High-Risk Pregnancy - Comprehensive Care for Complex Cases
A critical part of managing high-risk pregnancies can ascertain the cause, or the risk factors that can cause complication. High-risk pregnancy factors can broadly be split into four different categories. This include:
» Maternal age
» Lifestyle choices
» Pregnancy conditions
» Medical history
Signs and Symptoms
When you learn that you are pregnant, consult your doctor about the possibility of a high-risk pregnancy. Openly discuss any pre-existing medical conditions, how they can be managed and the possible consequences on the same on labour and delivery. Our expert team at AMVI Hospital has laid out some of the signs and symptoms of high-risk pregnancy to look out for.
If you experience any of the following signs of high-risk pregnancy, it is essential to get immediate medical attention:
» You lose consciousness – It wouldn’t be possible for you to take any action in this situation. Brief your partner, neighbour or colleague in advance of what to do in such a situation
» You experience vaginal bleeding
» You experience unbearable pain in your pelvis or belly
» You have fluid leaking from your vagina – This could be because the umbilical cord is bulging into your vagina.
Following warning signs require immediate visit to the doctor/ health facility
» Fever >38.5ºC/for more than 24 hours
» Headache, blurring of vision
» Generalized swelling of the body and puffiness of face
» Palpitations, easy fatigability and breathlessness at rest
» Pain in abdomen
» Vaginal bleeding / watery discharge
» Reduced fetal movements
High Risk Pregnancy Management
Management of high-risk pregnancy depends on the woman’s specific risk factors. In a high-risk pregnancy, healthcare providers keep a close watch on the woman and the pregnancy to detect any potential problems as quickly as possible so that treatment can start before the woman’s or fetus’s health is in danger.
Following conditions are listed to level as high risk pregnancy*
» Severe anemia Hb less than 7gm/dl
» Pregnancy induced hypertension, preeclampsia,
» Syphilis, HIV positive
» Gestational diabetes mellitus
» Hypothyroidism
» Young primi (less than 20 years), or elderly gravida (more than 35 years)
» Twin or multiple pregnancy
» Malpresentation,
» previous caesarian delivery
» Low lying placenta, precenta prevoia
» Positive bad obstetric history (history of still birth, birth, abortion, congenital malformation, obstructed labor, premature birth etc.)
» Rh negative
» Patient with History of any current systemic illness(es)/past history of illness
Following warning signs require immediate visit to the doctor/ health facility
» Fever >38.5ºC/for more than 24 hours
» Headache, blurring of vision
» Generalized swelling of the body and puffiness of face
» Palpitations, easy fatigability and breathlessness at rest
» Pain in abdomen
» Vaginal bleeding / watery discharge
» Reduced fetal movements
Prevention
If you are planning to get pregnant, it is natural that you would want to take every measure possible to prevent a high-risk pregnancy. At AMVI Hospital, we constantly emphasise that by practicing healthy behaviour and undertaking tests early, you can minimize the chance of a high-risk pregnancy. A high-risk pregnancy problems occurs due to one or more of the following reasons:
» A pre-existing medical condition in the mother such as diabetes or hypertension
» A pregnancy-related problems that lead to complications such as premature labour
» Age of the expecting mother, and,
» Lifestyle disorders
Diagnosis
High risk pregnancies can be diagnosed in a number of ways by a medical practitioner. The below tests will help in the identification of high risk pregnancy problems, and will be prescribed by your doctor depending on your condition or symptoms.
» Ultrasounds
» Blood Testing
» Urinalysis
Treatment
Depending on the risk factors that you are diagnosed with, high-risk pregnancy treatment will be prescribed. At AMVI Hospital, we are well-equipped with state-of-the-art infrastructure and a highly skilled and experienced team of professionals to give you the possible care for every type of high-risk pregnancy situation.
Listed below are some common methods of treatment of high-risk pregnancies:
This condition can increase the risk of complications in pregnancy. However, you can have a healthy pregnancy and birth by following a diet and treatment plan prescribed by a doctor.
During pregnancy, some changes to blood pressure medication may be recommended. Lifestyle changes such as limiting salt intake and regular exercise may also be prescribed for the treatment of this condition.
If you are experiencing mild symptoms, bed rest may be prescribed. You may also be asked to take vitamins E and C. Generally, this condition ends post-delivery.
FAQs related to IVF
What makes a pregnancy high-risk?
A pregnancy is considered high-risk when there are factors that increase the chance of complications for the mother, baby, or both. Common reasons include: maternal age over 35, diabetes (pre-existing or gestational), high blood pressure or pre-eclampsia, thyroid disorders, previous C-section or uterine surgery, twin or triplet pregnancy, placenta praevia or placenta accreta, IVF/ART pregnancy, previous pregnancy loss or premature birth, certain infections (e.g., HIV, hepatitis B), obesity (BMI over 30), and autoimmune conditions like lupus or antiphospholipid syndrome. If any of these apply to you, consult Dr. Shaivalini at AMVI Hospitals for specialised care.
Can I have a normal delivery with a high-risk pregnancy?
In many cases, yes — even high-risk pregnancies can result in a safe vaginal delivery with expert monitoring and management. Whether a normal delivery is possible depends on your specific condition. For example, women with well-controlled gestational diabetes or mild pre-eclampsia can often deliver normally. In other situations — such as placenta praevia, severe pre-eclampsia, or foetal distress — a C-section may be the safer option. Dr. Shaivalini assesses each case individually and will guide you on the most appropriate delivery plan.
How often are antenatal check-ups needed in a high-risk pregnancy?
High-risk pregnancies typically require more frequent monitoring than normal pregnancies. In the first and second trimester, visits are usually every 2–4 weeks depending on the condition. In the third trimester, visits become fortnightly and then weekly as delivery approaches. Additional monitoring may include more frequent ultrasounds, non-stress tests (NST), Doppler flow studies, and blood or urine tests. At AMVI Hospitals, the check-up schedule is personalized to your specific risk factors.
What conditions are most commonly managed as high-risk at AMVI Hospitals?
At AMVI Hospitals, Dr. Shaivalini regularly manages: gestational diabetes, pregnancy-induced hypertension (PIH) and pre-eclampsia, twin and triplet pregnancies, IVF pregnancies, thyroid disorders during pregnancy, IUGR (intrauterine growth restriction), previous C-section pregnancy, anaemia in pregnancy, antiphospholipid syndrome, and pregnancies in women over 35 years. Each condition is monitored with specialised protocols to ensure the best outcome for mother and baby.
Is AMVI Hospitals equipped for high-risk pregnancy emergencies?
Yes. AMVI Hospitals has the infrastructure and specialist team to manage obstetric emergencies in-house. Our facilities include: a fully equipped labour and delivery suite with continuous foetal monitoring, an operation theatre for emergency C-sections, NICU (Neonatal Intensive Care Unit) for premature or special-needs newborns, 24/7 availability of Dr. Shaivalini and nursing team during active labour, and on-call anaesthesia support. You will never be referred to another hospital in an emergency.