Cramping and pressure

Patient : I am at risk for iugr, my baby measured 2 week behind at my 20 week visit. I have mthr taking lovenox and have a history of placental abruption in my last pregnancy. I was in a head on collision at 14 weeks... presently I have had severe pressure in my butt and vagina, now accompanied with menstral cramps. I have been spotting throughout my pregnancy since the accident, wondering if I should be concerned I'm currently 25 weeks along and not scheduled to see on til march 26.
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