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When to Call Your Doctor With a Pregnancy Concern: Key Signs You Shouldn’t Ignore

07 Jan 2025
10 Pregnancy Concerns You Shouldn’t Ignore When to Call Your Doctor

Pregnancy is an exciting journey, but it can also be filled with uncertainties. While many symptoms are normal, others may signal a need for medical attention. Knowing when to call your doctor can give you peace of mind and ensure both you and your baby stay healthy. Here’s a guide to help you understand when it’s time to pick up the phone.

General Guidelines for Contacting Your Doctor

Never hesitate to reach out to your healthcare provider if you feel something is wrong. Trusting your instincts is important during pregnancy, and even if a symptom turns out to be minor, it’s better to be cautious. Doctors and midwives are there to support you throughout this process​.

Key Symptoms to Watch For

1. Severe Abdominal Pain or Cramping

Mild cramping can be normal, especially in early pregnancy as your uterus expands. However, if you experience intense, sharp pain, it could indicate an issue such as a miscarriage or ectopic pregnancy, especially in the first trimester. Later in pregnancy, severe pain could signal preterm labor or placental issues.

2. Vaginal Bleeding or Spotting

Light spotting in early pregnancy can be normal, but heavy bleeding, especially if accompanied by cramping, should be evaluated immediately. In later pregnancy, bleeding may indicate complications such as placenta previa or placental abruption​.

3. Decreased Fetal Movement

By the third trimester, you should become familiar with your baby’s movement patterns. If you notice a significant decrease in activity, contact your doctor promptly. Kick-counting (tracking how often your baby moves in a given period) can help assess fetal well-being.

4. Severe Swelling, Headaches, or Vision Changes

Mild swelling in the feet and ankles is common, but sudden, severe swelling, particularly in the hands and face, along with a persistent headache or changes in vision (blurriness or seeing spots), can be signs of preeclampsia, a serious condition requiring immediate medical attention.

5. Persistent Vomiting and Dehydration

While morning sickness is common in the first trimester, severe vomiting that leads to dehydration can be harmful. This condition, known as hyperemesis gravidarum, may require treatment to ensure you and your baby get proper nutrients and hydration.

6. High Fever

A fever above 101°F (38.3°C), especially if accompanied by chills or body aches, could signal an infection. Infections during pregnancy can pose risks to both mom and baby, so it’s important to get evaluated.

7. Leaking Fluid

If you experience a sudden gush or a continuous trickle of fluid from your vagina, it could indicate that your water has broken. This can happen even before labor begins, so it’s important to call your doctor right away.

8. Shortness of Breath or Chest Pain

While pregnancy can cause mild breathlessness due to increased pressure on the diaphragm, severe difficulty breathing, chest pain, or a rapid heart rate should not be ignored. These symptoms could signal a serious condition such as a blood clot in the lung (pulmonary embolism).

Routine Reasons to Call Your Doctor

  • Questions about medications or supplements you are taking
  • Concerns about diet or weight gain
  • Issues related to prenatal tests and their results
  • Persistent back pain or pelvic pressure

How to Prepare for the Call

When you call your doctor, it’s helpful to:
  • Describe your symptoms clearly, including when they started and how they’ve changed.
  • Note any related factors, such as recent activities or meals.
  • Keep a list of any medications or supplements you’re taking.

This information helps your healthcare provider assess the urgency of your situation and recommend the appropriate steps.

Final Thoughts

Pregnancy comes with many changes, and it’s natural to have questions or concerns along the way. Knowing when to call your doctor is key to ensuring a healthy pregnancy. Don’t hesitate to reach out—you deserve support every step of the way. Remember, it’s always better to ask and be reassured than to ignore a symptom that could need attention.

Content Reviewed by Dr V. profile picture

Content Reviewed by Dr V.

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Dr. Vaheh Shirvanian, a family medicine physician and father. With over 17 years of experience, he specializes in inpatient acute hospital care, outpatient family medicine, urgent care, emergency medicine, and hospice care. Dr. V is passionate about guiding new parents through the challenges and joys of parenthood, offering compassionate and expert support at every step.

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