What is an emergency? Call immediately in the following cases:

We cannot include all problems or complications in this list. If in doubt, you can always consult us by phone.

Pregnancy

  • Vaginal bleeding (more than a few drops): please call during the day. For heavy bleeding, call immediately.
  • Abdominal pain or cramps in the abdomen or back that do not subside, even with rest.
  • Headache, seeing spots, vomiting, nausea, pain in the upper abdomen or between the shoulder blades, or sudden severe fluid retention in the face, hands and feet (after the 20th week).
  • If you itch a lot, especially on the palms of your hands and the soles of your feet.
  • If you are 26 or more weeks pregnant and you feel the baby moving less than you are used to (especially if the baby barely moves for 12 hours).
  • If you have fallen on your stomach and are worried or in pain, or you see blood or amniotic fluid.
  • If you have painful or regular contractions before 37 weeks, or your waters break (you see amniotic fluid).

Labour

  • At 36 weeks, we will discuss individual advice with you and your partner on when to call us. The points below are general guidelines.
  • If you have regular contractions.
  • If your waters break (if they break at night, please call the next morning).
  • If the amniotic fluid is green or brown, call immediately.
  • If your waters break and the baby’s head has not yet engaged (lie down straight away and call us immediately).
  • If you lose red blood, about 1 panty liner full.
  • If you have a contraction storm or the urge to push.

Postnatal period

  • Fever or unexplained pain in the mother.
  • Sudden heavy blood loss (filling 2 maternity pads) or the loss of many clots.
  • The baby’s temperature is below 36.5 °C or above 37.5 °C and does not improve after following the steps advised by the maternity nurse.
  • Floppy baby, feeding problems, breathing problems.
  • The baby looks very yellow (jaundiced) or is drowsy.
  • The baby’s skin colour is grey or blue.