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What is a high-risk pregnancy?


“Woman and Womb” It requires careful attention and guidance.

Pregnancy is the happiest event for women.

Pregnancies are classified as high-risk and low-risk.

  • A high-risk (or high-risk) pregnancy is one that poses a risk to the mother, fetus, or newborn.
  • It can occur in life-threatening or complicating factors from pre-existing disease, or during pregnancy.
  • There are several possible reasons for high-risk pregnancies.

Approximately 20-30% of women belong to this category, and this group should be identified and given special treatment if we want to improve obstetric outcomes.


  • High-risk pregnancies are defined as pregnancies complicated by factors that adversely affect pregnancy outcome and safe delivery process (maternal and/or perinatal).

Risk Factors/Causes for High-Risk Pregnancy:

A variety of pre-existing health problems and development, as well as a woman’s lifestyle, can contribute to a pregnancy that is considered a high-risk pregnancy. Common risk factors that increase the likelihood of a high-risk pregnancy include: There are things like:

  • high blood pressure
  • epilepsy
  • anemia
  • platelet disorders
  • Diabetes
  • epilepsy
  • Hereditary diseases (consanguineous marriage)
  • neurological disorders
  • kidney disease
  • liver disease (jaundice)
  • heart problems
  • Benign tumor (myoma)
  • cancer
  • lung condition
  • asthma
  • Lupus
  • Urinary-tract infection
  • sexually transmitted disease
  • bleeding disorders or menstrual irregularities
  • Infertility treatment (failure procedure) or twin pregnancy or low placental growth
  • previous caesarean section
  • past abortion
  • Personal habits such as smoking cigarettes, drinking alcohol, and using certain drugs
  • Significantly underweight or overweight during pregnancy
  • Age, especially if the mother is younger than 20 or older than 35
  • Uterine problems such as abnormal shape
  • hormonal changes or pre-existing menstrual abnormalities
  • prenatal malnutrition
  • cervical weakness or short cervix
  • history of premature birth
  • previous births of children with genetic conditions such as Down syndrome
  • Multiple pregnancies (twins, triplets)
  • autoimmune disease

high risk pregnancy symptoms:

Symptoms of high-risk pregnancy are often difficult to distinguish from typical pregnancy symptoms. There are multiple possible reasons and associated symptoms. During a high-risk pregnancy, a woman may experience symptoms depending on the condition/illness affecting the pregnancy.

  • Pregnant women with diabetes may experience IUGR (intrauterine growth restriction) or extreme weight loss.
  • low platelet count
  • severe pain or cramps in the lower abdomen
  • some patients present with anemia
  • Deficiency of vitamin d and b12 can cause problems
  • Previous cesarean pregnancies are at risk of ectopic pregnancy
  • Uncontrolled or abnormal bleeding in a previous cesarean or abortion patient
  • Noticeable changes in vision, such as blurred vision
  • reduced fetal movement
  • persistent headache
  • mood disorders
  • Painful burning sensation when urinating
  • A clear, watery discharge that resembles a yeast infection
  • frequent labor pains
  • high blood pressure

Regular evaluations and screenings:


  • A detailed assessment can tell us the nature of the problem, help us make a diagnosis, and suggest specific treatments.
  • All cases in the high-risk category are identified at the first prenatal examination, preferably in the first trimester of pregnancy. Some risk factors may emerge later and will be recognized during a later visit.

Initial screening history:

  • maternal age
  • breeding history
  • family history

Diagnostic tests to run:

non-invasive test

  • fetus ultrasound
  • Cardiotocography (CTG)
  • Non-stress test (NST)
  • Shrinkage stress test (CST)


  • embryoscopy
  • Fetoscopy
  • chorionic villus sampling
  • amniocentesis
  • Percutaneous cord blood sampling.

physiological considerations:

  • Physiological and nutritional adjustments during pregnancy
  • General Nursing Assessment of High-Risk Patients and Families
  • fetal health assessment
  • Perinatal Screening, Diagnosis and Fetal Treatment
  • Integrative therapy in pregnancy and childbirth

Health disorders that complicate pregnancy:

  • Diabetes
  • Heart disease
  • kidney disease
  • autoimmune rheumatic disease
  • Venous thromboembolism
  • lung disease

Complications during pregnancy:

  • spontaneous abortion
  • ectopic pregnancy
  • gestational trophoblastic disease
  • placental anomaly
  • disseminated intravascular coagulation
  • high blood pressure
  • premature birth
  • multiple pregnancies
  • Trauma
  • premature membrane rupture

Timely intervention and control of labor:

Management philosophy

  • Delivery is the definitive treatment, but must wait until full term. In particular, you should wait until the lungs are mature and reach gestational age.
  • Pre-pregnancy checkup and counseling play before you get pregnant if you visit the hospital as a couple
  • ]] Key Role in Management to Avoid High-Risk Pregnancy
  • Post-pregnancy complications can be avoided with a proper medical history, frequent exams and scans, blood tests, nutritional support, and treatment of existing conditions.

High-risk pregnancy management:

Certain risk factors determine how a high-risk pregnancy is managed.

Your care regimen consists of:

  • More frequent checkups with a doctor For high-risk pregnancies, women usually need to schedule more prenatal visits with an obstetrician to closely monitor the progress of the pregnancy.
  • Consultation with additional medical professionals, depending on detected risks.
  • More fetal assessments and ultrasound scans ensure a healthy birth.
  • your blood pressure at home.
  • Closely monitor drug use to treat existing illness.
  • Birth at home is considered too risky for women with severe health conditions or complications, so delivery of high-risk pregnancies is recommended in a hospital setting.
  • Babies are delivered vaginally or by caesarean section, depending on the individual case.
  • Anticipating high-risk deliveries and planning management procedures are necessary for safer deliveries in high-risk pregnancies.For example, anemia patients can be treated early and corrected anemia Blood loss can be corrected by transfusion.
  • Women with high-risk pregnancies are advised to take good care of their health, eat a nutritious diet, gain adequate weight, and avoid dangerous substances and drugs.
  • Pre-existing medical conditions are managed to an optimal level.
  • Obese patients should be counseled and provided with nutritional support to maintain a healthy BMI.
  • Explanation to the patient and appropriate counseling are the most important steps.
  • Rarely, after proper counseling and information, a hysterectomy may be necessary. hysterectomy It is done to save the patient’s life from acute blood loss.
  • Saving the mother, newborn, and uterus is essential and can largely be managed by close follow-up, which is the primary goal of the physician.
  • Doctors often prescribe vitamins, iron supplements, or medications to improve the health of mothers and babies.

Here are some simple tips for taking care of yourself and your baby’s health and well-being.

  • Stay up to date
  • have a support system
  • Create a plan with your healthcare provider
  • Self-care first
  • listen to your body
  • Coping with Mental Health Issues
  • avoid health hazards
  • manage your mindset What is a high-risk pregnancy?

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