For most women, being pregnant means a mixture of joy and curiosity, but also anxiety and anxiety. Every expectant mother hopes that the pregnancy will proceed without complications and that the baby will be born healthy. Great is therefore the anxiety when the doctor speaks of a risk pregnancy. If an expectant mother hears the term high-risk pregnancy, she may initially scare this message. High-risk pregnancies refer to an expectant mother who is at risk of complications during pregnancy or childbirth or who is at increased risk of having a childhood disorder.
Diagnosis "risk pregnancy" frequently asked
The good news is that most of the risks can be minimized by intensive screening and monitoring. However, it should also be noted that the list of possible risks has increased to 52 points in recent years. Which means that the diagnosis of high-risk pregnancy is very often made today. For example, even if the mother is "only" over 35 years old and expecting her first child.
Criteria Risk pregnancy
Important criteria for deciding whether a woman should be cared for as a high-risk pregnant woman are, for example:
- The woman already had a miscarriage, premature birth or stillbirth
- The pregnant woman is diabetic
- There is a disease of the heart, circulation or kidneys
- The woman is ill with pregnancy poisoning
- It is to be expected a multiple birth
- There is a rhesus intolerance
- The child is wrong (transverse or breech position)
- The expectant mother has already been delivered by caesarean section surgery
- The expectant mother is expecting her first child and is under 18 or over 35 years old
Although these criteria serve the well-being of pregnant women, they have also made high-risk pregnancy the norm and normal pregnancy is the exception. One study confirms that today three out of four pregnant women are defined as "at risk".
The result of such "oversupply" could be that pregnant women no longer feel natural about their condition and enjoy it accordingly, but spend the time of their pregnancy in constant concern for the well-being of their child and their own health.
What risks are there?
The range of possible risks is great, but many of the causes are rare. A distinction can be made between maternal pre-existing conditions, problems that have occurred in previous pregnancies and complications that are caused by the course of pregnancy.
The major chronic diseases that can lead to pregnancy complications include diabetes, cardiovascular diseases such as heart disease and high blood pressure, kidney and thyroid disease. Affected women with a desire to have children must talk in detail with their gynecologist and internist before a planned pregnancy. Individual risks must be carefully weighed and the treatment plan for the period before and during pregnancy must be determined.
In the course of pregnancy, close monitoring of the mother and the unborn child is required, in which the gynecologist and internist should agree. A drug addiction or chronic infections of the mother (for example, HIV, hepatitis) require an individually tailored treatment concept.
Problems with previous pregnancies
Of course, women who have had miscarriages, premature births or stillbirths in the past are afraid that this will happen again. But only in a few cases is this fear justified - most women subsequently have normal pregnancies. The risk depends on which week of pregnancy and how often these problems have occurred and what the cause has been identified. Important is therefore a detailed and clarifying conversation with the gynecologist.
If the pregnant woman has delivered a caesarean section in the past, the risk of complications may be increased. Frequently a normal childbirth becomes difficult or impossible. Even a woman who has already given birth more than children is considered a high-risk pregnant woman.
If a rhesus-negative mother has already had a childbirth, miscarriage or abortion with a rhesus-positive child and has not been vaccinated with a serum that prevents the formation of antibodies, rhesus intolerance may become a problem at the next pregnancy. This complication usually does not matter anymore.
The age of the mother can also cause problems. In girls younger than 18 complications occur more frequently in the course of pregnancy, in older women (from 35) the risk of chromosome damage to the child increases. Infantile malformations diagnosed by ultrasound or amniocentesis may result in complications during pregnancy and childbirth. Multiple births or a deficiency development of the child are also burdened with a higher complication rate. Even with initially normal pregnancies, complications can occur.
EPH-gestosis as a complication
One of the most common and dangerous is EPH-gestosis. About five to eight percent of all expectant mothers are affected. The letter E stands for Edema or edema (water retention in the tissue), P denotes a proteinuria (protein excretions in the urine) and H stands for hypertension (increased blood pressure over 140/90). Reoccurring vaginal bleeding are just as likely to be closely monitored as an amniotic fluid infection.
Towards the end of pregnancy, the child's heart sounds are determined by CTG. Heartbeat disturbances of the unborn child as well as too slow, too fast or irregular beating of the heart can be indications for child stress situations like lack of oxygen and may require medical treatment.
Conclusion risk pregnancy
There are a number of risks for potential pregnancy complications. Through detailed discussions, preventive measures and close controls, however, these are usually identifiable early on and accordingly avoided or treated. A trusting relationship with the gynecologist can not only guarantee medical care, but also help to reduce fears.