Worried About Your Pregnancy?
Whilst the majority of pregnancies will progress without
complications, many women experience problems which they feel they
would like support or further information for.
If you develop worrying symptoms during pregnancy, there are
several places that you can turn to for advice:
- Your general practitioner (GP)
Your GP can be accessed for a range of non-urgent services. If
you have a non-urgent concern not related to your pregnancy
(chest/urine/ear infections, skin complaints etc,) you should see
your GP for advice as they are better placed to help with these
problems. If you are unable to book an appointment, or need
to see a GP out of hours, call your surgery and follow the advice
provided. You may also consider visiting a walk in centre if your
GP is closed, or you cannot get an appointment.
Walk-in centres can be accessed by anyone and have more flexible
opening hours. You can visit a walk in centre for any general
illness or concern for which you may have visited your GP. You can
find your nearest walk in centre at www.nhs.uk. Here are a few walk
in centres in the Manchester area:
- Manchester Royal Infirmary (Urgent Primary Care Centre) Oxford
M13 9WL Monday to Friday: 8.30 am-10.00 pm Saturday,
Sunday and Bank Holidays: 10.00 am -10.00 pm.
- City Health Centre, 2nd Floor, Boots, 32 Market Street,
Manchester, M1 1PL
Open seven days a week: 8.00 am-8.00 pm.
- Hawthorn Medical Centre, Unit K, Fallowfield Retail Park,
Manchester, M14 6FS. Monday - Friday 8.30 am-10.30
am, 1.00 pm-3.00 pm, 4.30 pm-6.00 pm; Saturday and Sunday
10.00 am-12.00 pm, 2.00 pm-4.00 pm.
- Salford NHS Walk-in Centre, Rear of Pendleton House, Off
Broughton Road , Salford
M6 6LS . Monday-Friday, 11.00 am-6.00 pm; Saturday and Sunday
10.00 am- 5.00 pm.
- Trafford Walk-in Centre, Trafford General Hospital, Moorside
Rd, Urmston, M41 5SL. Seven days a week: 8.00 am-8.00 pm.
- Accident and Emergency Department
Your local Accident and Emergency department can still be used
if you have an emergency or accident notrelated to your
pregnancy (chest pain, difficulty breathing, collapse, etc). Always
inform the staff in the department you are pregnant. If your
condition may affect your pregnancy, you will be referred to Triage
Make sure you have your green handheld pregnancy notes with you
at all times.
Your community midwife can be contacted using the details given
at booking. Usually these are written on the front of your handheld
- Emergency Gynaecology Unit (if you are less than 20
If you are less than 20 weeks pregnant, the Emergency
Gynaecology Unit can be contacted on (0161) 276
6204, 24 hours a day.
- Obstetric Triage at Saint Mary's Hospital (if more than
20 weeks pregnant)
If you are more than 20 weeks pregnant contact the Obstetric
Triage Department on (0161) 276 6567.
Please have your pregnancy notes to hand when you call, as we
make ask you to provide information from them.
Obstetric Triage is an emergency service.
Accessing the most appropriate service helps to prevent
unnecessary delays for those needing to attend Obstetric
Triage. Please consider using some of the other services listed
above if you have a problem that is not related to your
Saint Mary's Obstetric Triage Unit provides a 24 hours a day, 7
days a week emergency assessment service from 20 weeks
of pregnancy, up to 28 days following the birth of your baby.
Triage works in a similar way to an Accident and Emergency
(A&E) department, and, like A&E departments can be an
over-used resource. This can cause unnecessary waiting times and
delays in providing the right kind of care.
Always call Triage before coming so that the midwife can
advise you whether or not you need to attend.
(0161) 276 6567
Remember to consider how you will get to the hospital, if
required, during your pregnancy. Ambulances for emergencies
only. If you call an ambulance, you may be taken to the
nearest hospital, even if you are booked at Saint Mary's.
When to contact Triage
The Obstetric Triage department sees pregnant women from 20
weeks of pregnancy onwards. Before 20 weeks, you should contact the
Emergency Gynaecology Unit on (0161) 276 6204 for
Some of the reasons to contact Triage:
- If you think you are in labour (either premature
labour, or at the end of your pregnancy). Labour is different
for every woman, but commonly starts, with your waters
breaking or contractions. If you think you are going into labour
before 37 weeks of pregnancy you should call Triage immediately for
advice. Your community midwife will discuss signs of labour/when to
call Triage towards your due date.
- If you think your waters have broken. Waters
breaking (or membrane rupture) is common during, or just before
labour. Most women find it obvious that waters have broken, whilst
others are less sure. If you are unsure if your waters have broken,
place a maternity pad in your underwear to monitor any fluid
leaking and contact Triage for advice.
Please note: If your midwife has informed you that
you are suitable for Midwifery Led Care ('MLC'), you should contact
the Midwifery Led Unit (Ward 47a) directly on (0161) 701
0018(0161) 701 0018 , if
your waters break or you think you are in labour after 37
- Severe abdominal pain (not relieved with
- Vaginal Bleeding. If you notice any vaginal
bleeding you should contact Triage immediately for advice.
