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A high-risk pregnancy is a pregnancy where the mother or the fetus has an increased risk of adverse outcomes compared to uncomplicated pregnancies. No concrete guidelines currently exist for distinguishing “high-risk” pregnancies from “low-risk” pregnancies; however, there are certain studied conditions that have been shown to put the mother or fetus at a higher risk of poor outcomes. [1]
As we age, we run the risk of developing chronic health conditions, like high blood pressure, obesity, or diabetes, says Yun. This is true for anyone, regardless of whether they are pregnant or not.
New guidelines set by the American College of Obstetricians and Gynecologists emphasize that pregnancy risks should be characterized in five-year age groups—like ages 35–40, 40–44, et cetera ...
According to a meta analysis from 2017 of 63 cohort studies and 12 case control studies, advanced maternal age(≥35 years) increased the risk of stillbirth (OR 1.75, 95%CI 1.62 to 1.89). It also increased the risk for FGR (fetal growth restriction) (OR 1.23; 95%CI 1.01–1.52).
The risk of pregnancy complications increases as the mother's age increases. Risks associated with childbearing over the age of 50 include an increased incidence of gestational diabetes , hypertension , delivery by caesarean section , miscarriage , preeclampsia , and placenta previa .
The data suggested that biological age increased by three per cent more per year in those who have been pregnant, and those with more than one pregnancy were said to age up to five months faster.
Women who are high risk have better outcomes if they are seen regularly and frequently by a medical professional than women who are low risk. [90] A woman can be labeled as high risk for different reasons including previous complications in pregnancy, complications in the current pregnancy, current medical diseases, or social issues. [91] [92]
There are several non-modifiable and modifiable risk factors that predispose women to development of this condition such as female fetus, psychiatric illness history, high or low BMI pre-pregnancy, young age, African American or Asian ethnicity, type I diabetes, multiple pregnancies, and history of pregnancy affected by hyperemesis gravidarum.