High Risk Pregnancy – Gynecologist in Jaipur (Dr Shikha Gupta)

High Risk Pregnancy

Pregnancy and childbirth are not always 100% safe. Various conditions and conditions can lead to unexpected results. Therefore, it is very important to know in advance the risks associated with your pregnancy and childbirth, such as through regular prenatal checkups.

Check image There are two types of pregnancy risk score: “Initial pregnancy risk score”, which is checked at the early stage when pregnancy is known, and “Late pregnancy risk score”, which is checked after 20 weeks of pregnancy. Gynecologist injaipur The sum of early and late is your pre-partum pregnancy risk score. Depending on the pregnancy risk score, the degree of risk is rated as low, medium, or high risk.

The Pregnancy Risk Score is used to consult with the attending physician based on the estimated risk and to help manage the health of pregnant women themselves and to select a delivery facility suitable for mothers and babies.

Give your pregnancy risk score for safe and secure pregnancy and childbirth for mom and baby.

The pregnancy risk score is a rough estimate of maternal risk at delivery. Even at low risk, 3% of pregnant women require an emergency cesarean section, Gynecologist in jaipur and even at high risk, there is a 20-30% chance of requiring a cesarean section or treating a newborn.

It is important that pregnant women take the initiative in managing their health during pregnancy. Please consult your physician for safe childbirth based on the results of your prenatal checkup and your pregnancy risk score.

Some risk factors exist before pregnancy, and some occur during pregnancy. Gynecologist in jaipur These risk factors include the following:

·         Specific physical and social characteristics of women

·         Past pregnancy problems

·         Specific problems that exist before pregnancy

·         Problems that occur during pregnancy

·         Exposure to substances harmful to the fetus

·         Problems that increase risk also occur during labor and delivery.

·         Physical features

The following characteristics of women affect risk during pregnancy:

Age

Pregnancy in girls under 15 increases the risk of:

·         Preeclampsia (a type of hypertension that occurs during pregnancy)

·         Threatened premature birth

·         Anemia

·         Fetal anemia or low body weight (fetus weight is low compared to gestational age [ gestational inadequacy ])

Pregnancy in women over 35 increases the risk of:

·         Pre-pregnancy conditions that increase the Gynecologist in jaipur during pregnancy ( such as high blood pressure and diabetes )

·         Problems related to pregnancy ( preeclampsia , gestational diabetes [diabetes occurring during pregnancy], fetal chromosomal abnormalities , stillbirth, etc.)

·         Complications during labor (dystocia, placenta early to peel off would normally position the placenta early peeling , it is a position abnormality of the placenta placenta previa , etc.)

Body Weight

For very lean women (BMI [Body Mass Index] less than 19.8— BMI (Body Mass Index) calculation ) and women weighing less than 45 kilograms before pregnancy, they are more likely to:

·         Birth with small, low-weight fetus

Obese women (BMI> 29) are more likely to have the following problems:

·         Birth in a condition where the fetus is very large (the fetus is heavy for the number of gestational weeks [gestational undue excess]) (it may be difficult to deliver )

·         Birth when the fetus does not grow sufficiently (fetal stunting)

·         Birth defects. Gynecologist in jaipur

·         Miscarriage and stillbirth

·         Gestational diabetes

·         Gestational hypertension ( high blood pressure that first develops after 20 weeks of pregnancy)

·         Preeclampsia ( pregnancy hypertension with proteinuria)

·         Prolonged pregnancy over 42 weeks (extended pregnancy )

·         The need for cesarean section

Height

Women taller than 150 centimeters are more likely to have a smaller pelvis, which can make it difficult for the fetus to pass through the pelvis and vagina (partum) during delivery. For example, a fetus' shoulders may be caught in the mother's pubis. Gynecologistin jaipur This complication is called shoulder dystocia . Pregnant women who are short are more likely to have imminent premature birth or fetal growth failure.

Genital Abnormalities

Structural abnormalities in the uterus or cervix increase the risk of:

·         Difficult delivery

·         abortion

·         Abnormal fetal posture

·         The need for cesarean section

Specific abnormalities include double uterus (two uterus abnormalities) and cervical incompetence ( abnormal cervix that opens the cervix as the fetus grows). Gynecologistin jaipur

Social Features

Unmarried women and women with low socioeconomic status are at increased risk of developing problems during pregnancy. Gynecologist in jaipur It is not clear why these features increase the risk of pregnancy, but it is probably related to other features common to these women. For example, these women tend to have higher rates of smoking, not eating healthy food, and not receiving adequate medical care.

