Don’t Ignore These Pregnancy Symptoms

As your body changes while growing a baby, you may experience twinges or feel surprising sensations. Most symptoms are perfectly normal and mean your body is doing precisely what it’s supposed to do. But sometimes, symptoms should be accompanied by a call to your OB or midwife – be it during or after hours.

Your provider, who will get to know you quite well during your pregnancy, will advise on next steps and make sure that you and your baby stay healthy and safe.

Louise Carroll, MD, an obstetrician and gynecologist at Rochester Regional Health’s Rochester General Hospital, reviews the warning signs to watch for and when to call your provider.

Symptoms to watch during pregnancy

Your body is busy every second of your pregnancy. It’s changing in a million ways; some that you can see, and some you cannot. It’s important to remind yourself to relax – most pregnancies go smoothly.

Complications do occur for some women, and it’s a good idea to know what those complications may look and feel like. These warning signs or symptoms should not be ignored, and you should call your provider if you experience them. And remember – we are your team throughout your pregnancy. If you have concerns or questions, you can always call and talk through them.

Abdominal pain

If sharp cramps on one side of your stomach occur in early pregnancy before you’ve had an ultrasound, your OB may want to rule out an ectopic pregnancy, which is when a pregnancy has implanted outside of your uterus.

Abdominal pain is typical later in your pregnancy, too. It is common to experience gas and pain that is associated with normal uterus growth, and your ligaments stretching. But pain that persists, gets worse, or includes bleeding may be cause for concern. If you are experiencing intense or recurring pain, call your provider.

Early contractions

Early contractions can be a sign of preterm labor. If you start feeling them before 36 weeks pregnant, please call your provider. They may be Braxton Hicks contractions (which are harmless and normal), but your OB or midwife will be able to advise.

Extreme vomiting

Morning sickness is a normal and expected symptom of pregnancy. But, if you are unable to keep liquids down and are not urinating, you should call your provider immediately. Extreme vomiting can lead to severe dehydration, which is not good for your baby or you.

If you are struggling to keep food down, if you think you have food poisoning, or if you have a high fever, you should also let your provider know immediately. In some cases, you may need to go to the hospital for IV fluids. Your OB or midwife will let you know what is best for you and your health.

Fever

Your baby’s growth and development depend on your body maintaining a healthy, steady temperature. If you experience a fever over 101°F, call your OB or midwife immediately.

Itching

Mild itching while pregnant is normal, but severe itchiness can be a sign of something else called cholestasis of pregnancy. Cholestasis is a liver ailment that needs to be monitored by your doctor. It may require extra monitoring and early delivery so be sure to call your provider if your itchiness is severe and persistent.

Lack of fetal movement

Each pregnancy is different and each baby will move differently – in frequency, type of movement, and position in the uterus.

Keep track of how long it takes for your baby to move around, note how strong they are and the time of day they are happening. Once you have a baseline for how often your baby is moving, you will know what your personal normal feels like.

If you don’t feel that the baby is moving normally, experts recommend calling your OBGYN provider.

Things to avoid when it comes to your baby moving:

• Don’t count 10 movements in 2 hours – it’s a myth
• Drinking juice or cold water doesn’t induce movement
• Avoid using a home Doppler for reassurance

Leg pain

Pregnancy – specifically your hormonal changes – puts you at a much higher risk for blood clots, especially deep vein thrombosis (DVT). The pressure of your growing uterus can also impede circulation, causing blood to pool in your legs and your feet. Staying active and well-hydrated may help prevent clots.

Leg cramps and swelling are common throughout pregnancy, but DVT often only affects one leg, and makes that leg red, painfully swollen, and warm to the touch. If you experience shortness of breath, chest pain, or a rapid heart rate, please call 911.

Severe headache

Many people suffer from occasional headaches, including pregnant women. But if your headache is persistent or severe, you should call your doctor.

Severe headaches may be accompanied by dizziness, fainting, or blurred vision. Sit somewhere comfortable, if you’re feeling faint, and have someone stay with you while you talk to your OB or midwife about next steps. Severe headaches during your second or third trimester may be a sign of preeclampsia.

Other signs of preeclampsia include:

• Abdominal pain, especially on the right side
• Blurred vision
• Excessive swelling of face, feet, or hands
• Flu-like achiness, but with no runny nose or sore throat
• Abnormally rapid weight gain

Vaginal bleeding

Vaginal bleeding is common while pregnant, especially during the first trimester.  If you notice bleeding at any time during your pregnancy, call your provider immediately.

Watery discharge

When you’re nearing the end of your pregnancy, discharge can mean that your water has broken. If you suddenly experience a gush of fluids or an increase in discharge call your OB or midwife. This can be a sign that your amniotic sac has ruptured, but it isn’t always cause for concern. Your provider will ask you questions and learn more before they advise next steps.

What to say when you call your OBGYN

It’s possible you will encounter your provider’s answering service if you call after hours. They triage calls and will get you in touch with your provider if next steps are necessary.

Be prepared to tell them:

• your name
• your due date
• symptoms you’re experiencing
• how long you’ve been experiencing symptoms
• name of your doctor or midwife

Other symptoms to monitor during pregnancy

You’ll be seeing your OB or midwife often throughout your pregnancy. The following symptoms are common, but should be mentioned when your provide asks you how you are doing. Of course, if these concerns worry you at any time, you are welcome to reach out and raise your concerns with your provider.

Confusion and forgetfulness

You’ll be seeing your OB or midwife often throughout your pregnancy. The following symptoms are common, but should be mentioned when your provider asks you how you are doing. Of course, if these concerns worry you at any time, you are welcome to reach out and raise your concerns with your provider.

Constipation

Constipation is a common pregnancy complaint, and is typically caused by the slowing down of your intestinal muscles and your baby pressing down on your rectum. Additionally, the iron found in prenatal vitamins or iron supplements can cause you to become constipated.

If you’re experiencing constipation, drink more fluids, increase your fiber intake, and exercise if you can. If your constipation persists, bring it up at your next prenatal appointment.

Fatigue

Your body is very busy growing a baby and being more tired than normal is quite common. Energy levels will change throughout your pregnancy, and it’s very important to rest when you need it. You may not be able to do everything you could pre-pregnancy, and that is to be expected.

Mood swings

Changes in sleep patterns and eating habits can affect your emotional state. Sometimes a pregnant woman’s feelings can change rapidly, running the gamut of happy to sad within a matter of minutes. Just remember that any fears or concerns are perfectly normal and valid, and sharing those with your support network can help. If you feel your developing anxiety or depression, please discuss with your provider.

Nightmares or vivid dreams

Vivid or scary nightmares are common during your pregnancy. Pregnant women report an increase in random, but very life-like dreams, caused by changing hormones. Typically, this increase in dreams and nightmares subside once pregnancy is over.

If you have questions or concerns during your pregnancy, ask your provider! We are here to help you have the safest, healthiest pregnancy possible, and are honored by your decision to partner with us. If you chose to do your own research, please remember to use reputable, scientific journals and trusted sources.