High –Risk Pregnancy-Here’s How You Can Manage It - Drpujasharma - PowerPoint PPT Presentation

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High –Risk Pregnancy-Here’s How You Can Manage It - Drpujasharma


A high-risk pregnancy is a pregnancy that poses higher risk to either mother or baby s health as compared to a non high risk pregnancy. – PowerPoint PPT presentation

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Title: High –Risk Pregnancy-Here’s How You Can Manage It - Drpujasharma

High Risk Pregnancy-Heres How You Can Manage It
- Drpujasharma
  • If your pregnancy falls in a high-risk category,
    you might be worried about your unborn babys
    health and may feel anxious and stressed out
    dealing with thousands of emotions together, but
    dont worry, through this article, we will guide
    you about what is a high-risk pregnancy, things
    you can do and take care to minimize this risk
    and go ahead with the best possible experience
    and outcome.
  • Table of Content
  • Feel free to skip ahead if one topic catches your
  • What is a high-risk pregnancy?
  • What are the causes of a high-risk pregnancy?
  • How to manage a high-risk pregnancy?
  • Test and screening of high-risk pregnancy?
  • When to seek immediate medical care for a
    high-risk pregnancy?
  • Take Away
  • 1. What is a high-risk pregnancy?
  • A high-risk pregnancy is a pregnancy that poses
    higher risk to either mother or baby s
  • health as compared to a non high risk pregnancy.
    You will need some special medical care and
    regular monitoring of you and your unborn baby by
    more prenatal checkups, to have a healthy and
    successful pregnancy, labor, and delivery.

2. What are the Causes of High-risk pregnancy?
  • There are a variety of causes of high-risk
    pregnancy, some of them include
  • Maternal age Extremes of ages Age greater than
    35 and less than 17 can make it a high-risk one.
  • Medical conditions existing before pregnancy
  • High blood pressure.
  • Diabetes
  • Thyroid disease.
  • Chronic liver disease.
  • Heart disease
  • Depression.
  • Blood disorders and infections.
  • HIV or AIDS
  • Being overweight or underweight
  • PCOS (Polycystic ovarian syndrome).
  • Previous operative delivery.
  • Medical Conditions that can develop during
    pregnancy like
  • In Mother
  • Preeclampsia (Condition during pregnancy marked
    by high blood pressure and presence of protein
    in urine)
  • Gestational Diabetes (Diabetes that is detected
    first time during pregnancy).

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3. How to Manage a high-risk pregnancy?
  • If you are aware of early and regular prenatal
    care, then even if you fall under high-risk
    pregnancy, you can have a healthy and safe
    outcome. Let us see how can it be done
  • Maintain or achieve a healthy weight before and
    during pregnancy Consult your doctor for pre
    pregnancy counseling and understand what should
    be an
  • ideal weight for your height so that you can
    carry a healthy baby with minimum complications.
    This means the weight gain before and during
    pregnancy must be as expected and advised by
    your doctor. Excess or low weight gain both are
    harmful. Eat a Balanced diet as advised by your
    nutritionist. Eat more vegetables, fruits, whole
    grains and stay away from junk and synthetic food
    like chips, aerated drinks, canned food, etc.
    Regular exercise as directed by your doctor is
  • Manage preexisting health conditions Always tell
    your doctor if you have any diseases like high
    blood pressure, diabetes( or its family history)
    previous miscarriages, mental health problems,
    previous vaccinations taken particularly
    rubella, any difficulties in previous pregnancies
    if you are taking any medications or history of
    any abnormal baby in the family. The doctor will
    advise you accordingly.
  • Take Prenatal Supplements As the nutritional
    needs considerably increase during pregnancy,
    therefore some of the supplements need to be
    taken during pregnancy, breastfeeding and even
    before pregnancy as per doctors instructions
  • Folic acid- to be started before pregnancy when
    you are planning to get pregnant
  • Multivitamins
  • Iron and Folate- Needed for proper blood
    formation, oxygen supply, and proper growth and
    development of the growing baby.
  • Vitamin D and Calcium This is important for bone
    development and immunity.
  • Magnesium It plays an important role in
    immunity, muscles, and nerve development and its
    deficiency can cause high blood pressure and
    premature childbirth.
  • Probiotics Help in reducing digestive and
    gastric problems.
  • Choline Needed for babys brain development.
  • Herbal supplements like ginger (Which prevents
    nausea) and fish oil (for brain development of
    the baby) can also be used but consult your
    doctor before using these.

