How To Handle A High Risk Pregnancy
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The first step is being aware. Who is at risk, and what are the conditions of a high-risk pregnancy The National Institute of Health lays out several indicators that you may be at high risk, including existing health conditions, age, and lifestyle choices.
The NIH shares several existing health conditions that may lead to a high-risk pregnancy. Namely, if you have high blood pressure, diabetes, depression, or another health problem such as auto-immune diseases or HIV/AIDS, you might be considered high-risk. Talk to your doctor about the best practices for navigating pregnancy with your particular health condition.
Other age related factors may contribute to a high-risk pregnancy as well. Teens under the age of 17 who are pregnant are more likely to be unaware of having a sexually transmitted disease (STI), and are more likely to develop high blood pressure and anemia during pregnancy. Likewise, adults who are having their first pregnancy over the age of 35 are also at risk in some cases. In this case, women over the age of 35 who are in their first-time pregnancy are more likely to have prolonged labor (20 hours or more), genetic disorders in the baby, pregnancy loss, ectopic delivery, or excessive bleeding. Teens and women over 35 also have a higher risk of preeclampsia and gestational high blood pressure.
Lastly, there are some lifestyle choices that may contribute to a higher risk of problems arising during pregnancy. These will not surprise you, but should definitely be considered and weighed with great importance. Alcohol use, tobacco use, and drug use all come with their own set of problems during a pregnancy.
Yoga can help your body adjust to the many changes that come with a pregnancy. First and foremost, practicing yoga can help to stretch your muscles and strengthen your body, especially your lower body. Strengthening your muscles during pregnancy can help relieve common aches and pains, and will help you stay toned and prevent excessive weight gain. Remember to avoid more intensive yoga sessions and hot yoga which yields high body temperatures.
If you are concerned that you may have a high-risk pregnancy, talk to your provider about your worries. If warranted, he or she may recommend more advanced testing with a maternal-fetal medicine specialist, who can in turn talk to you about whether you need more specialized care.
What does high-risk pregnancy mean A variety of factors can make a pregnancy high risk. These include age and certain health conditions. If you have a high-risk pregnancy, you may need extra care before, during and after birth. Be sure to get thorough prenatal care. Stay in close communication with your healthcare provider to reduce your risk of pregnancy complications.
People with COVID-19 during pregnancy are more likely to experience complications that can affect their pregnancy and developing baby compared to people without COVID-19 during pregnancy. For example, COVID-19 during pregnancy increases the risk of delivering a preterm (earlier than 37 weeks) or stillborn infant. People with COVID-19 during pregnancy may also be more likely to have other pregnancy complications.
Some women have high blood pressure during pregnancy. This can put the mother and her baby at risk for problems during the pregnancy. High blood pressure can also cause problems during and after delivery.1,2 The good news is that high blood pressure is preventable and treatable.
Chronic hypertension means having high blood pressure* before you get pregnant or before 20 weeks of pregnancy.1 Women who have chronic hypertension can also get preeclampsia in the second or third trimester of pregnancy.1
This condition happens when you only have high blood pressure* during pregnancy and do not have protein in your urine or other heart or kidney problems. It is typically diagnosed after 20 weeks of pregnancy or close to delivery. Gestational hypertension usually goes away after you give birth. However, some women with gestational hypertension have a higher risk of developing chronic hypertension in the future.1,12
Preeclampsia happens when a woman who previously had normal blood pressure suddenly develops high blood pressure* and protein in her urine or other problems after 20 weeks of pregnancy. Women who have chronic hypertension can also get preeclampsia.
The nine months of pregnancy encompass a range of experiences and emotions. However, each pregnancy is unique. It is important for women to understand their body type to understand the potential risks and issues that could develop during this period. Some pregnancies start out low-risk but develop issues like gestational diabetes as the pregnancy progresses. This requires medical attention for both the mother and the baby. In some cases, women may be pregnant with a high-risk pregnancy from the outset.
In medical terms, a pregnancy is considered high risk if the mother is younger than 17 years of age or older than 35 years. It could also be considered high-risk if the mother is carrying multiple babies, has high blood pressure, diabetes, was overweight or underweight before becoming pregnant or has a previous child with a birth defect.
