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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]
The World Health Organization recommends low-dose aspirin for the prevention of pre-eclampsia in women at high risk and recommends it be started before 20 weeks of pregnancy. [65] The United States Preventive Services Task Force recommends a low-dose regimen for women at high risk beginning in the 12th week. [70]
Some disorders and conditions can mean that pregnancy is considered high-risk (about 6-8% of pregnancies in the USA) and in extreme cases may be contraindicated. High-risk pregnancies are the main focus of doctors specialising in maternal-fetal medicine .
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]
Low dose aspirin is recommended to prevent pre-eclampsia and eclampsia in those at high risk. [12] Other preventative recommendations include calcium supplementation in areas with low calcium intake and treatment of prior hypertension with anti-hypertensive medications. [2] [3] Exercise during pregnancy may also be useful. [1]
Severe maternal morbidity — when women nearly die due to pregnancy-related complications — remains high in North Carolina. An investigation by The News & Observer found more than 1,000 women ...
A pregnant Texas woman who says her unborn baby has a genetic condition and carrying the child to term could threaten her life filed suit against the state Tuesday, asking a court to declare she ...
Fetuses may be at risk due to chromosomal or congenital abnormalities, maternal disease, infections, genetic diseases and growth restriction. [9] Expecting mothers with chronic conditions, such as high blood pressure, drug use during or before pregnancy, or a diagnosed medical condition may require a consult with a maternal-fetal specialist. In ...