Call your caregiver or birth center immediately if you have any of the following:
- Bright red vaginal bleeding with or without pain.
- Signs of preterm labor (labor before 37 weeks of pregnancy).
- Signs of high blood pressure in pregnancy (sometimes called pre-eclampsia or toxemia).
- sudden or severe swelling of you face, hands or feet
- sudden weight gain of 1 kg (2.2 lb) over a period of a week or less
- dizziness, headaches, changes in your vision (such as blurring or seeing spots)
- sudden and severe vomiting
- Any change or absence of fetal movement. Once you begin to feel your baby’s movements regularly (at about 28 weeks) you should feel movement throughout the day, everyday. Decrease in movement may be the first warning that your baby’s not well or having trouble.
Note: If you notice a decrease in your baby’s activity, here’s what to do:
- Lie on your left side for 1 hour. Feel for your baby’s movements by placing your hands on your abdomen. You should feel a series of movements that last 5 to 10 minutes.
- If you do not feel your baby move within 1 hour, call your caregiver or birth center
A decrease in movement does not occur before labor starts. Even when you’re in labor, you should still feel your baby move.
- A decrease or absence of fetal movement for 8 hours.
- Abdominal pain.
- A gush or trickle of fluid from your vagina. This could mean that your membranes (bag of waters) have broken. The amniotic fluid is enclosed in a sac that surrounds and protects your baby. Once this sac has broken, your baby faces an increased risk for infection.
- Foul-smelling vaginal discharge. (Vaginal discharge causing itchiness and irritation should be reported within 24 hours.)
- Frequent passing of urine with a burning sensation should be reported within 24 hours.
- Any illness causing fever.
- An injury or accident, such as a fall or a motor vehicle accident.
- Persistent negative feelings about your pregnancy or overwhelming feelings of anxiety.
Trust your instincts. You know your body and your baby best. Don’t hesitate to call your caregiver or birth center at any time.
In a medical emergency such as convulsions or cord prolapse, call 911