HIGH-RISK PREGNANCY TREATMENT
Healthy mom, healthy baby
In a high-risk pregnancy, the health or life of the mother or her fetus is threatened. Therefore care by an HRP-experienced doctor is required.
In India, 20-30% pregnancies are at higher risk. These cause 75% of perinatal morbidity and mortality. Early detection and management of high-risk pregnancy can reduce such morbidity and mortality.
Some women are at increased risk of HRP even before they get pregnant, and some pregnancies become high risk as they progress.
Complications With High-Risk Pregnancy
Main complications of high-risk pregnancy are:
Slow growth of the baby
Problems with the placenta (Placenta previa: a condition in which the placenta covers the cervix).
Fetal problems (2 – 3% of all babies have a minor or major structural problem in development) which can sometimes be seen on ultrasound.
Main precursors – conditions that put you at a higher risk of having high-risk pregnancy are:
- Health problems, such as:
High blood pressure.
Alcohol, smoking, illegal drugs consumption.
Age: younger than 17 or older than 35.
Multiple pregnancies (more than one baby).
Three or more miscarriages.
Overweight and obesity.
Baby having a genetic condition, such as Down syndrome, or a heart, lung, or kidney problem.
- Problems in a past pregnancy, such as:
Preeclampsia or seizures (eclampsia).
Down syndrome, a genetic problem in a child.
A history of surgery uterus, multiple C-sections, multiple abdominal surgeries or surgery for uterine tumours (fibroids).
PCOS (higher risk of miscarriage, gestational diabetes, preeclampsia, and premature delivery).
Infections like HIV, hepatitis C, chickenpox, rubella, toxoplasmosis, cytomegalovirus (CMV), and syphilis.
Taking certain medicines.
Potential problems in HRP may be minor or may be life-threatening. In either case, you need extra monitoring and extra care: more visits to the doctor, more ultrasounds, more specialized or targeted ultrasounds, more urine tests to check for protein and for urinary tract infections, and tests for genetic and other problems if you are above 35 or had genetic problem in an earlier pregnancy.
Smoking is a big No, No. Among the many risks it poses are: it can cause the placenta to separate from the womb too early, causing bleeding, which is dangerous to the mother and the baby; it can result in a baby born with a cleft lip or cleft palate; it can cause sudden infant death syndrome (SIDS). Even second-hand smoke puts a woman and the fetus at increased risk.
Alcohol consumption is a No. It increases the risk of miscarriage, stillbirth, birth defects and fetal alcohol spectrum disorder (FASD). FASD could also be a reason for conditions like abnormal facial features, short height and low body weight, hyperactivity dysfunction, intellectual weaknesses, and vision or hearing difficulties.
Avoid stress. High levels of stress increase the risk of having an underweight baby who is at risk for respiratory, heart, intestinal and eye problems; it may also be linked to behavioural concerns during the child’s adolescence. Visualization of pleasant objects or happenings or listening to your favourite music can help in reducing anxiety. Ask Pregnancy Doctor in Delhi about healthy ways to relax and stay calm.
See the best pregnancy doctor in Delhi regularly, follow her advice and take only the medicines, vitamins and supplements prescribed by her; do not take any other without first checking with her.
Attain a healthy diet plan including protein, milk and milk products, fruits, and vegetables. Avoid raw fish as in sushi; avoid fish high in mercury such as king mackerel and swordfish. Eating cooked fish such as tuna and salmon once or twice a week is healthy. Ask the best pregnancy doctor in Delhi about the right diet for you. Keep fit and work and exercise as advised by your doctor.
Call Best High Risk Pregnancy Doctor in Delhi immediately if you have: severe vaginal-bleeding, fluid gushing or leaking from your vagina, severe pain or cramping in your belly or pelvis, regular contractions (8 or more in 1 hour or 4 or more in 20 minutes, with or without pain) for an hour, or if baby has stopped moving or is moving much less than normal.
Call Best High-Risk Pregnancy Doctor in Delhi if you have sudden swelling of the face, hands, or feet, or new vision problems (such as dimness or blurring), or severe headache or fever.
A good practice is to consult Best high-risk pregnancy doctor in Delhi before you become pregnant even if you do not have any medical condition, and certainly if you have a medical condition. She may do tests, and advise you supplements and medications and precautions to take to optimize your and baby’s health.
This is not compulsory that if you have a high-risk pregnancy than you cannot have a healthy baby. All it means is extra monitoring and extra care.