Being pregnant is an important milestone in the life of the expecting mother and the family. Motherhood is one of the most exciting experiences; however there are a number of aspects that you need to be familiar with or trained before planning childbirth. Good prenatal care and medical expertise during pregnancy can help prevent complications. No matter how healthy and prepared you are, pregnancy can be exceptionally unpredictable. You need to plan always for the unexpected and be aware of the options if your pregnancy translates into a High Risk Pregnancy Situation.
Paras Bliss has a well developed clinical program – high risk pregnancy program – that includes a team of specialised doctors – obstetricians, gynaecologists, fetal medicine experts, anaesthesiologists, paediatricians, nutrition experts to list a few.
What is the difference between a high risk pregnancy and a high risk obstetrics case?
High risk pregnancy refers to a pregnancy during which a condition puts the mother, developing fetus or both at a higher than normal risk for complications.
High risk obstetrics refers to complications during the delivery process, including premature labour.
It is important to remember that it is possible for a high risk pregnancy to have no difficulties during the actual delivery, just as it is possible for a high risk delivery to occur with a low risk pregnancy.
Who is likely to have a high risk pregnancy?
You are at risk if you have any of the following habits or suffer from a pre existing disease:
Are overweight – at least 10 kgs more
Have high blood pressure
Have a family history of genetic defects
Are expecting twins or triplets
Are over age 35 or are younger than 18 yrs of age
Have prior health issues
Have had complications in previous pregnancies- gestational diabetes, pre eclampsia, pre term labour, etc.
Having any of the above or more does not guarantee that you will definitely have a high risk pregnancy. It just highlights that you have a higher susceptibility to develop complications related to the same.
What is pre conception counselling and how can it help in predicting a high risk pregnancy?
Pre conception counselling is an important aspect to understand and predict a high risk pregnancy. This is done with the help of a gynecologist, obstetrician and a fetal medicine expert.
By understanding the health situation, the partners can decide if they are ready to plan a family or not. This also provides additional information to your delivering doctor.
Why are high risk pregnancy programs essential?
A high risk pregnancy program is developed to handle difficult obstetrics related situations. These situations may be predicted or may develop on emergency basis. The high risk pregnancies involve more than one life, it is important to develop a specialised program that is focused on the developing fetus and the expecting mother.
High risk care refers to 24 hours access to an entire team of specialised and experienced doctors, nurses, counsellors, anaesthesiologists, surgeons and neonatologists- dedicated to the care of the mother and the baby.
What should you expect if you are in the high risk pregnancy program?
More visits to the doctor
Increased monitoring of the baby’s and the expecting mothers health
Possible hospitalization during and before delivery
Possible visits to other doctors – specialties to ensure that a comprehensive approach is provided.
Preexisting conditions is mothers like anemia, hormonal disorder, high BP, cardiac disease, kidney disorder can cause high risk pregnancy
Preconceptional counselling- It is needed to detect and treat certain problems like high BP, anaemia, deranged sugars, infections, thyroid problem. Also Rubella status can be tested and vaccine given accordingly. If the mother is not immunised and Rubella occurs in pregnancy, it can harm the fetus.
Frequent ultrasounds, Amniocentesis, CVS, Cordocentesis, BPP, NST may be needed in high risk pregnancy