07.08.2014

High risk pregnancy doctor

We were the first Nevada practice to be certified in first-trimester screening with instant risk assessment for chromosomal abnormality. We are the first health care center in Nevada to be solely focused on pregnancy and preconception care and accredited by the American Diabetes Association.
We are one of a group of qualified specialists who have managed the care of a patient whose baby needed an in utero transfusion due to fetal anemia, a procedure for which we have the highest success rate in Las Vegas. High Risk Pregnancy Center serves patients in Las Vegas, Spring Valley, Henderson & Boulder City – plus all of Nevada, Utah, Arizona and throughout the United States. A pregnancy is considered high-risk if there is a condition present that increases the chances that the woman or the baby may have a health problem. There are a number of conditions or factors that may put you at high risk during a pregnancy. Maternal age: The risks of pregnancy are higher for women 35 and older but women who will be under 17 when they deliver are also at increased risk. Medical conditions before pregnancy: Issues like high blood pressure, diabetes, kidney issues, heart problems, or sexually transmitted diseases can make a pregnancy more risky. Lifestyle: Smoking, drinking alcohol, or using illicit drugs increase the risk level of a pregnancy. Pregnancy history: If you have a history of preterm labor or other pregnancy problems, you may be at higher risk for complications in future pregnancies. Multiples pregnancy: It you are having twins or higher level multiples, you are considered a high risk pregnancy. Complications during pregnancy: Problems with the uterus, cervix, or placenta can place your pregnancy at risk.
Once it has been established that you are at high risk, you will typically need to be followed by a team of specialists to manage your condition.
Each high-risk pregnancy may not require each part of this care team; it depends on the specific situation. You may still keep your regular appointments with your obstetrician, but you will likely have to visit the perinatologist several times and get several imaging and lab tests during your pregnancy.


Your doctors will want to keep a close eye on you and your baby to make sure things are developing as normally as possible. Amniocentesis: In this test, the doctor will sample the amniotic fluid - usually around 15 weeks - so that the fluid can be examined. Chorionic villus sampling (CVS): Sometimes, the doctor will take some cells from the placenta itself between weeks 10 and 12. Cervical length measurement: Using an ultrasound, your doctor may measure the length of your cervix if there is a concern about preterm labor.
Weight gain: Gaining the appropriate amount of weight during your pregnancy can help outcomes for you and your baby. Lower stress levels: While a high risk pregnancy is by nature somewhat more stressful than a low-risk pregnancy, you have to try to lower your anxiety levels for the health of your baby. You should work with your care team before you get pregnant again to optimize your future pregnancies.
If you receive a high risk diagnosis, this does not necessarily mean you will lose your baby or the baby will be born with health problems. What a high risk pregnancy diagnosis does mean is that it's even more important that you adhere to the advice of your OB provider and stick to a schedule of regular obstetric exams throughout your entire pregnancy.
It is very important that physicians identify factors that can cause a woman’s pregnancy to be high risk.  High risk pregnancies must have more testing and closer monitoring than those that are not high risk, and these mothers should be referred to maternal-fetal specialists. Women who smoke while pregnant put their babies at risk of having birth defects and long term health problems, as well as experiencing sudden infant death syndrome (SIDS).
In addition to carefully monitoring a mother and baby during a high risk pregnancy and providing proper treatment when necessary, the physician must implement a regimen of fetal surveillance to determine what effects preeclampsia and other high risk conditions are having on the baby.
Researchers have found a protein by which doctors can monitor the likelihood of high risk pregnancies. If you understand the reasons for a high-risk pregnancy and what to expect, you can better take care of yourself and your baby. Too much amniotic fluid, or too little fluid, or Rh compatibility issues can also increase the risks of a pregnancy.


Depending on your health situation, you may still have to follow up with your medical specialists like your kidney doctor if you have kidney disease or your cardiologist if you have a heart problem. If you have diabetes or other condition that may affect your diet, you should check with your doctor; you may need some help from a nutritionist. Talk to your doctor about stress-relieving methods including mediation, yoga, calming imagery that you can use to lower your stress.
If you had certain pregnancy-caused issues like placenta previa, you may not be high risk during your next pregnancy if you don't have the same issue. Due to the extreme risks associated with preeclampsia, many physicians deliver the babies prior to term. Due to the impact on the baby, it is very important that physicians properly advise expecting mothers of weight-related issues, as well as women who are trying to get pregnant.
Babies born earlier than 32 weeks of gestation and that weigh less than 3.5 pounds are at a substantially greater risk of having cerebral palsy, especially when labor and NICU care are mismanaged. Doctors’ mistakes, such as failure to properly assess the baby during pregnancy or failure to quickly deliver the baby when she is in distress, can cause HIE. Again, you will have the opportunity to discuss this with your health care team; in most cases, the plans for your baby's birth will be established earlier in your pregnancy. If you have a medical condition like heart disease or diabetes, you will always be high risk. Your doctor will check you closely during subsequent pregnancies to make the determination of high risk.
High blood pressure or diabetes (gestational diabetes) that may occur in pregnancy are additional challenges.
Your doctor should know about any nutritional supplements that you are taking or that you are thinking about taking during your pregnancy; some therapies may not be helpful and may actually be harmful during pregnancy.



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