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Don’t ignore these 5 pregnancy red flags: your baby’s safety depends on it

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Pregnancy is often described as a beautiful journey, a time of joy, hope, and anticipation. But it’s also a time when expectant mothers must be extra vigilant about their health.

While some discomforts are normal, certain symptoms can signal serious complications that require immediate medical attention.  

“Some discomfort is normal in pregnancy, but certain symptoms may signal something serious. Recognising the warning signs and knowing when to seek help can be critical for both mother and baby,” explains Lizeth Kruger, clinic executive at Dis-Chem Baby City.

As Kruger highlights, here are five key warning signs to watch for to help you stay attuned to your health during this life-changing journey. 

1. Vaginal bleeding, amniotic discharge, or severe abdominal pain

While light spotting can be common in the early stages of pregnancy, heavier bleeding or severe abdominal pain is a red flag.

These symptoms could indicate a miscarriage, ectopic pregnancy, or placental issues such as placental abruption, a condition where the placenta separates from the uterus prematurely.  

Similarly, amniotic fluid leakage, which may feel like a sudden gush or a slow trickle, could be a sign of preterm labour. If these symptoms are accompanied by dizziness or weakness, it may indicate a medical emergency. 

Miscarriages occur in approximately 10-20% of known pregnancies, and early detection can sometimes prevent complications.  

Why it matters: Miscarriages occur in approximately 10-20% of known pregnancies, and early detection can sometimes prevent complications.  Placental abruption, though rare (affecting about 1 in 100 pregnancies), can pose significant risks for both mother and baby. 

Seek immediate medical attention if you experience any of these symptoms. Regular antenatal check-ups are essential to identify potential risks and ensure both you and your baby are healthy.  

2. Severe headaches and blurred vision

Headaches are common during pregnancy due to hormonal changes, dehydration, or stress. However, when paired with blurred vision, they can signal pre-eclampsia, a condition characterised by high blood pressure that can lead to severe complications, including organ damage, seizures, or premature delivery.  

Pre-eclampsia facts:

Globally, pre-eclampsia affects 2-8% of pregnancies, according to the World Health Organisation (WHO).  

If untreated, it can result in stroke, organ failure, or complications for the baby, such as restricted growth or low birth weight.  

What to do: Monitor for additional symptoms like swelling in the hands and feet or sudden weight gain. If you notice these signs, contact your healthcare provider immediately for blood pressure monitoring and further evaluation.  

3. Any falls during pregnancy

Accidental falls can happen to anyone, but during pregnancy, they require extra caution. While the amniotic sac cushions the baby, a significant fall could harm the placenta, cervix, or even trigger preterm labour.  

Pregnant women are more prone to falls due to a shifted balance and changes in joint stability, particularly in the second and third trimesters.  

After any fall, watch for signs like bleeding, cramping, or reduced fetal movement. Even if you feel fine, consult your doctor to rule out any internal injuries or risks to the baby. 

4. Difficulty breathing or rapid breathing

It’s normal to feel slightly short of breath during pregnancy as your growing uterus presses against your diaphragm. However, difficulty breathing or rapid breathing that doesn’t improve with rest could signal serious conditions like pulmonary embolism (a blood clot in the lungs), anaemia, or gestational diabetes.

Pulmonary embolism is rare but life-threatening, occurring in about 1 in 1,000 pregnancies, according to studies published in the Journal of Thrombosis and Haemostasis

If you experience sudden shortness of breath, chest pain, or rapid breathing, seek emergency medical care immediately. Timely treatment can prevent complications such as respiratory failure or fetal distress.  

5. Fever and weakness

A fever during pregnancy is never something to ignore. It could be a sign of an infection, such as a urinary tract infection (UTI), flu, or even more severe conditions like sepsis.

UTIs are common during pregnancy, affecting about 8% of expectant mothers, and untreated infections can lead to preterm labour or low birth weight.

Paying attention to warning signs and seeking help when something feels off can save lives, yours and your baby’s.  

Fevers can also signal dehydration, which increases risks for both the baby and the mother.  Watch for accompanying symptoms like chills, body aches, or fatigue. If you suspect an infection, consult your healthcare provider immediately for diagnosis and treatment.  

Pregnancy is a time of immense change, and it’s normal to feel unsure about what’s serious and what’s not. However, staying proactive about your health can make all the difference.

As Kruger emphasises, “Your well-being and your baby’s health are always worth the extra care. If you’re ever in doubt, check in with a healthcare provider. Regular check-ups during and after pregnancy help catch potential issues early and ensure continued support for both mother and baby.”  

Every pregnancy is unique, and only you truly know how your body feels. Paying attention to warning signs and seeking help when something feels off can save lives, yours and your baby’s.  

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