What to Expect During a High-Risk Pregnancy

While every pregnancy is unique, most women expect to have a typical pregnancy. However, some women can experience what is called a high-risk pregnancy. A pregnancy is considered high-risk when there are identified health risks for the mother, the baby or both.

“If you have a high-risk pregnancy, it is important to work closely with your doctor,” said Dr. Moona Haque, board-certified obstetrician-gynecologist joining Houston Methodist Obstetrics and Gynecology Associates at Sugar Land this February. “The term high-risk may seem scary, but many women experience healthy pregnancies and normal deliveries — despite needing extra attention.”

WHO IS AT RISK?

A variety of factors can make a pregnancy high risk. The most common include:

■ Age: Risks are higher for women over 35 or under 18.

■ Carrying multiples: Women pregnant with twins or triplets are at higher risk for complications.

■ Lifestyle factors: Alcohol abuse, drug use and smoking have serious negative impacts on pregnancy.

■ Preexisting health conditions: Conditions like autoimmune disorders, diabetes, obesity, high blood pressure, polycystic ovary syndrome (PCOS) and thyroid disease could pose risks.

■ Pregnancy-related health conditions: Conditions that arise during pregnancy, such as birth, genetic disorders,

Schedule Your Prenatal Care

If you have or think you may have a high-risk pregnancy, it is vital to start prenatal care early. To schedule an appointment with a high-risk pregnancy specialist, visit houstonmethodist.org/ obgyn-sl or call 346-456-5328 .

gestational diabetes, preeclampsia and previous pregnancy complications, can also put you at risk.

WHAT CAN I EXPECT DURING AND AT DELIVERY?

While some complications are unavoidable, specialists, such as Haque, work to minimize and help you achieve the healthiest pregnancy possible.

You can expect more frequent visits with your provider during a high-risk pregnancy. They may even refer you to a specialist in maternal-fetal medicine, genetics, pediatrics or other areas.

High-risk pregnancies require close monitoring. Depending on the circumstance, your doctor may want you to take additional tests on top of routine tests, such as:

■ Genetic testing

■ Specialized ultrasounds to screen for birth defects or preterm birth

■ Nonstress tests to monitor baby’s heartbeat

■ Biophysical profiles - ultrasounds to monitor baby’s breathing, movements and amniotic fluid

“Women with high-risk pregnancies have a higher chance of needing labor induction or C-sections,” Haque noted. “Your doctor will work with you as your due date approaches to help you make the safest decision for you and your baby.”

WHAT STEPS CAN I TAKE TO HAVE A SAFE PREGNANCY?

Getting early and thorough prenatal care is critical to minimizing risks, but there are some other measures you can take on your own:

■ See your doctor for a preconception visit

■ Manage preexisting conditions

■ Maintain a healthy body weight

■ Avoid drugs and alcohol

■ Quit smoking

■ Practice safe sex

■ Reduce stress

“Many people who have high-risk pregnancies don’t experience any problems and deliver healthy babies,” Haque said. “It’s just important to keep in close contact with your doctor to reduce complications and risks.” •