Before going to the maternity hospital for childbirth, a woman will have to repeatedly use the services of an ambulance. Therefore, you should prepare for this, both financially and psychologically.
You definitely need to worry about clothes, as well as some important things. But it is also important to know those moments when you cannot do without the help of specialists.

Emergency calls for bleeding

Most often this situation applies to obstetrics. Blood is released from the genitals during pregnancy and after it. The amount of discharge may vary and depends on the period of fetal ripening. They are often accompanied by pain, dizziness, and often weakness.

Their appearance is typical when:

• complications with the placenta. In this case, even if normally located, it can become separated from the attachment point. Most often occurs in the last stages of pregnancy. Before the doctors' car arrives, it is recommended to place the patient in a supine position, not give her food, and put ice on the lower abdomen;
• abortion, which is initiated by the woman herself. Until a certain point in the child's development, women can spontaneously, without wanting to, terminate their pregnancy. Frequent contractions of the uterus and heavy bleeding are recorded. Before specialists arrive, it is recommended to put the patient to bed and give pills that reduce the number of uterine contractions;
• placenta previa. Often this substance is attached near the exit of the uterus. Blood begins to be released abundantly in the second half of pregnancy. However, it can begin suddenly, without any pain. It is best, before the team of doctors arrive, to place the expectant mother on her left side and raise her pelvis.

Somatic diseases

An ambulance should also be called in the presence of somatic diseases. Most often these are renal colic or bronchial asthma. Most often, damage to internal organs can cause premature birth.

During childbirth

Calling a team of specialists will also be necessary when a woman is about to give birth. The beginning of this process is the separation of amniotic fluid and the appearance of contractions.

In any case, during pregnancy you should prepare for such situations when a woman is taken to the hospital. Therefore, all the necessary things must be collected and ready for transportation to the ward in a short time.

In order to receive emergency medical care at home and be hospitalized accompanied by a doctor, paramedic or midwife, a pregnant woman should call “03”. In cases where the case occurs in a large city where there is a special obstetric service, in case of complications associated with pregnancy and the onset of labor, you must call the telephone number of this service, which will be reported in the antenatal clinic.

