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Prenatal Care Book – 30 Days of Your Baby’S Birth

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Prenatal Care Book – 30 Days of Your Baby’S Birth August 2014 Prenatal NEW YORK STATE HEALTH INSURANCE PROGRAM Care (NYSHIP) for Empire Plan enrollees and for their enrolled dependents, COBRA enrollees with their Empire Plan Congratulations on your benefits and Young Adult Option enrollees pregnancy! Every baby deserves a healthy beginning. You can take steps before your baby is even born to help Five Important Steps to Having a Healthy Baby ensure a great start for your 1. Call your doctor infant. That’s why The Empire As soon as you think you are pregnant, call your doctor. Plan offers mother and baby You can do the most for your baby during the first three the coverage you need. months of pregnancy, so try to start your doctor visits as When your primary coverage soon as possible. is The Empire Plan, The The Empire Plan covers your maternity care under the Empire Plan Future Moms Medical/Surgical Program. You may choose a participating Program provides you with or non-participating provider for your maternity care. special services. Participating Provider If you choose a participating provider (obstetrician, family practice physician or certified nurse-midwife), there are no copayments for prenatal visits, delivery or your six-week checkup 3 Early Symptoms of Pregnancy after delivery. You pay only your copayment for covered services 4 Take Action to Be Healthy at participating laboratories. Exercise During Pregnancy To locate an Empire Plan participating provider or laboratory, call 5 Prenatal Testing The Empire Plan toll free at 1-877-7-NYSHIP (1-877-769-7447) 6 The Future Moms Program and select the Medical Program. Or, visit the New York State 7 Your Healthy Diet During Pregnancy Department of Civil Service web site at https://www.cs.ny.gov. 8 Medications and Pregnancy Select Benefit Programs, then NYSHIP Online. Follow the prompts to the NYSHIP Online home page, and click on Find a Provider. Skincare Products to Avoid Always check with the provider before you receive services to make 9 Feeding Your Baby sure he or she participates in The Empire Plan for New York State 10 New Parents government employees. 11 Choosing Your Baby’s Doctor Health Care Spending 12 Extended Care: Medical Case Management This issue of Reporting On is for information purposes only. 13 Postpartum Depression Please see your doctor for diagnosis and treatment. Read your plan materials for complete information about coverage. 14 Questions and Answers 16 Resources Non-Participating Provider The maternity specialist will ask For more information on the If you choose a non-participating you some questions to determine services offered by the Future provider (obstetrician, family if there are any potential concerns. Moms Program, see page 6. practice physician or certified Questions may include: 4. Be informed nurse-midwife), after the annual • Is this your first pregnancy? Ask your doctor or nurse-midwife, deductible is met, The Empire • Have you had problems during the doctor’s nurse and the maternity Plan pays 80 percent of the previous pregnancies? specialist questions. Community reasonable and customary • Do you have diabetes? resources and web sites listed on charges for maternity care up • Do you get urinary the back cover of this publication to your coinsurance maximum. tract infections? provide even more information. Be You pay the balance, until the informed. Make sure you know how coinsurance is met. There are If you choose to participate in the Future Moms Program, you will you can have a healthy pregnancy separate charges for services and baby. at non-participating laboratories. receive the following: 5. Enroll your baby for coverage 2. Call The Empire Plan at • A toll-free number you can call Remember to change from Individual 1-877-7-NYSHIP for answers to your questions coverage to Family coverage or add (1-877-769-7447) about important topics, such as pregnancy, labor, nursing and your baby to your Family coverage. The Empire Plan Hospital Program postpartum depression – staffed provides your hospital coverage If you are an active employee, by registered nurses, 24 hours at hospitals or licensed birthing contact your agency Health a day, seven days a week centers through the Empire Plan Benefits Administrator within Hospital Program, administered • A helpful prenatal care book – 30 days of your baby’s birth. by Empire BlueCross BlueShield. Mayo Clinic Guide to If you are a retiree, write to the You must call for preadmission Healthy Pregnancy Department of Civil Service certification before maternity and • Educational materials to help you Employee Benefits Division, other hospital admissions related handle any unexpected events Albany, New York 12239, within 30 days of your baby’s birth.