A high-risk pregnancy increases the chances of premature delivery or the mother or the child developing health issues. There could be higher chances of complications in the pregnancy, and special care is required to ensure the safety of the mother as well as the child.
Pre-existing medical issues like high blood pressure, heart disease, diabetes etc can impact the pregnancy. The body undergoes a lot of changes during the pregnancy, which can exacerbate certain conditions. Consult an obstetrician and your regular doctor to get a management plan and undergo regular check ups to ensure there are no challenges.
A high-risk pregnancy can also feel like a high-stress pregnancy. Even if one is worried, one can always try to find ways to relieve tension and enjoy their pregnancy. Prenatal yoga, meditation, and other relaxing techniques are all options to relieve stress.
At NewYork-Presbyterian, our maternal-fetal medicine (MFM) doctors, also known as perinatologists, treat high-risk pregnancies with a multidisciplinary team approach for the most integrative health care. We offer personalized service, with access to a full network of NewYork-Presbyterian specialists to meet your unique pregnancy health needs, including:
\"At Yale Medicine, you'll have access to a multitude of medical and surgical specialists, whether it's working with a thoracic surgeon for a pregnant patient who had an aortic dissection to taking care of patients who have transplanted kidneys and livers,\" says Katherine Campbell, MD, MPH, a high-risk pregnancy specialist. \"For the baby, we collaborate with geneticists, genetic counselors, pediatric cardiologists, neonatologists and pediatric urologists.\"
These risks may be due to factors in the pregnancy itself, or they may stem from preexisting maternal medical conditions, such as cancer, diabetes, or lupus. Events that occur during a pregnancy may also lead to high-risk status.
Yale Medicine has a large, multidisciplinary team of specialists who are leaders in their fields. We come together when needed to help create care plans for high-risk patients in order to help them successfully navigate pregnancy.
Yale New Haven Hospital also has an inpatient 18-bed Maternal Special Care Unit dedicated to women with high-risk pregnancies. Yale Medicine physicians developed many of the methods and procedures used today to safely navigate pregnancy. These include obstetrical ultrasound, fetal echocardiography, fetal heart rate monitoring, noninvasive fetal anemia assessment, percutaneous umbilical blood sampling (PUBS), in-utero fetal blood transfusion and invasive therapies such as fetoscopy and fetal surgery.
Every pregnancy is different. Some pregnancies start out low-risk and complications like gestational diabetes or preeclampsia develop mid-pregnancy, and mom and baby need special medical care. In other cases, women may have high-risk pregnancies from the start.
Your risk for pregnancy complications increases beginning at age 35. These complications include difficulty getting pregnant, miscarriage, and genetic abnormalities in the baby. Fertility begins to decline slowly around age 30 and speeds up for women 35 and older.
The multidisciplinary team of specialists at Aurora Maternal Metabolic Center includes a board-certified endocrinology physician with advanced training in reproductive medicine, as well as board-certified maternal-fetal medicine physicians with expertise in medically complicated obstetrics and prenatal screening. We also offer education and counseling for diabetes, exercise and nutrition. Our high-risk pregnancy services include:
An OB-GYN with Kettering Health, Dr. Moussa had years of experience in delivery rooms. As a specialist in maternal-fetal medicine, she helps manage high-risk pregnancies. But being pregnant and older than 35, she found herself navigating her own high-risk pregnancy.
Pregnant women are among those considered at greater risk of getting severely ill from COVID-19, requiring ICU care or a ventilator. But in the early days of the pandemic, as scientists were still learning all they could about the disease, pregnancy was not included in the list of health conditions that put patients at increased risk.
Mount Sinai's Maternal Fetal Medicine team includes specialists who are experts in caring for women with high-risk pregnancies. Our team is committed to providing the best possible care to our patients. We care for pregnancies with complicated maternal medical conditions, fetal anomalies, and other pregnancy-related complications or high-risk situations. We take a team approach to the care of our patients, often working with our neonatal colleagues, genetic counselors, internal medicine specialists, and pediatric subspecialists to provide you with a plan of care to help you achieve the best possible outcome. 153554b96e
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