Past Pregnancy Problems

Women who have had problems during pregnancy are more likely to have problems in subsequent pregnancies, many of which are the same as in the past. Gynecologist in jaipur These problems include the following:

·         Premature baby

·         Underweight children ( underestimated gestational age )

·         Newborn weighing about 4500 grams or more ( gestational excess )

·         Congenital abnormal child

·         Past miscarriage Gynecologist in jaipur

·         Preterm birth (after 42 weeks of pregnancy)

·         Rh-type incompatibility requiring fetal blood transfusion

·         Delivery requiring cesarean section

·         Death of child immediately before or immediately after delivery ( stillbirth )

·         Too much amniotic fluid in the uterus (too much amniotic fluid )

·         Abnormal posture of the fetus, such as pelvic position (with the buttocks down)

·         Fetal shoulder nerves are pulled and damaged during labor (brachial plexus injury)

·         Past multiple pregnancies ( multiple births )

·         Convulsive disorder

You may have a condition that tends to cause the same problem during pregnancy. Gynecologist in jaipur For example, women with diabetes are more likely to give birth to newborns weighing more than 4500 grams.

Women who have given birth to a child with a hereditary disorder or birth defects are more likely to have a similar problem in subsequent pregnancies. Therefore , it may be a good option to have a genetic test on the born child (even if stillborn) and the parents before attempting the next pregnancy . Gynecologist in jaipur If such a woman becomes pregnant again , tests such as high-resolution ultrasound , villus sampling , and amniocentesis may help determine if the fetus has a genetic disorder or birth defects. Such pregnant women may be referred to a specialist.

Women who have had five or more pregnancies have very rapid labor and are at increased risk of excessive bleeding after delivery. Gynecologist in jaipur If you have pregnant more than one fetus at a time, you are at increased risk of abnormal placenta location ( placental placenta ).

Diseases That Exist Before Pregnancy

Pre-pregnancy illnesses may increase the risk of problems during pregnancy ( Summary of pregnancy illnesses ). Gynecologist in jaipur Such diseases include the following:

·         Hypertension

·         Diabetes

·         Kidney disease

·         Kidney infections

·         heart failure

·         Sickle cell anemia

·         Sexually transmitted diseases

Women with any of these conditions should be in good physical condition prior to becoming pregnant, in consultation with a physician. Gynecologist in jaipur After pregnancy, special care is often required by a multidisciplinary multidisciplinary team. These teams consist of obstetricians, specialists for the disease in question (sometimes combined with obstetricians), and other healthcare professionals (such as dietitians).

Diseases That Occur During Pregnancy

Problems and illnesses can occur during pregnancy, resulting in high-risk pregnancy.

Some illnesses are associated with pregnancy (pregnancy complications), while others are not directly related to pregnancy ( overview of illness during pregnancy ). Gynecologist in jaipur Because of the changes that occur in a pregnant woman's body, some diseases are more likely to occur during pregnancy.

Pregnancy complications are problems that occur only during pregnancy. Some affect the mother, some affect the fetus, and some affect both the mother and the child. Gynecologist in jaipur Problems can occur at various times. For example, genital bleeding may occur during pregnancy if there are complications such as abnormal placenta location ( placenta previa ) or placenta detaching from the uterus early ( premature placental exfoliation ). Severe bleeding increases the risk of fetal death or maternal shock, and, if not treated promptly, death during labor.

Exposure During Pregnancy

Exposure to the following during pregnancy increases the risk of having birth defects.

·         Specific infections

·         Specific drugs

·         Radiation and certain chemicals

These substances and conditions are called teratogens.

Fetal organs are formed during the third to eight weeks of pregnancy (4 to 10 weeks after the last menstrual period), Gynecologist in jaipur so exposing women to teratogenic factors at this time is most likely to cause birth defects . The risk of miscarriage also increases.

Particularly dangerous infections during pregnancy are:

·         Chickenpox

·         hepatitis

·         Herpes simplex

·         rubella

·         syphilis

·         Toxoplasmosis

·         Cytomegalovirus or Coxsackievirus infection

Drugs that increase the risk of birth defects include the following:

·         Alcohol

·         Tobacco

·         Cocaine ( drug use during pregnancy: social drugs (luxury products) and drug use during pregnancy: illegal drugs )

·         Some prescription drugs ( the main drugs that can cause problems during pregnancy * )

Large intakes of mercury in seafood can harm the fetus. However, Gynecologist in jaipur because seafood contains nutrients that are important for the growth and development of fetuses and breastfeeding infants, the U.S. Food and Drug Administration (FDA) has proposed that pregnant women, We recommend the following to middle-aged women:

·         In addition to tilefish from the Gulf of Mexico (compared to red sea bream), they do not eat sharks, swordfish, or king macarrel (a type of sow), regardless of their origin.

·         Limit the weekly intake of albacore tuna to 170 grams (the average serving size).

·         Before eating fish caught in local lakes, rivers, or coastal areas, check with your local government (US) about fish safety. Limit your intake to 170 grams per week (on average, one serving) and avoid eating other mercury-rich seafood during the week.

·         Each week, he consumes 230 to 340 grams (average of two to three meals) of a variety of seafood of low mercury content.

Fish and shellfish with relatively low mercury content include some flatfish, shrimp, canned light tuna, salmonids, pollock, tilapia, cod, and catfish ( seafood: pregnant women and parents know (See Fish: What Pregnant Women and Parents Should Know )). Gynecologist in jaipur Some experts ( Consumer Reports: Choose the Right Fish To Lower Mercury Risk Exposure ) recommend that you avoid eating tuna at all during pregnancy. I am.