neural tube defects), if it is taken before conception and through the first 3 months of pregnancy.
You can also get your folic acid in:
A big part of staying healthy is being at a healthy weight. If you are trying to have a baby (conceive), healthy weight becomes even more important.
Reaching and maintaining a healthy weight now, before trying to get pregnant, can reduce these risks. The best way to be at a healthy weight is by healthy eating and being physically active.
If you exercise for at least 150 minutes a week, or 30 minutes on most days, you are reaping the many health benefits of regular exercise. Continue to make exercise a priority so you can stay healthy for yourself and for your loved ones.
If you are not already physically active on most days, now is a good time to start. You will feel better overall, have more energy, stress less, and sleep better. Try to develop a regular moderate exercise program. You can begin slowly and build up gradually. A 5 or 10-minute walk is a good start. Try to set a goal of exercising at least 30 minutes per day on most days. If you have a health condition, please check with us before you begin any exercise program.
If you smoke, one of the most important things you can do to improve your health is quit smoking now. Smoking may make it harder for you to get pregnant. Women who smoke are more likely to have problems in pregnancy and childbirth, like premature babies or babies that are underweight. Once the baby is born, studies show that there is also an increased risk for SIDS (crib death) for babies exposed to secondhand smoke.
If you or your partner want to quit smoking, there is help. Tobacco cessation programs give you the tools you need to quit smoking. Learn more about our range of proven quit tobacco services at your local Health Education Center or call the Wellness Coaching Center to make a telephone appointment with a wellness coach at 1-866-251-4514.
Using alcohol or drugs like speed, heroin, or crack is harmful to your health. Using them during pregnancy can harm the baby. These drugs can cause a new baby to cry a lot or have problems eating, sleeping, or breathing. Later, the baby might have trouble learning. These drugs can also cause serious problems like birth defects or brain damage. They can even cause a miscarriage. There are programs to help you quit. Talk to us about what may be the best program for you.
Certain chemicals and radiation are bad for your health. If you are around certain chemicals that are found in the home or workplace, it could make it more difficult to become pregnant and may harm your developing baby. Take precautions to decrease contact with chemicals and radiation. Make sure you wear rubber gloves and work in a well-ventilated area. You can also try to:
Regular "well woman" exams are an excellent way to take good care of yourself. We recommend that women have regular Pap tests, pelvic exams, and breast exams. Frequent screening for sexually transmitted diseases is also a good idea to protect yourself and your partner(s). If you have any unusual bleeding, pain, sores, or bumps near your vagina, please let us know. It is better to identify any health problems right away when they may be easier to treat.
Diseases that are transmitted through sexual contact not only affect your overall health, they can affect your ability to get pregnant and can also infect and harm a baby. Some examples of sexually transmitted diseases (STDs) are chlamydia, gonorrhea, genital herpes, HIV (the virus that causes AIDS), hepatitis B and C, and syphilis.
You can have an STD even if you don't have symptoms. Here are some of the more common symptoms.
If you have any of these symptoms, you should avoid having sex until you can see us for evaluation and treatment.
Some infections can be prevented by immunization. Before you plan to get pregnant, ask us whether you should be immunized against rubella (German measles), chickenpox (varicella), or hepatitis. If you are not immune, you may want to receive the vaccinations before you get pregnant. Being exposed to these infections during early pregnancy could harm your baby. We recommend that you wait at least 1 month after being vaccinated before trying to get pregnant.
Whooping cough (also called pertussis) is a contagious disease that can spread easily from person to person through coughing. When babies get whooping cough, it can be life-threatening. You can get a Tdap (tetanus, diphtheria, pertussis) vaccine before you are pregnant, during pregnancy, or after giving birth to protect yourself against tetanus, diphtheria, and whooping cough. Partners and families can be vaccinated at any time but preferably before the birth of the baby so they don't infect their newborn. It is safe for mothers to get the Tdap vaccine while breastfeeding.
If you are not sure if you or your family members have been vaccinated, you can find out by viewing your Preventive Services online or by contacting us.
If you think you're being abused or may be abusing someone else, you can get help by talking to us or:
If someone has hurt you before, it may happen again. Sometimes abuse can start when you become pregnant or after you have a baby. Abuse can cause health problems for you and your child.
If you or any close family members (children, parents, sisters/brothers, aunts/uncles) have a history of birth defects or inherited conditions, you may have a higher chance of having a baby with such a condition. A genetic counselor can give you more information about the specific risks and possible tests you may choose to have. Getting your test results before trying to get pregnant will give you time to consider your options.
If you have a chronic medical condition, it is important to discuss this with us before you start trying to get pregnant. We want to help you successfully manage conditions such as:
It is best to have these chronic conditions under control before conceiving. If you take any prescription drugs, over-the-counter medications, or herbal remedies on a regular basis, please discuss this with us before you start trying to get pregnant.
Teratogenic medications are medications that increase the risk for birth defects if used during pregnancy. Many of these medications are commonly prescribed:
|Medication use||Teratogenic medicine|
|Diabetes||Certain types of insulin|
|Depression and bipolar disorders||Lithium|
|High blood pressure||ACE inhibitors like Iisinopril or ARBs like Iosartan|
|High cholesterol||Certain statins like Iovastatin|
|Epilepsy||Certain anticonvulsants such as Dilantin (phenytoin)|
|Mild sedation||Valium and Ativan|
|Cancer||Certain cancer drugs and chemotherapy treatments|
The list of medications above isn't comprehensive, but it contains some good examples of medications to avoid if you think you might become pregnant.
Some medications can be changed before pregnancy, while others should still be used because the potential benefits outweigh the risk.
If you are of childbearing age and think you may be taking a teratogenic medication, please discuss this with us. Please do not stop any medications without talking with us first.
If you have an emergency medical condition, call 911 or go to the nearest hospital. An emergency medical condition is any of the following: (1) a medical condition that manifests itself by acute symptoms of sufficient severity (including severe pain) such that you could reasonably expect the absence of immediate medical attention to result in serious jeopardy to your health or body functions or organs; (2) active labor when there isn't enough time for safe transfer to a Plan hospital (or designated hospital) before delivery, or if transfer poses a threat to your (or your unborn child's) health and safety, or (3) a mental disorder that manifests itself by acute symptoms of sufficient severity such that either you are an immediate danger to yourself or others, or you are not immediately able to provide for, or use, food, shelter, or clothing, due to the mental disorder.
This information is not intended to diagnose health problems or to take the place of specific medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. Kaiser Permanente does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.