- 5-1-1 Contractions: Call when you are having contractions 5 minutes apart, lasting 1 minute, for 1 hour.
- Ruptured membranes, clear fluid, no labor pains and your vaginal culture for Group B strep at 36 weeks was positive.
- If your membranes rupture after 5:30 PM and your Group B strep culture was negative, you can wait for signs of labor. If you are not in active labor by 7:00 AM, please call our office.
- If your membranes rupture during the day
- Ruptured membranes, green amniotic fluid. This may be meconium (fetal stool) which occasionally signifies fetal distress. You will be instructed to come to the hospital when fluid is this color.
- Heavy bleeding and/or unremitting, severe pain.
- During office hours, please call us to discuss plans: (415) 666-1250, choose option #1
- Outside of office hours, please dial: (415) 666-1250 and press “0”. Our nurse triage service will make an assessment and give instructions to you. An on call physician is available 24 hours a day and the nurses can reach us if necessary.
- If instructed by a physician, call the hospital triage desk at CPMC @ (415) 600-2100
Usually labor pains are uniform in their intensity and predictably rhythmic in their timing.
In general, when at term, there is NO need to call if:
- You are cramping or having erratic contractions, even if some are strong.
- You note a slight bloody discharge, pass your mucous plug, or see blood tinged mucous in the absence of regular labor pains.