Your pregnancy is
called high-risk if you or your baby has an increased chance of a health
problem. Many things can put you at high risk. Being called "high-risk" may
sound scary. But it's just a way for doctors to make sure that you get special
attention during your pregnancy. Your doctor will watch you closely during your
pregnancy to find any problems early.
The conditions listed below
put you and your baby at a higher risk for problems, such as slowed growth for
preeclampsia, and problems with the
placenta. But it's important to remember that being at
high risk doesn't mean that you or your baby will have problems.
Your health plan may have its own list of what makes a pregnancy
high-risk. In general, your pregnancy may be high-risk if:
How will your doctor care for you during your pregnancy?
You will have more visits to the doctor than a woman who does not have a
high-risk pregnancy. You may have more
ultrasound tests to make sure that your baby is
growing well. You will have regular blood pressure checks. And your urine will
be tested to look for protein (a sign of preeclampsia) and urinary tract
Tests for genetic or other problems also may be done,
especially if you are 35 or older or if you had a genetic problem in a past
Your doctor will prescribe any medicine you may need,
such as for diabetes, asthma, or high blood pressure.
Talk to your
doctor about where he or she would like you to give birth. Your doctor may want
you to have your baby in a hospital that offers special care for women and
babies who may have problems.
If your doctor thinks that your
health or your baby's health is at risk, you may need to have the baby
What type of doctor will you see for a high-risk pregnancy?
Some women will see a doctor who has extra training in
high-risk pregnancies. These doctors are called maternal-fetal specialists, or
perinatologists. You may see this doctor and your
regular doctor. Or the specialist may be your doctor throughout your pregnancy.
What can you do to help have a healthy pregnancy?
You can help yourself and your baby be as healthy as possible:
Go to all your doctor visits so that you
don't miss tests to catch any new problems.
Eat a healthy diet that
includes protein, milk and milk products, fruits, and vegetables. Talk to your
doctor about any changes you may need in your diet.
medicines, iron, or vitamins that your doctor prescribes. Don't take any
vitamins or medicines (including
over-the-counter medicines) without talking to your
Take folic acid daily. Folic acid
is a B vitamin. Taking folic acid before and during early pregnancy reduces
your chance of having a baby with a
neural tube defect or other birth
Follow your doctor's instructions for activity. Your doctor
will let you know if you can work and exercise.
Do not smoke. If
you need help quitting, talk to your doctor about stop-smoking programs and
medicines. Avoid other people's tobacco smoke.
Do not drink
Stay away from people who have colds and other
pregnant woman, you need to watch for any signs of problems. This doesn't mean
that you will have any problems. But if you have any of these symptoms, it's
important to get care quickly.
Call 911 or other emergency services right away if you think you need emergency care. For example,
You passed out (lost
You have severe vaginal bleeding.
have severe pain in your belly or pelvis.
You have had fluid
gushing or leaking from your vagina and you know or
think the umbilical cord is bulging into your vagina. If this happens,
immediately get down on your knees so your rear end (buttocks) is higher than
your head. This will decrease the pressure on the cord until help
Call your doctor now or seek
medical care right away if:
You have signs of preeclampsia, such as:
Sudden swelling of your face, hands, or
New vision problems (such as dimness or
A severe headache.
You have any vaginal bleeding.
You have belly pain or cramping.
You have a fever.
You have had regular contractions (with or without pain) for an hour. This
means that you have 8 or more in 1 hour or 4 or more in 20 minutes after
you change your position and drink fluids.
You have a sudden
release of fluid from your vagina.
You have low back pain or
pelvic pressure that does not go away.
You notice that your baby
has stopped moving or is moving much less than normal.
Other Places To Get Help
March of Dimes
1275 Mamaroneck Avenue
White Plains, NY 10605
The March of Dimes tries to improve the health of babies
by preventing birth defects, premature birth, and early death. March of Dimes
supports research, community services, education, and advocacy to save babies'
lives. The organization's website has information on premature birth, birth
defects, birth defects testing, pregnancy, and prenatal care.
National Institute of Child Health and Human
P.O. Box 3006
Rockville, MD 20847
The National Institute of Child Health and Human
Development (NICHD) is part of the U.S. National Institutes of Health. The
NICHD conducts and supports research related to the health of children, adults,
and families. NICHD has information on its Web site about many health topics.
And you can send specific requests to information specialists.
Mehta SH, Sokol RJ (2007). Methods of assessment for pregnancy at risk. In AH DeCherney et al., eds., Current Diagnosis and Treatment: Obstetrics and Gynecology, 10th ed., pp. 249–258. New York: McGraw-Hill.
National Institute of Child Health and Human Development (2012). High-Risk Pregnancy. Available online: http://www.nichd.nih.gov/health/topics/high_risk_pregnancy.cfm.
Seely EW, Ecker J (2008). Medical complications in pregnancy. In EG Nable, ed., ACP Medicine, section 16, chap. 9. Hamilton, ON: BC Decker.
U.S. Preventive Services Task Force (2009). Folic acid to prevent neural tube defects. Available online: http://www.uspreventiveservicetaskforce.org/uspstf/uspsnrfol.htm.
How this information was developed to help you make better health decisions.