DR. ANSHU AGARWAL

MBBS

MS (Obstertrics & Gynaecology)

Senior Consultant HEC PARAS HOSPITAL, Ranchi

Ex. Senior Resident Safdarjung Hospital, Delhi

Laparoscopy & InfertilitySpecialist

High Risk Obstertrics

Reason of high risk pregnancy:

Age:-

Age of the to-be-mother is the most common reason of high risk pregnancy. Women under the age of 17 and over 35 age, when their baby is due are at greater risk of complications than those between their late teens and early 30s.  The others risk like miscarriage and genetical defects increase after age 40.

Medical conditions of the mother:-

Medical conditions such as high blood pressure, lung, kidney, thyroid, diabetes, anaemia, autoimmune disease, sexually transmitted disease, HIV or heart problem can be risk factors for the mother and her unborn child.

A history of miscarriage, problem with pregnancy or genetic disorder of the family history are also some vital factors for high risk pregnancy. Some high risk factors during pregnancy are:-

a) Preeclampsia:

It include high blood pressure, urinary protein
and swelling. It can be fatal for both the mother and her unborn
child. But with proper treatment, most of the mothers, who have
preeclampsia have healthy babies.

b) Gestational diabetes:

It develops during pregnancy. Mother with gestational diabetes may have healthy baby if they treated properly and follow their doctor's instructions.Usually this kind of diabetes
resolves after delivery. But the mother should be careful as type 2 diabetes may develop after delivery in the mother with gestational diabetes.

c) Multiple pregnancy:

Women, who are carrying twin babies or more are facing high risk pregnancy.

Modern lifestyle:

Smoking or drinking alcohol can put a pregnancy into high risk pregnancy.

How to manage high risk pregnancy:-

Consulting Doctors: Women with high pregnancy risk should
consult her doctor regularly.

Healthy eating: Eating healthy and nutritious food may lower the
risk of high blood pressure and anemia. During pregnancy women
need more folic acid, protein, calcium and iron rich food.

Avoid cigarettes and alcohol: Alcohol and smoking should be
avoided during high risk pregnancy.

Weight gain:  Right amount of gaining weight can support the baby’s health. To-be mother should visit health care provider to determine the right weight for her and should be working on shedding extra kilos after delivery.

Doing DFMC that is daily fatal movement count is of utmost importance specially in later half of pregnancy.

Doing regular physical activities, unless advised otherwise by the
doctor.

Getting proper immunisation.

High risk pregnancy symptoms:

To-be mother should consult with her doctor if the following
symptoms occur:

  • Pain or cramping in the lower abdomen/upper abdomen.
  • Vaginal bleeding and watery substance discharge
  • Burning urination
  • Decreased fetal activity
  • Blurred vision and severe headache
  • Excessive vomiting