Childbirth

1. If there are warning signs or at the very beginning of the first period (if there are regular contractions, rupture of amniotic fluid - even in the absence of contractions), you can go to the maternity hospital in your own car, only, of course, the woman herself should not be driving. Most likely, in this case, the car will be driven by the husband or another relative or acquaintance. We kindly ask the driver: don’t worry and don’t rush, you will have enough time to get to the maternity hospital safely! Excessive excitement will only hinder you, because the car and the road do not tolerate fuss, and you have the responsibility to deliver the expectant mother and her child safe and sound! If, at the warning signs or at the very beginning of the first stage of labor, you call an ambulance team, then, most likely, an obstetric (paramedic) team will come to you, or rather, a midwife and, of course, a driver. You can ride sitting, reclining, but it’s better to lie down. Hospitalization is carried out at the request of an emergency medical worker at the central hospitalization point for pregnant women, taking into account the course of pregnancy and existing chronic diseases, the availability of medical documentation from the antenatal clinic, as well as documents confirming an agreement with any maternity hospital to carry out childbirth. That is, if there is an agreement with one or another maternity hospital, a woman has the right to count on hospitalization in this particular maternity hospital. There is no hope that the ambulance will take the expectant mother to the institution that she likes without a preliminary agreement with the maternity hospital (a contract confirmed by documents).
2. At the end of the first stage of labor (during contractions), in the second (during pushing) and in the third period (when the placenta separates), you must give birth where you are (at home, in a car, etc.). After giving birth outside the maternity hospital, even if everything went perfectly, even if the birth took place inside an ambulance, in the presence of doctors, mother and baby still must be taken to the maternity hospital (to the observation department). After the birth of the placenta (and even more so if the placenta does not come off), you need to go to the maternity hospital. A woman must lie down. If there is such an opportunity, then it would be good to put an ice pack wrapped in a clean sheet (towel) on the mother’s stomach. Attention! The departed placenta must be preserved, put in a bag and also brought to the maternity hospital. There, doctors will examine him to determine whether he has completely passed and whether there is any piece of placenta left in the uterus. Such a piece or slice can cause very severe postpartum complications - bleeding and inflammation!
3. Complications during childbirth in cases where the second stage of labor began at home and it was no longer possible to hospitalize the woman in a maternity hospital or the woman decided to give birth at home deserve a separate discussion. It is necessary to call an ambulance team and describe the situation in detail. In this case, hospitalization is required!
   • In case of complications such as abnormal positioning of the fetus, incoordination of labor, threat of uterine rupture, etc. the doctor can use medications to stop labor and, thus gaining time, deliver the woman to the maternity hospital (preferably at a multidisciplinary hospital). A woman can only ride lying down.
   • In case of bleeding during childbirth, emergency hospitalization is carried out in a maternity hospital at a multidisciplinary hospital with a medical or resuscitation team! A woman must travel lying down, only on a stretcher. In case of loss of consciousness, the patient is placed on her side (in case of vomiting, this will prevent vomit from entering the respiratory tract). Before the doctors arrive, if the baby has already been born, you can raise the woman’s legs, but do not lower her head, and place an ice pack wrapped in a clean towel on her stomach.
   • In case of eclampsia - an attack of convulsions, which can occur as a complication of pregnancy against the background of increased blood pressure, edema, emergency hospitalization is carried out only by a medical, neurological or resuscitation team in a maternity hospital at a multidisciplinary hospital. The harbingers of this formidable condition are headache, dizziness, tinnitus, and spots before the eyes. While waiting for doctors, it is necessary to create a maximum state of peace for the woman: turn off the bright lights, draw the curtains, you can leave a “peaceful” night light; do not make noise, any sharp sound can provoke convulsions; the room should be warm, but not stuffy. It is better for a woman to lie on her side. Nothing can be done until the doctors arrive; It is strictly forbidden to give a woman pills, etc. If convulsions do occur, the woman should be laid on her side and held so that she does not injure herself. You should put it in your mouth between your teeth, wrapped in a bandage, a small linen napkin, etc. spoon so that a woman does not bite her tongue during cramps.
4. For complications of pregnancy, complicated course of previous births, chronic diseases such as diabetes mellitus, hypertension, heart disease, etc., and conditions (narrow pelvis, previous cesarean section operations, etc.), the doctor suggests preliminary - a few weeks before birth - hospitalization. In this case, the “time reserve” is determined by the obstetrician-gynecologist observing the woman, depending on the patient’s condition. Hospitalization is carried out by an emergency medical team in accordance with a referral to the obstetric department of a specialized maternity hospital, if the doctor deems it necessary to transport the woman exclusively by car. If the condition of the mother and baby is satisfactory, hospitalization is not an emergency, then the expectant mother can get to the maternity hospital on her own - by public or private transport.
5. If there is a threat of miscarriage or premature birth, the woman is hospitalized as soon as this pregnancy complication is suspected (the woman may be bothered by nagging or cramping pain in the lower abdomen, in the lower back, or in the first trimester of pregnancy - bleeding from the genital tract). If the diagnosis was made in the antenatal clinic, an emergency obstetric team is called there. Indeed, in this case, the expectant mother should be in bed as soon as possible, since bed rest is one of the most important therapeutic factors, while traveling in public transport or on foot is completely excluded, since they can worsen the condition. In an ambulance, it is preferable for a woman to lie on a stretcher.
6. In case of premature birth, all the basic recommendations given above remain the same. Hospitalization of mother and baby is mandatory! The baby requires special care in this situation. You need to carefully use your finger to free his mouth, if necessary, from any mucus that has gotten into it (your hands, of course, should be clean). The umbilical cord, tightly tied in two places at a distance of 2-3 cm, must be cut, the edge “belonging to the child” should be treated with iodine and bandaged. When drying your baby, you should not rub him, but only gently pat him dry with a clean diaper. Then you need to wrap the child well and remember to cover his head; if you have a small, clean knitted cap at hand, it is better to wear it. When calling an ambulance, it is necessary to clarify that the birth is premature and inform what stage of labor the woman is in, so that a special children's team can arrive for the newborn (if the birth occurred outside the hospital).

Various injuries

In case of injuries, hospitalization by ambulance to a hospital with a maternity hospital is required. Even if the injury is minor, it can trigger the onset of labor. Hospitalization is carried out by an ambulance team; the woman should lie taking into account the characteristics of the injury. In case of road traffic accidents, even if a pregnant woman feels well, she has no visible injuries and she escaped, as they say, with a slight fright, hospitalization is still required. It is necessary to warn doctors about the existing pregnancy.

If you enter a smoke (fire) or carbon monoxide zone, hospitalization is required! A woman should also inform emergency doctors about her pregnancy or contact them independently. Methemoglobin, which is formed in the blood when a carbon monoxide molecule attaches to hemoglobin instead of oxygen, can keep a woman alive, but “suffocate” a child. On the way to the hospital, a woman can sit or lie on her side (depending on the condition) with mandatory inhalation of humidified oxygen.

In case of poisoning, even mild, hospitalization is also necessary: ​​it is unknown how the toxins will affect the child. It is better to transport to the hospital again by ambulance. A woman can sit, recline or lie down, depending on the severity of the poisoning. If a woman is lying down and has the urge to vomit, then she should lie exclusively on her side.

