High-risk pregnancies can fit in several cases. Usually a peaceful pregnancy is one in which the pregnant woman goes through it without major problems, absence of increased pressure, falls, pre-eclampsia and several other problems.
However, there are cases in which prenatal care must be reinforced because the pregnant woman may have health problems and even the baby may have problems detected through exams such as ultrasound for example.
Diseases that can make pregnancy risky are increasingly common, both because of the fact that women become pregnant later and because of the way of life adopted. Health problems can appear even before pregnancy and other women may become ill during pregnancy. Examples of diseases that can lead to a risky pregnancy:
When a woman already has high blood pressure problems even without being pregnant, pregnancy is characterized as risky. DHEG is the way that the pressure is high during pregnancy, so prenatal care must be closely monitored by the obstetrician gynecologist. The pre eclampsia is the biggest cause for concern of doctors in a gestation of hypertensive women. It affects 1 woman in every 1500 cases in Brazil. Therefore tests such as proteinuria, urea, potassium and others should be part of routine high-risk prenatal examinations.
Diabetic women should have prenatal care for high-risk pregnancies. Strictly controlling blood glucose considerably alleviates problems that may arise with diabetes during pregnancy . Diabetic women can give rise to large babies as well as women who have gestational diabetes, exclusive to that pregnancy.
But not all high-risk pregnancies are caused by health problems. Some women may present risky pregnancies due to the particularity of the situation. Women who are expecting twins, multiple, are considered risky pregnancies by doctors. This is because the uterus is under a differentiated condition beyond which it would be prepared to happen. A woman’s uterus was designed for one baby at a time, and when there are two, three and sometimes more fetuses, the pregnancy becomes delicate, forcing the doctor to take the utmost care of the pregnant woman.
In multiple pregnancy, the uterus expands much more than in a single fetus pregnancy. Usually the uterus can expand 20 times its original size and in twin pregnancies, it can reach 25 times its size! The risk of uterine rupture occurs in women with previous cesarean sections as well. Normally the doctor would indicate a maximum of three caesarean sections, the fourth would bring a serious risk of rupture at any sign of labor effort. As the cuts are made with a minimum gap between them in the uterine wall, it can become very thin and prone to rupture.
Other Problems That Lead to Risk Pregnancy
Another case also considered to be a high-risk pregnancy are women with uteri in different conditions such as didelfo (woman who has two uteri and two uterine cervix ), bicornuide (it is a uterus divided in two, but with only one cervix) septate uterus (uterus that has a wall that divides it in half). The greatest risk for these women is not being able to carry the pregnancy through to the end, but with the evolution of medicine and exams, the doctor will be able to discover the problem still in the early stages of pregnancy and adequately treat the possibility of a premature birth.
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Incompetence cervical isthmus leads to a risky pregnancy, as the cervix does not have enough capacity to support the weight of the pregnancy and opens early and leads the pregnancy to a premature birth.
The woman with CHF should undergo cerclage around the 12th week of pregnancy and take absolute rest during the entire pregnancy . Women who have problems with true contractions throughout pregnancy are also considered to be at-risk pregnancies. These contractions are the initial stage of delivery and are liable to be medicated during the months of pregnancy that present themselves as a risk.
The placenta previa is also a factor of pregnancy of rich because it presents bleeding during the whole gestation. However, of lesser relevance, the placenta previa would only cause problems if the patient wants a normal delivery.
If the placenta previa is complete, it will prevent vaginal delivery . The considerable increase in amniotic fluid or fall can also characterize the pregnancy as being at risk. For this, the doctor must make a strict control of the increase (polydramnia) and even greater in cases of loss of fluid, as it can lead to a picture of death of the baby and risk of infection for mother and baby.
Very young teenagers are also considered to be at-risk pregnancies, for example a 12-year-old pregnant girl has not yet fully developed her reproductive system so it must be monitored carefully.
Women over 38 years old are also seen as susceptible to a risky pregnancy, we must remember that the body is prepared for pregnancy until 35 years old when the risk of diseases is lower due to the quality of the eggs.
Moms with kidney, heart problems, carriers of hepatitis and communicable diseases such as HIV and syphilis are considered to be at high risk, so they should do prenatal care with a doctor at high risk. History of recurrent abortion is a prognosis that is taken into account and considered a risky pregnancy by the gynecologist.
He will certainly closely monitor that pregnant woman who has had abortions before. Women who have thrombophilia (blood disease that causes thrombosis) are also considered at risk.
Women with high-risk pregnancies should be screened constantly. While in a pregnancy considered normal, the woman does about five ultrasounds, a high-risk pregnancy can do about 10, 12 per pregnancy.
Doppler ultrasound is the most requested by doctors, as it monitors the flow of blood from the placenta to the baby. Blood tests are done every 2 months as well as urine tests.
At 23 weeks of gestation I was diagnosed with gestational diabetes. My baby was too big for gestational age. Without any exam, I went with the referral to the high-risk prenatal doctor! Getting there scared and insecure, I had the best surprise ever!
After an examination of the glycemic curve I was not at high risk but I continued doing prenatal care right there. I was very well attended and had Dr. Patricia the best possible prenatal care.
High-risk doctors are all well trained and do everything they can to keep the mother safe and secure. If I could, I would put a law so that all obstetricians would be trained for high risk, so that pregnant women would be in good hands always!
Do you have a referral for high-risk prenatal care? Don’t worry, you’ll be in great hands!
My name is Dr. Alexis Hart I am 38 years old, I am the mother of 3 beautiful children! Different ages, different phases 16 years, 12 years and 7 years. In love with motherhood since always, I found it difficult to make my dreams come true, and also some more after I was already a mother.
Since I imagined myself as a mother, in my thoughts everything seemed to be much easier and simpler than it really was, I expected to get pregnant as soon as I wished, but it wasn’t that simple. The first pregnancy was smooth, but my daughter’s birth was very troubled. Joana was born in 2002 with a weight of 2930kg and 45cm, from a very peaceful cesarean delivery but she had already been born with congenital pneumonia due to a broken bag not treated with antibiotics even before delivery.