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What to Expect in your Pregnancy

Your body will go through many changes as your baby grows.  A lot of these symptoms are normal.  You may experience morning sickness, breast tenderness and mild cramping.


Click below to see more information about how your body will change and normal symptoms of pregnancy.

Visit What to Expect


Morning Sickness

Dealing with morning sickness? We’re here to help! Our team recommends remedies such as eating small, frequent meals, avoiding greasy and spicy foods, and staying hydrated. Ginger or peppermint tea can also help ease nausea. If you are unable to keep food down or have severe nausea and vomiting, please reach out to us for help.  


Concerning Symptoms

There are some symptoms that are concerning and you should reach out to our team immediately:

  • Heavy vaginal bleeding
  • Fever over 101.5 F
  • Severe pelvic pain
  • Painful urination
  • Severe puffiness in the hands/face
  • Changes in vision
  • Excessive vomiting


Weight Gain in Pregnancy

The recommended amount of weight gain in your pregnancy is dependent on your pre-pregnancy weight.  If you are overweight, you should gain less weight than average and if you are under weight you should gain more. The recommended amount of weight gain is calculated using your BMI (body mass index).  You can calculate your BMI by using an online calculator using your height and weight. The following are weight gain recommendations by BMI:

BMI before pregnancy Recommended amount of weight gain
Less than 18.5 28-40 pounds
Normal BMI of 18.5-24.9 25-35 pounds
Overweight BMI 25-29.9 15-25 pounds
BMI over 30 10-20 pounds

During your first trimester it is normal to gain very little weight or no weight at all.  You do not need to increase your caloric intake during the first trimester.  Just make sure you are eating a balanced diet. 
Being overweight during your pregnancy can increase your risk of complications such as:

  • Pre-eclampsia
  • Pre-term birth
  • Gestational diabetes
  • Large baby
  • Birth injury during vaginal delivery
  • Cesarean birth
  • Birth defects

Click here for more information on obesity in pregnancy


Labor and Delivery

When it comes time for delivery, an on-call physician will deliver your baby. This will most likely be a doctor from our clinic, however, we do share call with other doctors in the community and there is a small chance that delivery will be performed by one of our call-partners.
If you are having a scheduled Cesarean Section, you may choose a provider and we will do our best to accommodate you. We deliver at Sacred Heart Medical Center.
We are looking forward to working with you to ensure the best possible care for you and your baby. Thank you for trusting us with the care of your pregnancy!

Additional Pregnancy Resources

Click below for more information

Construction Notice

The City of Spokane Valley is improving the Pines & Mission Intersection near our Spokane Valley location. 

Starting April 15th, 2024, most of the work will happen between 8:00 PM and 6:00 AM, with some daytime work too.

They’ll try to limit traffic disruptions, keeping the intersection open and businesses accessible but please plan accordingly when visiting our Spokane Valley office.

Click below for more details:

We can expect minor traffic changes mostly around the northeast and southeast corners of the intersection. This involves digging for the wall, upgrading traffic and pedestrian signals at Pines & Mission intersection, and improving its northeast and southeast corners.

Traffic revisions involve closing westbound Mission Avenue and the northwest shoulder of Pines Road near the 190 offramp, with ongoing modifications to traffic signals, retaining wall construction, sidewalk improvements along northwest Mission Ave, and prep work for repaving Pines Road and Mission Ave.

Traffic changes will close westbound Mission Avenue and part of the northwest Pines shoulder, limit center lanes on the east side of Mission and the south of Pines, pave parts of Mission Avenue and Pines Road, and reconstruct the traffic island at the Pines Road and Mission Avenue intersection.

Mission Avenue will be fully closed from the Pines intersection westbound to just before Applebee’s parking lot’s west driveway, with center lane restrictions on eastbound Mission. The project involves grinding existing asphalt, paving new asphalt, adding traffic islands, installing new road markings and signs, and landscaping the northwest quadrant of Mission and Pines.

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