Hospitalization by helicopter for seriously injured pregnant women is not contraindicated, because, despite the vibration, which frightens many people, and the altitude (the difference in oxygen in the air at an altitude of 200-400 m is insignificant), intensive care carried out in flight does not cause harm, but speeds up arrival of the victim at a specialized hospital. In the practice of the Moscow medical helicopter service, there were many cases when it was the quick delivery of pregnant women injured in road accidents to the hospital that saved the lives of both them and their children. Hospitalization by helicopter is becoming especially relevant in megacities, crushed by traffic jams, or in “dead” areas, far removed from medical institutions.

Transfer of women after complicated childbirth to specialized clinics

In case of complications during childbirth that arise in the maternity hospital, the woman and child are transferred to other specialized institutions only after their condition has stabilized. The decision on the possibility of transfer is made jointly by the doctors of the maternity hospital, the invited specialist and the doctor of the ambulance team with which the transfer is supposed to be carried out. In this case, the condition of the patient or her child is put in first place, and not the wishes of relatives about the place of new hospitalization or its timing. If necessary, transfer is carried out to specialized hospitals, the mother is transferred with a resuscitation team, and the child is transferred with a pediatric resuscitation team that has an incubator (a special bed in which it is possible to maintain a certain temperature and supply oxygen), monitoring equipment and everything necessary for intensive care of premature and newborn children. In the absence of contraindications, it is possible to transfer the patient and (or) her child using air ambulance or helicopter.

If the problem arose somewhere outside the city and you have no way to contact the local ambulance or doctors have no way to quickly get to you, then, taking into account all of the above, take the woman yourself by car to the nearest medical center, the address of which can be clarified or by by calling the local ambulance or from the police. And best of all, if there is a need to go out of town, find out the address of the nearest hospital or maternity hospital in advance.

Hospitalization from the region (for Muscovites) or when not at the place of residence

If a pregnant woman is located not far from the city, then it should be borne in mind that the arriving ambulance should under no circumstances hospitalize the expectant mother in any of the city maternity hospitals - only in the regional one. If you want to get from the region to the city maternity hospital, then you need to rely on your own transport, with the help of which you can get directly to the maternity hospital or to the city apartment, and from there call an ambulance. If you want to go to a particular maternity hospital, then you will be unconditionally accepted only if the situation threatens the health of the mother and baby, for example, bleeding, a significant increase in blood pressure, etc. A woman must be admitted even if labor has already begun. In those cases when the condition of the woman and the fetus is satisfactory, then if there are no places in the selected maternity hospital, the pregnant woman will be transported to another maternity hospital by calling an ambulance.

Let us remind you once again that with a thoughtful attitude towards yourself, you can happily avoid many life disasters. The main thing is to exercise reasonable caution and remember that a pregnant woman is responsible not only for her health and life, but also for the life and health of her child.

The newborn transportation service operates around the clock!

Pregnancy is a wonderful time not only for the expectant mother, but also for the whole family. Everyone is looking forward to the birth of a child. If this moment occurs outside the hospital, then you need to call an ambulance. Why is it better not to transport a pregnant woman in a car? Because childbirth must occur under the supervision of a specialist. Obstetricians will be able to help if something goes wrong. Proper transportation of a woman giving birth is an important condition for a successful outcome; it is a guarantee that everything will be fine with both mother and child. The ambulance will take the woman giving birth to a specialized hospital with a maternity hospital, where she and the child will be provided with medical care and services. We often see in films how the heroine is taken to the birth in her car by some caring friend or relative. This is not the best way to move for a pregnant woman, especially if labor has already begun. It is better to call an ambulance, which will arrive in 10-15 minutes, than to risk the lives of mother and child. Why can transporting pregnant women in passenger vehicles be dangerous? You don't know what might happen along the way.

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If labor begins while on the road, what are the next steps? Of course, if there is no other transport, then you need to use a passenger car. But it is safer for the expectant mother to be transported to the maternity hospital in a lying position, accompanied by a doctor and midwife. Because in case of abnormal positioning of the fetus or bleeding, specialists will provide their professional assistance and preserve the life and health of the unborn child and his mother. Transportation of pregnant women to the maternity hospital should take place in a specialized vehicle. Especially if we are talking about premature birth or pregnant women who have had difficult births in the past. Hospitalization of pregnant women in a maternity hospital is also necessary in cases of injury, since any injury, even a minor one, can lead to the onset of labor. Even if the injury is not severe, received in an accident, and the woman says that everything is fine and no visible damage was detected, hospitalization in the SP car is mandatory. In this case, a woman should ride in a joint venture car lying down or reclining, depending on the specifics of the injury. You should also call an ambulance if a pregnant woman has swallowed smoke. This can be very dangerous for the child. You need to go to the hospital immediately. Arriving doctors will administer moist oxygen inhalation. This is very important for the baby in the womb because it is also a victim of the carbon dioxide produced by the fire. When transported to the hospital, a woman can sit or lie on her side, depending on her condition and the doctor’s recommendation.

