Skip to content
My WebMD Sign In, Sign Up

Health & Pregnancy

Font Size

Preterm Labor - When To Call a Doctor

Preterm labor can be hard to recognize. Get the earliest possible medical care by calling your doctor or your nurse-midwife about signs of preterm labor.

Anytime during your pregnancy

Call your doctor or your nurse-midwife if:

  • Your water breaks.
  • You have bleeding or spotting from your vagina.
  • You have painful or frequent urination or your urine is cloudy, foul-smelling, or bloody.

Between 20 and 37 weeks of your pregnancy

Call your doctor, your nurse-midwife, or the labor and delivery unit of your local hospital if:

  • You have had regular contractions for an hour. This means about 8 or more within 1 hour, even after you have had a glass of water and are resting.
  • You have unexplained low back pain or pelvic pressure.
  • You have symptoms of infection. For example:
    • Your belly hurts when you press on it.
    • You have a fever that you can't explain.
    • You feel unusually tired.
  • You have intestinal cramps.
  • The baby has stopped moving or is moving much less than normal. Use kick counting to check your baby's activity.

Watchful waiting

If you are having painless or mild contractions that are irregular or more than 15 minutes apart:

  • Stop what you are doing.
  • Empty your bladder.
  • Drink 2 or 3 glasses of water or juice (having too little body fluid can cause contractions).
  • Lie down on your left side for at least an hour, and keep track of how often you have contractions.

If your contractions stop, they were probably Braxton Hicks contractions. These are harmless and normal. Braxton Hicks contractions are often irregularly timed and uncomfortable rather than painful.

Call your doctor or nurse-midwife if you start to have regular contractions.

Who to see

If you are in preterm labor, you may be seen by:

You may continue to see your certified nurse-midwife or certified professional midwife, who will consult with one of the doctors listed above.

To prepare for your appointment, see the topic Making the Most of Your Appointment.

1

WebMD Medical Reference from Healthwise

Last Updated: January 08, 2013
This information is not intended to replace the advice of a doctor. Healthwise disclaims any liability for the decisions you make based on this information.
Next Article:

Pregnancy Week-By-Week Newsletter

Delivered right to your inbox, get pictures and facts on
what to expect each week of your pregnancy.

Today on WebMD

hand circling date on calendar
Track your most fertile days.
woman looking at ultrasound
Week-by-week pregnancy guide.
 
Pretty pregnant woman timing contaction pains
The signs to watch out for.
pregnant woman in hospital
Are there ways to do it naturally?
 
slideshow fetal development
Slideshow
pregnancy first trimester warning signs
Article
 
What Causes Bipolar
Video
Woman trying on dress in store
Slideshow
 
pregnant woman
Article
Close up on eyes of baby breastfeeding
Video
 
healthtool pregnancy calendar
Tool
eddleman prepare your body pregnancy
Video