Congratulations!

What now?

First:

  • Start prenatal vitamins (Most important is folic acid at least 1mg)
  • Avoid alcohol, smoking, substances, etc
  • Avoid over the counter medicine. Tylenol at recommended dosage is safe
  • Contact the office for an early pregnancy confirmation visit. This can be done in person or on the phone with MD, NP or Nurse (6-10 weeks is ideal, sooner if need to discuss chronic meds or other concern)


Options for care:

  • My office for monthly prenatal visits until 26 weeks and then transfer to obstetrician
  • Midwife (The Barrie Midwives operate by self referrals from patients and can be reached at 705 727 7660 or barriemidwives.com, located at 1 Quarry Ridge road Barrie)
  • Obstetrician for earlier pregnancy care if high risk


Tests and procedures:

  • Initial comprehensive blood tests
  • Early ultrasound and, if chosen, first trimester screening
  • (eFTS, https://prenatalscreeningontario.ca)
  • Comprehensive  prenatal visit at 12 weeks gestation (complete history and physical exam)
  • Regular prenatal visit every 4 weeks in office
  • Ultrasound for fetal anatomy at 18-20 weeks gestation
  • Transfer to obstetrician between 24-28 weeks


Other:

  • If minor spotting in early pregnancy, no pain/severe cramps /clots, contact the office.
  • If you have heavier bleeding with cramps/pain/clots, go to the ER.
  • Regular exercise is ok. Avoid vigorous training and overheating.
  • Prescription for Diclectin can be done for nausea