* to your pregnancy. • Screening by a registered nurse 3. Enroll in the Future for common pregnancy risks like * Retirees of Participating Agencies: Call the Health Benefits Administrator Moms Program premature delivery or depression at your former agency. As soon as you know you are • Useful tools to help you, your pregnant, call 1-877-7-NYSHIP doctor and your Future Moms (1-877-769-7447) and select nurse keep track of your pregnancy Option 2 for the Hospital Program and spot possible risks for preadmission certification and to • Free phone consultations with learn about the Future Moms a dietitian, pharmacist, lactation Program. Call early – during the first consultant, exercise physiologist month of pregnancy, if possible – or licensed behavioral health and tell the representative you’re clinician, if needed calling about your pregnancy. 2 RO Prenatal Care/August 2014 Early Symptoms of Pregnancy Fatigue • Take your prenatal vitamins with Frequent Urination Supporting a pregnancy will take your evening meal or before bed For many women this symptom a lot of your energy, especially in rather than on an empty stomach. begins around the sixth or seventh the first trimester. It is important to Fortunately, the symptoms lessen week after conception as the get plenty of rest. Fatigue is related for many women as they end their uterus starts to grow. Initially this to the high levels of the hormone first trimester. In the meantime, may also be due to enlarged progesterone. Eating foods rich be sure to incorporate healthy ovaries taking up space in in protein and iron may help. nutritional choices so that you and the pelvic cavity. This may be Remember to take a prenatal vitamin your baby get the essential daily bothersome, but not worrisome. for optimal nutritional support. requirements for optimal health. If you develop burning with urination, blood in your urine, or Nausea Constipation fever, you must call your doctor. Although often called morning During pregnancy your digestive sickness, nausea during pregnancy system may slow down. Although Cramping/Spotting can happen at any time. Hormone uncomfortable, it is not dangerous A small amount of cramping that levels are a contributing factor, and can be managed. Do not take resembles menstrual cramps can including rising levels of the any laxatives unless instructed to be normal. Remember your uterus hormones, human chorionic do so. Also try these tips: is a muscle and it is working with gonadotropin (hCG) and/or the developing pregnancy. On • Increase your fluid intake. estrogen. Not every women occasion, cramping may be experiences nausea, so do • Increase your fiber; eat more accompanied by spotting. Again, not be concerned if you are fresh fruits and vegetables. spotting may be perfectly normal. not experiencing this symptom. • If you’re not already exercising, However, if at any time you Try the following to relieve add mild exercise to your experience heavy, bright red any sickness: daily routine. bleeding or severe, constant • Eat small frequent meals. The • You may take a stool softener cramping, please notify your doctor. stomach empties slowly during such as docusate sodium: Emotions pregnancy and may not hold 100mg, up to twice a day. It is natural to be worried that a large meal. Avoid spicy, fried This medication is safe during every twinge is something to be and greasy foods. pregnancy; it is added to many concerned about and you may • Keep crackers at your bedside. prenatal vitamins. find yourself very emotional. Try Some women find that eating Breast Changes to focus your energy and thoughts crackers before getting out of Breast changes are one of the very on the positives! bed or moving around can help. earliest symptoms in pregnancy. • Some women have aversions to Rising hormone levels can cause certain smells. Identify the trigger breast tissue to become swollen, situations and avoid them. heavier and sore. While this may • Try fresh ginger. Ginger can be be uncomfortable, there is nothing found in certain beverages, such to worry about. Invest in a good as sodas or teas. Make sure to supportive bra to ease some of look for items made with real the discomfort. ginger. You can also try grating fresh ginger into a beverage. RO Prenatal Care/August 2014 3 Take Action to Be Healthy If you become pregnant, or are and pregnancy complications. over-the-counter drugs (including planning on becoming pregnant, Folic acid is also naturally found herbal supplements) that are you will need to adjust your lifestyle in orange juice, peanuts, green not prescribed by a doctor who to ensure that you and your baby leafy vegetables, beans, broccoli, knows you are pregnant. are as healthy as possible. asparagus, peas, lentils and • Eat a balanced diet. Your baby • Get early, regular care. Talk to enriched grain products. is nourished by what you eat, so your doctor about prenatal care, • Stop smoking. Smoking during choose healthier foods and avoid your lifestyle and personal and pregnancy can lead to low those with no nutritional value. family medical history. These birth weight, preterm birth and • Gain enough weight, but not discussions can help your doctor stillbirth.
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