In case of poisoning, toxins can affect the fetus, so hospitalization is required. The rules for transporting pregnant women in this case are as follows: the woman lies on her side; if she vomits, this will eliminate the possibility of choking. Pregnant women need extra attention because they are carrying a new life. In an emergency or minor injury, you should call an ambulance. It is not advisable to transport a pregnant woman in a car, because emergency medical care may be needed on the road, and any stressful situation can trigger childbirth. The medical transport has all the equipment to accommodate rapid births and a cradle for transporting newborns. If the need arises in case of complicated childbirth and transfer to a specialized hospital, transportation of newborns will be required. In this case, you cannot transport a child in a car. You need to order transport with an incubator (special cradle) for babies. This equipment maintains temperature and is equipped with sensors to monitor vital signs. If there are complications, then transporting bewitched children in a car is contraindicated. The child must be under the supervision of specialists and receive timely assistance.

There are several reasons why an expectant mother is strongly advised to call an ambulance. In such cases, wait-and-see tactics or restraint can lead to dire consequences. After all, timely medical care during pregnancy can solve many health problems. Let us consider in more detail what should be the reason for a pregnant woman to contact the ambulance service.

Call an ambulance during pregnancy: bleeding

One of the most dangerous reasons for calling an ambulance during pregnancy is sudden bleeding. Bloody discharge during pregnancy can begin at any stage. Blood discharge can vary in duration and also vary in degree of intensity: from slight spotting to heavy discharge, with or without clots.

Bloody discharge during pregnancy may be accompanied by dizziness, weakness, abdominal and lower back pain, as well as a sudden change in the motor activity of the fetus.

To understand how dangerous bleeding is during pregnancy, you need to know what conditions cause it:

Miscarriage. A miscarriage is the early self-termination of pregnancy at a time when the fetus is not yet capable of life outside the womb, up to 22–24 weeks. Bleeding during a miscarriage begins as small, spotting, but intensifies. They are almost always accompanied by cramping pain in the lower abdomen, as well as increased tone of the uterus. While waiting for an ambulance, try to lie down and take a painkiller (it is better to check which one with the ambulance doctor before she leaves).

Placenta previa. During a normal pregnancy, the placenta is located in the fundus of the uterus (the fundus of the uterus is its upper part). In case of previa, the placenta is attached to the cervix and blocks the exit from it. Such bleeding often begins without pain or spasms, but is frequent and quite heavy. While waiting for an ambulance, you need to lie on your left side so that your pelvis is in a higher position (for example, place a folded towel or pillow under it).

Premature placental abruption. As a rule, placental abruption occurs in late pregnancy and is accompanied by pain in the lower abdomen, uterine hypertonicity, severe weakness and dizziness. It is also necessary to lie on your left side and apply something cold to the lower abdomen, and also not to drink or eat - during hospitalization, surgery may be necessary. The more severely the placenta has separated, the more dangerous it can be for mother and baby.

Bloody discharge during pregnancy can be completely mild (so-called spotting). There may be nothing dangerous behind them. For example, in the third trimester, small discharge may appear due to softening of the cervix. Nevertheless, even if there is very slight bleeding, it is still worth contacting, if not an ambulance, then the doctor managing your pregnancy to find out the cause.

Abdominal pain during pregnancy

Every woman can often be bothered by abdominal pain during pregnancy. Thus, in the first half of pregnancy, short-term aching or stabbing pain in the lower abdomen and lower back is usually associated with the growth of the uterus. Pain can also cause increased gas formation and constipation, which occurs in pregnant women due to weakened tone of the intestinal walls. These changes are inextricably linked with the normal changes in the body of a pregnant woman and do not threaten her health.

However, some abdominal pain during pregnancy should alert you. Thus, regular aching pain in the early stages of pregnancy, similar to pain before the onset of menstruation, may indicate a threat of miscarriage. Severe pain in the lumbar region can also be a sign of premature birth. However, such pain is not necessarily accompanied by bleeding.

In the second half of pregnancy, pain in the lower abdomen, along with nagging pain in the lower back and increased tone of the uterus, may indicate premature onset of labor or the threat of miscarriage. If such pain bothers you, consult a doctor. If they become more frequent and intense, and spotting appears during pregnancy, call an ambulance immediately. Before her arrival, it is better to lie down and take a painkiller (it is better to clarify which one when calling an ambulance) and a sedative (motherwort or valerian).

