high-risk-pregnancy.jpg
14/Feb/2020

Every woman experiences overwhelming joy during her nine months of pregnancy. It is accompanied by a fresh batch of worries. While the vast majority of pregnancies go off without a hitch, some are considered due to the potential for complications.

Can you define a high-risk pregnancy?

When the health of the mother, the foetus, or both is compromised in any way prior to, during, or after delivery, we call it ahigh-risk pregnancy.

Why do we run these dangers?

Calling a pregnancy high-risk could cause unwarranted worry if everything turns out fine. Despite a complicated medical history, some pregnancies can go normally. If a risk factor is found, the mother is gently briefed on the potential dangers.

There are a number of potential risk factors for women, including:

Age of the mother: A major determinant in complications during pregnancy is the mother's age. Women under the age of 17 and those over the age of 35 face an increased danger. Lack of a Good Birth History

Three or more previous pregnancy losses or problems

Pregnancy loss due to chromosomal abnormalities

Rhesus (Rh) pregnancy-related sensitization (a potentially life-threatening condition if the mother blood group is Rh- and the babys blood group is Rh+)

Health Problems

Diseases include tuberculosis (TB) and infections caused by viruses like HIV. Noncontagious disorders such as diabetes, hypertension, epilepsy, thyroid dysfunction, etc.

Possible pregnancy-related dangers:

A healthy woman who later develops any of the following conditions during her pregnancy may be considered high risk. Diseases spread from person to person, such as measles, mumps, rubella, syphilis, toxoplasmosis, etc. High blood pressure, preeclampsia (caused by high blood pressure eventually damaging other organs like the kidneys), gestational diabetes (pregnancy-related hyperglycemia), multiple pregnancy (conception of twins, triplets, or quadruplets), antepartum haemorrhage (vaginal bleeding), etc. are all examples of noncommunicable diseases.

Foetal anomalies include congenital heart problems, skeletal malformations, neural tube defects, and others.

Possible complications during childbirth include:

Rarely, problems with the placenta, including placenta accreta (a placenta that enters the uterine muscle and prevents separation from the uterus), are identified either during pregnancy or shortly after birth.

Indicators of a potentially dangerous pregnancy?

Understanding the difficulties you may have during your pregnancy is crucial. It might be useful to gain an understanding of a few potentially worrying signs, such as: Preterm labour characterised by frequent uterine contractions Internal haemorrhaging Constant head pain Lower-extremity edoema

If my pregnancy is considered high risk, what should I do?

Pregnant women who are at higher risk of complications should have regular antenatal checkups and may need to see their doctors more regularly for routine prenatal screening tests and specific testing to ensure the baby is developing normally and the mother is safe. To help women have a healthy and safe pregnancy and to increase the likelihood that the pregnancy will be carried to term, a dedicated multidisciplinary team may be recruited to address any associated issues in the mother.

What will my formal risk category be?

Throughout your pregnancy, your regular obstetrician will advise you and, if necessary, send you to a physician, nephrologist, neurologist, or other medical specialist, depending on your individual risk factors.

What should I do to ensure a safe pregnancy?

It is recommended that you do the following for a healthy pregnancy: Get medical advice before starting a family.

Medical professionals will examine the expecting mother and provide her recommendations based on their findings. It is possible to amend or adjust the current treatment in anticipation of pregnancy, in addition to providing vitamins for a healthy pregnancy, if necessary.

Routine examinations:

Having the mother and child see the doctor frequently will allow for ongoing monitoring of their health. Medication adjustments and specialist referrals can be made based on the results of these checkups at regular intervals.

In addition to a balanced diet and the right supplements, it is crucial to make sure the expecting woman gains weight in a healthy way. Regular exercise, abstinence from alcohol and tobacco, and reduction of other toxic agents all contribute to lowered vulnerability to adverse events.

What kind of postpartum care can I expect?

Both the mother and the newborn, who is in the care of a neonatologist and must be watched in a neonatal intensive care unit (NICU), undergo close observation for the emergence of any issues.


High-risk-pregnancy-case.jpg
11/Jul/2015

Mrs. X in her current 3rd pregnancy with one previous live child of 3 years came to us in early pregnancy. The previous delivery was by Caesarean section. She had had one previous miscarriage, was an asthmatic and a diabetic on insulin.

She was examined by the gynecologist and referred to the endocrinologist and fetal medicine specialist to normalize her physiology and monitor the development of the baby. This was the start of her management by the multidisciplinary team.

Regular Ultrasound scans to monitor the baby and blood sugar evaluation to monitor her diabetes were done in addition to controlling her blood pressure which was showing signs of increase. In-spite of which at 32 weeks of pregnancy she developed full blown pregnancy induced hypertension( PIH) .

She was electively admitted in the MICU under the care of an intensivist and managed by the multidisciplinary team of Gynecologists, intesivists, radiologista and endocrinologists.

On stabilization of her BP, she was taken up for C-Section and a live healthy baby was delivered. The mother and baby pair needed intensive observation after delivery and they made a smooth recovery. We were able to discharge them on the 4 th day in a healthy condition.


Lavie Logo

An experienced gynecologist for normal delivery in Bangalore and she is a member of Bangalore Society of Obstetrics & Gynecological and FOGSI.

Copyright by drbeenajeysingh.com. All rights reserved!