The following is a list of symptoms that can be cause for concern. It is important if you have any of these symptoms to notify the doctor. You will know if there is a need to notify the doctor immediately or to wait and call during office hours.
If you feel you have “broken your water” or are in labor, you may go to the hospital without calling the doctor. During working hours you can come into the office for evaluation. The following symptoms often require immediate notification of the doctor, although your gut feeling about the situation is usually right.
Vaginal bleeding, more than an occasional spotting or loss of mucous plug
Leaking or gush of fluid from vagina
Irritating vaginal discharge with or without odor, sores or itching
Pain or burning upon urination
Persistent nausea, vomiting or diarrhea
Sudden, persistent abdominal pain
Fever over 100.4
Sudden puffiness of face, hands or feet
Severe persistent headaches not relieved by rest or Tylenol
Visual disturbances, blurred vision, spots before your eyes, blind spots or double vision
A decrease or drastic change in the usual movement of your baby
Constant abdominal pain or contractions, more than 2-3 times in an hour, especially if they do not lessen after change in activity or fluids (especially if more than 5 weeks before your due date).
If you have been involved in a fall, motor vehicle accident, or experience trauma to the abdomen, please go directly to the emergency room. There is no need to notify the doctor. The hospital will notify us of your visit.