High Risk Pregnancy Care

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A high-risk pregnancy is a pregnancy that involves increased health risks for the pregnant person, unborn baby or both. Certain health conditions and your age (being over 35 or under 18 when pregnant) can make a pregnancy high risk.These pregnancies require close monitoring to reduce the chance of complications.

What is a high-risk pregnancy?

All pregnancies carry risks. The definition of a “high-risk” pregnancy is any pregnancy that carries increased health risks for the pregnant person, fetus (unborn baby) or both. People with high-risk pregnancies may need extra care before, during and after they give birth. This helps to reduce the possibility of complications.

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However, having a pregnancy that’s considered high risk doesn’t mean you or your unborn baby will have problems. Many people experience healthy pregnancies and normal labor and delivery despite having special health needs.

What causes high-risk pregnancy?

Factors that make a pregnancy high risk include:

• Preexisting health conditions.
• Pregnancy-related health conditions.
• Lifestyle factors (including smoking, drug addiction, alcohol abuse and exposure to certain toxins).Age (being over 35 or under 18 when pregnant).

What are the signs and symptoms of high-risk pregnancy?

Talk to your doctor right away if you experience any of the following symptoms during pregnancy, whether or not your pregnancy is considered high-risk:

• Abdominal pain that doesn’t go away.
• Chest pain.
• Dizziness or fainting.
• Extreme fatigue.
• Your unborn baby’s movement stopping or slowing.
• Fever over 100.4°F.
• Heart palpitations.
• Nausea and vomiting that’s worse than normal morning sickness.
• Severe headache that won’t go away or gets worse.
• Swelling, redness or pain in your face or limbs.
• Thoughts about harming yourself or your unborn baby.
• Trouble breathing.
• Vaginal bleeding or discharge.

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How is high-risk pregnancy diagnosed and monitored?

Getting early and thorough prenatal care is critical. It’s the best way to detect and diagnose a high-risk pregnancy. Be sure to tell your healthcare provider about your health history and any past pregnancies. If you do have a high-risk pregnancy, you may need special monitoring throughout your pregnancy.

Tests to monitor your health and the health of your unborn baby may include:

• Blood and urine testing to check for genetic conditions or certain birth defects in your baby.
• Ultrasonography, which uses sound waves to create images of your baby in the womb to screen for birth defects.
• Monitoring to ensure your unborn baby is getting enough oxygen, such as a biophysical profile, which monitors their breathing, movements and amniotic fluid using ultrasound, and a non-stress test, which monitors their heartrate.