High Risk Pregnancy

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High Risk Pregnancy

 

High Risk Pregnancy Definition;

High risk pregnancyA commonly used definition for high risk pregnancy is the following; A pregnancy is characterized as high risk when the likelihood for significant complications is higher than average. How the care of these pregnancies is managed varies around the world. For the purpose of being referred to a Fetal & Maternal specialist in Dubai the following list outlines some of the common scenarios were our input can help the management of your pregnancy (Doctor’s referral form and self referral form);

 

 

Risk for

Referral for

 

 

 

Multiple pregnancies (twins dichorionic)

Chromosomal/structural anomalies

Preterm delivery

Growth retardation

First trimester screening for Down’s syndrome

 

Morphology scans

 

Growth scans and Doppler studies

 

 

Multiple pregnancies

(monochorionic twins)

As above plus the risk for TTTS (1/5)

It is good practice these pregnancies to be managed by a Fetal Medicine specialist.

 

 

 

 

Suspected Fetal abnormalities

Depends on the anomaly

Morphology scan, counselling 

Fetal surveillance

 

 

 

 

 

History of previous pregnancy by a affected congenital anomaly

 

Re occurrence

Preconception counselling,

First trimester and morphology scans.

 

 

 

Suspected fetal growth retardation

 

Fetal loss / or unnecessary pregnancy intervention

Serial growth scans

Fetal surveillance

 

 

 

Advanced maternal age

 

Chromosomal anomalies (like Down’s)

First trimester screening

 

 

 

Particular maternal medical conditions

 

 

 

 

Pre existing diabetes or GDM on insulin

Risk for congenital anomalies/macrosomia

Consider Full management by the FMU due to the frequency of scans visits it would be easier for these patients to be followed up by the FMU with aid of an endocrinologist

 

 

 

 

Hypothyroidism (treated Graves)

 

Risk of fetal hyperthyroidism

Fetal surveillance

 

 

 

Autoimmune disease (lupus , antiphospholipid syndrome, RA etg)

 

Risk of deterioration of the maternal condition/ growth retardation

Preconception counselling,

Fetal surveillance

 

 

 

Maternal cardiac disease

Risk of deterioration of the maternal condition/ fetal abnormalities

Preconception counselling,

Fetal surveillance,

Maternal surveillance with the aid of a cardiologist

 

 

 

 

Rh negative with positive antibodies

 

Risk for fetal anemia  -hydrops

Preconception counselling,

Fetal surveillance

 

 

 

 For a personalized care plan of your high risk pregnancy you can contact us at Genesis Perinatal Care Clinic 044498446 or by email drgeorge@genesis-dubai.com
Dr George Michailidis, MRCOG
Specialist in Fetal & Maternal Medicine
Consultant Obstetrician Gynecologist
Genesis Perinatal Care Clinic, Dubai, UAEwww.genesis-dubai.com

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