Do not take other painkillers and especially hemostatic agents on your own. Wait for the doctor.

The reason for calling medical services may be the so-called acute abdomen. It combines a group of diseases that threaten the health of mother and child and require urgent medical attention. These may be diseases associated with the reproductive system or diseases of the abdominal organs.

Pain in an acute abdomen can be of a different nature - cramping, encircling, growing, cutting or pulling. In any case, the signs of this condition require not only urgent hospitalization, but sometimes surgical intervention, even despite pregnancy.

Symptoms of acute abdomen:

• Severe abdominal pain - sudden or increasing.
• Sharp tension in the abdominal muscles.
• Nausea, vomiting, severe gas formation, constipation.
• Chills, decreased blood pressure, lethargy, fainting.
• Increased temperature, fever, rapid heartbeat.

There are also gynecological causes of acute abdomen:

• Rupture of the uterus along an old scar (possible if you have had a cesarean section in the past (especially dangerous if the uterine incision was longitudinal) or surgery to remove uterine fibroids or an ectopic pregnancy).
• Impaired blood supply to uterine fibroids.
• Torsion of ovarian cyst.
• The last two causes of pain may threaten you if, before or during pregnancy, you were diagnosed with cysts, tumors on the ovaries or uterine fibroids. Therefore, if you know that you have similar problems, be more attentive to yourself.
• The causes of an acute abdomen can be acute attacks of cholecystitis (inflammation of the gallbladder), pancreatitis (inflammation of the pancreas), appendicitis, as well as gastrointestinal bleeding due to ulcers of the stomach and duodenum.

Regardless of the reason, after calling an ambulance, go to bed. Try not to take painkillers and other drugs so as not to complicate the doctor's diagnosis.

Call an ambulance: gestosis

There is another group of symptoms that should alert the expectant mother.

These include:

• headache (in the back of the head and temples);
• a veil before the eyes, flickering dots and “spots”;
• nausea, vomiting;
• too lethargic state or, conversely, increased excitability;
• increased blood pressure;
• convulsions (including twitching in the face, neck, arms, legs) and loss of consciousness with convulsions.

All of them can be a sign of a condition such as gestosis (the so-called late toxicosis of pregnancy). It develops, as a rule, in the second half of pregnancy and can be quite dangerous, therefore it is a mandatory reason for hospitalization of a pregnant woman, and in severe cases often leads to emergency delivery. Therefore, at the first sign of it, you need to call an ambulance. Before her arrival, take a lying position so that your upper body is elevated, close the curtains, exclude sources of noise, try to relax (anxiety increases the risk of seizures). It is advisable to have someone nearby, just in case cramps do occur.

If your doctor has not prescribed you medications that lower your blood pressure, and you have never taken them yourself, do not take anything on your own. If necessary, the emergency doctor will give you the necessary medication.

If gestosis is suspected, hospitalization is mandatory. In severe cases of gestosis (eclampsia), resuscitation is necessary.

However, gestosis usually does not manifest itself spontaneously. All of the above symptoms, together or separately, to one degree or another, begin to bother the expectant mother from the second half of pregnancy; in addition, gestosis is manifested by the presence of protein in a urine test.

Call an ambulance in case of exacerbation of diseases

During pregnancy, the course of various diseases that the woman already had before her onset may become more severe.

Some of them require urgent contact with the ambulance service:

• Renal colic. How to recognize this disease? The main symptom of renal colic is sudden, cramping pain in the lower back or under the ribs. The pain can last from a few minutes to several hours (about 12). Colic often occurs against the background of urolithiasis or chronic pyelonephritis, which could go completely unnoticed before pregnancy. While waiting for an ambulance, it is forbidden to drink water; you can take a painkiller tablet.
• Bronchial asthma. This disease is a sudden attack of suffocation, accompanied by coughing, noisy, wheezing, shortness of breath and increased heart rate. Asthma is very dangerous during pregnancy. Cough increases intra-abdominal pressure, which increases the tone of the uterus and disrupts normal blood circulation - this can lead to fetal hypoxia. In addition, severe attacks can cause premature labor. During an attack, it is important to ensure free breathing: unbutton your collar, open a window for fresh air, sit down, you can put your hands in hot water, and if possible, it is also recommended to drink lingonberry tea (it helps thin the sputum).
• Quincke's edema. This is a type of allergy that begins with a sudden reaction to some food, insect bite, medication, etc. Swelling can appear around the lips, on the cheeks, eyelids, and then spread to the mucous membrane of the throat. From a lack of oxygen, such swelling can lead to coma. In addition, angioedema may cause vomiting or diarrhea. To combat Quincke's edema while waiting for an ambulance, it is necessary to eliminate contact with the allergen as quickly as possible and take an antihistamine drug (it is better to clarify which one when calling an ambulance). Provide fresh air, apply a cold compress to the swollen area, take activated charcoal and drink plenty of fluids.

