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High Risk Pregnancies

Some of the problems faced during a high-risk pregnancy are gestational hypertension, gestational diabetes, hypothyroidism/ hyperthyroidism, delivery after previous caesarean section, placenta praevia, twin pregnancy and obesity. Our caring expert understands your case and communicates a treatment approach with complete transparency.

  • Pregnancy Induced Hypertension (PIH) / Gestational hypertension
During pregnancy, a condition of high blood pressure leads to PIH or Gestational hypertension. It is also known as toxaemia or pre-eclampsia. Excess of protein in the urine can lead to pre-eclampsia in pregnant women. When preeclampsia gets severe, a condition of eclampsia occurs. PIH is a concern because it affects the flow of blood to different organs of a pregnant woman such as uterus, placenta, kidneys, liver and brain. Increased blood pressure, edema, nausea, blurred of vision, etc. are some of the symptoms of gestational hypertension. Your gynaecologist will guide you to conduct the necessary tests to identify gestational hypertension. These assessments are necessary to identify the condition and prevent it from getting worse. If the condition is left untreated, it can lead to seizures in the expectant mother or prove fatal for the mother and the child.
  • Gestational Diabetes
If the blood sugar goes high in expectant mothers then they may suffer from gestational diabetes.Here, the sugar level may be normal before pregnancy but it increases during pregnancy. Depending on the health condition of the mother, the sugar level can become normal after pregnancy. Expectant mothers are at risk of gestational diabetes if they have a family history of diabetes or have a history of gestational diabetes during their previous pregnancy. Also, if the Body Mass Index (BMI) of the mother is high then she may have the risk of gestational diabetes. You need to treat gestational diabetes to avoid premature birth, delivery complications, and pre-eclampsia during pregnancy. Consult with your gynaecologist to learn more about gestational diabetes.
  • Hypothyroidism/Hyperthyroidism
Thyroid disorders are usually detected during preconception counselling or in women who have just conceived and have done tests for thyroid function. Maternal hypothyroidism is an easily treatable condition that has been associated with an increased risk of low birth weight, fetal distress, and impaired neuropsychological development. Hyperthyroidism in pregnancy is less common. The reason is that it’s difficult to conceive with this medical condition because it affects menstruation cycles. However, if an expectant mother has maternal hyperthyroidism then it can lead to high blood pressure. Treatment of hyperthyroidism is necessary to prevent miscarriage, premature birth or delivering a baby with low body weight.
  • Delivery after previous caesarean section
Many mothers may have already gone through a caesarean section birth in their first pregnancy. For their second pregnancy, they can either go for vaginal birth after previous caesarean delivery (VBAC) or repeat a caesarean section procedure again. For pregnant mothers who have gone through more than two C-section procedures, there can be a risk of uterine rupture or maternal morbidity. Our gynaecologist follows the best practices to guide expectant mothers regarding their delivery procedure through antenatal counselling. After reviewing the details of the previous pregnancy, our senior obstetrician and gynecologist will explain the complications and benefits of choosing a VBAC or a C-section delivery. Our in-house doctor, who is a respected obstetrician and gynecologist, is among the best doctors in Pune with extensive international experience. You can comfortably discuss your case with our reputed doctor who is knowledgeable about high-risk pregnancies.
  • Obesity               
An excessive amount of body fat can lead to obesity. Getting pregnant can be difficult for obese women as they may have problems with normal ovulation. Being pregnant with obesity can increase health risks for the mother as well as the baby. Obesity increases the risk of miscarriage, gestational diabetes or other health conditions. Also, there can be delivery complications irrespective of whether the expectant mother plans a vaginal delivery or C-section delivery. The risk extends to the child in the form of childhood obesity, diabetes, heart disease or other birth defects. Our gynaecologist will also provide the necessary guidance to reduce the body fat as required in a healthy manner to be able to go through a comfortable pregnancy. If you have any health concerns or need more answers, feel free to book a consultation with our respected OB-GYN doctor.
  • Maternal Age
The age of the mother is among the common reasons for chances of a high-risk pregnancy. Women who are aged below 17 years or above 35 years are more likely to face complications compared to women getting pregnant in the age group of 18 to 35 years. The complications of having a miscarriage and having a baby with disorders increases once a woman crosses the age of 40.   If your age is above 35 years, then your pregnancy can be considered a high-risk pregnancy on the grounds of “advanced maternal age”.

High-risk pregnancy can lead to the following complications for women above 35 years

  • Twin pregnancy/Triple pregnancy/Multiple pregnancies
  • Birth defects
  • High blood pressure
  • Diabetes
  • Pregnancy loss
  • Premature birth and low birthweight
  • Preeclampsia

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