When to call us after 20 weeks

by Kaiser Permanente |
Young pregnant woman using mobile phone at kitchen counter.

It's important to know when to call your care team if you have certain symptoms or signs of labor. These are general suggestions. Your clinician may give you some more information about when to call.

Call your care team now or seek immediate medical care if:

  • You have vaginal bleeding.
  • You have belly pain.
  • You have a fever.
  • You have symptoms of preeclampsia, such as:
    • Sudden swelling of your face, hands, or feet.
    • New vision problems (such as dimness, blurring, or seeing spots).
    • A severe headache.
  • You have a sudden release of fluid from your vagina. (You think your water broke.)
  • You think that you may be in labor. This means that you've had at least 6 contractions in an hour.
  • You notice that your baby has stopped moving or is moving much less than normal.
  • You have symptoms of a urinary tract infection. These may include:
    • Pain or burning when you urinate.
    • A frequent need to urinate without being able to pass much urine.
    • Pain in the flank, which is just below the rib cage and above the waist on either side of the back.
    • Blood in your urine.

When to call 911

You or someone else should call 911 or other emergency services immediately if you think you may need emergency care. For example, call if you:

  • Have a seizure.
  • Pass out (lose consciousness).
  • Have severe chest pain.
  • Are struggling to breathe.
  • Have a large amount of vaginal bleeding.
  • Have sudden, severe pain in your belly.
  • See or feel the umbilical cord.
  • Think you are about to deliver your baby and can't make it safely to the hospital.

This article has been created by a national group of Kaiser Permanente ob-gyns, certified nurse-midwives, pediatricians, lactation consultants and other specialists who came together to provide you with the best pregnancy, birth, postpartum, and newborn information.

Some of the content is used and adapted with permission of The Permanente Medical Group.

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