When to call a health care professional during weeks 5 to

When in doubt, call. It's always better to be safe than sorry.

This month, you may also be interested in:

• "Decision Guide: Managing travel during pregnancy," page 321

• "Complications: Hyperemesis gravidarum," page 550

When to call

Here's a guide to possibly troublesome signs and symptoms and when you should notify your health care provider in the second month.

Signs or symptoms

When to tell your health care provider

Signs or symptoms

When to tell your health care provider

Vaginal bleeding or spotting

Slight spotting that goes away within a day

Next visit

Any spotting or bleeding lasting longer than a day

Within 24 hours

Moderate to heavy bleeding

Immediately

Any amount of bleeding accompanied by pain, cramping, fever or chills

Immediately

Passing of tissue

Immediately

Pain

Occasional pulling, twinging or pinching sensation on one or both sides of your abdomen

Next visit

Occasional mild headaches

Next visit

A moderate, bothersome headache that doesn't go away after treatment with acetaminophen (Tylenol, others)

Within 24 hours

A severe or persistent headache, especially with dizziness, faintness, nausea or vomiting, or visual disturbances

Immediately

Moderate or severe pelvic pain

Immediately

Any degree of pelvic pain that doesn't subside within four hours

Immediately

Pain with fever or bleeding

Immediately

Vomiting

Occasional

Next visit

Once every day

Next visit

More than three times a day or with inability to eat or drink between vomiting episodes

Within 24 hours

With pain or fever

Immediately

Other

Chills or fever (102 F or higher)

Immediately

Painful urination

Same day

Increased frequency of urination

Next visit

Inability to urinate

Same day

Mild constipation

Next visit

Severe constipation, no bowel movement for three days

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