Pregnancy symptoms that might justify a trip to the emergency room

When to go to the emergency room? Pregnancy can be a joyful and exciting time. But it can also seem overwhelming and even frightening

Some expectant and new mothers may feel compelled to rush to the emergency room at the slightest symptom, while others hesitate, worried about overreacting.

Although medical emergencies are rare in pregnancy, it is best to err on the side of caution and check for symptoms, calling your gynaecologist or seeking treatment.

Pregnancy, examples of when it is useful to go to the emergency room

During pregnancy, symptoms may occur that should be listened to carefully, and which should recommend a trip to the emergency room.

They may, in fact, reveal ongoing pathologies that are dangerous for mother and foetus.

They are:

  • chest pain
  • Excessive vomiting
  • Heavy vaginal bleeding
  • Loss of consciousness
  • Convulsions
  • Severe abdominal pain or cramping
  • Threat of sudden and spontaneous birth
  • Sudden swelling of the arms, legs or face
  • Severe headaches
  • Sudden changes in vision
  • Shortness of breath
  • Very high blood pressure of 160/110 or higher

Some of these symptoms may be a sign of extrauterine pregnancy, pre-eclampsia, miscarriage or a medical emergency such as a heart attack or stroke.

In the weeks following delivery, it is important to remain vigilant about your health.

Along with the above symptoms, go immediately to the emergency room for signs of postpartum depression, such as intense sadness or thoughts of harming yourself or the baby.

When might it be safe to call your doctor first?

The gynaecologist is certainly the first point of reference in pregnancy: before you get assailed by anxiety, a phone call might be important.

He or she will probably advise referring you to the emergency room, because as mentioned above, in pregnancy it is always better to err on the side of caution.

This will probably be the case if you have symptoms that include:

  • A high fever, which could indicate an infection
  • Excessive cramping
  • Frequent nausea or vomiting
  • Light bleeding or spotting that disappears after a couple of hours
  • Onset of irregular contractions: we may advise you to wait until contractions come every five minutes, then tell you to go into labour and delivery
  • Premature going into labour
  • Pain or discharge at caesarean section or episiotomy site

Pregnancy and the Emergency Room: remember that you are by no means alone

Every patient and every pregnancy is different, so keep an open line of communication with your gynaecologist or midwife during and after pregnancy.

No question is too trivial, in your eyes and in the eyes of the operator of the 112 / 118 Operations Centre.

Keeping the doctor or 112 operator informed can improve and speed up treatment.

The chances of an emergency occurring during pregnancy are quite low, but it is better to be prepared.

Talk to your gynaecologist or midwife about symptoms to watch out for and how to handle them.

In the event of an emergency, your pregnancy affects everyone around you, including your health care provider.

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Source

UT Southwestern Medical Center

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