  • Have exhaustive medical control Be regular with
    your doctor visits, tests, and medications and
    rigorously follow their instructions. A
    preconception doctors visit to understand
    pregnancy and to get yourself screened is always
  • Avoid Alcohol, Tobacco, and drugs Use of these
    during pregnancy can result in miscarriage, slow
    development of the baby, breastfeeding problems,
    learning difficulties and emotional instability,
    low birth weight, and other complications.
  • Have a support system Have family and friends
    around you and always tell them your needs.
  • Maintain proper hygiene and prevent infections
    wash your hands regularly and avoid
    unpasteurized dairy products and raw meat. Get
    your vaccinations on time as advised by your
  • Tests and screening of high-risk pregnancy.
  • Certain tests will be suggested by your doctor to
    monitor your and your babys health.
  • Some of these are screening tests done for all
    pregnancies and some are done to find out a
    specific health problem
  • Ultrasound Besides routine ultrasound more
    number of ultrasounds with specific and regular
    imaging may be required in high risk pregnancies.
    Your doctor may ask you for repeated ultrasounds
    if required for the baby s growth or multiple
    other conditions.
  • Targeted Ultrasound Done around 18-20 weeks to
    see every part of the babys body and check for
    any abnormal development should never be missed.
  • Biophysical Profile This is done to see body
    movements, respiratory movements, heart rate,
    heart reactivity, and overall well-being of the
    baby. It is usually advised when you have
    decreased baby movements during the last
    trimester of pregnancy.
  • Prenatal cell-free DNA screening It is a blood
    test wherein the mothers blood is taken and the
    babys DNA is extracted and studied for the risk
    of any chromosomal problems.
  • Blood tests- certain blood tests may be repeated
    again and again in high risk pregnancies for
    proper monitoring, like - Hb, sugar ,
    thyroid,liver, and kidney tests
  • Laboratory tests Blood tests are done to check
    for anemia, changes in platelet levels, sugar,
    thyroid, rubella, syphilis, hepatitis B, and HIV,
    and urine tests for checking the risk of urinary
    tract infection
  • Checking Cervix Length This is done through
    ultrasound for measuring the length of your
    cervix (lower part of the uterus) to determine
    the risk of preterm birth.
  • Amniocentesis Done by taking out fluid from
    around the baby through a fine needle and
    chromosomal analysis is done to check for genetic
    abnormalities and

5. When to seek immediate medical care for a
high-risk pregnancy?
You must seek medical help immediately if you
brain disorders. This carries some risks and so
must always be considered as per your doctor's
  • Severe headaches.
  • Bleeding or any discharge from the vagina.
  • Cramps or pain in the lower abdomen.
  • Fewer movements of the baby.
  • Burning or pain while urinating.
  • Vision changes like blurred vision.
  • Vomiting or continuous nausea.
  • Fever or chills.
  • Dizziness.
  • Sudden swelling of hands, fingers, and face.
  • Thoughts of harming yourself or the baby.
  • It is very important to be very regular with your
    doctor visits and follow their advice. Always
    stay positive and take steps to promote a happy
    and healthy pregnancy and delivery.
  • Take Away
  • A high-risk pregnancy can be managed
    appropriately with the help of a good team of a
  • well-qualified and experienced doctor,
    nutritionists, and other staff. Dr.Pujas clinic
    has the best doctor with vast experience in
    managing high risk pregnancy with the best
  • Source https//www.drpujasharma.com/blog/high-ris
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