High Risk Pregnancies

High-risk pregnancy is a term that can be attibuted to a wide variety of common conditions. Either they are related you may have had before becoming pregnant or conditions you may have developed while pregnant or during delivery.

These conditions will have a high-risk pregnancy.

  • Diabetes. If you have diabetes before you become pregnant, preconception counseling is ideal. Developing diabetes during pregnancy (gestational diabetes) is very common, and your obstetric provider will follow your baby’s growth and well-being, and manage your health with nutrition counseling, glucose monitoring and, possibly, medications.
  • Pre-eclampsia . Pre-eclampsia is a condition unique to pregnancy where you have high blood pressure along with protein in your urine and edema (swelling of the skin). In some women with pre-eclampsia, liver or platelet abnormalities are present. This is a condition that requires very close monitoring to balance maternal complications against the risks of delivering your baby early.”
  • Hypertension. If you have hypertension before pregnancy, your doctor will monitor your baby’s growth and may be consulted if problems arise. Some medications commonly used outside of pregnancy to treat hypertension are contraindicated in pregnancy.
  • Multiples. Pregnancies with twins or higher-order multiples have a greater risk of complications. Women with multiple pregnancies are more likely to develop pre-eclampsia or go into preterm labor. Twin pregnancies have a higher risk of fetal anomalies and growth problems, especially if they share a placenta.
  • Sexually transmitted diseases (STDs). In general, your obstetric provider can treat you for sexually transmitted diseases that may occur during pregnancy or if there is a pre-existing STD, such as herpes. For example, if you are being treated for syphilis and an ultrasound shows that your fetus may be affected, a maternal-fetal medicine specialist will provide further care and management. Women with HIV also need careful monitoring and timely delivery.
  • Obesity. Women who are obese have a greater risk of developing diabetes, hypertension and pre-eclampsia during pregnancy.

FAQs

When you have a preexisting condition prior to pregnancy or if you have a complication during your pregnancy, you may be considered as a high-risk pregnancy. A pregnancy is also considered high-risk when there are potential complications that could affect the mother, the baby or both.

While all pregnancies have the potential to become high-risk, women considered to have high-risk pregnancies are those who:

  • Have pre-existing medical conditions like thyroid disease, hypertension, diabetes, autoimmune conditions, heart problems, cancer and more
  • Had prior pregnancy complications, such as a lost pregnancy in the third trimester
  • Are expecting multiples
  • Are age 35 or older, which puts women at greater risk for

gestational diabetes, preeclampsia and chromosomal abnormalities.

Conditions that pregnant mothers can experience may include but are not limited to:

  • Preeclampsia
  • Cervical Insufficiency
  • Placenta Accreta
  • Bleeding during pregnancy
  • Preterm labor

High-risk pregnancy symptoms can be difficult to distinguish from typical pregnancy symptoms. However, the symptoms may last longer and be far more severe than in a typical pregnancy.

You should report any painful or worrisome symptoms to your doctor right away. During a high-risk pregnancy, you may experience:

  • Severe pain or cramping in the lower abdomen
  • Noticeable changes in vision, including blurred vision
  • Decreased fetal movement
  • Persistent headaches
  • Painful burning sensations while urinating
  • Vaginal bleeding
  • Clear, watery vaginal discharge, similar to a yeast infection
  • Frequent contractions

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