You should call the office for vaginal bleeding if it appears similar to a period. It is pretty common to spot, especially if you had a pap smear or a pelvic exam in the past 72 hours. Spotting is also common after intercourse. Call us promptly with any of these symptoms: a fever over 100. 4 F, persistent headaches, persistent swelling, constant abdominal pain, nausea and vomiting-especially if you cannot keep down food or liquids. Also, call if your baby is not moving normally.