High-risk pregnancy and its management

High risk pregnancy – Pregnancy is one of the most exciting and joyful times in a woman's life. However, for some people, particularly those with chronic medical issues or who are expecting multiples, pregnancy management may be a source of great anxiety and uncertainty. In such cases, we must give specialist care for both mother and child in order to ensure their long-term health.

If you are facing high-risk pregnancy, Dr. Anshumala Shukla is regarded as the best Endometriosis doctor in India, she will help you with its management.

It is only in fewer than 10 percent of pregnancies that there will be some form of complication that will impact the mother's or child's health. This is referred to as a high-risk pregnancy.

High-risk pregnancy risk factors

However, a high-risk pregnancy may be caused by a variety of circumstances. These are some examples.

Maternal age. If you get pregnant for the first time at the age of 35 or older, your chances of complications and health concerns rise. 

There are medical conditions that exist prior to pregnancy. If you are attempting to conceive and have a chronic disease, consult with a healthcare specialist so that you are as healthy as possible before you conceive. Among these pre-existing conditions are:

Blood disorder When you have a condition such as sickle cell disease or thalassemia, the strain of pregnancy might worsen your condition. 

Chronic kidney disease (CKD). Pregnancy might put additional strain on your kidneys. Having CKD raises your chances of miscarriage, high blood pressure, hypertension, and premature delivery.

Depression. Depression, if left untreated, is also connected to certain health hazards for the infant. While some depression medications have been linked to problems, don't stop taking them without first consulting with a doctor. Stopping is also risky. It's essential to understand that some women have greater anxiety and depression symptoms during pregnancy, but your doctor can help you manage your symptoms with medicines that are safe for both you and your baby.

High blood pressure. Many high-blood-pressure women have absolutely normal pregnancies. However, if your baby is not treated, he or she may develop more slowly than normal or be born prematurely. Preeclampsia and placental abruption are two further effects of high blood pressure. Preeclampsia is a serious disorder in which the placenta partly or totally separates from the uterus before the baby is delivered.

Obesity. If you have a BMI of 30 or above before getting pregnant, you are more likely to develop gestational diabetes, type 2 diabetes, and high blood pressure during your pregnancy. When it comes time to give birth, you're more likely to need an induced labour or a caesarean section.

PCOS (polycystic ovarian syndrome) or uterine fibroids Growths arise in your reproductive system as a result of these situations. Cysts occur in your ovaries as a result of PCOS. Benign tumours occur in and around the uterus if you have fibroids. Either may raise the likelihood of a c-section. Preeclampsia and gestational diabetes may be more common in those with PCOS.

Thyroid condition. Having an underactive thyroid (hypothyroidism) or an overactive thyroid (hyperthyroidism) during pregnancy may create complications for you and your baby if the disease is not managed properly. Miscarriage, hypertension, low birth weight, are all examples of these problems.

Diabetes may be classified as type 1 or type 2. If your diabetes is poorly controlled, you are more likely to have issues such as high blood pressure, premature labour, and having a much larger-than-average baby (macrosomia). Your infant may have breathing difficulties, low glucose levels, and jaundice. Their chances of having a child with a birth defect are also higher.

Treatment:

Some typical techniques of treating high-risk pregnancies are listed below:

Gestational Diabetes - This disease increases the risk of pregnancy problems. However, by adhering to a doctor-prescribed diet and treatment plan, you may have a safe pregnancy and delivery.

High blood pressure - Some adjustments to blood pressure medication may be necessary during pregnancy. For the therapy of this illness, lifestyle adjustments such as decreasing salt consumption and engaging in regular exercise may be recommended.

Pre-eclampsia — If your symptoms are modest, bed rest may be suggested. You may be urged to take vitamins E and C as well. In most cases, this problem resolves itself after the baby is delivered.

Also read: Reason for endometriosis

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