Brief About High Risk Pregnancy | Blog By Dr. Monica Agarwal, Paras Bliss, Panchkula Brief About High Risk Pregnancy | Blog By Dr. Monica Agarwal, Paras Bliss, Panchkula
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What is a High Risk Pregnancy?

What is a High Risk Pregnancy?

by: Dr. Monica Agarwal
Sr. Consultant Obstetrics & Gynecology - Paras Bliss, Panchkula

The word “high risk” sounds scary and may ring your bells that something is abnormal with the pregnancy. So to define high-risk pregnancy, ‘Any pregnancy with an increased risk to the health of the mother, baby or both is called high risk’. High-risk factors are usually listed on the file of the patient so that extra care is given and attention is paid to correct the factors. These patients have increased chances of landing in complications and hence caution is needed at each and every step- during pregnancy, during labour, delivery, and after delivery. With good antenatal care and delivery at the tertiary care center, chances of complications are decreased. To enumerate, pregnancy can be high risk because of pre existing factors, previous pregnancy issues, and current pregnancy problems.

Pre existing factors that can cause a High-Risk Pregnancy:

  • Medical problems in the mother like high BP, diabetes, epilepsy, anemia, kidney disease, cancer, asthma, heart disease, autoimmune disorder etc
  • Age <17 years or >35 years
  • Smoking, alcohol or drug addiction
  • Infection like HIV, hepatitis, CMV, Rubella, syphilis, chickenpox, urinary tract infection etc
  • Family history of any chronic disease

Factors related to Previous Pregnancy can cause a High-Risk Pregnancy:

  • Previous LSCS
  • Preterm delivery
  • IUGR
  • Preeclampsia or eclampsia
  • Diabetes
  • Bad obstetrical history
  • Previous baby with any genetic or structural defect

Present pregnancy can also cause issues leading to a High-Risk Pregnancy:

  • Multiple pregnancy
  • High BP
  • Gestational diabetes
  • Coexisting medical problem
  • Infection
  • Growth retardation
  • Amniotic fluid, placental or uterine issues
  • Malpresentation etc

Listing all problems is difficult, main ones are all mentioned

Implications of a High-Risk Pregnancy:

  • Visits to the hospital are increased
  • More tests and USGS may be done
  • Special tests like biophysical profile, amniocentesis, and CVS may be needed

Patient responsibility id you are put under the categorization of a High-Risk Pregnancy:

  • Preconceptional counseling- It is very necessary to correct the problem to maximum and start prenatal vitamins to improve outcome
  • Do not miss your medication. Medicine should be taken in correct amount and time. Over the counter medicine to be avoided
  • Listen to the doctor, follow instructions carefully and be cooperative. It is your own health and all instructions all for your good health
  • Diet should be followed
  • Quit smoking, alcohol, and drugs
  • Take home made hygienic food and clean water as immunity is low in pregnancy and infections occur very easily
  • Stay away from people with flu, cough, fever, rash
  • Avoid insect bite
  • Fetal kick count has to be maintained
  • Report any alarming symptom like pain abdomen, vaginal bleeding, leaking, headache, vision problem, fainting sensation, swelling in body, fever, decreased fetal movement etc

To conclude to avoid any complications in pregnancy, good care means a lot. Choice of the hospital has its own effects. The hospital should be equipped with facilities for the care of the mother, OT, 24*7, NICU, specialist doctors and efficient staff to handle any unpleasant situation that may arise.

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