Frequently asked questions
In addition to the information provided on my website, please look at the links menu for additional information.
Travel in pregnancy
The primary concern I have for pregnant women who wish to travel is that, if you deliver away from Melbourne, the risks to you and your baby are greater:
You will need to find a new hospital and a new doctor, neither of whom will have a record of your history.
If you deliver even slightly prematurely, you are not permitted to travel until the newborn is the equivalent of 40 weeks gestation.
It is very difficult to get travel insurance to cover you for pregnancy after around 24-26 weeks internationally, or 34-36 weeks domestically.
The costs for an international delivery can be as high as $1 million, and are rarely covered by insurance.
It is for these reasons that I do not recommend pregnant women fly internationally from around 24 weeks, and domestically after around 34 weeks. If you do need to fly, the airlines will require a letter from me authorising you to fly (either internationally or interstate) after 20 weeks gestation. Please contact me to discuss this.
Travel and illness
In some countries, hygiene standards may not be as stringent as they are in Australia, and the risk of infection (and thus complications) is substantially higher.
Guidelines
Everyone knows about ‘Bali Belly’, but it can occur in many countries and can result in premature labour or other complications.
When travelling, avoid salads, ice, water (including bottled water unless you can be certain you are the one who broke the seal) or anything else that may have been rinsed in water.
Also try not to eat food of which you cannot guarantee the safety.
Nausea and vomiting
It is quite common to have some degree of nausea during the first trimester. This will generally begin at around six weeks, peak at around nine to ten weeks and gradually resolve between 12 and 14 weeks. Sometimes the nausea may be severe and persistent and occasionally associated with excessive vomiting.
There are many options to control the symptoms but there is virtually no treatment that will eliminate them completely. Treatment involves a combination of rest, dietary modification, vitamins, complementary therapies, conventional medicine and occasionally intravenous fluids.
Childbirth education
Frances Perry House conducts childbirth education and early parenting classes. Information will be provided by Frances Perry House when you receive your hospital registration. Fees for private classes are usually covered by your health fund although there may be some out of pocket expense. I encourage both you and your partner to attend these classes, as they will prepare you better for labour, delivery, breast feeding and early parenting.
Several of these classes are available as an online program. Feedback from many of my patients has been very favourable for this format. There is still an opportunity for a hospital tour which I encourage.
Prenatal testing
This information provides a summary of the tests available and is intended to be a reminder of the issues that need to be considered. You should not feel pressured to undertake any of these tests if you do not wish to do so. It is important to recognise that the choice of testing, and what you do with the results, is yours. I will give you advice on the different types of tests and options available but the ultimate decisions must rest with you.
There are two main groups of screening tests available to you:
Genetic tests performed before or very early in pregnancy
Prenatal tests performed at various stages throughout pregnancy
Labour
When you commence having contractions, or if your membranes rupture (waters break), please telephone the Delivery Suite directly on 9344 5100. The midwife in Delivery Suite will advise you about the appropriate time to come into hospital. After you have been admitted, the midwife will phone me with a progress report and I will usually come to see you shortly afterwards. It is normal to have a small “show” of blood prior to the onset of labour. If the bleeding is more than a teaspoon full, or occurs before you are 34 weeks pregnant then you should contact me immediately.
Beauty treatments
Hair Dye
Hair dye can be safely used at any stage of pregnancy provided there is no break in the skin. Hair dye is generally not absorbed through the skin unless it is damaged.
Fake tan
Fake tan is safe to use if directly applied to the skin as the product is not absorbed. Spray tans can be inhaled and may be absorbed so they should be avoided. Any product that is applied to the skin can cause a skin allergy and should be discontinued if any reaction occurs.
Waxing
Waxing is completely safe in pregnancy although you are likely more prone to bruising and sensitivity. This is not dangerous, just uncomfortable.
Nail treatments
Nail treatments can be applied provided there is no damage done to the nail bed that might lead to infection. Adequate ventilation in the nail salon is recommended so that you are not inhaling the fumes from the acrylic products.
Botox
Botox should be avoided in pregnancy. Although absorption is unlikely it may occur and is unsafe.