
When to Call Your OB: Red Flags in Early Pregnancy
Early pregnancy comes with a mix of excitement and uncertainty. While many symptoms are normal—like nausea, fatigue, and mild cramping—some signs can indicate complications. Knowing when to call your OB can help you stay safe and get timely care. In this blog for Alliance Ob/Gyn in Alpharetta, GA, we’ll explore common red flags in early pregnancy and when it’s time to reach out: https://allianceobgyn.com/contact-us/
What Symptoms Are Normal in Early Pregnancy?
Before diving into red flags, it’s helpful to understand what’s usually expected in the first trimester:
- Mild cramping or twinges
- Nausea or vomiting (morning sickness)
- Breast tenderness
- Light spotting (implantation bleeding)
- Increased urination
- Mood swings and fatigue
These symptoms are often part of your body adjusting to pregnancy hormones. However, more severe or unusual symptoms may require immediate attention.
Warning Signs That Should Prompt a Call to Your OB
If you experience any of the following symptoms in early pregnancy, call your OB/GYN:
1. Heavy Bleeding
- Bright red bleeding, especially if it soaks through a pad in an hour or less
- Clots or tissue passing from the vagina
Heavy bleeding could be a sign of miscarriage or other complications.
2. Severe Abdominal Pain or Cramping
- Persistent or sharp pain, especially on one side
- Cramping that worsens over time or comes with bleeding
This may signal an ectopic pregnancy, where the embryo implants outside the uterus.
3. Dizziness or Fainting
- Feeling lightheaded when standing
- Fainting episodes
Dizziness could be due to dehydration or low blood pressure, but it’s worth discussing with your provider—especially if it’s frequent or severe.
4. High Fever (Over 100.4°F / 38°C)
- Fever with chills or body aches
Fever in early pregnancy could be a sign of infection and should be reported to your OB.
5. Painful Urination or Blood in Urine
- Burning sensation when peeing
- Pelvic pressure or cloudy, foul-smelling urine
These symptoms may point to a urinary tract infection (UTI), which is common in pregnancy but needs treatment to avoid complications.
6. Severe Nausea and Vomiting
- Inability to keep down food or fluids for 24+ hours
- Weight loss or signs of dehydration
This may indicate hyperemesis gravidarum, a condition that requires medical support.
7. Sudden Loss of Pregnancy Symptoms
- Nausea, breast tenderness, or fatigue suddenly disappearing
While this can be normal for some, a sudden drop in symptoms—especially after earlier warning signs—may need to be evaluated.
When in Doubt, Reach Out
Your OB/GYN is your partner in care. If you’re unsure whether a symptom is normal, it’s always best to ask. The team at Alliance Ob/Gyn in Alpharetta, GA is here to support your journey from the very start. Don’t hesitate to call if you have questions or concerns during early pregnancy: https://allianceobgyn.com/contact-us/