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Warning-sign checks

Intrauterine growth restriction: when to get help

Go through these in order and stop at the first one that applies. If you are reading this for someone else, answer for them.

  1. 1

    Is any of this happening now?

    Call 911

    Call emergency services for heavy bleeding, a seizure, collapse, severe breathing difficulty or severe constant abdominal pain.

    Other emergency signs, for anyone
    • Someone who is struggling to breathe, gasping, choking, or cannot get words out
    • Someone who has chest pain, tightness or pressure lasting more than a few minutes
    • Someone who has sudden weakness or drooping on one side of the face or body, slurred speech, or sudden confusion
    • Someone who is unconscious, or cannot be woken
    • Someone who is bleeding heavily and it will not stop with firm pressure
    • Someone who has had a seizure that will not stop, or does not wake up afterwards
    • Someone who has lips or skin that look pale, blue, grey or blotchy
    • Someone who you believe has taken an overdose or swallowed something poisonous
  2. 2

    Is any of this happening?

    Be seen today

    Contact your maternity assessment service immediately if:

    • Your baby's movements are reduced, weaker, absent or different from usual
    • You have vaginal bleeding, leaking fluid or regular painful contractions
    • You develop a severe headache, vision changes, pain below the ribs, or sudden swelling
    • You have been advised to attend because of a blood-pressure reading or another test result
  3. 3

    Does any of this apply?

    Book an appointment

    Routine follow-up remains important even when you feel well.

    Contact your maternity team between appointments if you are unsure about the monitoring plan, have difficulty attending, or have concerns about growth or medication.

    And for anyone, someone who:

    • has noticed a lump, a mole that has changed, or unexplained weight loss

The article also says

Do not try to make a baby move by waiting, eating something sweet or using a home heartbeat monitor.

A home monitor cannot show whether the baby is well.

Every sign above is quoted from the sofidex article on Intrauterine growth restriction. If you are not sure, err upward — it is always reasonable to be checked.