Pregnancy Issues: When we think about what makes a woman High Risk again we typically divide it into a maternal indication or a fetal indication or sometimes it’s the maternal-fetal pair indication.
So, thinking about maternal indications anytime a woman has an underlying medical condition people often know about high blood pressure, diabetes but it could be asthma, a seizure disorder, a thyroid disorder, prior history of a corrected heart problem, you know, renal disease, kidney disease, anything… any underlying medical problem – that qualifies a patient for high-risk.
Credit: Howard County General Hospital
Now within that we kind of stratify patients in terms of High Risk or Low Risk. High Risk and we can make plans accordingly. Again, any mother issue.
The other issues that can come from the maternal side is if they’ve had a prior poor obstetrical outcome or a prior adverse outcome. Examples of that could be a woman who delivered a baby at say nineteen weeks gestation.
Pregnancy Issues – Health Issues Specific to Women’s Health
That’s a time when unfortunately a fetus can’t survive and so that really ends as a miscarriage and there are many reasons why that sometimes can happen, so that’s a woman that would be high-risk.
Say it’s a woman who doesn’t have high blood pressure but she developed something called Precambrian, which is the high blood pressure that’s unique to pregnancy in a prior pregnancy. She too then can be high-risk. Those are just examples. One real common one is gestational diabetes.
Every pregnant woman is at risk for gestational diabetes and everybody gets screened for that.
Now, in terms of the fetal indications. Fetal indications typically can be a chromosomal problem. People often know about Down syndrome but there are many other chromosomal problems, a structural anomaly with the fetus so when we’re doing ultrasound we can detection cranial abnormality, cardiac abnormality, renal abnormality, bowel, pretty much any organ system that we can see by ultrasound we can and have found abnormalities in those areas and if that’s found, that doesn’t mean the pregnancy can’t go forward, doesn’t mean the mom can’t have a vaginal delivery, doesn’t mean a mom can’t deliver at term, but it does mean that to optimize outcome of that baby we want to make sure we have all the resources available at the time of delivery to make sure, again that outcome is optimized. So, that would be a high risk pregnancy.
And then we get this mother-fetal pair, you know, there’s something going on with both. An example: sometimes some of the chromosomal problems can have implications for the mother and so that pair then becomes high-risk.
That’s just one example. How do we diagnose problems that you know, would make a patient become our patient? So often, with ultrasound. So, most patients when they come to our center they are low-risk.
They’re coming to make sure everything is okay. Some people may not even understand exactly what’s going to happen here they think they’re coming to know whether they’re having a boy or girl, so with ultrasound we essentially, I always describe to patients, “We’re looking from head to toe” and what we’re looking for again are structural abnormalities that may require their baby to need special attention at the time of delivery.
There are other structural abnormalities that may group together and make us more concerned about a genetic abnormality, whether it’s a chromosomal or non-chromosomal genetic abnormality, we’re looking for signs of that.
I would share, and I think with patients it’s important for everyone to understand that ultrasound’s not 100%. You know, ultrasound doesn’t speak to how smart your baby’s going to be or anything like that. It’s really looking at structure. That’s all it’s really doing.
We know though from our experience that some of these structures, if they’re abnormal, can lend and lead itself to other diagnoses so that’s what we’re looking for.
Other things they can come up that we’re looking for has nothing to with ultrasound at all sometimes it’s something a mom has a condition that also may relate to another condition so a mom presents with say, diabetes, we know diabetes can affect many organ systems.
The heart, the kidneys, the eyes, so we do additional testing to see, how’s everything else going. We may actually identify another organ system that’s affected and that may have other implications for the pregnancy. An example of that.
If we go forward with the diabetes if we find diabetes that actually is also affecting the kidneys we know pregnancies where mom has diabetes and also kidney disease they’re at higher risk of having a preterm baby, they’re at higher risk of Precambrian, which is the high blood pressure can occur with pregnancy.
They’re at higher risk for developing fetuses that don’t grow appropriately and that will then lead us to additional testing. So, we consider ourselves to be kind of investigators and people I think often always wonder like, how do they figure that out, but it’s just because we know how things group together and how that grouping could have implications for pregnancy prognosis.
How to Deal With Morning Sickness During Pregnancy?
Nausea and Vomiting is very common inearly pregnancy and occurs due to associated hormonal influences it is unpleasant but does not put your baby at any additional risk and usually settles down by 16 to 20 weeks of pregnancy in most people so in some it may persist for longer so if you do suffer from nausea and vomiting.
Credit: Narayana Health
In pregnancy we do suggest a few changes to your diet and daily lifestyle that can help improve your symptoms these include getting plenty of rest as tiredness can make nausea worse if you feel nauseous the first thing in the morning then try to get up slowly if possible eat a toast or drive this kit before you wake up eat small but frequent meals that are rich in carbohydrates and low in fat like rice biscuit potatoe scrackers etc.
But keep eating and do not stop eating it very sweet and very spicy food drink plenty of fluids sipping them little by little rather than in large quantities at one time avoid smells and foods that make you sick try to ask your friends and family for support during this period as it is known to help take ginger is also known to be beneficial during.
This period wear loose comfortable clothing and sling heavy if these symptoms persist inspite of these measures we recommend a short-term course of antiemetics that is known to improve these symptoms and the safe in pregnancy some women suffer froma severe form of vomiting and pregnancy which is known as hyperemes.
Is gravidarum so you need to meet your gynecologist if you have very dark colored urine or do not pass urine for over eight hours if you are unable to keep down any foods or fluids for over 24 hours if you have abdominal pain if you have fever with the temperature about 100 point 5 degrees Fahrenheitor.
If you warm it blood in these situations we require urgent hospitalization for intravenous fluid therapy and further medications so do not worry though nausea and vomiting is trouble some in pregnancy it can be managed by a few dietary and lifestyle modifications.