High Risk Pregnancy

High-Risk Pregnancy

Pregnancy, also known as gestation, is the period of time when one or more children develop inside a woman. A multiple pregnancy produces more than one child, such as twins. Pregnancy is usually caused by sexual contact, but it can also be caused by assisted reproductive technology procedures.

Pregnancy continues for 36-40 weeks which is called gestation period. It is the process of the development of the foetus into the uterus.

What are the Symptoms of Pregnancy?

  • Missed period
  • Nausea and vomiting
  • Swelling of breasts
  • Tiredness
  • Frequency of urination increase
  • Mood swings
  • Irritation
  • Disliking food
  • Cramps
  • Nasal congestion
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What is a High-Risk Pregnancy?

A high-risk pregnancy is one in which the mother’s or her foetus’s health or life is threatened. It requires special medical assistance and treatment from highly skilled gynaecologists. Some pregnancies become high risk as they progress, while some women are predisposed to complications for a variety of reasons even before they become pregnant.

Early and consistent prenatal care enables many women to have healthy pregnancies and deliveries free of complications.

In India, approximately 20-30% of pregnancies are classified as high risk, accounting for 75% of perinatal morbidity and mortality. Early detection and effective management of high-risk pregnancy can make a significant difference in reducing maternal and foetal harm.

Medica’s Gynaecology department specializes in managing high-risk pregnancies with efficiency and experience.

Symptoms of High-Risk Pregnancy

  • Fainting
  • Vaginal bleeding
  • Intolerable pain in pelvic or belly region
  • The feeling of persistent pelvic pressure or back pain
  • Gestational diabetes mellitus
  • Hypothyroidism
  • Preeclampsia (hypertension caused by pregnancy)
  • Experiencing unusual movement of the baby in the belly
  • Fever >38.5ºC/for more than 24 hours
  • Experiencing swelling in hands, feet, or face
  • Observing no movement in the baby in the womb
  • Experiencing severe headache and vision problems

If you experience any signs, you must require immediate medical attention. These symptoms may indicate miscarriages, preterm or post-term birth, or even your life can be in danger.

What are the Risk Factors of High-Risk Pregnancy?

  • Existing Health Conditions: The pregnancy could get complicated is the mother displays having medical conditions such as high blood pressure, diabetes, or HIV infection.
  • Obesity or Being Overweight: Obesity raises the risk of hypertension, preeclampsia, gestational diabetes, stillbirth, neural tube defects, and caesarean delivery. Obesity, according to NICHD researchers, increases infants’ risk of heart problems at birth by 15%.
  • Multiple Babies: Such complications are more likely to happen to women carrying more than one foetus (twins and higher-order multiples). Preeclampsia, premature labour, and preterm birth are all common complications. More than half of all twins and up to 93 percent of triplets are born before 37 weeks of gestation.
  • Maternal Age: Pregnancy in teenagers and women over the age of 35 increases the risk of preeclampsia and gestational hypertension.
  • Lifestyle choices: The risk of complications may also arise if the individual has a history of smoking, drinking alcohol and other unhealthy lifestyle choices.

To ensure the best possible outcomes, women with high-risk pregnancies are cared for by a specialised team most of the time to ensure the safety of both the mother and the unborn child.

Is it Possible to Avoid a High-Risk Pregnancy?

A high-risk pregnancy is not always avoidable. Some risk factors, such as chronic conditions and lifestyle choices, can be treated and controlled prior to pregnancy. However, some conditions are not treatable or, even if they are, pose a higher risk than usual. Other issues may arise during pregnancy.

Staying healthy before and during pregnancy is an excellent way to reduce the likelihood of having a difficult pregnancy. Women who are considering becoming pregnant should consult with a healthcare provider to ensure they are in good pre-pregnancy health.

Diagnosis

When going on your visits to the gynaecologists, the following points must be addressed during the examination:

  • A thorough medical history from a pregnant woman is required to identify specific risk factors.
  • A physical examination of the mother to identify or rule out risk factors.
  • Maternal laboratory tests for common disorders are performed on a regular basis.
  • Special maternal laboratory tests for disorders identified during any evaluative process.
  • Comprehensive foetal assessment by obstetric ultrasound or a combination of techniques throughout the pregnancy.

Medica’s Obstetrics and Gynecology department endeavours to bring the highest quality of treatment and service to you. We believe in administering holistic management of all patients, encompassing their mental, physical and emotional health as a means to provide a complete solution for all their gynaecological problems. Our department is fully integrated with state-of-the-art treatment units and facilities that enable our Gynaecologists to treat you better.

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The right thing to do would be to consult your Gynaecologist. This goes even when you are thinking about becoming pregnant. The professional will review your medical history and perform tests to determine whether you are at risk of having a high-risk pregnancy.

At Medica, our team will assist you in developing a plan to reduce your risks while pregnant. However, while risk can be reduced, it is not always possible to prevent a pregnancy from becoming high risk.

Yes, the more C-sections you have, the more likely you are to develop placenta previa. It is a condition in which the placenta becomes abnormally attached to the uterine wall (placenta accreta). This could give rise to a high-risk case of pregnancy.

Yes, getting diagnosed with COVID-19 can increase the risks of your pregnancy. But to determine the magnitude and to fully provide you with a complete diagnosis, consulting with a specialist will definitely decrease the chances of any complications. Our team at Medica Hospital, Kolkata, are trained to tackle such cases through advanced technical support.

In most cases, one cannot prevent a high-risk pregnancy. But if you want to reduce your chance of facing such pregnancy complications, you can try to lookout for:

  • Any existing medical condition that can affect your pregnancy such as sugar, blood pressure, HIV, etc.
  • Being too young or old can cause complications too.
  • Lifestyle habits can majorly influence your pregnancy.
  • Smoking, drinking and indulging in other forms of unhealthy habits can affect your pregnancy.

Have a specific query? Ask us!

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