Sometimes towards the end of pregnancy, you may have a 'show'. A
show is usually a mucosy, sticky, blood stained vaginal loss. A
show is the mucous 'plug' in front of your baby, which comes away
towards the end of pregnancy. A show is normal, and may occur days
or weeks before you go into labour. If you are unsure, please
Note: If you know your blood group is Rhesus negative,
please inform us when you telephone if you have vaginal bleeding or
a bump to your abdomen, as you will require an Anti-D
The following concerns can be seen in your nearest
Antenatal Assessment Unit during weekdays and Triage
- Reduced baby movements.
- Itching (not accompanied by a rash).
- Headaches (not relieved with Paracetamol) and/or visual
The importance of monitoring your baby's movements and becoming
familiar with your baby's patterns of movements will have been
highlighted during your pregnancy.
Don't ignore any reduction in the amount you feel your baby
move. It may be an important sign that there is a problem.
If you are unsure if you baby is moving around as much as
normal, try lying on your left side, and spending an hour or two
monitoring movements. If you don't feel movements, or you still
feel movements are reduced, contact one of the following
numbers for advice:
Antenatal Assessment Units:
Saint Mary's Antenatal Assessment Unit - (0161) 276 6404, Monday
to Friday, 8.30 am-6.00 pm.
Salford Antenatal Assessment Unit - (0161) 206 5291, Monday to
Friday, 8.00 am-5.00 pm.
Outside of these hours, contact Triage at Saint Mary's (0161)
After the birth of your baby: Your community midwife will visit
you in the immediate postnatal period. Out of hours if you
experience any excessively heavy bleeding, feverishness/very high
temperature, problems related to healing stitches or Caesarean
section scars, or other urgent concerns, please contact Triage for
Community Midwives can be contacted for advice on non-urgent
postnatal issues on: (0161) 276 6246.
Always try to bring your hand held pregnancy notes to Triage
when you attend. This will provide us with important information
about your pregnancy so far.
We aim to see you within 15 minutes of arrival. Initially you
will be assessed by a midwife in a Triage room. A full set of
observations (including blood pressure, pulse and temperature) will
be taken, and you will be asked to provide a urine sample. You can
then provide a little more detail about your concern.
Based on the information you provide, the midwife will allocate
a 'priority', so you have an idea how quickly you can expect a
midwife or doctor to provide further care.
Triaging in this way ensure women are treated in order of
clinical need, rather than time of arrival.
During busy periods, waiting times may be increased. Some of the
reasons for delay may be due to staffing levels, availability of
rooms on Triage, or availability of doctors.
It is difficult to predict waiting times, and we understand that
waiting can be frustrating.
We appreciate visiting Triage may be a stressful time for you
and your family, and we do our best to keep waiting times to a
We recommend you bring a drink and some light refreshments in
case of any delays. Staff can advise you of the nearest place to
buy food and drinks, and fresh water is available in the waiting
Please note: If you experience any changes in your
condition whilst awaiting review after being triaged, please
inform a member of staff.
This next section gives advice on what to do if you experience
the following symptoms in pregnancy: (Please click on the
Question 1: Abdominal pain
Whilst it's normal to have slight contractions through pregnancy
(this is when you feel your stomach contracting and relaxing), if
you experience a sudden pain that won't go away, contact the
hospital on (0161) 276 6567.
Question 2: Bleeding
Whilst bleeding in pregnancy can be normal, it can also be a
sign that something is wrong, especially if it is accompanied by
pain. Bleeding at five months could mean that that the placenta has
implanted at the lower part of the womb and this can be dangerous
for you and your baby. Contact your GP straight away or Triage on
(0161) 276 6567 at Saint Mary's Hospital if you are at all
Question 3: Diarrhoea, vomiting or high fever
Any sudden 'acute' illnesses should be referred immediately to
your GP or midwife.
Question 4: Excessive nausea and vomiting (Hyperemesis Gravidarum)
Question 5: Headaches or dizziness
This may indicate increased blood pressure, which is dangerous
in pregnancy. Contact us on (0161) 276 6567 if you are at all
Question 6: Pain when passing urine
This could be a sign of infection which would need treatment.
Drink plenty of fluids and contact your GP within 24 hours.
Question 7: Reduced fetal movements
If at any time you feel your baby is moving around less
frequently or slowing down contact us on (0161) 276 6567.
Question 8: Severe itching
Itching is common in pregnancy, but severe itching without a
rash (particularly in the last four months of pregnancy) can be a
sign of a potentially dangerous liver disorder. Contact us on
(0161) 276 6567 if you are at all concerned.
Question 9: Swollen ankles or hands
This is normally common but any sudden changes should be
reported to your GP or midwife as it could be a sign of
pre-eclampsia (high blood pressure and fluid retention in
Question 10: Vaginal discharge
A discharge that is smelly or blood-stained may point to
infection and should be referred to your midwife or GP.