Every pregnancy is different, and it is important to understand the risks associated with possible complications, even if all went smoothly before.
21st and 22nd October are organised as High Risk Pregnancy Awareness days. In 2015, maternal deaths in India accounted for 29% of overall maternal deaths worldwide. For every maternal death, 20 more suffer from lifelong impairments resulting from pregnancy complications. Most of these deaths occur among the 15-29 age group when the women are in the prime of health, reproductive and otherwise. Since more than 90% of these deaths are avoidable, the key is to educate and provide affordable medical care to women of all economic classes through the entirety of their pregnancy. High Risk Pregnancy can happen to anyone.
A high-risk pregnancy is one that threatens the health or life of the mother or her fetus.
For most women, early and regular prenatal care promotes a healthy pregnancy and delivery without complications. But some women are at an increased risk for complications even before they get pregnant for a variety of reasons.
Inadequate nutrition: According to WHO, only one in five pregnant women, received iron and folic acid for at least 90 days. Apart from supplements, only 4% took medication for conditions such as de-worming.
Post-partum bleeding: Due to lack of good medical care can lead to severe complications or even death. 70 percent of pregnant women, who faced an emergency situation, did not have a means of transportation readily available as they had not planned for it earlier since more than half of births in India are still happening at home.
Pre-partum bleeding: This bleeding can be caused by conditions such as placenta previa, uterine rupture or ectopic pregnancies. These usually occur when women and their families cannot recognize the signs and do not receive proper prenatal care or do not consult a doctor regularly. 37.2% of maternal deaths are attributed to pre or post-partum bleeding.
Sepsis or Severe Infection: Infections account for 10.9% of deaths. Most of these happen at home because of delays in trying to find money or getting to a doctor on time. While sepsis is not necessarily fatal, it can lead to bacterial infections in the first month for the baby for serious diseases such as meningitis or pneumonia
Miscarriage or Spontaneous Abortion: Miscarriages and abortions result in about 7.92% pregnancies in India. The fetus is genetically defective and so unable to survive. Unfortunately, the cause of these miscarriages is unknown.
Hypertensive disorders: Associated with increased risk of maternal and fetal morbidity and mortality (lead to 4.95% of maternal deaths). This refers to a group of complications including pre-eclampsia, eclampsia, gestational hypertension, and chronic hypertension. Women below 15 and older than 35 are at a higher risk of pre-eclampsia.
The age, weight and height: These factors pose different risks. Girls aged 15 and younger are at increased risk of pre-eclampsia/eclampsia. Teen pregnancies are also at increased risk of resulting in low-birth-weight babies. The chances of pregnancy-induced hypertension or diabetes in the mother and risk of fetal abnormalities increase with the mother’s age. Older women are at an increased risk of problems such as high blood pressure, gestational diabetes, and complications during labour. Obese women are also at a higher risk of similar complications.
Gestational diabetes: Gestational diabetes, which results because of glucose intolerance during pregnancy resulting in high levels of blood sugar. Older women, obese women (2-8 times more likely depending on the extent of the obesity), those with a family history or history of gestational diabetes are at a higher risk.
Women with PCOS ( Poly-cystic ovary syndrome) a condition due to genetic and environmental factors resulting in a hormonal imbalance in women, also have a higher risk of contracting gestational diabetes
Obstructed labor: This causes 4.95% maternal deaths in India and is largely due to child or teen pregnancies, inadequate medical facilities and healthcare. For example, according to the National Family Health Survey II, less than 30 % rural facilities had an obstetrician available; less than 10 % had an anesthetist. Obstructed labor is usually caused by wrong positioning by the baby, a small pelvis and problems with the birth canal. As a result, the baby might not get enough oxygen and the mother is at an increased risk of infection, uterine rupture and long term complications.
Complications in a previous pregnancy: If you have had complications in a previous pregnancy, the same are likely to recur in subsequent ones. Premature, underweight babies, those with birth defects, a previous miscarriage post-term delivery, large new-borns(>4.5kgs) might point to various complications that can recur again such as hypertension, gestational diabetes, pre-eclampsia etc.
While the risk of these factors is high and the complications severe, a few precautions can help avoid them. The key is to provide adequate, continual medical care and education to pregnant women and their families for all sections of society devoid of class or other socio-economic factors.
