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High Risk Pregnancy Treatment

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What is High Risk Pregnancy?

A high-risk pregnancy is one that threatens the health or life of the mother or her fetus. It often requires specialized care from specially trained providers.

 

Some pregnancies become high risk as they progress, while some women are at increased risk for complications even before they get pregnant for a variety of reasons.

 

Early and regular prenatal care helps many women have healthy pregnancies and deliveries without complications.

 

Causes of High Risk Pregnancy

Before you become pregnant, it is important for you to practice good nutrition and a healthy lifestyle. Good prenatal care and medical treatment during pregnancy can also help prevent complications. However, there are factors that may be present before you become pregnant that can cause a high-risk pregnancy, such as:

  • The age of the mother
  • Being overweight or underweight
  • Having had problems in previous pregnancies
  • Pre-existing health conditions, such as high blood pressure, diabetes, or HIV

 

Factors for High Risk Pregnancy:

  • Diabetes or gestational diabetes,
  • Cancer,
  • Kidney disease such as CKD, pyelonephritis,
  • Heart problems such as high blood pressure, heart valve problems,
  • Blood disorders such as sickle cell disease,
  • Lung disease such as asthma,
  • Autoimmune disease such as lupus, rheumatoid arthritis,
  • Problematic previous pregnancies such as preterm labour, previous C-section, stillbirth, multifetal pregnancy, post term delivery,
  • Epilepsy,
  • Preeclampsia or Seizures ( Eclampsia),
  • Genetic problem such as Down Syndrome,
  • Use of alcohol or illegal drugs,
  • STD such as HIV( human immunodeficiency virus) AIDS, Syphilis,
  • Infection such as Cytomegalovirus, Chicken-Pox, Rubella, Toxoplasmosis,
  • Certain medication such as Lithium,Phenytoin, Valproic acid or Carbamazepine,
  • Overweight or Underweight,
  • Height shorter than 5 feet,
  • Having had fertility problems,
  • Under age 17 or over age 35,
  • Placenta previa,
  • HELLP syndrome,
  • Fetal abnormal position such as breech position,
  • Polyhydramnios or Oligohydramnios,
  • Abnormal structure of cervix or uterus such as cervical insufficiency, uterine fibroids,
  • Rh incompatibility that required a blood transfusion to the fetus,
  • Thyroid problem.

 

Treatment

Treatment varies widely with the type of disease, the effect that pregnancy has on the disease, and the effect that the disease has on pregnancy. If it is the fetus that has a problem, serial ultrasounds may be performed. Fetal heart rate monitoring may be necessary, or amniocentesis may be required. In addition, it may be essential to give the mother medications to act on the baby.

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