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Pregnancy & Hight-Risk Pregnancy

Pregnancy & high-risk pregnancies demand extra care for the expecting mother before, during, and after childbirth. Routine antenatal care is crucial in identifying pregnancy complications as early as possible and implementing appropriate management strategies to improve the outcome for both the mother and baby.

At Miracles Healthcare, our team of obstetricians, gynecologists, and maternal-fetal medicine specialists are skilled in handling high risk pregnancies. They have extensive knowledge and expertise in managing various complications and are committed to providing you with personalized care.

We offer state-of-the-art diagnostic facilities, including advanced ultrasound, genetic testing, and prenatal screenings. Our compassionate and caring staff will partner with you from the early stages of conception to closely monitor your health and the development of your baby.

Overview

A high-risk pregnancy refers to a pregnancy in which the mother or baby is at an increased risk of experiencing complications compared to a typical pregnancy. These health risks can occur at any point before, during, or following childbirth.

High-Risk Pregnancy Symptoms

A high-risk pregnancy may exhibit certain signs and symptoms that require prompt attention and medical care. Some of them are listed below:

  • Severe abdominal pain and chest pain
  • Extreme fatigue
  • Nausea and vomiting
  • Severe headache
  • Vaginal bleeding and discharge
  • Sudden swelling of the face, hands, legs, or ankles
  • Decreased fetal movement
  • Painful or burning urination

High-Risk Pregnancy Causes

Several factors can contribute to a high-risk pregnancy. Some of the common causes include:

1. Advanced maternal age 
Teenage pregnancies have a higher risk of complications due to the mother's physical immaturity, while advanced maternal age is associated with an increased risk of chromosomal abnormalities and pregnancy-related conditions such as gestational diabetes and preeclampsia.

2. Pre-existing health conditions:
Certain medical conditions present before pregnancy can increase the risk. These include diabetes, high blood pressure, obesity, asthma, thyroid, PCOS, kidney disease, heart disease, autoimmune disorders, epilepsy, and HIV/AIDS. These conditions require careful management during pregnancy to reduce potential risks.

3. Pregnancy-related health conditions:
Certain conditions that develop during pregnancy, such as gestational diabetes, preeclampsia, placental abnormalities, preterm labour, and breech position can increase the risk for both the mother and the baby.

4. Multiple pregnancies:
Carrying more than one fetus (twins or triplets) increases the risk of complications such as preterm birth, preeclampsia, gestational diabetes, and fetal growth problems.

4. History of previous pregnancy complications:
Women who have experienced complications in previous pregnancies, such as preterm birth, preeclampsia, miscarriage, or stillbirth, are at a higher risk of complications.

5. Genetic Factors:
Some genetic conditions or chromosomal abnormalities in either the mother or the baby can contribute to a high-risk pregnancy.

6. Infections:
Certain infections during pregnancy can pose a risk to both the mother and the baby. This includes sexually transmitted infections (such as syphilis, gonorrhea, or HIV), urinary tract infections, and others.

7. Lifestyle factors:
Certain lifestyle choices such as smoking, alcohol or drug abuse, poor nutrition, and lack of exercise can increase the risk of complications during pregnancy.

8. Inadequate prenatal care:
Inadequate prenatal care can lead to undiagnosed or unmanaged conditions, increasing the risk of complications.

High-Risk Pregnancies Diagnosis

Diagnosis and monitoring of high-risk pregnancies play a crucial role in ensuring the well-being of both the mother and the baby. Some common prenatal tests and screenings for expecting mothers are:

1. Medical history and physical examination:
A detailed medical history is obtained from the mother to identify any pre- existing medical conditions, previous pregnancy complications and genetic disorders. Thorough physical examinations are conducted to assess the overall health of the mother and identify any signs or symptoms of existing or potential complications.

2. Blood and urine tests:
Routine blood and urine tests are commonly performed during prenatal care to screen for various conditions and risk factors. This includes blood type, anemia, blood sugar levels, sexually transmitted infections, rubella, and thyroid hormone levels.

