Danger signs during the course of a pregnancy

Ante-Natal Period

• Anemia: Palpitations, easy fatigability, breathlessness at rest
• Excessive nausea and vomiting
• High fever
• Headache / Blurring of Vision / Dizziness
• Convulsion / Fits
• Swelling all over the body
• Pain / Burning while urinating
• Increased frequency of urination
• Foul smelling discharge with or without fever
• High blood pressure
• Leaking for more than 24 hours without labour pain
• Bleeding from vagina or abnormal discharge
• Loss of Fetal Movements

Intra-Natal Period

• Bursting of water bag without labor pains
• Bleeding from vagina
• Convulsions / Fits
• Labour pain for more than 12 hours
• Retained Placenta

Post-Natal Period

• Excessive bleeding i.e. soaking more than 2–3 pads in 20–30 minutes after delivery.
• Convulsions with or without swelling of face and hands, severe headache and blurring of vision
• Fever
• Severe abdominal pain
• Difficulty in breathing and breastfeeding
• Foul-smelling lochia
• Breast engorgement, cracked nipple
• Perineal swelling and infection
• Inability to pass urine or burning while urination
• Post-partum mood changes

Source : Guidebook for Enhancing Performance of Multi-Purpose Worker (Female)

High Risk Pregnancy categories

The Government of India has expanded the list of high-risk pregnancy from 10 categories to 25 high-risk pregnancy categories to ensure early identification and timely management of complications to reduce morbidity & mortality and ensure institutional delivery by tagging with the nearest First Referral Unit (FRU).

1. HIV
2. Syphilis
3. Severe anemia
4. Pregnancy Induced Hypertension
5. Gestational Diabetes Mellitus
6. Hypothyroidism
7. Tuberculosis
8. Malaria
9. Previous LSCS
10. Cephalo-pelvic Disproportion
11. Bad Obstetric History
12. Twins/Multiple pregnancy
13. Hepatitis B
14. Abnormal fetal heart rate
15. Teenage Pregnancy
16. High Fever
17. RTI/STI
18. H/O Still Birth
19. Congenital Malformation
20. Negative Blood Group
21. Early Primi
22. Elderly Primi
23. Grand Multipara
24. Short Stature
25. Others