If you have a high-risk pregnancy, you may have questions. Do you need special prenatal care? Will your child be fine? Learn the facts about high-risk pregnancies.
now, High-risk pregnancies may present challenges before, during or after childbirth. If your pregnancy is at high risk, you and your fetus may need special monitoring or care throughout your pregnancy. Understand why pregnancy is at high risk and what you can do to take care of yourself and your baby.
What are the risk factors for a high-risk pregnancy?
Sometimes, a high-risk pregnancy is the result of a pathological condition that appeared before pregnancy. In other cases, a pathological condition that develops during pregnancy, both for the mother and the fetus, puts the pregnancy at high risk.
Certain factors that may contribute to a high-risk pregnancy include:
Delayed reproductive age:
now, the risk of pregnancy is higher for mothers aged 35 and older.
as you know, smoking cigarettes, drinking alcohol and taking illegal drugs can jeopardize the pregnancy.
Previous cases involving both cesarean sections and having a low-weight baby or premature birth (delivery before 37 weeks of gestation) may increase the risk in subsequent pregnancies. Other risk factors include a family history that includes any genetic disease or previous cases of pregnancy loss or child death shortly after birth.
Chronic conditions such as diabetes, high blood pressure, and epilepsy increase the risk of pregnancy. Blood diseases such as anemia, infection or any underlying mental condition may also increase the risk of pregnancy.
Numerous complications that appear during pregnancy are risk factors, such as problems in the uterus, cervix or placenta.
most of the times, other problems may include too much amniotic fluid (amniotic dropsy), low amniotic fluid (low amniotic fluid), poor fetal development or rheumatic sensitivity (Rh),
which is a potentially serious condition that may appear when your blood group is negative in the rhesus factor ( The child’s blood group is positive in terms of Rh.
mostly, Women who are pregnant with twins or multiple twins are at increased risk of pregnancy.
What steps can I take to promote a healthy pregnancy?
If you know in advance that you will have a high-risk pregnancy or want to do anything possible to prevent a high-risk pregnancy, observe the basic rules. For example:
Schedule an appointment with your health care provider before pregnancy:
If you are considering becoming pregnant, consult your health care provider. You may be advised to start taking an antenatal vitamin every day and reach a healthy weight before you become pregnant. If you have a medical condition, your treatment may need to be adjusted to prepare for pregnancy. Your health care provider may also discuss your risk if you have a child with a genetic disease.
Be careful when using Assisted Fertility:
If you plan to use conception assisted fertility, consider how many embryos will be implanted. Multiple pregnancies carry a higher risk of early labor.
Get regular prenatal care:
Antenatal visits can help your health care provider monitor your health and that of your child. Due to these circumstances, you may be referred to a specialist in maternal and fetal medicine, genetic diseases, pediatrics or any other specialty.
Follow a healthy diet:
During pregnancy, you’ll need more folic acid, calcium, iron, and other essential nutrients. Taking a daily vitamin before birth can help offset any deficiency. Consult your health care provider if you need special nutrition because of a medical condition such as diabetes.
Adjust weight gain:
Gaining the right amount of weight can boost your baby’s health and make it easier to get rid of excess pounds after birth. Work with your health care provider to determine what works for you.
Avoid hazardous substances:
now, If you smoke, quit smoking. Alcohol or illegal drugs are prohibited. Obtain approval from your health care provider before you start or stop taking any medications or supplements.
Do I need special tests?
If your pregnancy is at high risk, you should take several tests or follow various procedures in addition to routine prenatal screening tests. Depending on the circumstances, your health care provider may recommend that you:
Custom or ultrasound imaging:
This type of ultrasound on the fetus is an imaging technique that uses high-frequency sound waves to take pictures of the fetus in the womb. This type of ultrasound on the fetus targets a suspected problem such as abnormal growth.
During this procedure, a small sample of fluid that surrounds and protects the child during pregnancy (amniotic fluid) is removed from the uterus.
moreover, This is usually done after the 15th week of pregnancy. By amniocentesis, certain genetic diseases can be identified along with defects in the neural tube, which are serious abnormalities in the brain or spinal cord.
Chorionic villus sampling (CVS):
During this procedure, a sample of cells is removed from the placenta.
This is usually done between the 10 and 12 weeks of pregnancy and therefore a chorionic villus sample can be taken to identify certain genetic diseases.
Umbilical cord puncture:
This test is also known as percutaneous umbilical cord blood sampling and is a very specialized prenatal test, in which a sample of fetal blood is removed from the umbilical cord. This is usually done after the 18th week of pregnancy, and through this test can identify chromosomal conditions, blood disorders, and infection.
Cervical Length Scale:
Your health care provider may use an ultrasound to measure your cervical length at your antenatal visit to determine if you are at risk of premature birth.
Your health care provider may take a swab of vaginal discharge to check for fetal fibronectin, a substance that acts as a glue between the fetal sac and endometrium. The appearance of fetal fibronectin may be a sign of premature birth.
This prenatal test is used to verify the health of the child. This test combines fetal heart rate monitoring (non-stress test) and ultrasound on the fetus.
Some prenatal diagnostic tests such as amniocentesis and chorionic villus sampling are at low risk of pregnancy loss. Ultimately, it is up to you and your spouse to take the prenatal test. Discuss with your health care provider about risks and benefits.
Can I plan to give birth at home?
now, Home delivery is not recommended for high-risk pregnancies. However, this option is determined by the extent to which your pregnancy is considered at high risk. During the prenatal care period, your health care provider will review with you a list of conditions during pregnancy and childbirth that may affect the planned birth safety at home.
Your health care provider may warn of planned delivery at home if:
- You have diabetes, high blood pressure, a seizure disorder, or any chronic condition
- Your pregnancy complications have increased, such as preeclampsia, premature birth, or acute anemia
- You were pregnant with twins
- Your baby is unstable in a position to first head out at birth
What can I do to relieve my anxiety?
If your pregnancy is at high risk, you may feel panic or worry about your pregnancy. You may refrain from thinking about the future, and prenatal visits may make you very nervous for fear of hearing bad news.
Unfortunately, anxiety can affect your health and that of your child. Consult your health care provider about healthy ways to relax and calm. Some studies suggest that certain techniques, such as imagining fun things or experiences or listening to music, can alleviate anxiety during pregnancy.
What else do I need to know about high-risk pregnancy?
first, Consult your health care provider about how to deal with any medical conditions you may have while you are pregnant and how your health will affect labor and delivery. Ask your health care provider to discuss specific signs or symptoms for attention, for example:
- Vaginal bleeding
- Continuous headaches
- Pain or muscle spasm in the lower abdomen
- Water-flowing vaginal discharge or a few drops
- Regular or frequent contractions: a feeling of tension in the abdomen
- Lack of fetal activity
- Pain or heartburn when urinating
- Change in vision beside blurred vision
Also, try to find out the signs or symptoms that call your healthcare provider immediately and find out when to seek emergency care.
High-risk pregnancy may experience fluctuations. Do your best to maintain a positive attitude during the implementation of steps to promote a healthy pregnancy.
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