Pregnancy Before, During and After
Helping you before, during and after pregnancy –
New Brunswick and surrounding areas
It’s important that you feel comfortable with your obstetrician and just as important that she is familiar with you and your history. As our patient, you will meet and get to know the physicians in our group during the course of your pregnancy.
Mothers-to-be should select a pediatrician prior to hospital admission for delivery. This is very important. If you do not select a pediatrician before delivery, you will not have a choice about which pediatrician performs your baby’s first examination. In other words, you will have a pediatrician assigned to you. In addition, if you do not choose a pediatrician and the pediatrician on-call does not participate in your insurance, you may be responsible for the fee.
So please take the time to choose a pediatrician who participates with your insurance before you deliver.
Our physicians and dedicated staff are committed to partnering with you to achieve a safe pregnancy, a healthy baby and complete postpartum care. Our team approach means that the entire team will get to know you and be available to help you.
Our comprehensive obstetrical care includes:
- Genetic testing and counseling
- Prenatal care and testing
- High-risk pregnancy care
- Fetal monitoring in-office
- Ultrasound in-office
The care you should expect when you’re expecting
We welcome patients from East Brunswick, New Brunswick, Old Bridge, Monroe. You can feel confident that we will do everything possible to make your pregnancy a positive experience. We offer childbirth classes and convenient early morning, evening and some Saturday appointments.
When your delivery time draws near, you’ll be comforted to know that our physicians all have privileges at Saint Peter’s University Hospital. It’s one of the leading perinatal centers in New Jersey and the most popular choice in Middlesex County, including New Brunswick, East Brunswick, Old Bridge and Monroe.
What you need to know after delivery
On the day of your discharge from the hospital, you are strongly advised to go home and rest the remainder of the day and limit visitors. In general, it takes about six to eight weeks from the delivery until you are completely returned to normal. Recovery is a progressive process and you will feel better and stronger each day.
Here are your postpartum guidelines:
- First two weeks – You are home, so rest each day. It is extremely important to gradually increase your activity each day. Avoid strenuous work, heavy lifting and excessive social activities. Entertaining a large number of visitors in the first few weeks following delivery is not recommended. It is very important to be sensible and do all things in moderation. If you are in doubt as to whether or not you should do something, don’t do it. In most cases, you can return to your regular activities about six weeks after your delivery.
- Stitches – If you had an episiotomy, you should feel better by the time you leave the hospital. To relieve any discomfort, you should soak the sutured area for 20 minutes in a sitz bath, adjust the perineal pad so that it does not rub against the sutured area and apply spray anesthetic to the sutured area after each sitz bath.
- Breasts – If you are not nursing your baby when you leave the hospital and your breasts are still full, wear a tight bra all day except when showering. Apply ice packs to each breast frequently (at least three to four times a day), and take Tylenol 650-1000mg or Motrin 400mg every four to six hours as necessary to control breast discomfort. The engorgement should subside within 24 to 48 hours. There are no approved pills or hormone injections to stop the engorgement. If either breast becomes red, hot and tender and you have a fever, please call the office immediately.
- Mood and diet – Emotions can fluctuate widely after having a baby. The “baby blues” are not uncommon. You are least likely to experience them if you continue a sensible, well-balanced diet and avoid fatigue. If you have gained less than 25 pounds during your pregnancy, you should not have a problem now. However, if you weigh more now than before you became pregnant, you will need a sensible, weight reduction plan.
- Perineal care – After bowel movements, take care to wipe in the direction away from the vagina. After either a bowel movement or urination, spray the area with a peri-bottle filled with warm water and pat dry. We recommend this for the first few weeks following delivery.
- Vaginal discharge – Some discharge, or “lochia,” will usually occur for two to three weeks or longer. At first, it will be bright red, gradually changing about 8 days after delivery to “pinkish” and two to three days later “yellowish.” It may have a slight odor and will disappear in about three to six weeks. Sometimes excessive activity will return the lochia to red again for several days. We recommend NOT douching at all before your six-week postpartum examination.
- Hemorrhoids – Hemorrhoids that appear for the first time late in pregnancy or as a result of delivery will usually get better and disappear. They will also respond well to warm witch hazel compresses, sitz baths and occasionally a local medication such as Anusol or Preparation H. Avoid straining during bowel movements. Keep bowel movements soft by drinking six to eight glasses of water daily and eating a high-fiber diet.
- Constipation – Occasionally there is a tendency to be constipated during the first few weeks following delivery. This is easily overcome by re-establishing proper dietary habits, including six to eight glasses of water daily and adding proper roughage to your diet with fruits, vegtables and high-fiber cereals. If necessary, a mild laxative such as milk of magnesia or a stool softener such as Colace 100mg twice a day may be taken.
- Abdominal cramps – By the time you go home, your “afterbirth pains” should have nearly disappeared. If they are still causing you some discomfort, you can control them with Tylenol 650-1000mg every foour hours. If you are not breastfeeding, you can try ibuprofen (Motrin) 400mg every 4 hours.
- Menstruation – The return of menses after childbirth is quite variable and may take up to six months. Nursing mothers usually may have their menses in about two to four months, while non-nursing mothers may begin to menstruate in about six to eight weeks. The first period may be abnormal with very profuse clots. It may stop and start again. By the second period, it should be closer to normal. It may take a few months for the regular cycle to resume. You may also find that your cycle differs somewhat in length from your previous cycles.
- Sexual intercourse – You should avoid intercourse until after your first visit to the doctor. Typically, this will be about six weeks postpartum.
- Abdominal support and exercise – Exercise to improve abdominal muscle tone may begin three weeks after vaginal delivery. If you had a Cesarean section, please ask a doctor or nurse.
- Bathing – You may take a shower or wash your hair any time you desire. It is best to avoid tub baths (other than sitz baths) for six weeks or until after your postpartum visit.
- Travel – After the baby is two weeks old there are no travel restrictions. Just remember not to overextend or overexert yourself, and avoid fatigue as much as possible.
- Post-partum medical care – Please call the office as soon as you can after discharge to schedule your six-week postpartum examination. At this time, you will have a pelvic exam and the opportunity to discuss any problems you wish to bring up with the doctor. This is a good time to bring up any contraception issues you may have. It is essential that you are healed before being discharged to return to work or various other activities. If your episiotomy scar is not fully healed, you will be instructed to return regularly until you are fully healed. This cannot be overemphasized.
- After being discharged from the hospital, call the doctor if you have:
- Severe chills/fever
- Frequency/burning while urinating
- Excessively heavy or prolonged bleeding
- Swelling, redness or tenderness of the breast
- Extreme depression, worry or anxiety
- Additional health-related information – As an obstetrics patient, you should return in six months for a complete exam. A periodic health exam is your personal insurance for a long, healthy life.
For information about these and other obstetrical services or to share an obstetrical health concern, please call 732.254.1500 in East Brunswick or in Piscataway at 732.943.9160. For your convenience, you can also use our online form to schedule your appointment. Mothers-to-be visit us from East Brunswick, New Brunswick, Old Bridge and Monroe in Middlesex County.