Are there any warning signs I should look for during the 2nd trimester of my pregnancy?

Dr. Jeanne Morrison, PhD
Family Practitioner

Warning signs to look for at 28 weeks include signs of preterm labor, vaginal bleeding and preeclampsia.

Preterm labor is the onset of regular, rhythmic uterine contractions. If the woman experiences a persistent backache, feeling of fullness or pressure in the vagina or regular contractions, she needs to seek care. There are treatments that can stop premature labor, but they are most effective when implemented early.

Vaginal bleeding may be a sign of a placental problem such as a placenta previa, low-lying placenta or placenta abruption. When vaginal bleeding begins the woman needs to contact her health care provider. Frequently an ultrasound examination will be conducted to determine the cause of the bleeding.

Pre-eclampsia is a condition of the last half of pregnancy and involved elevated blood pressure, proteinuria and edema. If left untreated pre-eclampsia can progress to eclampsia or the onset of seizures. Both conditions can have serious consequences for the mother and the fetus.

Diana Meeks
Diana Meeks on behalf of Sigma Nursing
Family Practitioner

During this time you should watch out for certain risk factors and complications like gestational diabetes, preeclampsia, anemia, and preterm labor. In addition to all of these complications, there are certain warning signs that require medical attention. These warning signs include:

  • downward pelvic pressure
  • vaginal discharge or bleeding
  • fetal inactivity
  • abdominal pain
  • vomiting
  • fever
  • vision problems
  • headache
  • facial swelling
  • abdominal injury
  • fainting
  • respiratory problems
  • extreme constipation
  • severe itching

Preterm labor can happen at anytime prior to 37 weeks. At 28 weeks your child has a 90 percent chance of surviving early birth.

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Important: This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.