Supplementation during pregnancy of L-Carnitine and Vitamin E reduced the incidence of High Risk Pregnancy in a population at high risk of the condition.
21st and 22nd October are organised as High Risk Pregnancy Awareness days. In 2015, maternal deaths in India accounted for 29% of overall maternal deaths worldwide. For every maternal death, 20 more suffer from lifelong impairments resulting from pregnancy complications. Most of these deaths occur among the 15-29 age group when the women are in the prime of health, reproductive and otherwise. Since more than 90% of these deaths are avoidable, the key is to educate and provide affordable medical care to women of all economic classes through the entirety of their pregnancy. High Risk Pregnancy can happen to anyone.
What is a high-risk pregnancy?
A high-risk pregnancy is one that threatens the health or life of the mother or her fetus.
For most women, early and regular prenatal care promotes a healthy pregnancy and delivery without complications. But some women are at an increased risk for complications even before they get pregnant for a variety of reasons.
Top 10 Pregnancy Risk Factors In India:
Inadequate nutrition: According to WHO, only one in five pregnant women, received iron and folic acid for at least 90 days. Apart from supplements, only 4% took medication for conditions such as de-worming.
Post-partum bleeding: Due to lack of good medical care can lead to severe complications or even death. 70 percent of pregnant women, who faced an emergency situation, did not have a means of transportation readily available as they had not planned for it earlier since more than half of births in India are still happening at home.
Pre-partum bleeding: This bleeding can be caused by conditions such as placenta previa, uterine rupture or ectopic pregnancies. These usually occur when women and their families cannot recognize the signs and do not receive proper prenatal care or do not consult a doctor regularly. 37.2% of maternal deaths are attributed to pre or post-partum bleeding.
Sepsis or Severe Infection: Infections account for 10.9% of deaths. Most of these happen at home because of delays in trying to find money or getting to a doctor on time. While sepsis is not necessarily fatal, it can lead to bacterial infections in the first month for the baby for serious diseases such as meningitis or pneumonia
Miscarriage or Spontaneous Abortion: Miscarriages and abortions result in about 7.92% pregnancies in India. The fetus is genetically defective and so unable to survive. Unfortunately, the cause of these miscarriages is unknown.
Hypertensive disorders: Associated with increased risk of maternal and fetal morbidity and mortality (lead to 4.95% of maternal deaths). This refers to a group of complications including pre-eclampsia, eclampsia, gestational hypertension, and chronic hypertension. Women below 15 and older than 35 are at a higher risk of pre-eclampsia.
The age, weight and height: These factors pose different risks. Girls aged 15 and younger are at increased risk of pre-eclampsia/eclampsia. Teen pregnancies are also at increased risk of resulting in low-birth-weight babies. The chances of pregnancy-induced hypertension or diabetes in the mother and risk of fetal abnormalities increase with the mother’s age. Older women are at an increased risk of problems such as high blood pressure, gestational diabetes, and complications during labour. Obese women are also at a higher risk of similar complications.
Gestational diabetes: Gestational diabetes, which results because of glucose intolerance during pregnancy resulting in high levels of blood sugar. Older women, obese women (2-8 times more likely depending on the extent of the obesity), those with a family history or history of gestational diabetes are at a higher risk.
Women with PCOS ( Poly-cystic ovary syndrome) a condition due to genetic and environmental factors resulting in a hormonal imbalance in women, also have a higher risk of contracting gestational diabetes
Obstructed labor: This causes 4.95% maternal deaths in India and is largely due to child or teen pregnancies, inadequate medical facilities and healthcare. For example, according to the National Family Health Survey II, less than 30 % rural facilities had an obstetrician available; less than 10 % had an anesthetist. Obstructed labor is usually caused by wrong positioning by the baby, a small pelvis and problems with the birth canal. As a result, the baby might not get enough oxygen and the mother is at an increased risk of infection, uterine rupture and long term complications.
Complications in a previous pregnancy: If you have had complications in a previous pregnancy, the same are likely to recur in subsequent ones. Premature, underweight babies, those with birth defects, a previous miscarriage post-term delivery, large new-borns(>4.5kgs) might point to various complications that can recur again such as hypertension, gestational diabetes, pre-eclampsia etc.
