Welcome to Dr. McKindsey

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Instructions

  • FETAL KICK COUNT INSTRUCTIONS

    Counting fetal movement is a simple, but important test that you can do yourself. The technique is quite easy and requires minimal effort and experience. Starting at 28 weeks gestation, after dinner, lie on your left side and count your baby move ten times in an hour. Any kind of movement counts and you are done if ten movements have been counted prior to the one hour. Another way to do your fetal kick counts daily is to count your baby's movement twice a day, one hour each morning and each evening, counting at least three movements in those two hours. If at any point your baby is not meeting these criteria, go to Labor and Delivery so we can monitor and assess your baby.

    Your baby goes through cycles of sleep and activity throughout the day. After a point in your pregnancy, you will become more familiar with the pattern of movement your baby has. While throughout the pregnancy, the way your baby moves will change (from less kicking, to more rolling), the overall amount of movement should not change. If you ever feel your baby is moving less than normal, drink some juice or eat something, then check fetal kick counts. If your baby is not meeting the criteria of at least three movements in one hour, or is still moving less than usual, GO IMMEDIATELY TO LABOR AND DELIVERY.

    Please try and be conscientious in using this technique daily since monitoring is the best way to follow fetal movement. We need to rely on your help with this to ensure the overall care of your baby is optimal.


  • PRETERM LABOR PRECAUTIONS

    Premature labor (labor before 36 weeks) is usually not painful. It may lead to premature birth

    Symptoms of Preterm Labor:
    • Abdominal or menstrual-like cramping
    • Four or more contractions in twenty minutes or six contractions in an hour
    • Low dull backache that comes and goes
    • Persistent vaginal pressure despite sitting or resting
    • Change in vaginal discharge: bloody/mucous/watery or increased spotting

    What to do if you have symptoms of Preterm Labor:
    1. Stop what you are doing
    2. Empty your bladder
    3. Hydrate yourself and sit down or rest

    If your symptoms go away, you can slowly return to your normal activities.
    If your symptoms persist, GO TO LABOR AND DELIVERY AT THE HOSPITAL

    FOR ANY QUESTIONS OR CONCERNS, CALL YOUR DOCTOR

  • ONE HOUR GLUCOSE TOLERANCE TEST

    You will be given a glucose solution in a bottle. Do not shake. Keep chilled. We recommend placing the drink in the refrigerator the night before the test.

    DO NOT EAT OR DRINK (except water) after MIDNIGHT the night before the appointment. Drink the bottle of glucose exactly ONE HOUR BEFORE YOUR APPOINTMENT TIME.

    Take no more than 5 to 10 minutes to finish drinking the bottle.

    Your blood needs to be drawn exactly one hour after you drink the solution. lf your blood is drawn late (even 5 to 10 minutes) you will have

    to repeat the test.

    Notify the receptionist upon arrival that your are here for your one hour test and the time that you finished your drink.

    Make sure you take your lab requisition with you. If you forget, the lab CANNOT draw your blood and you will have to repeat the whole procedure.

  • Pregnancy Questions

  • When do I go to the hospital?

    If you are full term or greater than 37 weeks pregnant you should go to the hospital if you have ANY of these conditions:

    1) CONTRACTIONS: If you are having contractions that are 5-7 minutes apart, lasting 40-60 seconds and are progressively getting stronger.

    2) LEAKING FLUID: A gush or a slow leak of watery fluid from the vagina may indicate that your bag of water may have ruptured. Go to the hospital regardless of whether or not there are contractions or discomfort

    3) BLEEDING: Any heavy vaginal breeding (more than a light period)

    If you are unsure as to whether or not you are in labor, and it is during regular office hours, you may call the office for instructions. Any other time (evenings, weekends, or holidays) please go directly to the hospital. The nurses in the labor unit will examine you and then report to the doctor directly.

    We encourage you to ask questions during your regular OB visits regarding these and any other instructions. Feel free to call the office. If you do not have a pediatrician and need assistance in selecting one, please let us know.

  • What can I take if I have a cold?

    It is very important to keep your fever down when you are pregnant. Regular strength Tylenol, taken as directed, will help bring down your fever, and keeping yourself well hydrated is important. For congestion, you may take Benadryl at anytime during the pregnancy. After the first trimester, you can also take Sudafed, Zyrtec, or Claritin.

