High RiskPregnancy Clinic

GLOBAL INSTITUTEGYNECOLOGICAL CARE

Transverse lie

Meconium Stained liquor

Placenta Previa

Breach Presentation

Placenta coveringThe os

Every pregnancy has some risks, but there are more dangers to your health

and the health of your fetus with a high risk pregnancy. The causes can be

conditions you already have or conditions you develop. They also include

being pregnant with more than one baby, previous problem pregnancies,

or being over age 35.

If you have a chronic condition, you should talk to your doctor about how to

minimize your risk before you get pregnant. Once you are pregnant, you

may need a health care team to monitor your pregnancy.

At the High-risk Pregnancy Clinic, we aim to optimize the outcome of

pregnancy. Apart from the health care we provide, we also encourage you

to be up-to-date with the information and knowledge about these issues.

Classifying pregnancies as “Normal” or “High-Risk” is an effective way

to alert couples of the care that must be taken. Some mothers-to-be may be

at-risk from the very beginning of her pregnancy, with disorders such as

diabetes or with a history of a premature delivery. Others may start with

normal pregnancies but subsequently develop risk factors, such as ruptured

membranes or pregnancies-induced hypertension, which may develop

suddenly. Therefore, it is critical to be able to identify complications quickly

and have a protocol for management.

If your doctor detects that there are some risk factors which are likely to

harm you or the baby, you will be advised necessary treatment or

hospitalization. It is in your interest to listen to the doctor, follow the advice

and not ignore it.

Clinic Timings - Monday (5:00 – 7:00 pm)

Mothers with the following groups need more attention in pregnancy and

delivery. Remember - complications can arise in any pregnancy, at any

time.

Age : Less than 18 years; over 35 years

Height : Below 145 cm

Weight : Below 40 kg

Parity : Primi or grandmulti (4 or more previous children)

Birth Interval : Less than 2 years

Previous History : i) Previous abortions/ premature or still born

babies.

ii) Previous difficult delivery of caesarian section,

hemorrhage after delivery.

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Pallor or anemia (Hemoglobin below 10 gm)

Diabetes

Poor weight gain

Jaundice

Swelling of legs, hands and face

Twins, breech, transverse lie

High blood pressure

Prolonged pregnancy

1 in 5 maternal deaths occur in India (1.25 lac approximately) Due to:

75% : Hemorrhage; Abortion; Eclampsia; Sepsis; Obs.

Labour

20% : Anemia

Risk in motherhood

Developed world - 1:2800India - 1:175

Risk Factors in Pregnancy

Before Pregnancy

During Pregnancy

The womb is no longer considered to be an isolated and dark chamber.

The fetus is easily accessible today with tools such as ultrasonography,

magnetic resonance imaging, chorion villus sampling, amniotic fluid studies;

and Doppler blood flow studies. The concept of the fetus as the

has elevated the importance of prenatal diagnosis and

treatment. Electronic fetal monitoring of fetal heart is a major breakthrough

and very patient friendly procedure

'The

unborn patient'

Ultrasound

A high risk pregnant woman usually undergoes 4 scans.

Level II Scans

Safety of Ultrasound:

is a safe, non invasive, accurate, fast and cost-effective

diagnostic test.

1. Dating cum Viability Scan (6-8 weeks)

2. First trimester – Fetal morphology scan (11-14 weeks)

3. Anomaly scan (18-20 weeks)

4. Fetal wellbeing scan (34-35 weeks)

are more targeted examinations of fetal anatomy with a

focus on major body systems like brain, spine, GIT including stomach and

bowel, KUB area (kidney and urinary bladder) and limbs.

Fetal echocardiography (18-22 weeks) is invariably done in high risk

cases.

Lab Work:

Blood tests:

Hemoglobin; Hematocrit; and PB Smear; VDRL (both partners); Blood

group and Rhesus factors (both partners); HbsAg; HIV; GIT (20-24

week); SGOT; SGPT and Serum Creatinine. TSH; TPO; T4;

Thalassemia screening.

Urine R/E & C/S; Pap Smear; Wet smear

Unlike X rays, ionizing radiation is not present during ultrasonography

and hence there are no embryotoxic effects. The World Health

Organization (WHO) recommends the prudent use of ultrasonography

when there is a clear indication.

Most importantly, we must remember that diagnostic machines cannot

substitute a good gynecologist.

Pushpanjali Crosslay Hospital

A High Risk mother is in a sensitive phase

of her life and therefore an excellent rapport and an empathetic attitude

are most essential. Counseling is an important aspect of management of a

high risk pregnancy as your compliance and cooperation is essential for

good results.

In most of the high risk pregnancies, good antenatal care, and close

monitoring of the factors arising during pregnancy, labour, delivery and

the time just after, give rewarding results.

has a technically modern centre with

sophisticated monitoring tools, for both mother and child and an

experience team of gynecologists to offer you the best care during this

difficult period.

The Team

Dr Sharda Jain - HOD

Dr Uma Rai – Unit Chief

Dr Raj Bokaria – Unit Chief

Visiting Consultants

Dr Jyoti Aggarwal

Dr Debasis Dutta

Dr Jyoti Mishra

Dr Ila Gupta

Dr Aruna Saxena

Dr Shubha Saxena

Dr Nalinee Garg

Dr Manju Barik

Dr Archana Verma

Dr Sushma Dikhit

Dr Rini Goyal

Dr Anita Jain

Dr Pawan Bhasin

Anjana Singh

Sangeeta Goel

Dr Pooja Gupta

Dr Jigyasa Govil

Pushpanjali Crosslay Hospital

W 3, Sector-1, Vaishali, Ghaziabad-201012, UP, India

24X7 PCH Helpline: 0120-4173000, 4188000, 3133000

Email: info@pch.co.in Website: ww.pch.co.in

24X7 Emergency Services: 0120-4188188

Location Map

Gynecology

OPD No.:

0120 - 4173360

0120 - 4173361