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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
