What is a high-risk pregnancy?

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.

The conditions listed below put you and your baby at a higher risk for problems, such as slowed growth for the baby, preterm labour, preeclampsia, and problems with the placenta.

You have a health problem, such as:

  • Diabetes.

  • Cancer.

  • High blood pressure.

  • Kidney disease.

  • Epilepsy.

  • You are younger than 17 or older than 35.

  • You are pregnant with more than one baby (multiple pregnancy).

  • You have had three or more miscarriages.

  • Your baby has been found to have a genetic condition, such as Down syndrome, or a heart, lung, or kidney problem.

  • You have an infection, such as HIV or hepatitis C. Other infections that can cause a problem include cytomegalovirus (CMV), chickenpox, rubella, toxoplasmosis, and syphilis.

  • You are taking certain medicines, such as lithium, phenytoin (such as Dilantin), valproic acid, or carbamazepine (such as Tegretol).

  • You had a problem in a past pregnancy, such as:

  1. Preterm labor.
  2. Preeclampsia or seizures (eclampsia).
  3. Having a baby with a genetic problem, such as Down syndrome.

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.

Your health plan may have its own list of what makes a pregnancy high-risk.

Our goal is to answer questions, explain conditions, provide testing, and help you and your baby from conception to delivery.

Our prenatal care is extensive. When you come to the program, you’ll meet with a team of specialists including dialectologists, physicians, genetic counsellors, dieticians, specialists and paediatric subspecialists.

We have a comprehensive tie-up with neonatal intensive care unit to help you and your baby. Dr Maulik Joshi and Dr Shaivali Joshi are also attached to various super specialty hospitals of Mumbai equipped to deal with very high risk cases.

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