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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]
A combination of pregnancy-exacerbated hypercoagulability and additional risk factors such as obesity and thrombophilias makes pregnant women vulnerable to thrombotic events [29] T.he prophylactic measures that include the usage of low molecular weight heparin, in fact, can significantly reduce risks associated with surgery, particularly in ...
The risk of severe malaria by Plasmodium falciparum is three times as high in pregnant women, with a median maternal mortality of 40% reported in studies in the Asia–Pacific region. [1] In women where the pregnancy is not the first, malaria infection is more often asymptomatic, even at high parasite loads, compared to women having their first ...
Risk factors for pre-eclampsia include obesity, prior hypertension, older age, and diabetes mellitus. [2] [4] It is also more frequent in a woman's first pregnancy and if she is carrying twins. [2] The underlying mechanisms are complex and involve abnormal formation of blood vessels in the placenta amongst other factors. [2]
It is also stated that pregnant women should also fulfill any missing vaccinations as soon as possible including the tetanus vaccine and influenza vaccine. [44] [45] For pregnant women who are at an increased risk for Pre-eclampsia, one could take a dietary supplement of low dose aspirin as prophylaxis before 20 weeks gestation. [43]
“Gravidity” is an important component of a patient’s reproductive history, as it provides insight into the risk factors that the patient has for pregnancy outcomes, such as risk for gestational diabetes, pre-ecclampsia, spontaneous abortion, preterm birth, fetal growth restriction, and more. [5]
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.
Protective factors include age and marital status, while risk factors include unplanned pregnancy, lack of education and low socioeconomic status, and a new HIV positive diagnosis. The greatest at-risk group is a young, unmarried woman. [39]