Congratulations you are pregnant !

General 1st trim Counseling and instructions:


is a natural physiological process not a disease; however this miraculous condition it’s an urgent call to live a wholesome life. Since pregnancy, labor and delivery are as natural as digestion or hearing; they usually do not need extra help or overtly complicated interventions and medications to make better or easier.


Alcohol, tobacco (including second hand), drugs (licit, illicit, recreational, non-recreational, natural or man made).


Air travel is safe until 6 weeks before EDD. In lengthy trips take walking breaks to avoid the risk of thrombosis.

Hot tubs and saunas should be avoided during the first trimester of pregnancy.

Volatile chemicals including hair and nail treatments should be avoided during pregnancy even do they have not been proven to be harmful for your baby.

Few medications have been proven safe during pregnancy, therefore do not auto-medicate and call me whenever you have a question about them.

Conditions, where prolonged standing and exposure to certain chemicals, should be avoided


Physical Activity: 30 minutes of moderate (walking at a speed of 3 km/30 minutes) exercise most days of the week. Avoid activities that put you at risk of falls or abdominal injuries.

Even do everyone is telling you to “take it easy”. Rest whenever you feel tired or sleepy. Rational physical activity will never be the direct cause of a miscarriage, or premature delivery. Sexual intercourse is not associated with adverse outcomes.

General Dietary Guidelines:

Avoid saccharin (Sweet 'N Low) and Cyclamate. Aspartame (Equal or NutraSweet), sucralose, and acesulfame-K are probably safe during pregnancy but it is best just to use non-refined sugar in moderation, honey or Rebaudioside (Stevia).

Caffeine-containing drinks: no more than 150-300 mg per day. Average caffeine content: coffee (150 mL): 60 mg (instant), 85 mg (percolated), 112 mg (drip). Tea (150 mL): 30 mg (leaf or bag). Soft drinks (355 mL): 30 to 48 mg.

Avoid raw or undercooked food products (pâté, meat spreads, sushi, ceviche, and eggs) and always reheat leftover foods before consuming them.

Avoid unpasteurized milk and it’s products (feta, Brie, C Camembert, blue-veined cheeses, Mexican queso fresco).

Wash all fruits and vegetables before eating them.

Cutting boards, dishes, utensils, and hands should be washed with hot, soapy water after contact with unwashed fruits, vegetables, seafood and raw meat.

Pregnant women should be cautious when drinking herbal teas or infusions. Some of these herbs could be dangerous and is always best to double-check with me. Here are 2 “starting” lists that have my approval. Spanish & English

Teas containing ginger, citrus peel, lemon balm, raspberry leaf, peppermint, dandelion root, alfalfa and rose hips are safe in moderation.

With regards to beef, poultry, and fish it is always best to buy organic, free grazing (not farmed). Liver and liver products should be eaten in moderation.

There is always a concern with the amount of mercury (and other chemicals) present in fish; therefore pregnant women should limit their intake of fish to 2 to 3 meals per week. The Monterey Bay Aquarium is a good site where you can check for specific fish to avoid or consume.

2 IPhone/IPad applications I recommend for these dietary purposes: “Foods to avoid when pregnant” and “Prenatal Smart”

Return to my office in 4 wks (you can make an appointment on my web site or call my assistant). E-mail your lab work as soon as available and use this electronic media for general non-urgent questions. Call my cell phone number if you notice vaginal bleeding or have moderate to severe abdominal pain. Some normal symptoms at this time: increased thirst, moderate breast tenderness, mild colicky abdominal pain, increased urinary frequency (not pain) and being a bit moody or sleepy. Remember when in doubt is better to call or email.

With regards to your nausea:

Herbs: Ginger (Dried 1.5 g/day divided in 3 doses) or tea. Raspberry, mint and peach leaf teas.

Nutrition: Small frequent meals with complex carbohydrates. Avoid high fat and junk foods. Ice chips made form the above teas could be better than drinking the whole tea

Acupressure: Stimulation of pericardium 6 (P6). Press and rub on these points (both arms) throughout the day. Video and Bracelets.

Aromatherapy: Few oil drops citrus smells on a handkerchief to inhale and use as a compress.

Relaxation: Meditation, quiet time alone, exercise and fresh air. Lay comfortably tensing and releasing all your muscles, starting at your feet and working your way up your body.

Pharmacology: Pyridoxine (Vitamin B6) 25 mg q/8hrs & Doxylamine (Unisom) 25 mg/day.

If after these strategies you continue to feel sick please give me call, as there are other conventional medications we can use. However if at any time you are unable to control your vomiting is always best if I personally check if you are not dehydrated or have an electrolyte imbalance.