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High-Risk Pregnancy

Pregnancies carrying additional risk for mother or baby require specialized follow-up and management.

Written by: Saygı Hospital Health Guide Editorial Board
Last updated:

This content has been compiled by the Saygı Hospital Health Guide Editorial Board and is periodically reviewed by a specialist physician.

References (5)

This content is for informational purposes only and does not constitute medical advice. You can book an appointment at our Kadın Hastalıkları ve Doğum department. Book Appointment →

What is High-Risk Pregnancy?

High-risk pregnancy is defined in the presence of chronic conditions such as diabetes, hypertension, heart disease, thyroid disorder, and also in pregnancy over 35, multiple pregnancy, history of previous miscarriage or preterm delivery, uterine anomalies, and presence of genetic problems in the baby.

These pregnancies are managed by perinatology (maternal-fetal medicine) specialists and may require more frequent ultrasonography, biophysical profile, Doppler flow studies, and advanced diagnostic methods such as amniocentesis in addition to standard prenatal follow-up.

Early identification of high-risk pregnancy is critical in preventing or minimizing complications. A multidisciplinary approach — gynecologist, perinatologist, neonatologist, and related internal medicine specialists — provides the best outcomes.

Symptoms

Uncontrolled blood sugar or high blood pressure
Excessive weight gain or insufficient fetal growth
Vaginal bleeding or abnormal discharge
Severe headache, vision disturbance, upper abdominal pain
Decrease in fetal movements
Preterm contractions or water breaking (membrane rupture)

Risk Factors

Pregnancy at age 35 and over
Diabetes, hypertension, heart or kidney disease
Multiple pregnancy (twins, triplets)
Preterm birth, miscarriage, or stillbirth in previous pregnancy
Obesity (pre-pregnancy BMI >30)
Family history of genetic disease

When to See a Doctor?

If you experience any of the following symptoms, seek medical attention promptly:

  • When pregnancy is planned with a chronic illness
  • Without delay after the first pregnancy test
  • When vaginal bleeding or sudden water breaking is experienced
  • When severe headache or vision change occurs
  • When a marked decrease in baby's movements is felt

Treatment Methods

01
Intensified prenatal follow-up in the perinatology clinic
02
Diabetes management: diet, insulin, or oral antidiabetics
03
Hypertension control: antihypertensives safe in pregnancy
04
Cervical cerclage: Suturing of the cervix in cervical insufficiency
05
Corticosteroid: Fetal lung maturation in preterm birth risk
06
Hospitalization and electronic fetal monitoring when needed

Which Department to Visit?

You can visit our Kadın Hastalıkları ve Doğum department for these complaints. Our specialist physicians will create the most suitable treatment plan for you.

Learn About Kadın Hastalıkları ve Doğum Department

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Health Disclaimer: The information on this page is prepared for general informational purposes only. It does not replace medical diagnosis and treatment. Please consult your physician for your complaints. Saygı Hospital does not accept responsibility for actions taken based on the information on this page.