Unusual sensations and some discomforts are part of normal pregnancies.  It is important, however, that any of the signs listed below be assessed right away.

CALL 811/DOCTOR/MIDWIFE WITH ANY WARNING SIGNS.  CALL 911 FOR EMERGENCY HELP!
If you call 911, have someone clear a path for EMT (halls, stairs etc), turn on outside light, put pets away, unlock door, clear driveway.)

Warning Signs

  • Reduced fetal movement that doesn’t respond to stimulation *
  • Fever and chills
  • Dizziness
  • Persistent and severe mid-back pain
  • Prolonged nausea and vomiting
  • Initial outbreak of lesions or blisters in the perineal area
  • Change from normal urination
  • Gush of vaginal fluid or suspect ruptured membranes, with nothing felt to be falling out
  • Pinkish, brownish, sparse or suspected vaginal bleeding
  • Regular uterine contractions before 37 weeks
  • Accident or injury such as car accident or a fall (seek medical attention if required)
  • Thoughts of harming yourself or your pregnancy

Danger Signs – The symptoms below may indicate a life-threatening condition, and require immediate medical attention.  Call 911.

  • Sudden severe swelling of hands and face
  • Severe continuing headache
  • Visual disturbances (e.g., blurring of vision, spots, flashes of light)
  • Persistent, severe, sudden abdominal or pelvic pain – call 911
  • Severe epigastric pain (upper abdomen) – may feel like heartburn but more severe and not relieved by the usual tricks
  • Sudden and severe vomiting
  • Red flowing vaginal bleeding
  • Suicidal thoughts
  • Convulsions
  • Gush of vaginal fluid / suspected ruptured membranes, with a cord felt at or outside vaginal opening – get on hands and knees with buttocks higher than head.

Concerns:  Please contact your midwife or doctor if you notice vaginal discharge with itching, irritation or a foul smell; signs of bladder infection such as burning or urgent, frequent urination; persistent negative feelings, low moods and/or overwhelming anxiety.

* Normal Fetal Movement:  If you’ve been busy or are unsure about movement then relax and have a meal, a small glass of juice or some fruit.  Palpate your baby to induce movement.  Pay attention to the movements.  Babies sleep.  If your blood sugar is low then so is your baby’s.  You should feel at least 10 movements over any 2 hour block and at least 1 in the first hour.   If not then seek medical attention.