high-risk-pregnancy

High Risk Pregnancy

A High-Risk Pregnancy is one where the pregnant person, the fetus, or both, face a higher-than-normal chance of experiencing complications or health problems before, during, or after delivery. The term "high-risk" does not guarantee that a problem will occur; rather, it indicates the need for specialized care, increased monitoring, and expert management (often by a Maternal-Fetal Medicine (MFM) specialist, also called a Perinatologist) to ensure the safest possible outcome.

What Does a High-Risk Pregnancy Mean?

Not all pregnancies are the same. Some women experience what doctors call a high-risk pregnancy. A high-risk pregnancy may involve minor problems during labor, but in some cases, it can lead to serious or life-threatening complications for both the mother and the baby.

This does not mean you cannot enjoy your pregnancy — it simply means that you and your baby will require extra care, monitoring, and support.

Common Causes of High-Risk Pregnancies

Maternal Age

  • Women under 17 or over 35 are at higher risk.
  • Risk of miscarriage and genetic defects increases significantly after age 40.

Blood Disorders

  • Conditions like thalassemia put extra stress on the body during pregnancy.
  • Increases the chances of the baby inheriting the condition.

High Blood Pressure

  • Can cause slow fetal growth or premature birth.
  • May lead to complications such as preeclampsia.
  • Risk of placental abruption (placenta separating before birth).

Chronic Kidney Disease

  • Higher chances of miscarriage.
  • Increased risk of high blood pressure during pregnancy.
  • Greater likelihood of preterm birth and growth defects.

Ovulation Disorders

  • Cycles longer than 35 days indicate abnormal ovulation.
  • PCOS is a common cause and is rising among younger women.

HIV or AIDS

  • High risk of transmitting the infection to the baby during pregnancy or breastfeeding.
  • Timely medication can significantly reduce transmission.

Autoimmune Disorders

  • May result in small babies (growth retardation).
  • Higher risk of preterm delivery.
  • Can cause maternal complications such as high blood pressure or blood clotting.

Depression

  • Anxiety and depression can worsen during pregnancy.
  • Self-medication or untreated depression can harm the baby’s health.

Lupus

  • Increases chances of preterm delivery.
  • Condition may worsen during pregnancy, impacting the mother's health.

Obesity

  • BMI above 30 increases pregnancy-related risks.
  • May lead to type 2 diabetes, high blood pressure, or gestational diabetes.

Thyroid Disease

  • Both overactive and underactive thyroid can affect maternal and fetal health.

Type 1 & Type 2 Diabetes

  • Poorly managed diabetes increases risks of high blood pressure and early delivery.
  • Can result in birth defects if not controlled properly.

Other Contributing Factors

  • Poor dietary habits.
  • Smoking or tobacco use.
  • Consumption of alcohol.
  • Use of recreational drugs.
  • These may lead to preterm birth, congenital disabilities, stillbirth, or developmental disorders.

Worried that any of the above may lead to a high-risk pregnancy for you? Let me help.

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