Kasier Check-Up Info

eneral information

What:

Ob Office Visit with RITA T MURRAY NP

When:

Wednesday July 07, 2010 2:10 PM

Where:

• OBSTETRICS & GYNECOLOGY (WILDOMAR MEDICAL OFFICES U)

Phone:

866-984-7483

Vitals

Blood Pressure:

115/79

Pulse:

117

Weight:

189 lb 9.6 oz (86.002 kg)

Patient instructions

Your Kaiser Permanente Care Instructions


Weeks 24 to 28 of Your Pregnancy: After Your Visit

Your Care Instructions

As you enter your 7th month of pregnancy, your baby's lungs are growing stronger and getting ready to breathe. By now your baby weighs nearly 1½ pounds and is about 11 to 14 inches long. You may notice that your baby responds to the sound of your or your partner's voice. You may also notice that your baby does less turning and twisting and more squirming or jerking. Jerking often means that your baby has the hiccups. Hiccups are perfectly normal and are only temporary.

This is a good time to start thinking about whether you want to have pain medicine during labor. Talk it over with your doctor. You may also want to consider attending a childbirth preparation or Lamaze class to learn how to breathe and relax during birth.

High blood pressure in late pregnancy can be a sign of preeclampsia. Make sure to watch for signs of preeclampsia, because it can harm your kidneys, brain, eyes, and liver. It can also cause problems with your babys growth. Watching for signs of early labor is also important. This care sheet can help you know the signs of preeclampsia and early labor.

As with every stage of pregnancy, this one can bring new discomforts. You may feel painful kicking, pelvic pressure, or pain; leak urine when you laugh or cough; or have swollen feet, ankles, hands, and fingers. Lying on your side can ease pelvic pressure. This care sheet has tips for how to ease other discomforts.

Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. Its also a good idea to know your test results and keep a list of the medicines you take.

How can you care for yourself at home?

Pay attention to your baby's movements

- You should feel your baby move several times every day.
- Your baby now turns less, and kicks and jabs more.
- Your baby sleeps 20 to 45 minutes at a time and is more active at certain times of day.
- If your doctor wants you to count your baby's kicks:
- Empty your bladder, and lie on your side or relax in a comfortable chair.
- Write down your start time.
- Pay attention only to your babys movements. Count any movement except hiccups.
- After you have counted 10 movements, write down your stop time.
- Write down how many minutes it took for your baby to move 10 times.
- If an hour goes by and you have not recorded 10 movements, count for another hour. If you do not record 10 movements in either hour, call your doctor.

Ease discomfort from your baby's kicking

- Change your position. Sometimes this will cause your baby to change position too.
- Take a deep breath while you raise your arm over your head. Then breathe out while you drop your arm.

Do Kegel exercises to prevent urine from leaking

- You can do Kegel exercises while you stand or sit.
- Squeeze the same muscles you would use to stop your urine. Your belly and rear end (buttocks) should not move.
- Hold the squeeze for 3 seconds, then relax for 3 seconds.
- Repeat the exercise 10 to 15 times for each session. Do three or more sessions each day.

Ease or reduce swelling in your feet, ankles, hands, and fingers

- If your fingers are puffy, take off your rings.
- Do not eat high-salt foods, such as potato chips.
- Drink 8 to 10 glasses of water each day.
- Put your feet up on a stool or couch as much as possible. Sleep with pillows under your feet.
- Do not stand for long periods of time or wear tight shoes.
- Wear support stockings.

When should you call for help?

Call 911 anytime you think you may need emergency care. For example, call if:

- You pass out (lose consciousness).

Call your doctor now or seek immediate medical care if:

- You have any vaginal bleeding or belly pain or cramping.
- You have a fever.
- You notice that your baby has stopped moving or is moving much less than normal.
- You have burning or pain when you urinate.
- You need a pad to keep your underwear dry.
- You vomit for more than an hour and have pain and fever.
- You have cramping or swelling in your leg that will not go away.
- You have signs of preeclampsia, such as:
- Sudden swelling of your face, hands, or feet.
- New vision problems (such as dimness or blurring).
- A severe headache.
- You have signs of preterm labor, such as:
- You have regular contractions. This means about 4 or more in 20 minutes, or about 8 or more within 1 hour, even after you have had a glass of water and are resting.
- A backache that starts and stops regularly.
- An increase or change in vaginal discharge, such as heavy, mucus-like, watery, or bloody discharge.
- Your water breaks.

Watch closely for changes in your health, and be sure to contact your doctor if you have any problems.

Where can you learn more?

Go to http://www.kp.org

Enter G264 in the search box to learn more about "Weeks 24 to 28 of Your Pregnancy: After Your Visit".

© 2006 - 2009 Healthwise, Incorporated. Care instructions adapted under license by Kaiser Permanente . This care instruction is for use with your licensed healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise disclaims any warranty or liability for your use of this information.

Follow-up instructions

Return in about 4 weeks (around 8/4/2010) for ROB with me, 8 wks Dresbach (repeat c/sec ).

Routine orders

Name	Type
URINE CULTURE (IN PREGNANCY)	Lab