During Pregnancy, When to Call Your Healthcare Provider


  • Decrease Fetal Movement
  • Vaginal Bleeding
  • Abdominal Pain Persisting After Four Glasses of Water and Rest
  • Trauma/Injury to the Abdomen
  • Temperature Above 100.4°
  • Persistent Headache after rest, fluids, and Tylenol
  • Gush of Fluid from the Vagina
  • A Cold/Flu Lasting More Than One Week – Call Primary Care Physician, or go to Urgent Care
  • Uterine Contractions More Than Four Times Per Hour (Prior to 37 Weeks)
  • Uterine Contractions 4-5 Minutes Apart and Strong Intensity for One Hour After 37 Weeks
  • Do not go to the hospital before calling the nurse midwives
  • The nurse midwives work at Alexian Brothers Medical Center. If you go to another hospital, they cannot take care of you there.



What Over the Counter Medication May I Take While in Labor


  • Tylenol (Acetaminophen)   500 mg 1-2 tablets every 6 hours – for aches, pains, fever
  • Colace (Docusate Sodium)  100mg twice daily – constipation, stool softener
  • Anusal HC (Hydrocortisone cream)  apply 2-4 time a day – hemorrhoids
  • Robitussin (Guaifensin)  10ml to 20 ml every four to six hours as needed – cough
  • Benadryl (Dipherhydramine)  25mg to 50mg every six hours as needed itching, rash, sleeplessness, allergic reactions, antihistamine
  • Mylanta or Maalox  after meals – acid reflux, antacids
  • Sudafed (Pseudoephedrine)  AFTER 14 WEEKS ONLY – nasal congestion
  • Tums  heartburn
  • Vitamin B6  up to 50mg twice per day – nausea
  • Unisom  with Vitamin B6, if desired – CAUSES DROWSINESS – nausea at bedtime
  • Do not go to the hospital before calling your provider.
  • We only work out of Alexian Brothers Medical Center. If you go to another hospital, we cannot take care of you there.



What Medications To Avoid


  • Aspirin/Advil/Motrin (Ibuprofen)
  • Aleve (Naproxen)



Suggestions for Morning Sickness


  • Starting from the time when you get up in the morning try to have something in your stomach (ex. crackers – the first minute you wake up).
  • Eat small amounts frequently, chew gum
  • May take Dramamine (dimenhydrinate), Vitamin B6 as directed
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