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    First Trimester Problems: When to Call Your Doctor

    Watch for 7 warning signs of trouble with your early pregnancy.

    2. Excessive Nausea and Vomiting continued...

    What it may mean: “Vomiting that interferes with your day-to-day activities can lead to weight loss, dizziness, dehydration, and an imbalance of electrolytes,” Aziz says.

    What to do: Tell your doctor. “You may need hospitalization to treat the dehydration, and many medications are available to control nausea," Aziz says.

    Bottom line: "Nausea and vomiting are normal occurrences during pregnancy, but the extremes can cause problems," says ob-gyn Stanley M. Berry, MD, of William Beaumont Hospital in Royal Oak, Mich. "The majority of women who have nausea and vomiting in their first trimester will go on to have normal, healthy pregnancies."

    3. High Fever

    A fever greater than 101 degrees Fahrenheit or 38 degrees Celsius during pregnancy may be serious.

    What it may mean: It could be a sign of infection, which could affect the baby.

    Fevers during pregnancy that are accompanied with rash and joint pain may be a sign of infection such as cytomegalovirus (CMV), toxoplasma, and parvovirus. "CMV is the most common cause of congenital deafness, and it is not as uncommon as we think," Aziz says.

    What to do: "Report any fever plus upper respiratory symptoms, body ache, and flu-like symptoms or rashes and joint pain to your doctor," Aziz says. And get your yearly flu vaccine.

    4. Vaginal Discharge and Itching

    Some vaginal discharge is normal. But in some cases, "These may be signs of treatable infections or sexually transmitted diseases that can have important consequences in pregnancy," Aziz says.

    What this may mean: If it's an infection, it could harm the baby.

    What to do: Don't be shy. Let your ob-gyn know what is going on down there because if there's a problem, treating it could make a difference to your baby.

    5. Pain or Burning During Urination

    What this may mean: "These can be signs of bladder or urinary tract infections, and if left untreated, they can lead to more serious illness, infection, pre-term labor, and pre-term birth," Aziz says.

    What to do: If it's an infection, treating it can relieve your pain, and help assure a healthy pregnancy.

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