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.
We offer many resources to help you and your partner prepare for your baby. Learn about what to expect during and after pregnancy including labor and delivery, breastfeeding, and when to call us.
Every woman will have a unique experience in pregnancy. You may have been surprised by your pregnancy, or it may have been something that you'd been planning for a long time. If a woman has previously had a miscarriage, her experience will be different from someone who is pregnant for the first time. Regardless of the context of your pregnancy, the thoughts and feelings that you have are uniquely yours. They might range from excitement to ambivalence or from happiness to fear. These are all normal responses.
Hormonal changes and physical discomforts can play a role in how you feel during your pregnancy. For example:
Some of these changes can be managed with a healthy diet and lifestyle or with special relaxation exercises for pregnancy.
During your pregnancy, you might feel bombarded with conflicting information and unwanted advice from friends, family, and strangers. Some well-intended but hurtful comments you may hear are:
Comments like these can cause feelings of guilt, fear, and confusion. In a culture where thinness is valued, it's natural to base your body image and self-esteem on your size. But pregnancy is a time when gaining an adequate amount of weight is essential to your health and the health of your baby. Together, we can set a realistic weight gain goal.
Pregnancy presents a special time to grow closer to your partner as you share in the creation of a new life. It's also a great time for you and your partner, if you are in a relationship, to develop your relationship as a couple so that you can move into your new role as parents.
Worries about your body image, career, relationships, and the health of your baby are all valid concerns that can make this a challenging time. By developing a support network, you can help ensure that your pregnancy will be more enjoyable. Here are some tips:
We encourage you to exercise during your entire pregnancy, as long as you choose exercises that are safe for you and your baby. We can tell you more about which exercises to choose and which to avoid while you are pregnant. It's a good idea to have a conversation with us if you're planning on participating in any sports.
Tips for a healthy diet:
The recommended amount of weight gain for a woman with a normal weight is about 25 to 35 pounds. However, the recommended amount of weight gain varies depending upon your weight and body mass index (BMI) before you became pregnant. BMI helps to determine if your weight is appropriate according to your height.
Try to follow these guidelines for weight gain:
Remember, these are general guidelines for weight gain that do not always apply to individuals. Medical studies show that weight gain anywhere from 20 pounds to 50 pounds for the pregnancy can be normal and not pose any risks to the baby.
Women who gain too much weight during pregnancy are at increased risk of having a premature baby or a larger than average baby. Babies who are larger than average at the time of birth are at higher risk for a variety of health problems, including being overweight. Women who gain too much may also have health problems such as diabetes and high blood pressure, which can cause complications. What to do:
Your weight gain is very important to your baby's normal growth and development. If you don't eat enough of the right foods, your baby can be deprived of important nutrients.
Your sexual desire may change during pregnancy. As your feelings change, talking with your partner is important. Your pregnancy can also affect your partner's feelings.
Pregnancy can be a time to find new ways to enjoy making love. You can explore new positions if intercourse becomes uncomfortable in late pregnancy. You may be more comfortable in a side-by-side position or with the woman on top. You may have a slight, bloody vaginal discharge or have mild contractions after making love. This is normal as long as the contractions or the discharge don't continue for more than 1 hour. Give us a call if you experience persistent contractions or discharge.
Most couples can enjoy a sexual relationship throughout pregnancy. Talk with us if you have concerns about safety. Sexual activity may be risky if:
If this is true for you, we can discuss your options.
Though you do not have to worry about preventing pregnancy, you still should use condoms if you are at risk of contracting a sexually transmitted disease (STD). It is particularly important now, since some types of STDs can be passed to your baby.
After you give birth, we recommend you wait before resuming sexual activity. As a general rule, we recommend waiting:
Every woman's recovery after birth is a bit different. We can discuss how ready you are to resume having sex at your postpartum visits.
The decision to work as your pregnancy progresses is an individual one. We can discuss any special concerns you might have. If you do continue working, here are some tips that may help:
For most women without any medical complications, it is safe to travel during the first and second trimesters. During mid-pregnancy, you may feel the best, have the most energy, and may be able to enjoy a vacation with your partner that is free of strollers, diapers, and baby food.
