Pregnancy is a transformative journey, but it doesn’t always follow a predictable path. In some cases, certain medical conditions or complications can categorize a pregnancy as high-risk. While the term may sound concerning, with the right monitoring and treatment, both mother and baby can remain healthy throughout the pregnancy.
As a dedicated Consultant Obstetrician and Gynecologist in Hadapsar, Pune, Dr. Ankita Ingle specializes in the care of high-risk pregnancies and offers personalized support for expectant mothers navigating complex conditions.
What is a High-Risk Pregnancy?
A high-risk pregnancy means that there are potential complications that could affect the health of the mother, the baby, or both. This may be due to existing medical conditions, pregnancy-related issues, or external factors. It doesn’t mean something will go wrong—it simply means extra care and closer monitoring are needed.
Who is at Risk?
Several factors can lead to a high-risk pregnancy, including:
Maternal Age: Women under 17 or over 35
Pre-existing Medical Conditions: Diabetes, hypertension, thyroid disorders, epilepsy
Previous Pregnancy Complications: Preterm birth, preeclampsia, miscarriages
Multiple Pregnancy: Carrying twins or more
Obesity or Underweight: Can affect fetal development
Lifestyle Factors: Smoking, alcohol, poor nutrition
Infections: TORCH infections, urinary tract infections, or sexually transmitted diseases
Signs That Require Immediate Medical Attention
Certain symptoms during pregnancy may indicate the need for urgent medical care, especially in high-risk cases:
Severe abdominal pain or cramping
Heavy bleeding or spotting
Persistent headaches or visual changes
High blood pressure readings
Sudden swelling of face, hands, or feet
Reduced fetal movements
If you experience any of these, consult a gynecologist immediately. Dr. Ankita Ingle offers prompt diagnosis and management to reduce complications.
Monitoring in High-Risk Pregnancy
For women with high-risk pregnancies, careful and frequent monitoring is essential. This may include:
1. Regular Antenatal Check-ups
Frequent visits help monitor blood pressure, weight, and fetal growth. These check-ups are tailored based on individual risks.
2. Blood Tests and Urine Analysis
These help detect infections, anemia, gestational diabetes, or preeclampsia early.
3. Ultrasound Scans
Specialized scans such as fetal anomaly scans, growth scans, or Doppler studies ensure the baby is growing properly and receiving adequate blood flow.
4. Fetal Monitoring
Non-stress tests (NST) or biophysical profiles (BPP) are used to assess fetal heart rate and overall wellbeing, especially in the third trimester.
5. Specialist Referrals
If needed, Dr. Ingle may coordinate with endocrinologists, cardiologists, or neonatologists to provide multidisciplinary care.
Treatment Options for High-Risk Pregnancy
Treatment depends on the specific condition involved. Key interventions include:
Gestational Diabetes Management
Through dietary changes, blood sugar monitoring, and sometimes insulin therapy.
Hypertension or Preeclampsia
Managed with medications to control blood pressure and prevent complications like eclampsia or fetal growth restriction.
Thyroid Disorders
Proper dosage of thyroid medication is essential for both maternal health and fetal brain development.
Infections
Antibiotics or antivirals may be prescribed based on the type and severity of the infection.
Cervical Incompetence
In cases where the cervix opens too early, a cervical stitch (cerclage) might be recommended to prolong the pregnancy.
Bed Rest or Hospitalization
In some situations, limited activity or inpatient care may be needed to ensure the health and safety of the baby.
Delivery Planning in High-Risk Cases
Delivery decisions are made based on the health of the mother and baby. Dr. Ankita Ingle develops a customized birth plan that may include:
Early delivery if complications arise
Cesarean section if normal delivery poses a risk
NICU support in case of preterm birth or fetal complications
Emotional Support and Counseling
High-risk pregnancies can be emotionally overwhelming. At her clinic in Hadapsar, Dr. Ankita Ingle ensures that patients not only receive medical care but also emotional support through every stage of pregnancy.
A high-risk pregnancy requires vigilant care—but with expert guidance, most women go on to have successful outcomes. If you are pregnant or planning to conceive and fall under a high-risk category, early consultation and ongoing monitoring are key to a safe pregnancy journey.
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