While the risk of these factors is high and the complications severe, a few precautions can help avoid them. The key is to provide adequate, continual medical care and education to pregnant women and their families for all sections of society devoid of class or other socio-economic factors.
Carnitine Supplementation in High Risk Pregnancy:
Supplementation during pregnancy of L-Carnitine and Vitamin E reduced the incidence of High Risk Pregnancy in a population at high risk of the condition.
"Daily Supplement of L-Carnitine with Vitamin E during Pregnancy may reverse the decline in the nutrient's levels that occurs naturally during pregnancy, say a new study."
Entrust the Patients having High Risk Pregnancy say “I Will Move On” with CRT-E:
- CRT-E is having Combination that Can More Effectively Reduce The Complication.(Nephro Urol Mon.2013 Sep:5(4):B62-5)
- Eliminates muscle cramps experienced by pregnant women.
- Enhances Energy Level During Pregnancy.
- Reduces Both Physical & Mental Fatigue.
- (CALCIF TISSUE INT 2005:76:458-65)
- Reduces The Chances of GDM.
- Supports & Nurtures Amniotic Sac.
- is having Sufficient amount of Carnitine increases birth weight & post natal growth.
- LC is regarded as ‘Likely safe when used orally as an FDA-approved prescription medicine’.
Sildenafil Citrate in High Risk Pregnancy:
Sildenafil citrate can improve fetoplacental perfusion in pregnancies complicated by intrauterine growth restriction. Sildenafil, as a vasodilator has emerged as a potential management option in the treatment of Intra Uterine Growth Retardation (IUGR) and preeclampsia by later normalization in velocimetric profile.
In our ongoing 3-year experience, the administration of vaginal sildenafil has been totally free of clinical side effects.Moreover, because sildenafil is rapidly and completely cleared from the body within 24–48 hours of discontinuing its administration (we always stop treatment _5 days before embryo transfer), the embryo is completely protected from any untoward exposure to the agent.
FERTILITY
AND STERILITY_VOL. 78, NO. 5, NOVEMBER 2002 Copyright ©2002 American
Society for Reproductive Medicine Published by Elsevier cience Inc.Printed on
acid-free paper in U.S.A.
Geoffrey
Sher, M.D.,a,b and Jeffrey D. Fisch, M.D.a Sher
Institute for Reproductive Medicine, Las Vegas and University of Nevada, School
of Medicine, Reno,Nevada,
clearly said……
In our ongoing 3-year experience, the administration of vaginal sildenafil has been totally free of clinical side effects.Moreover, because sildenafil is rapidly and completely cleared from the body within 24–48 hours of discontinuing its administration (we always stop treatment _5 days before embryo transfer), the embryo is completely protected from any untoward exposure to the agent.
"Long-term administration of sildenafil citrate enhanced fetal weight in both adequately fed and nutrient-restricted ewes. The enhancement of fetal growth was coordinate with greater concentrations of amino acids and polyamines in fetal blood and placental fluids, suggesting that sildenafil citrate alters the trafficking of nutrients from the to the fetus."
Womfil - An Effervescent Tablet Treatment in High Risk Pregnancy:
- Womfil is Sildenafil Citrate 25mg Effervescent Tablet.
- acts as Antiabortification Agent.
- Enhances chances of Successful Pregnancy.
- effectively works on Uterine and Clitoral Arterial Blood Flow.
- improves quality of Endometrium and its thickness.
- significantly Improves Vaginal Lubrication and Clitoral Sensitivity.
- Reduces Recurrent Miscarriage & URSM(Unexplained Recurrent Spontaneous Miscarriage)
Women with high-risk pregnancies should receive care from a special team of health care providers to ensure that their pregnancies are healthy and that they can carry their infant or infants to term.
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Thank you for sharing this information. It is very useful for pregnant woman. If you are looking for High Risk Pregnancy Specialist in Gurgaon then contact Dr. Veenu Agarwal. With over 16 years of experience and commitment to women's health, Dr. Veenu Agarwal ensures personalized treatment and support to each patient, making her the top choice for gynecological care in Gurgaon.
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