Pain - not relieved with rest or Tylenol OTC, that has persisted for more than 2 hours or is associated with nausea, vomiting, fever, etc.
Contractions - Preterm (before 37 weeks) - having more than 4 contractions an hour for 2 hours or cramping lasting for more than 2 hours, even with rest & hydration (drinking water)
Term - (37 weeks and beyond) - having regular painful contractions every 3-5 minutes for 1 1/2 to 2 hours
Leaking Fluid - when unsure if it is urine, discharge or amniotic fluid (even without contractions) or a "gush" of fluid
Vaginal Bleeding - Occasionally following a pelvic exam, it is possible for you to have some spotting or light bleeding BUT if the bleeding is heavy OR you are just having vaginal bleeding for no specific reason - GO TO DIRECTLY TO HOSPITAL ER
Fetal Movement - If your baby does not seem to be moving as much, please perform a "kick count". Lie still on your side, without any distractions (i.e. TV, etc.) and count fetal movements. If you get 10 distinct movements of any type, in 2 hours - you can be reassured. If not - GO DIRECTLY TO TRIAGE. If you are concerned about fetal movement, DO NOT WAIT until your next appointment, even if it is scheduled for the next day.
Mucous Plug - is not a good indicator or labor and it is not necessary for you to bring it with you. If it is associated with a foul smell or greenish color, call the office during office hours. After office hours - GO DIRECTLY TO TRIAGE
PLEASE REMEMBER - PROMPT EVALUATION IS IMPORTANT TO PREVENT A POTENTIAL PROBLEM! OUR ANSWERING SERVICE IS AVAILABLE AFTER HOURS TO CONTACT THE ON CALL DOCTOR FOR EMERGENCY SITUATIONS.
2. Where do I go?
Oakwood Hospital & Medical Center - Main Campus located at 18101 Oakwood Blvd. just west of Southfield Fwy. in Dearborn, Michigan
Report to Labor & Delivery Triage located on the 3rd floor Skillman - this is where the OB evaluation is done