Our Affiliate System

We are building one organization with affiliates in two regions. Our parent company, now known as Prisma Health, supports both affiliates with overall direction and leadership as we continue to align. We will soon share one brand across the entire organization to better reflect this. The rebranded Palmetto Health-USC Medical Group will continue to operate as a joint venture between the Midlands affiliate and the USC School of Medicine.

Learn more
We are becoming Prisma Health in early 2019

Common Concerns

Concerns You May Experience

Pregnancy brings lots of changes, many of which will be new to you. Fortunately, most pregnancies and births are normal and progress without complications. Nevertheless, the hormonal influences and physical changes that occur in your body while growing a baby can be quite surprising.

Most symptoms are a result of a normally developing pregnancy and can be discussed with the midwife at your next regularly scheduled prenatal appointment. However, there are times when it may be necessary to contact your midwife between appointment dates. We have developed the guidelines below to assist you in deciding when to call your midwife.

How May We Help You?

Call us: (864) 797-7350

Remember, unless you are experiencing a life­ threatening emergency, always call the midwife before coming to the office or going to the hospital to be evaluated.

Concern: Slight spotting that goes away within a day.
When to report: Next regularly scheduled appointment.

Concern: Any spotting or bleeding that lasts more than a day.
When to report: Call office for next available appointment.

Concern: Moderate or heavy bleeding (like a regular period).
When to report: Immediately

Concern: Bleeding with pain, fever, or chills
When to report: Immediately

Concern: Occasional pulling, twinging, pinching or sharp stabbing sensation on one or both sides of abdomen or over pubic bone, worse with walking, prolonged standing, sitting or sudden position changes.
When to report: Next regularly scheduled appointment.

Concern: Severe pelvic or abdominal pain that is unrelieved by Tylenol, heat pack, warm bath, massage or accompanied by nausea, vomiting, diarrhea.
When to report: Immediately

Concern: Achy low back pain, sometimes radiates down back of hips and one or both sides of legs. Occasionally sharp or stabbing. Worsens with prolonged sitting, standing, or walking. Usually relieved with pelvic rocking exercises, hip stretches, warm bath, heating pad or Tylenol.
When to report: Next regularly scheduled appointment.

Concern: Severe, continuous pain, may radiate to one or both sides of front of abdomen. Not affected by movement, exercises, warm bath or position changes.
When to report: Immediately

Concern: Pelvic pain with bleeding or fever.
When to report: Immediately

Concern: Occasional mild headache relieved with Tylenol and rest.
When to report: Next regularly scheduled appointment

Concern: Headache unrelieved by Tylenol, rest, hydration or antihistamines.
When to report: Same day

Concern: Severe or persistent headache, especially if accompanied by visual changes (spots before eyes, light sensitivity, etc.).
When to report: Immediately

Concern: With fever greater than 100.8 for longer than 48 hours.
When to report: Same day

Concern: Without fever, but symptoms lasting longer than 7 days and not improving.
When to report: Call office for next available appointment.

Concern: Chronic (longer than 1 week) without fever or other symptoms.
When to report: Next regularly scheduled appointment

Concern: With fever greater than 100.8 and lasting longer than 48 hours.
When to report: Same day

Concern: With red rash that feels like sandpaper.
When to report: Same day

Concern: Constant nausea, occasional vomiting
When to report: Next regularly scheduled appointment

Concern: Vomiting 1-3 times per day with persistent nausea.
When to report: Call office for next available appointment

Concern: Vomiting several times per day and unable to hold down any food or fluids for more than 8 hours.
When to report: Immediately

Concern: Vomiting with pain or fever.
When to report: Immediately

Concern: Occasional mild heartburn relieved by dietary changes, antacids such as Tums, Mylanta, Ginger, Papaya enzyme, etc.
When to report: Next regularly scheduled appointment

Concern: Severe or persistent despite above measures
When to report: Immediately

Concern: Mild-moderate swelling of feet and/or ankles.
When to report: Next regularly scheduled appointment

Concern: Sudden (over the course of several hours, overnight) severe swelling of feet extending to lower legs; noted in hands or face.
When to report: Immediately

Concern: Milky white, creamy or pale yellow without irritation or odor.
When to report: Next regularly scheduled appointment

Concern: Any discharge with foul odor or irritation.
When to report: Call office for next available appointment

Concern: Steady gush or leaking of watery fluid that requires use of a pad to contain it or prevent it from trickling down your leg.
When to report: Immediately

Concern: Stringy thick mucus – less than 36 weeks
When to report: Call office for next available appointment

Concern: Stringy thick mucus -36 weeks or more
When to report: Next regularly scheduled appointment

Concern: Frequency – Urinating several times per hour
When to report: Same day

Concern: Pain with urination without chills, fever or headache
When to report: Same day

Concern: Pain with urination accompanied by chills, fever or headache
When to report: Immediately

Concern: Greater than 102° or accompanied by chills
When to report: Immediately

Concern: Greater than 100.8° for greater than 24 hours
When to report: Same day

Concern: Less than 100.8° for more than 48 hours
When to report: Call office for next available appointment

Concern: “Sparkles”, dizziness, light-headedness or wooziness, usually with prolonged sitting or standing or sudden movement from sitting to standing position or while in warm shower or bath. Lasts momentarily, resolves on its own.
When to report: Next regularly scheduled appointment

Concern: Persistent blurring, dim vision or gray shadow in your vision, double vision, loss of peripheral vision (tunnel vision), “floaters”.
When to report: Immediately

Concern: After 24 weeks gestation
When to report: Immediately

Concern: Any contractions accompanied by heavy vaginal bleeding – i.e. soaking full-size pads every hour or heavy period accompanied by clots.
When to report: Immediately

Concern: More than 6 per hour
When to report: Immediately

Concern: Less than 6 per hour
When to report: Next regularly scheduled appointment

Concern: Any contractions accompanied by heavy vaginal bleeding – i.e. soaking full-size pads every hour or heavy period accompanied by clots.
When to report: Immediately

Concern: 5 minutes apart or less for more than 1 hour, each one lasting 50-60 seconds and strong and painful enough that you are unable to walk or talk through them (i.e. unable to remain on the phone to talk with someone during a contraction).
When to report: Immediately