High-Risk Pregnancy Care

High-Risk Pregnancy Care & Need to know?

Diagnose, investigate, also manage maternal complications due to pregnancy, including, although not limited to, including referring to specialists whenever required:

Acute abdominal pain
Asthma and other respiratory diseases
Coagulation disorders
Endocrinopathies
Epilepsy
Essential hypertension
Gestational diabetes
Infectious diseases
Inflammatory bowel disease
Pregnancy with type 1 diabetes
Intercurrent infection

Kidney disease & Liver disease
Maternal hemoglobinopathy
Neoplasia and malignancies
Preeclampsia
Pregnancy-induced hypertension
Psychological disorders
Thromboembolism

Manage Pregnancy complications

Miscarriage and fetal death
2-short cervical length(Cervical Incompetency)
Growth restriction
Abnormal placentation, placenta previa, low lying Placenta
Mode of delivery after cesarean section
Antepartum hemorrhage
Malpresentation
Red cell/platelet alloimmunization

Preterm pre-labor rupture of the fetal membranes
Reduced fetal movements
Prolonged pregnancy
Drug and alcohol abuse in pregnancy
Infections during pregnancy
problems in uterus, cervix or placenta
Abnormal fluid volume around the fetus (oligohydramnios or Polyhydramnious)

Routine Antenatal care

Prenatal Counseling

First trimester, Second and Third Trimester ultrasound
Pregnancy Workups (blood test and Urine Test)
Screening for Down syndrome
Genetic diseases
Fetal abnormalities
biophysical profile Ultrasound
Screening of Vaginal infection in the Last Trimester of Pregnancy
Mode of delivery

Early Detection of Fetal anomalies

Nuchal translucency and nasal Bone screening in 11-13 weeks
NIPT(Non-Invasive Prenatal Test)
Fetal anomaly scan

Normal Vaginal Delivery

Management of delivery and intrapartum complications

Normal, operative, and complex vaginal delivery (Vacuum extraction
Retained placenta
General and regional anesthesia 5
Manage intrapartum complications as
1. failure to progress in labour
2. non- reassuring fetal status in the labour
3. genital tract trauma and cesarean section.
Normal delivery, episiotomy repair, and repair of third and fourth-degree perineal repair with referral to the colorectal surgeon when necessary

CAESAREAN

Uncomplicated cesarean section( Elective)
Repeat cesarean section
Acute emergency cesarean section
Cesarean section with placenta praevia
Cesarean section with sterilization
Cord prolapse
Delivery with fetal malpresentation
Uterine rupture

Postnatal Checkups and Contraception

Some regular puerperium,

Breast problems
Perineal and vaginal tears care
Postpartum sepsis
Primary, secondary, and another postpartum hemorrhage
Puerperal psychiatric disorders

Breast Feeding Education also Counseling

Breast Feeding Education
Breast Engorgement and Mastitis treatment