Concerning Signs and Symptoms

If you experience any of the following, call the office as soon as possible, unless directed otherwise. DO NOT wait for your next appointment.

  • Vaginal bleeding that is slight (less than menses) and occurs during the first four months is usually treated with bed rest only. Spotting can occur after intercourse or a vaginal exam, but it should not be heavy or last longer than 24 hours. Profuse bleeding (greater than menses) should be reported immediately. If heavy bleeding occurs after office hours, go to the emergency room or to labor and delivery at the hospital.
  • Puffiness of the face, eyes, or palm of your hand that appears suddenly and persists for more than 24 hours. Swelling that disappears after a night’s rest or after elevating your legs is not uncommon.
  • Severe headaches that develop in the last half of pregnancy, persist for more than 24 hours, and are not relieved by Tylenol® .
  • Dimming or blurring vision that lasts longer than one day during the last half of pregnancy.
  • Severe abdominal pain that is constant and persistent, especially if associated with vomiting. This is different than common obstetrical discomforts such as round-ligament spasms, which feel more like pulling or stretching.
  • Vomiting lasting more than 24 hours.
  • Fever of 100.4 degrees or more lasting for more than 24 hours.
  • Rupture of membranes. If your water breaks during the last six weeks of pregnancy, go directly to the hospital. Prior to the last six weeks, call the office for proper advice during the day or labor and delivery after office hours.
  • Dysuria (burning with urination) usually indicates a urinary tract infection, especially when accompanied by urinary frequency, chills, and/or a fever.
  • Uterine contractions that occur more frequently than every 10 minutes and don’t go away with rest and fluids prior to 36 weeks.
  • Anything that is causing you or your partner concern.