It is important to talk to your doctor or midwife about any concerns and questions you may have throughout your pregnancy, even when you feel it is not important. There are times, however, when you should contact your doctor or midwife immediately.

If you experience any of the following signs and symptoms:

• Bad cramps or stomach pains that don't go away
  
  
• Bleeding from the vagina
  
  
• Trickle or gush of fluid from the vagina
  
  
• Lower back pain/pressure or change in lower backache
  
  
• A feeling that the baby is pushing down
  
  
• Contractions or a change in their strength or number
  
  
• Increase in vaginal discharge
  
  
• Fever, chills, dizziness, frequent vomiting or a bad headache
  
  
• Blurry vision or spots before your eyes
  
  
• Sudden or severe swelling of your hands, feet, or face
  
  
• Stomach pain or rigidity
  
  
• Pain or burning on urination
  
  
• A significant change in your baby's movement
  
  
• A feeling that 'things just aren't right'
  
  
• Persistent negative feelings about your pregnancy or care of the baby
  
  
• Depression or periods of crying that do not go away
  
  
• Any violence or threatening behaviour towards you in your home or workplace
  
  
• Any exposure to communicable diseases such as rubella (German measles) or Chicken pox

When any of these are present, it is important to call your health care provider right away. If you have any difficulty reaching them, go to the hospital. 

Some women will experience Preterm Labour (before 37 weeks). It is not always easy for a woman to tell if she is having preterm labour and some of the symptoms above may be the beginning of preterm labour. It is important not to ignore a sign that something could be wrong.

(Adapted from Best Start Resource Centre & Baby's Best Chance)