I. Prenatal Care:
i. Appointment Help Line: 760 - 725-HELP (4357)
ii. OB Appointment Line: 760 - 725-4357
iii. FP Appointment Line: 760 - 725-4357
1. Am I pregnant?
If you think you may be pregnant, make an appointment for a simple pregnancy test with your primary care proved. Your provider will assist you with referral to Naval Hospital Camp Pendleton’s Obstetrics registration & resources.
2. When should I see my provider?
Once you are confirmed pregnant you will receive a referral to “OB Registration” and receive a call to complete your initial health paperwork, choose your care center as Family Practice or OB, and have your initial lab work done. After that, your first appointment will come from your clinic of choice between your 8th and 10th week of pregnancy. Clinics are located on the 2nd floor of the hospital, east side.
3. What are the differences between providers?
For a description of OB/GYN providers, midwifes, etc., please navigate to the Academy of Obstetrics & Gynecology (ACOG)
4. What over-the-counter medication can I take? Foods I can eat?
Many over-the-counter medications are safe in pregnancy. See a list here. Avoid Aspirin, Ibuprofen, Naproxen. Consult your PCM if you have any questions regarding these or your regular prescription medications. Avoid unpasteurized dairy products, raw fish and other raw meats, due to the risk related to ingesting too much mercury. Consult your PCM at your next appointment regarding alcohol consumption or other foods you regularly eat.
5. What should I bring with me to triage?
We recommend that you are seen at the facility where you normally receive your prenatal care for the best continuity of care. If you have your medical chart in your possession, please bring it with you.
6. What is Pre-term labor?
Preterm labor is labor before 37 weeks gestation when your baby is considered “term”, though “full term” gestation is 40 weeks. Any of the following signs may signify preterm labor:
A. Greater than 4 contractions in an hour that feels like abdominal cramping or intermittent low-back pain
i. Timing: count the time from the beginning of one contraction to the end for duration, and the beginning of one to the beginning of the next for frequency.
If you notice symptoms of pre-term labor, you should:
a. Empty your bladder
b. Alter your activity (if you are resting, begin activity; if you have been active, lie on your left side and feel your abdomen for tightening).
c. Drink 3-4 glasses of water.
d. Call the labor & delivery triage for further evaluation
7. Is my spotting or discharge normal?
After a cervix exam or intercourse, small amounts are normal. May also be normal in third trimester, call for further evaluation. Small white or clear amounts of discharge throughout pregnancy or loss of mucus plug are all normal. If your discharge causes itching or pain, has a foul odor, or is discolored, call for further evaluation.
8. Did my water break?
There are many changes in quality and quantity of vaginal discharge during pregnancy. If you are of term gestation (37 weeks+), and you think your water may have broken, note the time, color, and consistency of the fluid, place a pad to collect the fluid and evaluate the pad after one hour. If your pad is soaked through come to labor & delivery triage. If not, call for further evaluation.
9. What is a TOLAC?
A TOLAC, or “trial of labor after cesarean”. Is choosing to labor for a vaginal birth for a mother that has already had a baby via cesarean section. There are multiple criteria that allow a mom to be able to TOLAC or not; discuss this with you provider. You can view more information "here
10. My baby’s movement is abnormal. What should I do?
For decreased fetal movement, not the time you last felt any movement and the time of last kick counts (10movements in an hour). Try drinking a glass of ice-water and/or juice and lie still on your left side for 1-2 hours.
11. Contractions: True vs False?
• True Labor contractions:
b. Increase in frequency
c. Increase in pain
d. Usually felt back to front
e. May or may NOT be associated with water breakage
f. Spotting present
• False Labor contractions:
b. Do not increase in frequency
c. Do not increase in pain
d. Often felt in lower abdomen
e. No bleeding
f. May or may not lose mucus plug
Immediately call Labor & Delivery Triage at 760 - 719-0242 if you have:
[Note: If you are less than 20 weeks pregnant, report to the Emergency Department, 1st floor, South Entrance, for evaluation, not Labor & Delivery triage.]
- Bright red vaginal bleeding
- Persistent, severe headaches unrelieved by Tylenol
- Visual changes such as bright white spots, blurred, double or loss of vision
- Sudden & severe increase in swelling of hands, feet, or face
- Sudden weight gain
- Severe nausea & vomiting, unable to keep down fluids
- Severe, persistent abdominal pain
- Decreased Fetal Movement (see above)
III. Sample Birth Plan
1st Stage of Labor
Environment: You prefer to have:
Wear your own clothes
Desire to walk during my labor
Walking is not as important, position changes ok
Food & Fluids:
Prefer a saline lock only, if possible
Prefer to be able to eat and drink as long as possible
Don’t have a preference on monitoring
Would like to know what’s available for medical pain relief
Prefer only comfort measures (walking, massages, heat/cold therapy, showering)
Prefer an epidural
Do/Don't ask about pain medication relief
Would like to take photos during/after birth
Would like to take a video
Partner only and provide Name
Family or support people to be present for labor/delivery
2nd Stage of Labor
Change positions during labor
To use pushing assistive devices: i.e. squat bar, birthing ball/stool
Would like perineal support while pushing: massage, warm compress, or lubrication
Would like to use a mirror
Touch the baby’s head during crowning
Would like partner to help as much as possible with the delivery
Have the baby placed skin to skin after birth
Have the baby placed on the warmer for cleaning right after birth
Would like to cut the cord
Partner to cut the cord
To delay cord clamping
To donate cord blood
To keep placenta
Standard treatments to be delayed for the first hour
More information about Hepatitis B, Vitamin K, Erythromycin, or Decline (which ones/all)
Infant Feeding & Care:
To breastfeed, bottle feed, both, or pump
Partner go with my infant if they have to leave the room for an exam/treatment
Partner help with the bath
To delay for cultural/religious reasons
If you were to have a cesarean section or other procedure done who would you like to be present with you.
If your partner is not present, who have you designated as a proxy?
V. Pre-Natal Checklist
- 1st Trimester
- Schedule appointments; select clinic (OB/FP)
- Attend smoking cessation if applicable
- Attend New Parent Support Program if desired
- Make a family care plan for the care of my children during labor, or if any emergencies arrive
- 2nd Trimester and 3rd Trimester
- Attend Budgeting for Baby if desired
- Complete Pre-Admission paperwork (at 20-33 weeks pregnant)
- Attend Infant CPR &/or Baby Boot Camp
- Complete Birth Plan
- Purchase/install/Have inspected infant safety seat
- Pack labor bag
- Plan for transportation & support person if not spouse during labor
- Work on choosing a Name!
- After Discharge
- Call Tricare for follow-up
- Visit Birth Certificate office for finished paperwork
- Visit HRD to update SGLE, “page 2” /DD Form 93, enroll baby in Tricare Prime and DEERs (resources provided during hospital stay.
- Update DEERS enrollment once SSN card is received at HRD (3 months post-birth)