A high-risk pregnancy is one that threatens the life of the mother or her fetus. For most women, early and regular prenatal care promotes a healthy pregnancy and delivery without any complications. But some women are at increased risk for complications even before they get pregnant for a variety of reasons. Pregnancy including labour and delivery itself is a high-risk event. If treatment is started in time, it is possible to save the life of both mother and baby. Research highlights that at least 2 in 10 women suffer from High-Risk Pregnancy issues. These are due to age, pre existing health conditions, pregnancy induced health issues, earlier miscarriages, infertility aspects, to list a few. It is important for each pregnant mother to be informed about her health and her baby’s health. Preparation and knowledge about the risk also help prepare them for the choice of delivery.
High-risk factors causing High-Risk Pregnancy (HRP):
Numbers against High-Risk Pregnancy :
Maternal mortality is 10 in 1 lakh pregnant women in India, making it a major issue. The leading causes of maternal mortality are Haemorrhage, Hypertension, Infection, Pre-Eclampsia.
High-risk cases according to WHO are those that include any of the given features in pregnancy:
Management of Labour for High-Risk Pregnancy:
In some high-risk cases, elective c-section is done. Some cases need induction of labour after 37-38 weeks of gestation. Those cases who go into labour spontaneously or after induction needs close monitoring during labour.
It is necessary that all expectant mothers are cared by the obstetric service of a particular area.