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Dr. Shamim Patel

Types of High-Risk Pregnancy

Updated: Aug 25, 2022

Some women may be predisposed to high-risk pregnancy due to pregnancy complications or a medical condition. In these cases, the placenta, a structure that develops within the uterus, is a major concern. It is essential for the exchange of nutrients, oxygen, and waste products between the mother and developing baby. If the placenta is not properly placed during pregnancy, it can lead to additional complications and necessitate careful delivery techniques.


Preeclampsia treatment is determined by the severity of the disease, the stage of the pregnancy, and the patient's overall condition. Medication can treat most cases of preeclampsia, but it may not improve placental abnormalities or prevent the disease from progressing. If the patient is nearing the end of their pregnancy, they will almost certainly have an early delivery. Although vaginal delivery can be used to extend the pregnancy, doctors may prefer a cesarean delivery to avoid complications. Some patients may also be prescribed blood pressure medications and dietary changes.


Preeclampsia can range in severity from mild to severe. Severe cases may necessitate hospitalization and childbirth. Some women are required to take medications to lower their blood pressure and support their baby's developing lungs. Placental abruption is another serious complication of preeclampsia. This complication can result in abnormal vaginal bleeding as well as abdominal pain and necessitates immediate medical attention.


Preeclampsia can be diagnosed by monitoring a woman's blood pressure and urine. Additional blood tests to evaluate liver and kidney function may be ordered. She may also use an ultrasound to check the baby's size and amniotic fluid volume. If a woman has preeclampsia during her first pregnancy, she is more likely to develop it again.

Previa of the placenta


If you're expecting, you've probably heard of placenta previa, a high-risk pregnancy condition. During pregnancy, placentas develop inside the uterus and provide nutrients and oxygen to the developing baby. Normally, the placenta attaches to the upper part of the uterus, where the baby is growing. However, in placenta previa, the placenta attaches lower in the uterus, resulting in pregnancy bleeding or even labor.


The cause of placenta previa is unknown, but it is possible that it is random because the position of the placenta varies from pregnancy to pregnancy and from woman to woman. During the third trimester, one in every 200 women suffers from placenta previa. There are, however, ways to treat it and keep it from affecting the unborn baby. The following are some treatment options for women who have placenta previa.


A doctor may perform an ultrasound to check for abnormalities in cases of placenta previa. A traumatic delivery may occur if the placenta is low-lying in the uterus. Because placentas can be unstable, an emergency C-section is sometimes required to save both the baby and the mother's life. While placenta previa is a rare high-risk pregnancy, it can be fatal for both the mother and the child.

Kidney disease that is chronic


It is difficult to manage a pregnant woman who has severe chronic kidney disease. There are numerous factors to consider, including the scarcity of large studies and the disease's heterogeneity. In this situation, a significant number of clinicians feel inadequate, and treatment varies from center to center. Despite this, there are a few common issues that should be addressed during pregnancy. Here are some pointers. First and foremost, seek medical attention for your condition.


It is critical to optimize the disease before conception. A woman with advanced CKD is more likely to become pregnant. This condition necessitates ongoing observation and treatment. Women with CKD must use contraception in addition to a multidisciplinary care plan to avoid pregnancy. Pregnancy is a huge burden for both the mother and the child, so it is critical that the risk of an unwanted pregnancy is addressed as soon as possible. Women who do want to become pregnant, on the other hand, should be carefully counseled and screened for CKD. Optimizing CKD before conception necessitates multidisciplinary monitoring and extensive postpartum care.


Women with CKD who have little to no residual renal function may be able to conceive. These women require adequate dialysis. They may also benefit from hemodialysis to thoroughly clean their blood. Dialysis during pregnancy, however, is not for everyone. Talk to your doctor about the risks and benefits of both treatments. Even if you don't think you're a good candidate for pregnancy, dialysis should be considered as a last resort.Blog content coming soon....

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