Factors that determine a risk pregnancy

Written by: Dr. José María Fernández Moya
Published: | Updated: 16/05/2019
Edited by: Top Doctors®

The aim of specialists Gynecology is to prevent high-risk pregnancies although it is not always possible. It is therefore important to attend a preconception consultation (pre-pregnancy) to assess in detail the mother to identify potential risk factors.

What is a high-risk pregnancy?

high risk pregnancy High-risk pregnancy who carries a greater chance of complications that can cause illness or death to the mother or baby is considered. These complications can occur before, during or after pregnancy.


Causes of a risky pregnancy

There are different causes that determine that a pregnancy is high risk. The Spanish Society of Gynaecology and Obstetrics risk factors classified into 4 groups:

  • Sociodemographic factors: maternal age (under 15 or over 35 years), weight, addictions (such as snuff), no monitoring of pregnancy or labor risk.
  • Medical history: hypertension, diabetes, heart disease, kidney disease, epilepsy, among others.
  • Previous pregnancy history: repeat abortions, birth defects, premature birth, intrauterine growth retardation, among others.
  • Disease in the current pregnancy: multiple pregnancy, hypertension in pregnancy, recurrent urinary infections, placenta previa, abnormal amniotic fluid, etc.


Levels of risk of pregnancy

Depending on the amount or type of risk that has the mother, we differentiate 4 types of risks: non-existent, low, medium or high.

Monitoring of pregnancy varies depending on the risk to have it. High-risk pregnant women have a more strict and complete control, and a series of special care. This leads sometimes to specialized referral maternal fetal neonatal intensive care units. A specific protocol for each patient based on their risks, aimed at prevention and early diagnosis of complications applies.

*Translated with Google translator. We apologize for any imperfection

By Dr. José María Fernández Moya
Obstetrics & Gynecology

Dr. Fernández Moya is a prominent gynecologist who currently serves as Medical Director of the EGR Institute of Medicine, where he directs the unit of fetal psychopathology and prenatal diagnosis and high-risk pregnancy, as well as the menopause unit. Dr. Fernández is a professor in the Department of Gynecology and Obstetrics of the School of Nursing of the Jiménez Díaz Foundation and the Autonomous University of Madrid.

He has made 46 publications in national and foreign journals, and more than 87 papers as the main author in national and foreign congresses.


*Translated with Google translator. We apologize for any imperfection

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