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Warning-sign checks

Omphalocele repair: 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 trouble breathing, blue or grey skin, unusual unresponsiveness, severe swelling with distress, major bleeding, or a wound that opens and exposes tissue or organs.

    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

    After discharge, contact the surgical team promptly for poor feeding, repeated vomiting, increasing pain, fewer wet diapers, new abdominal swelling, wound redness, drainage, bleeding, or a temperature at or above the threshold in your discharge instructions.

    Green vomit needs urgent assessment.

  3. 3

    Does any of this apply?

    Book an appointment

    Questions about dressings, feeding progression, scar appearance, and appointment timing can usually wait for routine office hours unless there is a sudden change.

The article also says

While your baby is in hospital, tell the bedside team about any new change.

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