Tightening of the abdomen (uterine contractions) may start in the lower back and move around to the abdomen or be only in the abdomen.
Contractions will increase in how long they last, how often they come, and how strong they feel. Walking may cause contractions to come more often.Call immediately with:
- Vaginal bleeding like a period.
- Rupture of membranes – usually uncontrollable gushes of fluid. If concerned about leakage, put on a pad and see if it soaks the pad, and if it does, call us.
- Regular painful contractions 5 minutes apart for 30 to 45 minutes.
- Decreased fetal movement. If concerned, do kick counts --- Lie down in a quiet room for 1 hour, drink a large glass of ice water, and count the movements in an hour. It should be at least 6 to 8. If not, call the office.
- Headache that does not go away with Tylenol.
Contractions are timed from the beginning of one contraction to the beginning of the next contraction. When you are timing your contractions, you should:
- Write down the time the contraction starts.
- Write down the time the contraction ends.
- Write down the time the next contraction begins.
- The amount of time between the start of one contraction and the start of the next contraction will tell the doctor or nurse how often you are having contractions. Contractions do not usually last more than 60 seconds (1 minute). Writing down this information will help the doctor or nurse decide if you are in labor.
Call the office 24 hours a day, 7 days a week for emergencies.
An answering service will direct your call to the RN, and we will direct you from there.