Situations that require you to go to the emergency room during pregnancy

Situations that require you to go to the emergency room during pregnancy

There are several situations that require emergency medical attention during pregnancy because they pose a risk to the life of the mother or fetus.

1- Vaginal bleeding:
Vaginal bleeding at any stage of pregnancy, especially if it is heavy or accompanied by pain, may indicate:
- Miscarriage
- Ectopic pregnancy
- Placental abruption
- Uterine rupture
- Molar pregnancy

2- Severe abdominal pain:
Especially if it doesn't subside with mild painkillers or worsens over time.

3- Severe or sudden headache:
This may indicate:
- Preeclampsia if accompanied by protein in the urine, high blood pressure, facial swelling, or blurred vision.
- Problems with the brain or nervous system.

4- High blood pressure above 140/90.

5. Vaginal discharge, which may indicate:
- Severe fungal or bacterial infections
- Rupture of membranes (water breaking)

6. Regular and strong contractions: 
- If they occur before the expected delivery date, this puts the baby at risk of premature birth. 
- If the patient is in her ninth month of pregnancy, this means she has started labor.

7- Severe constipation or diarrhea:
- Laxatives may be given in cases of severe constipation, or an enema may be administered. X-rays may be performed to ensure there is no intestinal obstruction.
- In cases of diarrhea, a stool analysis is performed, and intravenous fluids are given to replace lost salts and prevent dehydration.
8. Persistent vomiting that prevents the pregnant woman from eating and drinking; intravenous fluids are administered to replace lost salts and prevent dehydration.

9. Fever above 38°C:
- To investigate the source of infection. 
- To administer appropriate antibiotics to prevent the spread of bacteria through the bloodstream to the uterus.

10- Rapid heartbeat or chest pain:
- An electrocardiogram (ECG) is performed to diagnose whether or not a heart attack is present.
- Some cases may require an emergency cardiac catheterization.

11- Severe shortness of breath:
The heart and lungs are evaluated to look for possible pulmonary embolisms.

12- Severe burning during urination or blood in the urine:
- A urinalysis is performed to check for infection.
- Kidney function tests are performed.

13- Fall or traffic accident:
- The fetus is assessed via ultrasound to ensure it is not injured and that there is no placental abruption.
- Necessary X-rays are taken of the mother, and fractures and bruises are treated if required.
14- Decreased or absent fetal movements

Dr Najeeb Layyous  F.R.C.O.G

Consultant Obstetrician, Gynecologist and Infertility Specialist