High-Risk-Pregnancy

Managing High-risk Pregnancies at Nyle Hospital

Any pregnancy is associated with some sort of risks. Managing it in the best possible way through medical advice can produce fruitful results. Upon emergence of specific medical issues either before or during gestation, additional prenatal care is very important for safe delivery. A pregnancy is categorised as high-risk if there exist certain complications with woman or her baby that demands cautious observation.

Pre-existing Factors

Sometimes, woman may be detected with any of the following pre-existing factors that increase the risk of pregnancy and labour, including:

  • High blood pressure
  • Heart disease
  • Autoimmune diseases (lupus)
  • Underweight or overweight
  • Kidney problems
  • Diabetes
  • Blood-related disorders
  • Sexually transmitted diseases (STDs), such as HIV and AIDS
  • Cancer
  • Asthma
  • Age of women below 18 or above 35
  • Epilepsy and pregnancy
  • Problematic previous pregnancies, such as pre-term labour and abortions
  • Infertility
  • Anxiety, depression or other mental problems
  • Eating disorders
  • Substance abuse
  • Alcohol or smoke addiction

Developing Factors

Some health conditions develop during pregnancy weeks which increase the risk of delivery, including:

  • Preeclampsia or toxaemia (high blood pressure (BP) during or at the nearing of due date that may restrict the flow of blood from mother to foetus)
  • Gestational diabetes (diabetes that develop during the 2nd trimester)
  • Preterm labour or premature delivery (labour initiating before 37 weeks)
  • Placenta previa (attachment of placenta to the uterus lining, particularly in the lower part of uterus which can lead to vaginal bleeding or early delivery)
  • Placental abruption (tearing and separation of placenta from the uterus lining)
  • HELLP Syndrome (usually rare but may cause dangerous blood-clotting or liver disorder)
  • Multiple pregnancies (mother carrying more than 1 foetuses)
  • Premature rupture of membranes (PROM – rupturing of water membrane before the beginning of natural labour)
  • Trauma in pregnancy (causes miscarriage, maternal bleeding, placenta abruption, preterm labour and stillbirth)
  • Intra uterine growth restriction (IUGR – slow growth of baby than the normal rate)

Steps to Manage High-risk Pregnancy

Being aware of the reasons for high-risk pregnancy is very essential for any mother. Some of steps to manage the high-risk conditions include:

  • Discuss with your doctor and know about the activity that are be restricted such as travelling, working, exercising, indulging in sex or other limits.
  • Proper scheduling of appointments with specialists. Based on the health conditions, doctor may refer to specialists such as endocrinologist or perinatologist.
  • Consume all medications prescribed by the doctor and carry it everywhere you travel. Discuss with the healthcare provider for administration of vaccinations.
  • Maintain proper record of prenatal medical reports and do not keep changing the hospital often without valid reason. Always, have a second specialist ready to handle during emergencies when your doctor is out-of-station.
  • Follow strict pattern of healthy foods and avoid restricted foods.