Important things to know before you consider traveling:
There are several things you can do that will ensure that your trip is safe:
If you smoke, it's very important to stop now – for your health and your baby's. Women who smoke during pregnancy are more likely to:
If you've quit smoking, it's important to stay smoke-free during pregnancy and after your baby is born. Not smoking will help your health and the health of your family. You've worked hard to stop smoking. Use your new skills to remain smoke-free:
Drinking alcohol or using drugs during pregnancy is harmful to your baby. These drugs can cause your newborn to cry a lot or have problems eating, sleeping, or breathing. Later, the baby may have trouble learning. Alcohol and other drugs can cause more serious problems, like birth defects or brain damage. They can even cause you to have a miscarriage.
It can be challenging to stop using alcohol or other drugs. If you or someone in your family has a problem with drugs or alcohol, please let us know. We can help.
Abuse is when someone attacks you with words, objects, or fists. Abuse usually happens when one person tries to control another person. If someone has hurt you before, it may happen again. Sometimes abuse starts when you become pregnant.
Abuse during pregnancy can cause health problems for you and your baby. Women who are abused while they are pregnant aren't as healthy and often have more anemia, infections, and bleeding. Babies born to abused women have a higher risk of low birth weight, premature birth, and death. Please talk to your doctor or nurse practitioner if anyone is hurting, threatening, or verbally abusing you.
Avoid caffeine or consider switching to decaffeinated beverages. Caffeine crosses through the placenta to the fetus and can affect fetal development. It can also cause an increased risk of miscarriage. However, if you want caffeine, try keeping it to less than 200 mg per day. This means 1 cup of coffee or 3 cups of tea. If possible, try alternative methods to perk up such as walking briskly around the block, stretching for 5 minutes, or drinking a glass of cold water.
Cat feces can sometimes cause an infection called toxoplasmosis. If you become infected during pregnancy, it could harm your baby. To prevent this:
We recommend that you avoid hot baths or using a hot tub, sauna, steam room, or tanning bed while you're pregnant. High temperatures may harm your developing baby. If you enjoy baths, please remember to:
Some studies show that some chemicals in nail polish can harm your developing baby. To be safe, we recommend you avoid nail polish and manicures during pregnancy. If you enjoy manicures:
Most hair dyes contain harsh chemicals. Because of this, some women choose not to color their hair during pregnancy. While we don't have evidence that hair dye has caused harm to pregnant women, it can't hurt to be extra careful if you do color your hair:
Please call our Appointment and Advice line right away if you’re experiencing:
If you think you might be pregnant:
When you know you're pregnant, please call our Appointment and Advice line to schedule your first prenatal visit. If you have had a tubal (ectopic) pregnancy in the past, call us as soon as you know that you’re pregnant.
During routine prenatal appointments, I'll evaluate your health and the health of your fetus. My staff or I will invite you to register for our pregnancy-related classes and encourage you to take advantage of our online resources.
The following online Emmi programs may help you as you approach your due date:
You can connect with me in a variety of ways, depending on the situation and what is most convenient for you at the time. I am available online, by telephone, or in person.
Having all of our Kaiser Permanente departments located together or nearby, including pharmacy, laboratory, radiology, and health education, makes getting your care easier for you.
Another major benefit is our comprehensive electronic medical record system, which allows all of the doctors and clinicians involved in your care to stay current on your health status and to collaborate with each other as appropriate.
When every member of the health care team is aware of all aspects of your condition, care is safer and more effective.
We will work together to monitor and assess how your medications are working and make adjustments as needed. Prescriptions can be filled at any Kaiser Permanente pharmacy. Just let me know which pharmacy works best for you, and I will send the prescription electronically in advance of your arrival at the pharmacy.
If refills are needed in the future, you can:
For lab tests, I will use our electronic medical record system to send the requisition to the Kaiser Permanente laboratory of your choice. For imaging procedures, we will schedule an appointment with the radiology department. When the results are ready, I will contact you with your results by letter, secure e-mail message, or phone. In addition, you can view most of your laboratory results online, along with any comments that I have attached to explain them.
My specialty colleagues are readily available to assist me if I need additional advice about your condition. In some cases, I may contact them during your visit, so we can discuss your care together. If we decide you need a specialty appointment after that discussion, we can often schedule it the same day or soon thereafter.
As part of our commitment to prevention, additional members of our health care team may contact you to come in for a visit or test. We will contact you if you are overdue for cancer screenings or conditions which may require monitoring.
As your personal physician, I have a goal to provide high-quality care and to offer you choices that make your health care convenient. I recommend that you become familiar with the many resources we offer so that you can choose the services that work best for you.
My Doctor Online is available 24/7 so that you can access and manage your care where and when it is most convenient. From my home page you can:
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.