When to Call Your Doctor Between Prenatal Visits

Pregnancy is a joyous time, as well as a life-changing, nine-month journey filled with many questions. With two precious babies on the way, you may have lots of concerns as the months roll by. Is my morning sickness typical? Why does it hurt when I pee? Are my twins squirming and kicking as much as they did last week?

What's normal? What might be a cause for concern? You don't want to bother your doctor for every little thing, but how do you know when you should call between visits? If you have a concern, a quick call to your doctor may help ease your mind. But if you're not sure, these guidelines can help you know when you should call your doctor between prenatal visits.

Possible Pregnancy-Related Health Problems

Problems can occur during pregnancy, even in healthy women who least expect them. Certain health conditions, such as high blood pressure and gestational diabetes, often have no symptoms. Your doctor tests you for these and other health problems during your prenatal visits in order to diagnose and treat them early on.

Moms-to-be also may develop more common infections like the flu, a urinary tract infection, or bacterial vaginosis (BV), a type of vaginal infection. All of these infections have been linked to premature labor, so it's crucial to seek treatment. In fact, the flu can make a pregnant woman ill enough to require hospital care.

These health problems have warning signs that you should bring to your doctor's attention. For example, if you have a urinary tract infection, you may feel pain and burning when you pee. With a vaginal infection, there's sometimes a strong tip-off: a bad-smelling discharge, and itching or burning.

Call Your Doctor if You Have These Symptoms

Be aware of your body. If you notice any of the following symptoms, tell your doctor right away. Don't wait for your next appointment.

  • A fever higher than 100 degrees Fahrenheit or chills
  • Severe or persistent vomiting
  • Severe diarrhea
  • Dizziness or fainting spells
  • Pain, burning, or difficulty urinating
  • Vaginal bleeding
  • Unusual vaginal discharge (for example, a gray or whitish discharge with a foul, fishy odor)
  • Swelling in your face, hands, or fingers
  • Blurred vision or spots before your eyes
  • Severe or long-lasting headaches
  • Pain or cramping in your arms, legs, or chest
  • Any sudden, dramatic growth in the size of your abdomen. This could indicate a serious complication called Twin-Twin Transfusion Syndrome.


The following symptoms may indicate a more serious problem. Call your doctor immediately if you notice:

  • Unusual or severe pelvic cramping or abdominal pain
  • Difficulty breathing or worsening shortness of breath
  • A decrease in your babies' movements after 28 weeks (for example, if you count fewer than 10 movements within 2 hours)
  • Signs of premature labor:
    • Regular tightening or pain in your lower abdomen or back
    • Any bleeding in the second or third trimester
    • Fluid leaking from your vagina
    • Severe pressure in your pelvis or vagina

Of course, you can't control the unexpected during your pregnancy. But you can work with your doctor to keep watch for unusual symptoms. That way, if problems arise, you'll be sure to get the best care for you and your twins.

WebMD Medical Reference Reviewed by Nivin Todd, MD on January 16, 2019



Rebecca Starck, MD, obstetrician-gynecologist; department chair, Regional Obstetrics and Gynecology, Cleveland Clinic.

Womenshealth.gov: "Pregnancy Complications."

Cleveland Clinic: "When to Call Your Health Care Provider During Pregnancy."

Jeff Chapa, MD, head of the section of Maternal-Fetal Medicine, Cleveland Clinic Children's Hospital Department of Obstetrics and Gynecology.

© 2019 WebMD, LLC. All rights reserved.


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