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:
High blood pressure
Acute surgical symptoms like appendicitis/pancreatitis/chron's
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.
how to prevent mishap with preexisting high risk factors?
A prepregnancy visit with a healthcare provider is especially important for a woman who has a medical problem. Thedoctor will discuss how women with this condition usually fare during pregnancy. For some diseases (such as lupus),pregnancy can mean increased risk of health problems for mother and baby.
Sometimes, the medication a woman needs to control a medical condition can cause problems for the baby. There maybe another medication available that is safer for use in pregnancy. In some cases there is no other medication, and awoman must weigh the risks to the baby when deciding whether or not to become pregnant.
Will I Need Any additional Tests?
Most women who are high risk will have more tests than a low-risk pregnancy. Some of the tests that you may need include:
Ultrasound - high-risk pregnancies usually have more .number of scans to track baby development.
Amniocentesis - In this test, the doctor will sample the amniotic fluid so that the fluid can be examined.
Chorionic villus sampling (CVS) - Sometimes, the doctor will take some cells from the placenta itself . These cells can be used to determine if there is a genetic problem in the pregnancy.
Biophysical profile - This test uses both fetal ultrasound and fetal heart rate monitoring to check on the baby's status.
Cervical length measurement- Using an ultrasound, your doctor may measure the length of your cervix if there is a concern about preterm labor.
Lab tests- You may need a number of lab tests often - for example, monitoring your blood sugar levels or measuring your blood count levels - depending on your health condition.
Your doctor will be the best guide to tell you the list of tests and scans as and when the need arises.
WHAT IS PRECONCEPTIONAL GENETIC SCREENING?
Preconception genetic screening has become more common in recent years as technology has advanced and testing has become more accessible. If you have family members with a certain disease or if you belong to an ethnicity that has a greater risk of developing specific conditions (such as sickle cell disease or Tay-Sachs disease), genetic screening can be used to assess your and your partner's risk of being a carrier. Also, common genetic conditions, such as cystic fibrosis or spinal muscular atrophy, can be screened for with a blood test.
Will all my future pregnancies be high risk?
Having one high-risk pregnancy does not mean that all your future pregnancies will be deemed high risk as well. You may have a fetal complication occur in one pregnancy that wouldn't in another, and certain health conditions may change over time.However, if you have had a pregnancy that ended in preterm delivery, you are at greater risk of having preterm labor during your next pregnancy.
Can some of the issues that arise during pregnancy predict future medical problems?
Definitely. For instance, hypertension or preeclampsia in pregnancy has been associated with an increased risk of developing heart disease, as has the delivery of a very low birth weight baby. And many women with gestational diabetes will go on to develop type 2 diabetes in later years. Pregnancy and the postpartum period are wonderful opportunities to try to reduce the risk of these diseases before they occur.
IS IT POSSIBLE THAT A NORMAL PREGNANCY CAN .STILL GET INTO HIGH RISK?
It is even possible to begin a normal pregnancy and develop conditions that put you into the high-risk category. Regardless of what causes your pregnancy to become high-risk, it is likely that problems may persist with both you and/or the baby during the pregnancy, birth process, or even after the delivery.
The problems can be minor or life threatening in severity for both the mother and the baby, requiring extra care and monitoring from your doctor.
CAN THEY STILL BE MANAGED?
You may hear and read about many issues and complications that could happen as a result of your high-risk pregnancy, but it doesn't necessarily mean that you won't have a healthy baby.
HOW DOES IT AFFECT A WOMAN EMOTIONALLY?
A high-risk pregnancy can create many different feelings. In fact, you're likely to feel a mix of emotions. These emotions may make it hard to enjoy your pregnancy because of all the stress and worry these emotions may create. You may worry about your health as well as the health of your baby, but your doctor should be able to help you manage these problems.