Pregnancy Care

During pregnancy, we recommend:

• Limiting caffeine to no more than 200 mg per day, which is approximately the amount in one 8 to 12 oz cup of coffee

• Checking labels or nutrition information when possible, since caffeine levels vary depending on the type of coffee and how it is prepared

• Including all sources of caffeine in your daily total, such as coffee, tea, soda, chocolate, and energy drinks

• Avoiding energy drinks, which may contain high levels of caffeine and other added stimulants

Higher caffeine intake may be associated with an increased risk of pregnancy loss and low birth weight.

Artificial sweeteners have not been shown to pose a pregnancy risk. Many patients choose to limit them based on personal health preferences.

Yes. Moderate exercise most days of the week is encouraged.

• Benefits include:
  Improved mood and reduced anxiety

• Healthy weight gain

• Reduced back and hip discomfort

If you are new to exercise, start slowly. If you exercised regularly before pregnancy, you may continue with adjustments.

We recommend the following vaccines during pregnancy:

• COVID vaccine and boosters

• Flu shot

• RSV

• Whooping cough TDAP

These vaccines protect both you and your baby. Your provider can help you decide on timing and answer questions about safety.

Travel is generally safe during an uncomplicated pregnancy.

When planning a trip:

• Wear a seatbelt when traveling by car

• Stay hydrated

• Take breaks to stretch and use the restroom

• For trips lasting four hours or longer, reduce your risk of blood clots by walking regularly, moving and stretching your legs, staying hydrated, and wearing graduated compression stockings

• Air travel is typically considered safe until 36 weeks of pregnancy, although some airlines have earlier cutoffs or may require documentation of your due date

• Carefully consider international travel after 28 weeks, particularly the availability of medical care at your destination

• Avoid travel to areas with an active Zika Travel Health Notice. If travel is unavoidable, follow strict precautions to prevent mosquito bites and sexual transmission

Labor can occur unexpectedly later in pregnancy, which is why travel decisions should be made thoughtfully.

Airlines do not require a medical note for pregnancy. If helpful, we can provide a note explaining ACOG guidance. The decision to travel is always yours.

Certain pregnancy or medical conditions may change these recommendations. Please discuss your travel plans with your provider, especially if you are traveling later in pregnancy or outside the United States.

Questions about traveling with a newborn should be directed to your pediatrician.

Living in Colorado means many patients are already acclimated to altitude.

• Travel to higher elevations is generally safe

• Avoid strenuous activity above 10,000 feet

Many patients live in the mountains full time.

Questions about newborn altitude exposure should be discussed with your pediatrician.