3. Ultrasound scans:
Ultrasound examinations are commonly used to screen for structural abnormalities in the fetus and assess fetal growth and development. It is also used to determine the position of the placenta, check amniotic fluid levels, and evaluate blood flow in the umbilical cord. Also, your gynecologist may recommend you to undergo an ultrasound to check the cervix length. This scan helps to determine the possibility of preterm delivery.

4. Amniocentesis and Chorionic villus sampling (CVS):
It is typically offered to women with an increased risk of fetal abnormalities based on factors such as advanced maternal age, abnormal prenatal screening results, or a family history of genetic disorders.
Amniocentesis is a procedure in which a sample of amniotic fluid is collected from the amniotic sac surrounding the fetus. Chorionic Villus Sampling (CVS) involves collecting a small sample of cells from the placenta. Both tests can help identify chromosomal abnormalities and genetic disorders in the fetus.

5. Biophysical Profile: (CVS):
The physician may perform a non-stress test to evaluate your baby's heart rate.This helps in determining whether the fetus is receiving adequate oxygen or not.

High-Risk Pregnancies Treatment Options available with us

The management of a high-risk pregnancy requires specialized care and interventions to minimize complications and ensure the best possible outcome for both the mother and the baby.

Management of Pre-existing Medical Conditions:
If the expecting mother has pre-existing medical conditions, such as diabetes or hypertension, close management of these conditions is essential during pregnancy. Medications and specialized care may be provided to manage existing conditions or reduce the risk of complications.

Specialized Monitoring: (CVS):
High risk pregnancies require additional monitoring and testing. More frequent ultrasounds allow thorough assessment and diagnosis of the fetus.

Antenatal Education and Counselling:
Education and counselling sessions play a vital role in empowering the expecting mother to make informed decisions and actively participate in the management of high-risk pregnancies. These sessions provide information about the condition, potential risks, self-care measures, and signs to watch out for.

High-Risk Pregnancy Prevention

Preventing high-risk pregnancies involves taking proactive measures to maintain optimal health before conception and throughout pregnancy. Here are some key strategies:

1. Regular Prenatal Care:
Frequent prenatal visits are essential to closely monitor the progress of the pregnancy and detect any potential complications.

2. Healthy Lifestyle:
Maintaining a healthy lifestyle is crucial in the management of high-risk pregnancies. Women are advised to maintain a balanced diet, engage in appropriate physical activity, avoid smoking and alcohol, maintain healthy body weight, and take prenatal supplements.

3. Conceiving Between the Ages of 18 and 34:
Women who are either too young or older may encounter complications. It is advisable to plan pregnancies within this age range.

High-Risk Pregnancies Risk Factors

Here are some common risk factors for high-risk pregnancies:

  • Pregnancy risks are higher for mothers above the age of 30.
  • Medical conditions such as high blood pressure, obesity, diabetes, epilepsy, thyroid disease, heart or blood disorders, and infections.
  • Smoking, alcohol consumption, and illicit drug use can increase pregnancy risks.
  • Pregnancy complications, including abnormal placenta position, fetal growth issues, multiple pregnancies, and a history of hypertension disorders (such as preeclampsia) or gestational diabetes, can also lead to pregnancy complications and potentially affect the health of your baby.
The best hospital for High-Risk Pregnancy

Miracles Apollo Cradle is recognized as one of the best hospitals for pregnancy & high-risk pregnancies in Gurgaon. We understand the importance of accessible and affordable pregnancy care without compromising on quality. Our hospital offers comprehensive maternity services that prioritize your well-being and the health of your little one, all at affordable rates that fit your budget.
Our expert team of obstetricians and gynecologists ensures the most accurate and timely diagnosis and treatment procedures for all our patients. If you are facing any pregnancy complications, immediately contact our team to schedule an appointment.

