When to Call the Doctor

If you experience any of the following, please contact us immediately as these are considered emergencies:

  • Continuous leaking of fluid
  • Abdominal trauma or car accident
  • Vaginal bleeding
  • Fever greater than 101 degrees
  • Decreased fetal movement
  • Suspected urinary tract infection
  • Headache with vision changes
  • Painful contractions greater than 4 times an hour if less than 36 weeks

Symptoms You May Experience


Some bleeding/spotting may occur after an internal exam and intercourse. This does commonly occur in the 1st trimester.

Call the Provider Immediately

  • Bleeding is spotting with mild cramping
  • Bleeding is heavy (using a pad every 2 hours)
  • 2nd and 3rd trimester cramping or bleeding
  • Cramping is equal or worse than menstrual cramps


Cold and Flu

Call the office during business hours

  • Temperature of 101 or higher
  • Green or yellow mucus develops
  • Persistent cough for more than 7-10 days

Call the Provider Immediately

  • Breathing is difficult or wheezing occurs


Decreased Fetal Movement after 28 weeks

Call Provider Immediately

  • No fetal movement especially if accompanied by severe abdominal pain
  • Baby moves less than 10 times in 2 hours


Rupture of membranes

Call the provider immediately

  • Water breaks, small leak or gush



Call the office during business hours

  • If less than 36 weeks, call if contractions are every 15 minutes (4 per hour)

Call the Provider Immediately

  • If 37 weeks or more and contractions are every 5 minutes apart, lasting 1 minute, for 1 hour
  • If water breaks, persistent leaks or gushes
  • If bleeding more than a period

Dubuque OB/GYN does not offer COVID, influenza, or respiratory testing in our office. If you are diagnosed with one of these conditions, please notify our office by phone during business hours.



Call the office during business hours

  • Recent, noticeable increase in feet and ankles
  • Swelling face and hands

Call the Provider Immediately

  • Swelling accompanied by headache or upper abdominal pain
  • Swelling decrease fetal movement
  • Elevated blood pressure (greater than 140/90) if using home monitor


Urinary Urgency and or Pain with Urination

Frequency is common in early and late pregnancy

Call the office during business hours

  • Pain with urination
  • Feeling of urgency to void with little urine produced

Call the Provider Immediately

  • Temperature over 101
  • Pain in upper back
  • Contractions occur
  • Blood in urine


Vaginal Discharge

Common during pregnancy

Call the office during business hours

  • Itching, burning, foul odor



Common in 1st trimester

Call the office during business hours

  • Unable to keep down liquids and solids for more than a 24-hour period
  • Weight loss of more than 3-5 pounds

Call the Provider Immediately

  • Signs of dehydration occur (e.g., dry mouth, fatigue/lethargy, poor skin turgor)
  • Abdominal pain accompanied with vomiting