It is vital for a pregnant woman with congenital heart disease to have strong support from a multidisciplinary team experienced with her heart condition and the effect of pregnancy on that condition.

Q: I know that not every little bump and bruise requires attention in an emergency room. But how do I know when my child needs an urgent care or the emergency department?

A: You cannot predict when your child will need medical attention. A small burn after a little hand finds its way onto a hot stove or a fever just before bed causes parents to ask, "Urgent care or emergency room?"

Always call your child's pediatrician or family doctor first. Your doctor will be able to help guide you to the appropriate next step of care: a scheduled office visit, the urgent care or the emergency department.

In a medical emergency, don't hesitate to call 911 for immediate care/transfer to the appropriate emergency center. If your concern involves ingestion or poisoning, call the Central Ohio Poison Center immediately at 1-800-222-1222.

Nationwide Children's Urgent Care locations offer treatment for:

- Minor cuts and lacerations

- Minor/small burns

- Possible broken bones/simple fracture

- Sprains and strains

- Minor skin infections

- Throat or ear pain

- Vomiting and diarrhea

- Asthma

- Rashes

- Mild allergic reactions

- Fever

The emergency department at Nationwide Children's provides treatment for:

- Major trauma/injuries

- Injuries following a vehicle crash, being struck by a vehicle or fall from a height

- Serious head injury

- Burns with blisters or white areas/large burns

- Obvious broken bones

- Severe difficulty breathing/respiratory distress

- Fever in infants eight weeks of age or younger

- Severe pain

- Seizures

- Medical problems in children with underlying chronic medical conditions

-Heather Battles, M.D., is an Emergency Medicine physician at Nationwide Children's Hospital.