Warning Signs
Important information about warning signs and when to seek immediate medical attention during pregnancy, postpartum, and for your baby.
Knowing when to seek medical attention is crucial during pregnancy, postpartum, and for your newborn. While many symptoms are normal parts of these processes, some can indicate serious complications that require immediate medical care. This guide will help you understand the difference between normal experiences and true warning signs.
Emergency Information
This is a medical emergency if you experience any of the following symptoms. Do not wait to see if symptoms improve. Call your local emergency services or go to the nearest emergency room immediately.
For life-threatening emergencies, always call emergency services first, then notify your healthcare provider.
Warning Signs During Pregnancy
Seek Emergency Care Immediately For:
- Severe abdominal pain or cramping that doesn't go away, especially if accompanied by bleeding
- Vaginal bleeding that is heavy (soaking through a pad in an hour or less) or accompanied by pain or cramping
- Severe headache that doesn't go away with rest or medication, especially if accompanied by vision changes, swelling, or sudden weight gain
- Vision changes: Blurred vision, seeing spots or flashing lights, or temporary loss of vision
- Sudden or severe swelling in your face, hands, or feet, especially if it comes on suddenly or is accompanied by a headache
- Difficulty breathing or chest pain
- Severe vomiting that prevents you from keeping any food or liquid down for more than 12 hours
- Fever over 100.4°F (38°C)
- Decreased fetal movement after 28 weeks of pregnancy (your baby should move several times in a 2-hour period when you're resting)
- Signs of preterm labor: Regular contractions (more than 4 in 1 hour) before 37 weeks, water breaking, or pelvic pressure
- Water breaking: A gush or continuous trickle of fluid from your vagina
- Seizures or convulsions
- Signs of severe depression: Thoughts of harming yourself or your baby, or inability to care for yourself
Call your healthcare provider the same day for:
- Moderate abdominal pain or cramping
- Light vaginal bleeding or spotting
- Signs of urinary tract infection (pain or burning during urination, frequent urination, or blood in urine)
- Severe itching, especially on your hands and feet
- Severe leg pain or swelling in one leg (could indicate a blood clot)
- Any concerns about your baby's movements
Warning Signs After Childbirth (Postpartum)
Seek Emergency Care Immediately For:
- Severe bleeding: Soaking through more than one pad per hour for more than 2 hours, or passing large clots (bigger than a golf ball)
- Severe abdominal pain that doesn't improve with pain medication or gets worse
- Signs of infection: Fever over 100.4°F (38°C), severe headache, foul-smelling vaginal discharge, or redness, swelling, and pain at your incision site (if you had a C-section) or perineal area
- Difficulty breathing or chest pain
- Severe headache that doesn't go away with medication, especially if accompanied by vision changes
- Seizures or convulsions
- Signs of a blood clot: Severe pain, swelling, or warmth in one leg (usually the calf), or sudden shortness of breath or chest pain
- Severe mood symptoms: Thoughts of harming yourself or your baby, hallucinations, or extreme confusion
- Inability to urinate within 6-8 hours after delivery, or severe pain when urinating
Call your healthcare provider the same day for:
- Heavy bleeding that requires changing pads every 1-2 hours
- Increasing pain or redness at your incision site or perineal area
- Foul-smelling vaginal discharge
- Painful urination or difficulty urinating
- Signs of mastitis (breast infection): red, painful, swollen area on your breast, often accompanied by fever or flu-like symptoms
- Persistent or severe depression, anxiety, or mood swings
- Difficulty bonding with your baby
- Any concerns about your physical or emotional recovery
Warning Signs in Newborns
Seek Emergency Care Immediately For:
- Fever of 100.4°F (38°C) or higher in a baby under 3 months old
- Difficulty breathing: Fast breathing (more than 60 breaths per minute), grunting with each breath, flaring nostrils, or blue tint to lips or skin
- Not breathing or turning blue
- Seizures or convulsions
- Extreme lethargy: Difficulty waking your baby, or your baby seems unusually sleepy or unresponsive
- No movement or very weak movement
- Bulging fontanelle (soft spot on the head) or sunken fontanelle
- Severe vomiting: Projectile vomiting or inability to keep any food down
- Blood in stool or vomit
- Signs of dehydration: No wet diapers for 6+ hours, sunken fontanelle, dry mouth, no tears when crying
- Severe diarrhea: More than 10 watery stools in a day, or blood in the stool
- Rash with fever or rash that looks like bruises or purple spots
- Signs of jaundice: Yellow tint to skin or eyes that appears within the first 24 hours after birth or after 2 weeks of age
Call your pediatrician the same day for:
- Fever under 100.4°F (38°C) in a baby 3 months or older
- Fewer than 6 wet diapers in 24 hours (after the first week)
- No bowel movements for more than 24 hours (if formula-fed) or 3-4 days (if breastfed)
- Refusing to eat for more than one feeding or not eating well for several feedings
- Unusual fussiness or crying that can't be soothed
- Signs of an ear infection (pulling at ears, fever, unusual fussiness)
- Rash that doesn't improve or gets worse
- Eye discharge or redness
- Signs of a cold that last more than 10 days or get worse
- Any concerns about your baby's health or development
When to Trust Your Instincts
As a parent or expectant parent, you know your body and your baby better than anyone else. While this guide provides general information about warning signs, it's not exhaustive.
Trust your instincts. If something doesn't feel right, don't hesitate to contact your healthcare provider. It's always better to err on the side of caution and have a concern checked out than to ignore a potentially serious problem.
Don't be afraid to speak up. Some women feel embarrassed or worried about "bothering" their healthcare provider with concerns. Remember, your provider would rather hear from you about a concern that turns out to be nothing serious than miss a potentially serious issue.
Keep a symptom journal. If you're unsure about a symptom or pattern, write down when it started, how severe it is, and any other relevant details. This can help your healthcare provider assess the situation more accurately.
Preparing for Emergencies
While we hope you never need it, it's a good idea to be prepared for emergencies:
- Know your local emergency number: In many places, this is 911, but it may be different in your area. Make sure you and anyone who cares for your baby knows this number.
- Know the location of the nearest emergency room: Identify the closest hospital with emergency services and the best route to get there.
- Keep important phone numbers handy: Save your healthcare provider's number, your pediatrician's number, and any emergency contacts in your phone and write them down in a visible location.
- Have a first aid kit: Keep a well-stocked first aid kit at home and in your car.
- Know basic first aid: Consider taking a first aid and CPR class, especially one that covers infant and child CPR.
- Have a plan for childcare: If you have other children, have a plan in place for their care in case of an emergency.
- Keep your health information accessible: Have a list of your medications, allergies, and medical conditions easily accessible.
Being prepared can help you feel more confident and in control, even if you never need to use your emergency plan.
Related Education Topics
Pregnancy Health
Comprehensive guides on pregnancy stages, symptoms to watch for, and how to maintain a healthy pregnancy.
Postpartum Health
Understand the physical and emotional changes after childbirth and how to care for yourself.
Baby Care
Essential knowledge for caring for your newborn, from feeding to sleep patterns and development.
Mental Wellbeing
Resources and strategies for maintaining emotional health during pregnancy and beyond.
Medical Disclaimer: This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider for personalized medical guidance.
For medical emergencies, call your local emergency services or go to the nearest emergency room immediately. Do not delay seeking emergency care to contact your healthcare provider first.
This information is not exhaustive. If you're unsure about any symptom or concern, trust your instincts and seek medical advice.
