Emergency Protocol

Should you find yourself in an emergency situation where you are experiencing a symptom that requires immediate medical attention, we advise you to do the following:

  • Call the Kensington Wing who will put you through to a midwife on the private maternity ward 020 3315 8616/18. If she isn’t available and doesn’t call back within a few minutes, call again and leave a message stating clearly what your problem is.
  • If your pregnancy is less than 20 weeks, go directly to the nearest casualty department or dial 999.

When you report any of the symptoms listed below, make sure you also tell us about any other symptoms you may be experiencing, no matter how unrelated they may seem to the immediate problem. Be as specific as you can, mentioning when you first noticed each symptom, how frequently it occurs, what seems to relieve or exacerbate it and how severe it is.

Call us immediately if you experience any of these symptoms:

  • Severe lower abdominal pain, on one or both sides, that doesn’t subside and is accompanied by bleeding or nausea and vomiting
  • Severe upper mid-abdominal pain, with or without nausea, accompanied by swelling of the hands and face
  • Heavy vaginal bleeding (especially when combined with abdominal or back pain)
  • Coughing up of blood
  • A gush or steady leaking of fluid from the vagina
  • A sudden increase in thirst, accompanied by reduced urination or no urination at all for an entire day
  • Painful or burning urination, if accompanied by chills and fever over 38.9°C and/or backache
  • Very sudden and severe swelling or puffiness of the hands, face, and eyes, accompanied by headache, vision difficulties or sudden significant weight gain (more than 900g) that is not related to overeating
  • Vision disturbances (blurring, dimming, double vision) that persists for two hours or more
  • Extremely severe vomiting accompanied by pain and/or fever
  • Frequent diarrhoea (more than three times a day, particularly if it’s bloody or filled with mucous)
  • Fewer than two fetal movements per hour if your pregnancy is beyond 28 weeks
  • Chills and fever over 38.9°C in the absence of cold or flu symptoms (start bringing down the fever promptly by taking Paracetamol)

Call us within 24 hours if you experience any of these symptoms

  • Severe lower abdominal pain, on one or both sides, that doesn’t subside
  • Vaginal spotting (though slight staining a week to ten days after conception or light pink spotting after intercourse in late pregnancy is no cause for concern)
  • Bleeding from nipples or rectum, or blood in your urine
  • Swelling or puffiness of hands, face and eyes
  • Severe headache that persists for more than two or three hours
  • Sudden weight gain of more than 900g not related to overeating
  • Painful or burning urination
  • Fainting or dizziness
  • Chills and fever over 37.8°C in the absence of cold or flu symptoms (start bringing down the fever promptly by taking Paracetamol)
  • Severe nausea and vomiting; vomiting more often than two or three times a day in the first trimester; vomiting later in pregnancy when you didn’t earlier
  • All over itching, with or without dark urine, pale stools or jaundice (yellowing of skin and whites of eyes)
  • Absence of noticeable fetal movements for more than twenty four hours after the 20th week of pregnancy

The Office

Chelsea Birth Clinic
266 Fulham Road, London SW10 9PJ

0207 349 5204


The Clinic

The Women’s Wellness Centre
274-276 Fulham Road, London SW10 9EW

020 7751 4488


The Kensington Wing

Chelsea and Westminster Hospital
369 Fulham Road, London SW10 9NH

020 3315 8616/18 (24 hours)


Your Pregnancy Doctor


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