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Warning-sign checks

Large for gestational age: 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, collapse, a seizure, severe breathing difficulty, or another life-threatening symptom.

    Shoulder dystocia happens during birth and is managed as an emergency by the maternity team.

    It is not something you are expected to recognise or manage yourself.

    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 unit promptly if your baby is moving less than usual or there is a clear change in the normal movement pattern.

    Do not wait for the next routine appointment or rely on a home heartbeat device.

    Seek urgent assessment during pregnancy for:

    • Vaginal bleeding
    • Leaking fluid before labour is established
    • Regular painful contractions earlier than expected
    • Severe or persistent abdominal pain
    • A severe headache with vision changes or sudden swelling

    After going home, obtain urgent medical help if your newborn is difficult to wake, will not feed, has breathing difficulty, turns blue or very pale, has repeated shaking movements, or seems seriously unwell.

  3. 3

    Does any of this apply?

    Book an appointment

    For routine follow-up, discuss concerns about feeding, jaundice, weight gain, movement of an arm, or the baby’s growth at newborn or child health appointments.

Every sign above is quoted from the sofidex article on Large for gestational age. If you are not sure, err upward — it is always reasonable to be checked.