Call an ambulance: childbirth

The main reason for calling an ambulance for pregnant women remains childbirth. Most expectant mothers end up in the maternity hospital with the help of the ambulance service.

It is important here not to panic ahead of time and call an ambulance if there are real reasons for the onset of labor. Understanding this issue is not so difficult: real labor pains cannot be confused with anything. They are regular, appear at regular intervals, their intensity gradually increases, and the intervals between them decrease. Training contractions occur at different intervals and their intensity does not increase. If you determine that the uterus contracts regularly and contractions occur within 10–15 minutes, then it’s time to call an ambulance and go to the maternity hospital.

Another sign of the onset of labor is the breaking of water. This can happen both during contractions and just before they begin, and is not accompanied by any pain. Water (normally transparent) can flow out quite abundantly at once, or it can leak drop by drop. In any case, it is necessary to go to the maternity hospital as quickly as possible so that early discharge of amniotic fluid does not lead to inflammatory complications or hypoxia (oxygen starvation) of the fetus. It is advisable not to eat anything while waiting for an ambulance.

Before the ambulance arrives, check (or collect) everything that you need to take with you to the maternity hospital or hospital, if for some reason hospitalization in a hospital is necessary: ​​most importantly, do not forget your passport, exchange card (it is given to the expectant mother after 22- th week of pregnancy), insurance policy (or contract for childbirth), as well as the necessary clothes, cosmetics, etc.

Whatever the reason for calling an ambulance, try to remain calm, because stress is contraindicated for the expectant mother. If you played it safe and called the medical service in case of any ailment, this is already good; perhaps you noticed in time what needed to be treated. Health and peace of mind for the expectant mother and her baby are the most important thing.

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Warning signs during pregnancy to immediately consult a doctor or call an ambulance.

During pregnancy, conditions often arise that require medical attention. Sometimes, when feeling unwell, it is difficult to know what to do: call an ambulance immediately or wait and make an appointment with your doctor. Sometimes such indecisiveness can lead to serious problems. In practice, there are a number of symptoms that cannot be ignored. Each of them can be a manifestation of pathology, in which it is necessary to immediately hospitalize the pregnant woman in a hospital. Let's look at these symptoms and associated pathologies.

Worrying symptoms during pregnancy

Bleeding- one of the most common reasons why pregnant women go to the emergency room is various bleeding associated with pregnancy or diseases of the reproductive organs.

Obstetric hemorrhage is a discharge mixed with blood or blood released from the genital tract of a woman during pregnancy, childbirth, or the postpartum period. The intensity and duration of such bleeding can vary greatly depending on the cause that caused it - from scanty blood smears on underwear to heavy and prolonged bleeding.

They can occur at any stage of pregnancy and when they appear, the patient most often feels general malaise, dizziness, and may experience lightheadedness or severe pain in the lower abdomen and lower back.

Causes of bleeding during pregnancy:

1. Spontaneous miscarriage or abortion– such a pathology can occur at any stage of pregnancy, but the highest risk is during the first three months of pregnancy, at this time, for a variety of reasons, the pregnancy is threatened with termination, fetal rejection begins, the placenta is separated, which can provoke a miscarriage. This is accompanied by the following symptoms: bloody discharge or bright scarlet blood appears from the genital tract, the woman feels acute pain, hypertonicity of the anterior wall of the uterus is noted - the stomach “turns to stone.”

Any manifestation of the first signs of a miscarriage is a reason to urgently seek medical help, and until the ambulance arrives, remain completely at rest, do not get up and take 1-2 tablets of antispasmodics (no-spa, metacin or a suppository with papaverine). With timely medical care, the chance of maintaining a pregnancy increases.

2. Placenta previa– gynecological pathology in which the placenta is attached to the place where the fetus exits the uterus. This arrangement does not interfere with the normal growth and development of the child, but greatly increases the risk of bleeding.

Symptoms of placenta previa are unexpected bleeding or spotting that occurs despite complete well-being after the twentieth week of pregnancy. If such symptoms appear, you should immediately call an ambulance, while waiting for doctors, lie on your left side and try to give the lower half of your body an elevated position - put a pillow or something soft under your hips.

3. Premature placental abruption– “children’s place” is the connection between the unborn baby and the mother; if this connection is untimely disrupted, a serious threat to the pregnancy of the child arises. The risk of such a pathology increases in the last months of pregnancy; the first signs of threatening placental abruption are pain, bleeding from the genitals, weakness, hypertonicity of the uterus, and possible contractions.

