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Managing a High-Risk Pregnancy

 

Most of the time having a baby is a natural process. After a full-term pregnancy, a woman goes into labor on or near her due date and gives birth to a healthy baby. A day or two later she leaves the hospital to begin day-to-day life with her growing family. But not all pregnancies go smoothly. Some women experience what doctors refer to as a high-risk pregnancy.


A pregnancy is considered high-risk when there are potential complications that could affect the mother, the baby, or both. High-risk pregnancies require management by a specialist to help ensure the best outcome for the mother and baby.


Risk Factors for High-Risk Pregnancy..


Reasons that a pregnancy may be considered high risk include:


Maternal Age. One of the most common risk factors for a high-risk pregnancy is the age of the mother-to-be. Women who will be under age 17 or over age 35 when their baby is due are at greater risk of complications than those between their late teens and early 30s. The risk of miscarriage and genetic defects further increases after age 40.


Medical conditions that exist before pregnancy Conditions such as high blood pressure breathing, kidney, or heart problems; diabetes, autoimmune disease ; sexually transmitted disease (STDS); or chronic infections such as human immunodeficiency virus (HIV) can present risks for the mother and/or her unborn baby. A history of miscarriage, problems with a previous pregnancy or pregnancies, or a family history of genetic disorders are also risk factors for a high-risk pregnancy.


If you have a medical condition, it's important to consult your doctor before you decide to become pregnant. Your doctor may run tests, adjust medications or advise you of precautions you need to take to optimize the health of you and your baby.


Medical conditions that occur during pregnancy. Even if you are healthy when you become pregnant, it is possible to develop or be diagnosed with problems during pregnancy that can affect you and your baby.


Two of the more common pregnancy-related problems are:



Risk Factors for High-Risk Pregnancy Continued...


Pregnancy-related issues. Often a pregnancy is classified as high risk because of issues that arise from the pregnancy itself and that have little to do with the mother's health. These include:



Preventing and Treating Pregnancy Complications


Even if you don't have an existing health problem, many doctors recommend a preconception appointment with your health-care provider to ensure you are as healthy as you can be before you become pregnant. At this appointment your doctor may recommend steps you can take to reduce the risk of certain problems.


These include:



If your pregnancy is considered high risk, your doctor may refer you to a perinatologist. Also called a maternal-fetal medicine specialist, a perinatologist is an obstetrician with special training in high-risk pregnancy care. This specialist will work with your other doctors, nurses, and other health-care professionals to ensure the best possible outcome for both you and your baby.


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