High Risk Pregnancy

There are specific indications where more frequent monitoring on the progress of pregnancy is done, in case you classify to a high risk pregnancy.

There are multiple risks as per different trimesters that may put you into a high risk category.

High Risks during first trimester:

  • Bleeding (threatened miscarriage): Remember it is the first trimester that has the highest risk of miscarriage. Any bleeding should be taken very seriously.
  • History of any previous miscarriage
  • Multiple gestation

High Risks during second trimester:

  • Bleeding, during second trimester may be due to placenta abruption or placenta previa.
  • Incompetent cervix (also called as cervical incompetence)
  • IUGR
  • Premature rupture of membranes
  • Infection , kidney infection, urine infection during pregnancy

High Risks during third trimester:

  • Decreased fetal movement
  • Amniotic fluid abnormal: Low amniotic fluid (oligohydroamnios), high volume amniotic fluid (polyhydroamnios)
  • Decrease reactivity on non-stress-test
  • Liver problems during pregnancy: Hepatitis during pregnancy

High Risks during all trimesters:

  • Bleeding or abnormal pain
  • Diabetes during pregnancy or Gestational diabetes mellitus
  • Hypertension blood pressure during pregnancy or Pregnancy Induced Hypertension
  • Thyroid disease during pregnancy, Hypothyroidism and pregnancy, Hyperthyroidism and pregnancy
  • Smoking
  • Alcohol intake
  • Infection such as HIV, Hepatitis, Tuberculosis
  • Any chronic illness for which you need any long term medication etc.

If you classify into any of the above, and if you have added risk to your natural process of pregnancy, you must discuss with your gynecologist about management of each specific condition so that there is no added risk to mother or the baby.