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Health Topics

Pregnancy

You're pregnant!  Congratulations! 

While pregnancy is an exciting time, it is also a time when you may have many questions and concerns. On this page, we have put together information and resources to help you take care of yourself (and baby!).  We are glad to be able to share the medically reviewed information with you but remember: nothing takes the place of regular visits with your health care provider for prenatal care.

If you are still looking for a physician, please consider Good Neighbor Community Health Center and Good Neighbor Fremont.  We have contracted with highly qualified OB providers who look forward to working with you to help make your pregnancy a happy and healthy one. 

To make an appointment or for more information, please call (402) 562-7500 (Columbus) or (402) 721-0951 (Fremont).

 

Anemia

Anemia

What is anemia and why am I being tested for it?
Red blood cells carry hemoglobin, an iron-rich protein that
attaches to oxygen in your lungs and carries it to tissues
throughout your body. When your body needs more iron that it
has available, you become anemic.


During pregnancy, the amount of blood in your body increases
by about 20-30 percent. This increases the amount of iron and
vitamins needed to make hemoglobin. Many women do not have
the amount of iron needed for the 2nd and 3rd trimesters of
pregnancy.


What are the dangers of being anemic?
Mild anemia is normal during pregnancy due to an increase in
blood volume. More severe anemia can put your baby at higher
risk for anemia later in infancy. Mothers who are significantly
anemic during their first two trimesters are at greater risk for
having a pre-term delivery or low-birth-weight baby. Being
anemic can also increase the risk of blood loss during labor and
make it more difficult to fight infections.


What are the risk factors for anemia?
You are at higher risk for anemia during pregnancy if you:
• Have two pregnancies close together.
• Are pregnant with more than one child.
• Are vomiting frequently due to morning sickness.
• Do not get enough iron.
• Have a heavy pre-pregnancy menstrual flow.


How do I know if I am anemic?
Many anemia symptoms are like those you may regularly
experience during pregnancy, including:
• Feeling tired or weak
• Skin becoming more pale over time
• Rapid heartbeat
• Shortness of breath
• Trouble concentrating

Good nutrition is very important in helping to prevent anemia. Eating foods high in iron content (such as dark green leafy vegetables, red meat, fortified cereals, eggs, and peanuts) can help ensure that you maintain the supply of iron your body needs.


Your obstetrician will also prescribe vitamins to ensure that you have enough iron and folic acid. Make sure you get at least 27 mg of iron each day. If you do become anemic during your pregnancy, it can usually be treated by taking iron supplements.


At Good Neighbor, your health care providers will do several tests to check the percentage of red blood cells in your plasma and the amount of hemoglobin in your blood. These are indicators of whether you are at risk for becoming anemic.

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In the first 12 weeks of pregnancy, call your healthcare provider right away if you have:

  • A fever higher than 100.4 degrees Fahrenheit

  • Heavy bleeding, soaking more than one pad an hour for three hours

  • Unusual or severe cramping or abdominal pain

  • Severe or persistent vomiting and/or diarrhea

  • Fainting spells or dizziness

  • Pain, burning, or trouble urinating

  • Unusual vaginal discharge

  • Swelling in your hands, fingers, or face

  • Blurred vision or spots before your eyes

  • One extremity (arm or leg) swollen more than the other

  • Severe headaches

  • Pain or cramping in your arms, legs, or chest

  • Our Patient Portal makes it easy to access your medical records and manage your health.

  • Good Faith Estimate

    You have the right to receive a “Good Faith Estimate” explaining how much your medical care will cost

    Under the law, health care providers need to give patients who don’t have insurance or who are not using insurance an estimate of the bill for medical items and services.

    You have the right to receive a Good Faith Estimate for the total expected cost of any non-emergency items or services. This includes related costs like medical tests, prescription drugs, equipment, and hospital fees.

    Make sure your health care provider gives you a Good Faith Estimate in writing at least 1 business day before your medical service or item. You can also ask your health care provider, and any other provider you choose, for a Good Faith Estimate before you schedule an item or service.

    If you receive a bill that is at least $400 more than your Good Faith Estimate, you can dispute the bill.

    Make sure to save a copy or picture of your Good Faith Estimate.

    For questions or more information about your right to a Good Faith Estimate, visit www.cms.gov/nosurprises or call (816) 426-2821.

