Call the nurse immediately if you have one of the following warning signs.

If you have any of the following warning signs, please call the nurse at the office immediately so she can make recommendations for further evaluations or treatment. If this occurs after hours or on the weekend, you can reach the on-call nurse by calling the office number.

• Vaginal Bleeding: any amount of vaginal bleeding warrants contacting our nurses to describe your symptoms and letting us know your blood type, so we may proceed with recommendations and/or treatment.
• Leaking fluid (ruptured membranes or any other gush from the vagina)
• Decreased fetal movement after 25 weeks
• Pelvic pain or contractions before 35 weeks of pregnancy that continues for more than a short period of time
• Difficulty breathing and/or pain or pressure in your chest
• Consistent high heart rate (more than 140 beats per minute) or a feeling of heart pounding
• Any redness and/or constant pain behind the calf or knee
• Severe nausea and vomiting
• Persistent dizziness, headache or blurred vision
• Difficulty or painful urination
• Extreme swelling
• Fever or chills
• Severe abdominal pain