If such symptoms appear, you should immediately call an ambulance until it arrives, try not to make unnecessary movements, lie down, apply a heating pad with ice to your lower abdomen, and do not take food or water.

Any discharge from the genitals mixed with blood in a pregnant woman is a sign of serious obstetric pathology, which may threaten not only the life of the unborn child, but also the life of the pregnant woman. Such symptoms are a clear indicator for emergency hospitalization in the gynecological department. While waiting for an ambulance for pregnant women, you need to stop all activities and be completely at rest.

Pain syndrome

Very often, bearing a child is accompanied by various pain sensations; this is due to physiological changes caused by hormonal changes for bearing a child. Such symptoms are not always pathological. But it is necessary to clearly distinguish between situations in which pain is simply an unpleasant symptom of a normal pregnancy or a sign of serious problems in the health of the pregnant woman and her child.

At the beginning of pregnancy, it is normal to experience mild pain in the lower abdomen, in the lower back - lower back, in the abdomen or in the enlarged mammary glands.

Such unpleasant sensations are associated with the pressure of the growing uterus on organs and blood vessels, with sprained ligaments, and with the restructuring of the mammary glands. They are short-term, not too intense and pass quickly.

If the pain is severe, cramping, does not go away for a long time, or occurs in the genital area, uterus or lumbar region, this condition requires qualified medical care and you need to take care of your health without delay.

If very severe pain occurs, it is recommended to call emergency help, and before the doctors arrive, go to bed and take antispasmodics - no-shpa, metacin, suppositories with papaverine.

Headache during pregnancy may be one of the first a sign of gestosis. An ambulance should be called if signs of pathology appear, such as severe pressing pain in the temples or the back of the head, darkness in the eyes, flashing “spots” or multi-colored spots before the eyes, nausea and vomiting, increased blood pressure, unmotivated agitation or depression. All these are signs of developing gestosis - a special pathological condition of pregnant women that requires immediate medical intervention. In addition to headaches, gestosis causes a strong increase in blood pressure, swelling, and protein is detected in urine tests. In more complex cases, a severe deterioration of the patient’s general condition, short-term stupor or loss of consciousness, and the occurrence of convulsive movements are possible. If such symptoms occur, it is necessary to urgently call an ambulance for pregnant women. Before the doctors arrive, the patient should be placed in a dark room, in complete silence; to alleviate the condition, give an elevated position in bed and monitor the patient’s condition. If your doctor has prescribed medications that lower your blood pressure, you can take them before the ambulance arrives.

Surgical pathologies

Situations in which a person may need emergency medical intervention can arise at any time and in any place. During pregnancy, the risk of such problems is slightly higher than during any other pregnancy.

In order not to harm the child and his mother, you need to seek medical help as soon as possible and try to remain calm.

"Acute Belly" is a collective term that unites a whole group of various diseases and pathologies of internal organs that arise in the abdominal cavity. Such conditions develop very quickly and for the patient to recover, she must be immediately taken to a surgical hospital for surgical intervention.

Symptoms of such surgical pathologies are severe cutting or dull pain in the abdominal cavity, their intensity increases over time, in addition, signs of disruption of the digestive tract appear - nausea, vomiting, restriction of muscle mobility of the anterior abdominal wall, stool retention may occur. In addition to the symptoms described above, the general state of health deteriorates greatly - the patient feels severe weakness, dizziness, her skin turns pale, she sweats profusely and her blood pressure drops.

Often, signs of inflammatory changes in the abdominal cavity may appear - increased body temperature, increased breathing and heart rate.

The development of such surgical pathology can be caused by a variety of diseases, both related to the female reproductive system and related to the pathology of internal organs:

1. Ectopic pregnancy- occurs when the fertilized egg is not implanted correctly - not in the uterine cavity, but in the abdominal cavity or fallopian tube. Such an egg may develop for some time, but then its development stops and a spontaneous miscarriage occurs. This pathology becomes the most common cause of the development of an “acute abdomen” in pregnant women. When pregnancy develops outside the uterine cavity, the pregnant woman feels severe pain in the lower half of the abdomen, there is no regular menstrual flow, and vaginal discharge mixed with blood appears. With a developing ectopic pregnancy, complaints may be minimal - mild pain and spotting. An interrupted ectopic pregnancy causes the patient to be admitted to the hospital. This may cause rupture of the fallopian tube or other tissues. This provokes severe pain - a “dagger” pain in the lower abdomen occurs, and blood appears from the genitals. The woman feels a sharp deterioration in her health, arising from symptoms of internal bleeding - severe weakness, possible fainting, drop in blood pressure, pain shock.