  • How much DHA is recommended during pregnancy?

    It is recommended to take 300mg of DHA a day after the first trimester, and as long as you are breastfeeding. You can safely take DHA during the first trimester, but it is not required. DHA helps brain and eye development of your baby. Our bodies do not make DHA so this supplement needs to be taken daily. DHA can be prescribed with your prenatal vitamin or it can be found over the counter. DHA can also be found in food sources such as salmon and walnuts.

  • Can I exercise during my pregnancy?

    Exercise boosts mood, improves sleep and reduces pregnancy aches and pains. It also prepares you for childbirth by strengthening muscles and building endurance. It also makes it much easier to get back in shape after your baby is born.

    The guidelines that have been set forth by the American College of Obstetrics and Gynecology are as follows:

    • after 5 months of pregnancy, no more lying flat on your back. Sit ups can be done at a 30 degree angle
    • do not lift more that 5-10 pounds of weight after about 4 months of pregnancy. More reps with low weights can be done and is much better than heavier weights
    • after 5 months of pregnancy, no exercise that may cause you to be off balance and potentially fall. Although you may feel fine, your center of gravity is off by this time in pregnancy. Hence, step aerobics is probably not a good idea. The exercise bike would be a better option and swimming is the absolute best exercise you can do while pregnant. Water allows for your baby to become buoyant and this will take pressure off of your back and cervix (at least while you are in the water).

  • Can I drink coffee or soda during pregnancy?

    The amount of caffeine equivalent to half a cup of coffee is considered safe to take on a daily basis during pregnancy. Increased amounts of caffeine has been shown to increase your risk of preterm labor, miscarriage, and other complications.

  • Can I travel during pregnancy?

    In general, travel in and of itself will not harm your pregnancy. However, make sure you keep yourself well hydrated, especially, on plane trips. You will get more dehydrated on airplanes and dehydration can lead to preterm contractions. Also, it is important to keep the circulation in your legs going to help prevent blood clots in your legs, which could have severe consequences. With every hour of travel, get up and walk around, or rotate your ankles.

  • Can I have a glass of wine or drink during my pregnancy?

    No. While your friend or neighbor may try and convince you that it is ok do have a drink from time to time, as per the American College of Obstetrics and Gynecology, no safe amount of alcohol has been determined. Smoking and any other recreational drugs should be avoided also as these have been shown to increase your risk of preterm labor, decreased growth of your baby, developmental delays and other serious conditions.

  • What can I take for my nausea?

    • Ginger, ginger ale or ginger tablets
    • Vitamin B6, up to 100mg a day
    • You can purchase Unisom over the counter and take it with 25mg of vitamin B6. Be careful as Unisom causes sleepiness
    • We can Introduce you to the Prima Bella Bracelet. It emits small pulses to your wrist area to help calm your nausea.
    • If needed, we can prescribe medication for your condition
    • Eating small frequent meals and keeping yourself on a bland diet will help also. As hard as it is to eat, an empty stomach will usually worsen your nausea. Although dry crackers may sound like a cliche, having them by your bedside and eating them first thing in the morning may help

  • What are some foods/things to avoid during my pregnancy?

    • Avoid eating large fish as they are high in mercury. This would include shark, swordfish and king mackerel. Having tuna a few times a week is fine.
    • Stay away from unpasteurized foods
    • Be careful of some soft cheeses; especially those from Mexico. This can cause an infection called listeriosis which could be detrimental to your unborn child.
    • Raw meats or fish
    • Hot tubs and saunas; the temperature is too hot for your baby
    • It is generally recommended to stay away from herbs as many can be harmful to your baby or pregnancy. Chamomile tea is fine to drink during pregnancy.
    • Do not change cat litter while pregnant and make sure it is removed from the litter box daily. Toxoplasmosis can be carried in the stool of cats. You DO NOT need to give up your cat. If you must handle the cat's duties, wear disposable gloves and was your hands thoroughly with soap and water afterward. Empty and clean the entire litter box at least weekly. Do not get a new cat while you are pregnant and avoid stray cats, especially kittens. Wear gloves when gardening. Wash your hands when you are finished. (Toxoplasmosis Prevention & Control))

  • Can I have sex while I am pregnant?

    Sex is fine unless instructed otherwise by your doctor.