Even with all recommended precautions, some women can face complications in pregnancy
Pregnancy is a period of intense physical, hormonal and emotional transformations in the woman’s body. During these nine months, the body adapts to guarantee the healthy development of the child, which requires constant health care. Even with an adequate medical follow -up and all recommended precautions, some women can face complications that characterize a high reward pregnancy called.
“A pregnancy is considered to be high risk when there are pre-existing or developed medical conditions/diseases during pregnancy that increase the risk of complications for the mother and/or fetus during pregnancy, childbirth and/or post-partum. These conditions include the chronic breast pregnancy of the chronic coordinating of the chronic coordination of the chronic coordination of the obstetric coordinating The unfavorable obstetric coordinatting for the unfavorable hospital coordinature, in Campinas (SP).
Most common causes of high reserve pregnancy
According to the Ministry of Health (SM), about 15% of pregnancies are considered to be high risk in Brazil. The most frequent causes are:
- Gestational diabetes;
- Hypertension (high blood pressure);
- Diseases of thyroid and other autoimmunes;
- Pregnancy after 35 years or before the age of 19;
- Multiple pregnancy (GEMITI, TRIGEMELARS etc.);
- Post IVF (in vitro fertilization) pregnancies
- Premature birth or gestational loss in previous pregnancies;
- Inadequate fetal growth.
“It is important to clarify that, most of the time, high -risk pregnancies will evolve well. For more possibilities to happen, it is essential that these pregnancy women are accompanied by a specialized professional and qualifies in the treatment of high complexity pregnancies and that there is a multidisciplinary involvement in this cure”, says Elton Ferreira.
Responses on high risk pregnancy
Subsequently, Elton Ferreira answers 10 important questions about high risk pregnancy. Check!
1. How is high risk pregnancy diagnosed?
The early recognition of a pregnancy with possible complications involves a detailed analysis already in the first consultations. “[A gestação de alto risco] It should be diagnosed during prenatal routine consultations. In the first, it is essential to evaluate medical history to identify the pre -existing conditions that can affect pregnancy, such as chronic diseases, complications in previous pregnancies, family history, prior to surgical interventions, use of drugs and assisted reproduction techniques. It is important to note that this evaluation should be an integral and continued part in all prenatal cure, “says the obstetrician.
2. For patients trying to get pregnant, a preconception is important?
Yes, looking for medical advice before conception can contribute to a gestation safer and well planned. “[…] In this consultationBefore attempts to get pregnant, we can clarify doubts, start integrating folic acid, control existing diseases and guide the replacement of drugs they can use and should not be used in pregnancy “, lists the professional.
3. What is the recommended frequency of prenatal consultations for pregnant women with high risk factors?
According to Elton Ferreira, in case of greater vulnerability, the professional follow -up tends to be more frequent to guarantee quick responses to any change. “[A frequência das consultas] should be individualized according to the condition presented. Generally, the consultations are more frequent than those observed in the participation in Prenatale of the usual risk. This allows rigorous continuous monitoring and timely intervention in case of complications. “
4. How does the monitoring of child well -being in pregnancy at high risk?
There are various methods that help in the control of fetal health, both in consultations and in the daily life of the pregnant woman. “There are different strategies to analyze the well -being of the child. This includes the assessment of the child’s size (uterine height), the heart movements of the child and the mother’s health in the prenatal consultation, as well as the control of fetal risks at risk of high risk at risk, for the movements of the fetal, for the relationships with cardage, for relations with CardagoCography, for the movements of the Cardagotto.
5. In case of high risk pregnancy, what is the strategy to determine the safer moment for childbirth?
The definition of the best period for birth is based on multiple criteria that vary according to each clinical situation. “[O parto] It is also something individualized and should take into consideration the disease presented, whether controlled or not, gestational age, as well as being based on a balance between the risks of continuous pregnancy and the risks of prematurity. It is very important that the whole conduct has a scientific basis and is widely discussed, enlightened and shared with the pregnant woman and any partner “, explains the obstetrician.
6. What is preeclampsia?
Preeclampsia is a disease that deserves attention. “[A pré-eclâmpsia] It is the elevation of blood pressure, usually after 20 weeks of pregnancy, associated with the involvement of one or more organs/systems, such as kidneys, brain, liver, lung, heart and/or hematopoietic system (blood). It is a frequent and dangerous disease and therefore needs careful and careful prenatal care, “says the expert.
It also underlines that “all patients with diagnosis of increased blood pressure in pregnancy, whether they are chronic arterial hypertension, gestational hypertension or preeclampsia, must be immediately addressed to a specialized reference service”.
7. Are there strategies to prevent preeclampsia?
Yes, preventive measures can be adopted, in particular among women with the greatest risk of development of the Board of Directors. “For pregnant women who have risk factors for the development of this disease, we can start some drugs and supplements at the beginning of prenatal assistance (for 12 weeks), such as acetylsalicylic acid (AAS) and calcium. Elton Ferreira.
8. What risk factors indicate the use of preventive drugs for preeclampsia?
The indication of these drugs occurs when there is a high risk factor or two medium risk factors present, for example:
- High risk: Chronic arterial hypertension, preeclampsia/hypertension In front pregnancy, type 1 or type 2 diabetes, obesity, twin pregnancy, chronic renal disease, autoimmune diseases such as antifospholipidic syndrome and systemic lupus erythematous and post-fiv gestation (in vitro fertilization);
- Moderate risk: First pregnancy, age more than 35 years, family history of preeclampsia (mother and/or sister), gestation range over 10 years, among others.
9. In the case of gestational diabetes, which precautions should be taken?
Some lifestyle adjustments may be sufficient to deal with the condition, while other cases require more specific interventions. “Most patients with this diagnosis will be able to control the disease with a balanced diet and physical activity. In those in which this control is not achieved with these measures, it will be necessary to use drugs such as insulin, for example”, says the prenatal coordinator with high risk of true cruz.
The professional also highlights the importance of constant accompaniment during pregnancy. “Therefore, the monitoring of blood sugar control, as well as a rigorous supervision of the child’s well -being, will be an indispensable cure during pregnancy.”
10. What is the importance of multidisciplinary work and what other experts should be involved?
An integrated approach between several health workers can make a difference in the treatments offered during pregnancy. “Multidisciplinary work is essential to guarantee the quality and safety of care, as well as promoting better maternal and neonatal results. In this context, the performance of a team of professionals of various areas are fundamental for the holistic and integral health approach of pregnant women, aims at prevention, early diagnosis and adequate management of the conditions that can rise”, explains Elton Ferreira.
It also underlines the benefits of the diversity of knowledge in Monitoring of pregnant woman. “In addition, it allows you to consider different perspectives, integrating knowledge and techniques from various health areas, which translates into more complete and personalized treatments. In addition to various medical specialties, other health areas involved in this cure include psychology, nutrition, physiotherapy and social assistance”, concludes.
By Tiago Freitas
Source: Terra
Rose James is a Gossipify movie and series reviewer known for her in-depth analysis and unique perspective on the latest releases. With a background in film studies, she provides engaging and informative reviews, and keeps readers up to date with industry trends and emerging talents.