  • Estimación de Buena Fe

    Tiene derecho a recibir una "Estimación de Buena Fe" que explique cuánto costará su atención médica

    Según la ley, los proveedores de atención médica deben dar a los pacientes que no tienen seguro o que no están usando el seguro una estimación de la factura de artículos y servicios médicos.

    Tiene derecho a recibir una Estimación de Buena Fe del costo total esperado de cualquier artículo o servicio que no sea de emergencia. Esto incluye costos relacionados, como exámenes médicos, medicamentos recetados, equipo y honorarios hospitalarios.

    Asegúrese de que su proveedor de atención médica le dé una Estimación de Buena Fe por escrito al menos 1 día hábil antes de su servicio o artículo médico. También puede pedirle a su proveedor de atención médica, y a cualquier otro proveedor que elija, una Estimación de Buena Fe antes de programar un artículo o servicio.

    Si recibe una factura que es por lo menos 4 400 más que su Estimación de Buena Fe, puede impugnarla.

    Asegúrese de guardar una copia o imagen de su Estimación de Buena Fe.

    Para preguntas o más información sobre su derecho a una Estimación de Buena Fe, visite www.cms.gov/nosurprises o llama a (816) 426-2821.

  • Estimation de bonne foi

    Vous avez le droit de recevoir une "Estimation de bonne foi" expliquant le coût de vos soins médicaux

    En vertu de la loi, les fournisseurs de soins de santé doivent donner aux patients qui n'ont pas d'assurance ou qui n'utilisent pas d'assurance une estimation de la facture des articles et services médicaux.

    Vous avez le droit de recevoir une Estimation de bonne foi du coût total prévu de tout article ou service non urgent. Cela inclut les coûts connexes tels que les tests médicaux, les médicaments sur ordonnance, l'équipement et les frais hospitaliers.

    Assurez-vous que votre fournisseur de soins de santé vous donne une estimation de bonne foi par écrit au moins 1 jour ouvrable avant votre service médical ou votre article. Vous pouvez également demander à votre fournisseur de soins de santé et à tout autre fournisseur de votre choix une estimation de bonne foi avant de planifier un article ou un service.

    Si vous recevez une facture d'au moins 400 $ de plus que votre estimation de bonne foi, vous pouvez contester la facture.

    Assurez-vous d'enregistrer une copie ou une photo de votre Estimation de bonne foi.

    Pour des questions ou plus d'informations sur votre droit à une estimation de bonne foi, visitez www.cms.gov/nosurprises ou appelez le (816) 426-2821.

  • Qiyaasta Iimaanka Wanaagsan

    Waxa aad xaq u leedahay in aad hesho “Qiyaasta Iimaanka Wanaagsan” oo sharxaysa inta ay ku kacayso daryeelkaaga caafimaad

    Sida sharciga qabo, bixiyeyaasha daryeelka caafimaadku waxay u baahan yihiin inay siiyaan bukaanka aan caymis lahayn ama aan isticmaalin caymiska qiyaasta biilka alaabta iyo adeegyada caafimaadka.

    Waxaad xaq u leedahay inaad hesho Qiyaasta Iimaanka Wanaagsan ee wadarta kharashka la filayo ee alaab kasta ama adeegyo aan degdeg ahayn. Tan waxa ku jira kharashyada la xidhiidha sida shaybaadhka caafimaadka, daawooyinka dhakhtar qoray, qalabka, iyo khidmadaha isbitaalka.

    Hubi in bixiyaha xanaanada caafimaadkaagu uu qoraal ahaan ku siiyo Qiyaasta Iimaanka Wanaagsan ugu yaraan 1 maalin shaqo ka hor adeegaaga ama shaygaaga. Waxa kale oo aad waydiisan kartaa bixiyaha xanaanada caafimaadkaaga, iyo bixiye kasta oo kale oo aad doorato, Qiyaasta rumaysadka Wanaagsan ka hor inta aanad ballansan shay ama adeeg.

    Haddii aad hesho biil ugu yaraan $400 ka badan Qiyaasta rumaysadkaaga Wanaagsan, waxaad ka doodi kartaa biilka.

    Hubi inaad kaydiso nuqul ama sawirka Qiyaasta rumaysadkaaga Wanaagsan.

    Wixii su'aalo ah ama macluumaad dheeraad ah oo ku saabsan xaqa aad u leedahay Qiyaasta Iimaanka Wanaagsan, booqo www.cms.gov/nosurprises ama wac (816) 426-2821.

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