2. Uterine rupture- this pathology occurs after surgery on the uterus - cesarean section, removal of tumors, excision of the uterine angle after removal of an ectopic pregnancy. Symptoms of this pathology are a change in the shape and contours of the abdomen, severe pain in a certain place; upon palpation, you can feel the edges of the tear and scar changes.

3. Torsion of ovarian cyst– the occurrence of such a complication is possible in the presence of formations in the ovaries. A cyst is a benign formation in the ovary, which is a cavity with fluid; if the cyst is attached to the ovary with the help of a “leg,” then there is a risk of torsion of the cyst, which disrupts the blood supply, compresses the vessels and begins tissue death. This causes severe pain, which can be provoked by any physical activity, sexual intercourse or nervous strain. Scanty vaginal discharge also appears, and other symptoms of intoxication may be present.

4. Impaired blood supply to the myomatous node– if a pregnant woman is diagnosed with uterine fibroids, as the fetus grows, compression of the vessels feeding this formation is possible, this leads to disruption of the blood supply to the fibroids and the occurrence of constant dull pain in the area of ​​the uterine fibroids.

5. Acute appendicitis– can occur at any time, up to 75% of cases of acute appendicitis in women expecting a child occur in the first months. Clinically, the disease manifests itself with a standard set of symptoms - pain in the epigastrium or in the lower third of the right abdomen. Upon examination, you can notice strong tension in the abdominal muscles. If help was not provided on time, nausea, vomiting, and a rise in body temperature occur.

6. Acute cholecystitis– an inflammatory disease of the gallbladder, it often develops in pregnant women, about 10% of all pregnant women suffer from disturbances in the functioning of the gallbladder, but most often the disease does not require medical attention. In case of exacerbation, the patient suffers from severe pain on the right side, radiating to the scapula and right shoulder, indomitable vomiting, which does not bring relief and deterioration of the patient’s general condition. In such cases, it is also necessary to contact emergency specialists.

7. Acute pancreatitis- occurs when the pancreas becomes inflamed. The main symptom of the disease is acute, sudden girdling pain or pain in the upper abdomen, severe nausea and vomiting, and a sharp rise in body temperature.

8. Perforation of a stomach or duodenal ulcer- if before pregnancy a woman was diagnosed with inflammation or ulcerative damage to the walls of the stomach or intestines, there is a danger of bleeding from damaged vessels or the formation of a hole in the wall of the organ - perforation. With this pathology, very severe stabbing pain, fainting, weakness occurs, and vomiting of blood is possible.

Before the ambulance arrives, in all the cases described above, it is necessary to ensure complete rest for the pregnant woman, put her on the bed and not give any painkillers and under no circumstances eat or drink until the doctors arrive. It is allowed to take antispasmodics - no-shpa, metacin - 1-2 tablets. You should not try to give an enema or flush the patient’s stomach yourself. It is also not recommended to take painkillers or laxatives - this can greatly distort the clinical picture of the disease and complicate its further diagnosis.

Somatic diseases

Almost every person has certain pathologies in the functioning of internal organs, and for women, during pregnancy, the risk of developing an exacerbation of these diseases increases, which can lead to complications during pregnancy.

1. Renal colic– occurs when the outflow of urine from the urinary organs is impaired. The reason for this urinary retention may be the formation of kidney stones or chronic diseases of the urinary system. During renal colic, the patient suffers from very severe pain in the lower back, the pain is very strong, occurs suddenly and becomes more intense over time, in addition, the general condition of the patient is disrupted - swelling, headache, nausea and vomiting may occur. Before the ambulance arrives, you should not take liquid; you need to try to calm down and, if necessary, take antispasmodics - no-shpu, papaverine.

2. Attack of bronchial asthma– an attack of bronchial asthma can be triggered by physical activity, nervous shock, eating an allergen or other reasons. Shortness of breath occurs, the patient's breathing is noisy and wheezing, she is tormented by a feeling of fear and anxiety, and a panic attack may occur.

Before the doctors arrive, you need to sit the patient down, unfasten tight clothing, open the window, and immerse your hands and feet in hot water. It is possible to use inhaled forms of the drug to relieve swelling and spasm.

Childbirth

Even if the expectant mother has been preparing for the onset of labor pains and looking forward to this moment, unexpected signs of impending labor can take her by surprise and cause panic.

You need to contact an ambulance when regular labor occurs or after the amniotic fluid breaks.

Regular labor contractions repeat every 10-15 minutes, last at least 10-15 seconds, and their intensity and frequency increase all the time. If regular contractions appear at least once every 15-10 minutes, with a frequency of 20-10 seconds, or your water breaks, you need to call an ambulance, and before they arrive, try to calm down and collect the necessary things.