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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).

 

Tuberculosis (TB)

Tuberculosis (TB)

People with TB disease may spread TB germs to others. TB disease needs to be treated with medicine.  If NOT treated, a person with TB disease can have serious health problems and die.

What is tuberculosis?
Tuberculosis (TB) is a disease that usually affects the lungs. TB sometimes affects other parts of the body, such as the brain, the kidneys, or the spine. TB disease can cause death if it is not treated. While dealing with a TB diagnosis in pregnancy is not easy, there is a greater risk to the pregnant woman and her baby if TB disease is not treated. Babies born to women with untreated TB disease may have lower birth weight than those babies born to women without TB. Rarely, a baby may be born with TB.

How is TB spread?
TB germs are spread from person to person through the air. TB germs are put into the air when a person with TB disease of the lungs or throat coughs, sneezes, laughs, or sings. People nearby may breathe in the TB germs and become infected. TB is NOT spread by sharing silverware or cups, or sharing saliva when kissing someone.

TB disease
People with TB disease are sick from the large number of TB germs that are active in their body. They usually have one or more of the symptoms of TB disease. People with TB disease often feel weak or sick, lose weight, have fever, and have night sweats. If TB disease is in their lungs, they may also cough and have chest pain, and they might cough up blood. Other symptoms depend on what part of the body is affected by the TB germs.

Testing for TB
The tuberculin skin test is considered both valid and safe to use throughout pregnancy. The TB blood test is safe to use during pregnancy, but has not been evaluated for diagnosing TB infection in pregnant women. Other tests are needed to diagnose TB disease.

Treatment
Pregnant women who are diagnosed with TB disease should start treatment as soon as TB is detected.  Although the TB drugs used in treatment cross the placenta, these drugs do not appear to have harmful effects on the baby. Women who are being treated for drug-resistant TB should receive counseling concerning the risk to the fetus because of the known and unknown risks of second-line antituberculosis drugs.

What should I do before traveling internationally?
Travelers who anticipate possible prolonged exposure to persons with TB should have a tuberculin skin test (TST) or TB blood test before leaving the United States. If the reaction to the TST or TB blood test is negative, they should have a repeat test 8 to 10 weeks after returning to the United States. Additionally, annual testing may be recommended for those who anticipate repeated or prolonged exposure or an extended stay over a period of years.

What should I do if I think I have been exposed to someone with TB disease?
If you think you have been exposed to someone with TB disease, you should contact your doctor or local health department about getting a TB skin test or TB blood test. And tell the doctor or nurse when you spent time with this person.

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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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