Danger Signs in Pregnancy

Danger Signs in Pregnancy

Common Concerns in Pregnancy

Pregnancy brings a lot of changes, many of which will be new to you. Fortunately, most pregnancies and births are normal and progress without problems or complications.

Nevertheless, the hormonal influences and physical changes that occur in your body while growing a baby can be quite surprising.

In general, most symptoms are a result of a normally developing pregnancy and can be discussed with the midwife at your next regularly scheduled prenatal appointment.

However, there are times when it may be necessary to contact your midwife between appointment dates. The information provided should not be taken as medical advice; it is an overview of common concerns and danger signs. Please talk with your provider if you have any questions.


Vaginal bleeding:

  • Slight spotting that goes away within a day: talk with you provider at your next regularly scheduled appointment.

  • Any spotting or bleeding that lasts more than a day: Call office for next available appointment.

  • Moderate to heavy bleeding (like a regular period): You should be seen immediately.

  • Bleeding with pain, fever, or chills: You should be seen immediately.

Abdominal Pain

  • Occasional pulling, twinging, pinching or sharp stabbing sensation on one or both sides of abdomen or over pubic bone, worse with walking, prolonged standing, sitting or sudden position changes: Next regularly scheduled appointment.

  • Severe pelvic or abdominal pain that is unrelieved by Tylenol, heat pack, warm bath, massage or accompanied by nausea, vomiting, diarrhea: You should be seen immediately.

Back Pain

  • Achy low back pain, sometimes radiates down back of hips and one or both sides of legs. Occasionally sharp or stabbing. Worsens with prolonged sitting, standing, or walking. Usually relieved with pelvic rocking exercises, hip stretches, warm bath, heating pad or Tylenol: Next regularly scheduled appointment.

  • Severe, continuous pain, may radiate to one or both sides of front of abdomen. Not affected by movement, exercises, warm bath or position changes: You should be seen immediately.

  • Pelvic pain with bleeding or fever: You should be seen immediately.

Headache

  • Occasional mild headache relieved with Tylenol and rest: Next regularly scheduled appointment.

  • Headache unrelieved by Tylenol, rest, hydration or antihistamines: Schedule an appointment for that day.

  • Severe or persistent headache, especially if accompanied by visual changes (spots before eyes, light sensitivity, etc.): You should be seen immediately.

Cold/Cough/Stuffy Nose

  • With fever greater than 100.8 for longer than 48 hours: Schedule an appointment for that day.

  • Without fever, but symptoms lasting longer than 7 days and not improving: Schedule an appointment for that day.

Sore Throat

  • Chronic (longer than 1 week) without fever or other symptoms: Next regularly scheduled appointment.

  • With fever greater than 100.8 and lasting longer than 48 hours: Schedule an appointment for that day.

  • With red rash that feels like sandpaper: Schedule an appointment for that day.

Nausea and Vomiting

  • Constant nausea, occasional vomiting: Next regularly scheduled appointment.

  • Vomiting 1-3 times per day with persistent nausea: Schedule an appointment for that day.

  • Vomiting several times per day and unable to hold down any food or fluids for more than 8 hours: You should be seen immediately.

  • Vomiting with pain or fever: You should be seen immediately.

Heartburn

  • Occasional mild heartburn relieved bydietary changes, antacids such as Tums, Mylanta, Ginger, Papaya enzyme, etc.: Next regularly scheduled appointment.

  • Severe or persistent despite above measures: You should be seen immediately.

Swelling

  • Mild-moderate swelling of feet, ankles: Next regularly scheduled appointment.

  • Sudden (over the course of several hours, overnight) severe swelling of feet extending to lower legs; noted in hands or face: You should be seen immediately.

Vaginal Discharge

  • Milky white, creamy or pale yellow without irritation or odor: Next regularly scheduled appointment.

  • Any discharge with foul odor or irritation: Call office for next available appointment.

  • Steady gush or leaking of watery fluid that requires use of a pad to contain it or prevent it from trickling down your leg: You should be seen immediately.

  • Stringy thick mucus - less than 36 weeks: Call office for next available appointment

  • Stringy thick mucus -36 weeks or more: Next regularly scheduled appointment

Urinary Symptoms

  • Frequency - Urinating several times per hour: You should schedule an appointment that day.

  • Pain with urination without chills, fever or headache: You should schedule an appointment that day.

  • Pain with urination accompanied by chills, fever or headache: You should be seen immediately.

Fever

  • Greater than 102° or accompanied by chills: You should be seen immediately.

  • Greater than 100.8° for greater than 24 hours: ou should schedule an appointment that day.

  • Less than 100.8° for more than 48 hours: You should schedule an appointment that day.

Vision Changes

  • "Sparkles", dizziness, light-headedness or wooziness, usually with prolonged sitting or standing or sudden movement from sitting to standing position or while in warm shower or bath. Lasts momentarily, resolves on its own: Next regularly scheduled appointment.

  • Persistent blurring, dim vision or gray shadow in your vision, double vision, loss of peripheral vision (tunnel vision), "floaters": You should be seen immediately.

Baby not moving or decreased moving

  • After 24 weeks gestation

    • *eat or drink something, lie on left side and put your hands on your belly. If you don’t get 10 movements in 2 hours need to be seen immediately

Contractions less than 37 weeks

  • Any contractions accompanied by heavy vaginal bleeding - i.e. soaking full-size pads every hour or heavy period accompanied by clots: You should be seen immediately

  • More than 4 per hour: You should be seen immediately.

  • Less than 4 per hour Next regularly scheduled appointment.

Contractions more than 37 weeks

  • Any contractions accompanied by heavy vaginal bleeding - i.e. soaking full-size pads every hour or heavy period accompanied by clots: You should be seen immediately.

  • 5 minutes apart or less for more than 1 hour, each one lasting 50-60 seconds and strong and painful enough that you are unable to walk or talk through them (i.e. unable to remain on the phone to talk with someone during a contraction): You should be seen immediately.

Urinary Incontinence

Urinary Incontinence

Cozy Toasty Winter Broth

Cozy Toasty Winter Broth

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