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.