RISKY PREGNANCY
Risky pregnancies are pregnancies that are accompanied by conditions that threaten the life of the mother and/or the baby or may cause permanent sequelae. In fact, every pregnancy is a potentially risky situation and can turn into a risky pregnancy. Some conditions (diseases) that exist before pregnancy, occur during pregnancy, or occur after birth may be risky for both the mother and the baby.
Some diseases that exist before pregnancy may pose a life-threatening risk for the mother and baby during pregnancy and after birth. Diseases existing before pregnancy, such as chronic hypertension, diabetes, epilepsy, heart diseases, asthma, thyroid diseases, bleeding-coagulation disorders, and psychiatric diseases are conditions that cause risky pregnancies. In addition, some drug use before pregnancy may cause risky pregnancy due to their possible effects on the fetus. These can be listed as retinoic acid (vitamin A), methotrexate, rubella vaccine, thyroid scintigraphy, etc.
Some conditions seen during pregnancy; multiple pregnancy (twins, triplets, etc.), bleeding, water breaking (early membrane rupture), threat of premature birth, danger of miscarriage, short cervix, pregnancy poisoning (pre-eclampsia), drug use during pregnancy, radiation exposure (x-ray, tomography). , gestational diabetes, anomalies seen in the fetus (fetal anomalies), risk detection in fetal screening tests (risk detection in double, triple, quadruple tests), low placement of the baby's partner (placenta) (placenta previa), too little or too much water in the baby, Situations such as developmental delay are also considered in the risky pregnancy category.
Situations that may endanger the mother's life after birth are also classified as risky pregnancy. These situations are events that may cause postpartum bleeding or vascular occlusion and clotting (multiple pregnancy, polyhydramnios (too much water), having given birth more than three times before, situations where the placenta is located low or attached to the uterine wall (placenta accreta), excessive bleeding of the mother). (such as being overweight or gaining too much weight during pregnancy).
Risky pregnancies should be followed with approaches specific to the situation causing the current risk and treated according to these situations. They are hands. In risky pregnancy management, appropriate approaches should be made not only focusing on the mother or baby, but also considering the health of both the mother and the baby. Follow-up and treatment procedures are performed at frequent intervals, either on an outpatient basis or by hospitalization, depending on the situation that causes a risky pregnancy.
The most important point in the management of a risky pregnancy is the detection of potentially risky situations, that is, the detection of a risky pregnancy.
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