When to Call Your OB: Warning Signs in Pregnancy

Pregnancy is a time of tremendous change, joy, and — understandably — a few worries. While many symptoms are completely normal, there are certain signs that may signal a potential problem and require prompt attention from your OB/GYN.

At Nova Women’s Health, our priority is keeping you and your baby safe. Here’s how to recognize warning signs during pregnancy — and when it’s time to call your OB.

When to Call Your OB Immediately

If you experience any of the following symptoms at any point in your pregnancy, contact your provider or go to the hospital immediately:

1. Heavy Bleeding or Passing Clots

Light spotting can be common, especially in early pregnancy. But heavy bleeding, passing clots, or soaking through a pad within an hour may indicate a miscarriage, placenta previa, or another serious condition.

2. Severe Abdominal Pain or Cramping

Mild cramping can be normal, but intense or sharp abdominal pain could be a sign of ectopic pregnancy, placental abruption, or preterm labor.

3. Persistent or Severe Headache

A headache that doesn’t go away with rest, hydration, or acetaminophen — especially in the second or third trimester — can be a warning sign of preeclampsia, a pregnancy-related high blood pressure disorder.

4. Vision Changes

If you experience blurred vision, seeing spots, or sudden loss of vision, call your OB immediately. These symptoms can also be associated with preeclampsia or other serious conditions.

5. Decreased Fetal Movement

Once you’re past 28 weeks, you should feel regular movement from your baby. If your baby seems significantly less active than usual or you’re not feeling kicks, call your provider to assess your baby’s well-being.

6. High Fever

A fever above 100.4°F (38°C) could indicate an infection. Infections during pregnancy can affect both mom and baby and should be evaluated quickly.

7. Leaking Fluid

If you notice a sudden gush or constant trickle of fluid, it could be a sign your water has broken. Call your OB, especially if you’re less than 37 weeks pregnant.

8. Signs of Preterm Labor

Contact your OB right away if you notice:

Regular contractions before 37 weeks
Pelvic pressure
Low backache
Vaginal discharge that increases or changes in color

Other Symptoms to Report Promptly

While not always emergencies, these symptoms still require a call to your OB’s office:

Pain or burning during urination
Sudden or extreme swelling in hands, feet, or face
Itching (especially on palms or soles)
Vomiting that lasts more than 24 hours
Shortness of breath or chest pain

Trust Your Instincts

Every pregnancy is different, and no one knows your body better than you. If something doesn’t feel right, don’t wait — call your OB. It’s always better to get checked and be reassured than to miss something important.

At Nova Women’s Health, our team is here to support you at every stage of your pregnancy. We encourage open communication and provide 24/7 access to on-call providers for urgent concerns.