FAQs

The cost of a high-risk pregnancy can fluctuate based on various factors including the specific complications involved, the duration of medical interventions, the type of medical care required, and the location where the pregnancy is being managed. 
High-risk pregnancies often necessitate additional medical tests, consultations with specialists, and monitoring, which can contribute to increased healthcare expenses. Additionally, the need for specialized treatments, medications, hospital stays, and potential interventions such as cesarean sections or preterm deliveries can further impact the overall cost.

If you are planning to conceive, it is important to consult with a healthcare professional to assess your health.
  • They will advise you to take prenatal vitamins with folic acid and achieve a healthy weight before becoming pregnant. 
  • If you have any medical conditions, treatment may be initiated promptly to prepare for a healthy pregnancy. 
  • You will be guided to maintain a well-balanced diet rich in essential nutrients while avoiding junk, oily, spicy, and canned foods. 
  • Exercise under expert supervision will be encouraged. 
  • Staying hydrated by consuming an adequate amount of water is crucial.
  • Regular prenatal visits will allow the healthcare professional to monitor your health and the well-being of your baby. 
  • Avoid smoking, alcohol, and drugs, as they can negatively impact your health.

Experiencing one high-risk pregnancy does not necessarily mean that all future pregnancies will be considered high-risk. The occurrence of fetal complications may vary between pregnancies, and certain health conditions can change over time.  However, if you have previously had a preterm delivery, you are at a higher risk of experiencing preterm labor in subsequent pregnancies. In such cases, your gynecologist will manage your pregnancy with appropriate medication and a maternal-fetal medicine specialist may conduct an ultrasound to track the length of your cervix.

During a high-risk pregnancy, you can expect to have more frequent visits to your obstetrician/gynecologist. Your doctor will closely monitor your health and the progress of your pregnancy compared to a normal pregnancy.

It is important to consult with a healthcare professional promptly if you experience lower abdominal pain or cramping, vaginal bleeding, unusual vaginal discharge, reduced fetal activity, painful urination, persistent headaches, fever, vomiting, or swelling in the face, hands, or fingers. These symptoms should not be ignored and warrant immediate medical attention.

 

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FAQs

A high-risk pregnancy is when you as well as your baby have the possibility of health issues throughout the delivery procedure. It requires exclusive monitoring and care of the mother and the baby before, during, and after the event of pregnancy.

Special gynecological assistance is required for managing such pregnancies to ensure that the mother delivers a healthy baby. High-risk pregnancy mostly occurs due to medical complications of the mother before conceiving or a condition that was developed during the process.

The contributing factors of high-risk pregnancy are:

  • If the maternal age is below 18 years or above 35 years,
  • Any pre-existing or existing conditions like diabetes, cardiac issues, obesity, hypertension, etc.
  • Previous history of eclampsia, premature births, or hypertension in previous pregnancies
  • RH negative blood group of the mother
  • Multiple pregnancies, hypertension, gestational diabetes

You are likely to go through a high-risk pregnancy if you see the following symptoms. In such a case, immediately visit your gynecologist for early detection and control.

  • When the fetus reduces its movement,
  • Heavy pain in the abdomen,
  • Feeling breathlessness while resting,
  • Frequent bouts of fever,
  • Blurry vision and persistent headache,
  • Heavy discharge or bleeding from the vagina,
  • Swelling off the face and body.

Before any of the above symptoms show up, it is recommended to consult an obstetrician/gynecologist from a reputed hospital. A gynecologist would normally ask for blood tests, genetic counseling, ultrasound scans, chorionic villi sampling, amniocentesis, or other specialized tests depending upon the case if any of the above symptoms do show up eventually.

For promoting a normal pregnancy you should stay ahead of time and book an appointment as soon as you conceive. Schedule an appointment so that you get prenatal counseling to detect any possibility of a high-risk pregnancy. At Miracles health care, we provide you with all the necessary early detection tests under one roof so that you have a healthy birthing experience.