High Risk Pregnancy

Being pregnant is both an extremely exciting time and a stressful one. Whether it's the mom-to-be's first pregnancy or third, it's common for pregnancies to bring a range of emotions with them.A high-risk pregnancy traditionally was defined as one complicated by a serious medical condition that may jeopardize its outcome. Risk factors of pregnancy do not end at delivery, often continuing into the perinatal period, when the woman may be especially vulnerable to the onset or relapse of serious psychiatric disorders.
Not all pregnancies are simple, straightforward events; sometimes these complicating chronic medical disorders and psychosocial factors are overlooked.

WHAT IS HIGH RISK PREGNANCY?
A pregnancy may be classified as high risk if the mother has a chronic medical condition or if there are signs of complications in the fetus or with the pregnancy.

WHAT DOES IT ACTUALLY MEAN?
Your pregnancy is called high-risk if you or your baby has an increased chance of a health problem. Many things can put you at high risk. Being called "high-risk" may sound scary. But it's just a way for doctors to make sure that you get special attention during your pregnancy. Your doctor will watch you closely during your pregnancy to find any problems early.

WHAT ARE THE CONDITIONS INCLUDED IN THIS?
In women who have symptoms, the most common symptoms of uterine fibroids include:
Diabetes
Cancer
High blood pressure
Kidney disease
Epilepsy
Underweight/overweight mother
Acute surgical symptoms like appendicitis/pancreatitis/chron's
Coexisting gynaec condition
Anaemia
- Thyroid disorder
- Heart diseases
- Lung disorders
- Blood Clotting abnormality
- Bleeding during pregnancy
- Abnormal reproductive tract
- Rh incompatibility

How will your doctor care for you during your pregnancy?
You will have more visits to the doctor than a woman who does not have a high-risk pregnancy. You may have more ultrasound tests to make sure that your baby is growing well. You will have regular blood pressure checks. And your urine will be tested to look for protein (a sign of preeclampsia) and urinary tract infections.

What is the treatment?
Treatment varies widely with the type of disease, the effect that pregnancy has on the disease, and the effect that thedisease has on pregnancy. Additional tests may help determine the need for changes in medication or additional treatment.

How does thyroid disease effect pregnancy?
Inthyroid disease, the thyroid gland (located in the neck) may produce too much or too little thyroid hormone. Abnormallevels of thyroid hormone can cause problems in pregnancy and affect the health of the baby. Fortunately, thyroiddisease can be treated with medication. As long as the level of thyroid hormone is controlled throughout pregnancy, thereshould be no problems for mother or baby.

How does autoimmune disease or kidney disease affect?
Women with lupus or kidney disease face real risks during pregnancy.Pregnancy can cause their symptoms to worsen significantly and can lead toserious illness. Because these diseases can affect the mother's ability to supply oxygen and nutrients to the babythrough the placenta, they can cause problems for the baby as well. These babies may not be able to grow and gainweight properly (intrauterine growth retardation). There is also an increased risk of stillbirth.

Does asthma gets exaggerated in pregnancy?
There are many medical conditions that usually do not interfere with pregnancy, but are themselves affected bypregnancy. This group includes asthma, epilepsy, and ulcerative colitis. For example, some women with ulcerative colitis experience a worsening of their symptoms during pregnancy, while others will have no change or may get betterduring pregnancy. The same is true of asthma; some women notice that their asthma symptoms are better during pregnancy, some find their asthma worse, and some women notice no change in symptoms during pregnancy. No one understands why this is so, but due to this unpredictability, all women with chronic illnesses should be monitored carefully throughout pregnancy.

What happens to diabetes in pregnancy?
Diabetes is a medical condition that is both affected by pregnancy and affects pregnancy. Diabetes can lead tomiscarriages, birthdefects, and stillbirths. When a woman monitors her blood sugar carefully and treats high levels with insulin, the risk of these negative outcomes drops a great deal. Unfortunately, pregnancy makes diabetes much harder to control. In general, blood sugar and the need for insulin to control it rise throughout pregnancy.

WHAT IS PREECLAMPSIA?
Pre-eclampsia is a condition unique to pregnancy where you have high blood pressure in conjunction with protein in your urine and edema (swelling of the skin). In some women with pre-eclampsia, liver or platelet abnormalities are present.so this is a condition that requires very close monitoring to balance maternal complications against the risks of delivering your baby early."

WHAT IS MULTIFETAL GESTATION?
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 single placenta.

How to deal with high risk pregnancy?
Most medical conditions do not lead to complications in pregnancy. With frequent visits to doctor and careful attention to medication, women with medical problems usually enjoy healthy, successful pregnancies. There are afew medical conditions that can cause health risks to both mother and baby during pregnancy. Women with these medical problems should consider these risks before deciding to become pregnant.


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