What is a High Risk Pregnancy?
A high-risk pregnancy refers to a pregnancy where there is an increased chance of potential complications for you, your baby, or both, compared to a typical pregnancy.
If you have a high-risk pregnancy, you will need careful monitoring and specialized prenatal care to ensure the well-being of both you and your baby. Regular prenatal visits, comprehensive screenings, and consultations with specialists are recommended to optimize outcomes and ensure a healthy pregnancy and childbirth.
Here are a few common reasons a pregnancy may be considered high risk:
- Pre-existing medical conditions such as diabetes or high blood pressure
- Advanced maternal age (35 years or older)
- Obesity (BMI over 30)
- Multiple pregnancies (twins or triplets)
- History of previous pregnancy complications
What if my pregnancy is high risk?
If your pregnancy has been classified as high risk please know that we are well-equipped to provide the utmost attention and support. Our team of experienced obstetricians and healthcare professionals is dedicated to tailoring a care plan that addresses your unique needs and concerns. With a focus on preventive care, we will work collaboratively to manage any existing medical conditions and ensure they are well-controlled throughout your pregnancy.
Your safety and the health of your baby are our top priorities. Rest assured that if any challenges arise during your high-risk pregnancy, we are well-prepared to respond with a comprehensive range of specialized services. Our goal is to keep you informed at every step, involving you in all decisions regarding your care and the care of your baby.
We understand that a high-risk pregnancy can be emotionally and physically demanding, and we are here to support you every step of the way.
Please continue reading for information about the most common types of high risk pregnancies.
Gestational Diabetes:
Gestational diabetes is a type of diabetes that develops during pregnancy.
Risk Factors include a family history of diabetes, obesity, advanced maternal age and certain ethnic backgrounds.
Testing
Between 24 and 28 wks of pregnancy you will undergo a glucose screening test to assess your body’s ability to process sugar. If the results are abnormal you will need a follow up glucose test.
Nutrition Counseling
A registered dietitian will work with you to develop a personalized meal plan that helps manage blood sugar levels and promotes a healthy pregnancy.
Blood Sugar Monitoring
Regular monitoring of blood sugar levels at home may be required to ensure optimal control and adjust treatment as needed.
Fetal Growth Monitoring
Regular ultrasounds may be scheduled to monitor your baby’s growth and well-being due to the increased risk of macrosomia (large baby) with gestational diabetes.
High Blood Pressure (Hypertension)
High blood pressure during pregnancy can lead to complications such as preeclampsia and gestational hypertension.
Risk factors
include pre-existing hypertension, obesity, and a history of preeclampsia.
Blood Pressure Monitoring
We will frequently monitor your blood pressure during pregnancy to identify any changes or concerns.
Preeclampsia Screening
Due to the increased risk of preeclampsia in pregnancy we may need more specific testing during the last part of your pregnancy.
Fetal Growth Monitoring
Close monitoring of your baby’s growth and well-being to ensure they are thriving.
Prevention
If you have high blood pressure in pregnancy or an increased risk of preeclampsia we may recommend a baby aspirin supplement.
Obesity
Obesity during pregnancy increases the risk of gestational diabetes, high blood pressure, and other complications.
Risk Factors
include a pre-pregnancy BMI above 30.
Prenatal Care
We encourage you to work with a dietician to develop a balanced meal plan and manage weight gain during pregnancy.
Physical Activity
Physical activity is a great way to decrease the risk associated with obesity in pregnancy.
Testing in Pregnancy
Due to increased risks associated with obesity, close monitoring of blood sugar levels and blood pressure is essential. You will also have more ultrasounds in the third trimester of your pregnancy to check baby’s growth and well-being.
Advanced Maternal Age (AMA)
Advanced maternal age refers to pregnancies in women aged 35 years or older.
Risks
in an AMA pregnancy include an increased chance of chromosomal abnormalities and pregnancy-related complications.
Prenatal Care
To check for possible chromosomal abnormalities we offer screening tests like non-invasive prenatal testing (NIPT).
Additional Monitoring
Due to the increased risk of pregnancy related complications, you will need increased surveillance in the third trimester, such as ultrasounds and non-stress testing.
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