What finding at 33 weeks of gestation should raise concern for complications?

At 33 weeks of gestation, epigastric pain is a concerning finding that could indicate potential complications such as preeclampsia or other serious conditions. Preeclampsia is characterized not only by elevated blood pressure but also by symptoms such as abdominal or epigastric pain due to liver involvement or severe hypertension. The location of the pain—specifically in the epigastric region—can signify pressure on the liver or complications resulting from the condition, which requires prompt evaluation and intervention.

In contrast, while back pain can be common during pregnancy due to physical changes, it is not typically a sign of acute complications. Lightheadedness may warrant assessment, but it can often be linked to normal pregnancy changes such as blood volume variations or positional changes. Increased appetite is generally not a cause for concern in a healthy pregnancy and can be quite normal as women may experience increased caloric needs during the later stages of gestation as the fetus grows. Thus, the presence of epigastric pain stands out as a significant warning sign to be addressed by healthcare providers.