Obstetrics FAQ

I love fish and I hear the omega-3 oils are good for you?
 Large local salt-water fish have been shown to have a high mercury content in their meat. Cooking does NOT change the mercury content. Mercury can harm the developing brain or nervous system in the fetus. As a precaution, pregnant women should limit their consumption of large fish to less than 12 ounces per week, or two servings per month. Shark, swordfish, king mackerel or tilefish should not be eaten at all. Pan-size fish and salmon are OK. To get your omega-3, there are commercial products that you can get over-the-counter.

              Woman practicing yoga pose.            I am a serious athlete and would like to continue exercising during pregnancy. Can I?
 Exercise can be done in moderation, realizing that your stamina will be compromised. A good rule of thumb is that you should be able to carry on a normal conversation while exercising. If you find yourself short of breath, you should immediately reduce your exercise level. Hydraton is especially important in that dehydration can cause premature contractions. Scuba diving, water-skiing, and sports with the possibility of collision (i.e. volleyball, basketball) should be avoided. Swimming is an excellent exercise in pregnancy and can be continued until your 36th week, thereafter it may be difficult to tell if your waterbag has broken versus residual fluid in the vagina from water activities. I would like you to avoid high temperatures which can cause blood to be shunted away from the uterus. Please stay out of saunas, hot tubs, jacuzzis and steam rooms.

What are my risks for miscarriage?

 With an early pregnancy, there is always a chance of miscarriage, which occurs in approximately one in five gestations. Warning signs are heavy vaginal bleeding or severe cramps; if you experience either of these signs, please contact me. Over 50% of the time, the cause of the miscarriage is a chromosomal abnormality–which would mean an abnormal baby if the miscarriage did not occur. Once we can hear the fetal heart beat in the office, the miscarriage rate falls to less than five percent.