high risk pregnancy twins

High Risk Pregnancy

What is a High Risk Pregnancy?

A high-risk pregnancy is a pregnancy that obstetricians believe could have an elevated possibility of developing complications during pregnancy, labor, birth, or the postpartum period. High-risk pregnancies can still be healthy pregnancies, but they do require more medical supervision that normal pregnancies. Women who know they will be at high risk during pregnancy should meet with their obstetricians prior to becoming pregnant and also exercise caution in using assisted reproductive technology, such as in-vitro fertilization.

Did you know…

that approximately one in every ten pregnancies is classified as high risk? However, classification of ‘high risk’ or ‘low risk’ is merely a tool for obstetricians to determine the likelihood of complications. Plenty of high-risk pregnancies have normal outcomes, and some low-risk pregnancies present unexpected complications. Not all problems are predictable, but even with pregnancy challenges, both low-risk and high-risk mothers can experience healthy deliveries and healthy babies.

Will I be at high risk during my pregnancy?

There are several factors that can contribute to a pregnancy being classified as ‘high risk.’ Examples include:

  • Being over age 35 or under age 15 during pregnancy.
  • Pregnancies carrying multiple babies.
  • Prior pregnancy complications, such as pre-term birth or postpartum hemorrhaging.
  • Lifestyle habits, such as using tobacco or drinking alcohol.
  • Pre-existing health conditions, such as diabetes.
  • Complications of pregnancy, such as severe morning sickness.

What should I expect during a high-risk pregnancy?

If your pregnancy is deemed ‘high risk,’ you can expect more frequent prenatal appointments than women experiencing low-risk pregnancies. You may also be subject to additional screenings, such as amniocentesis, chorionic villus sampling (placental cell screening), and cervical length measurement. These additional screenings can help identify your risks for things like pre-term labor or delivering a child with certain genetic conditions.

Will I need to follow any special care instructions throughout my pregnancy?

Your prenatal care will vary from that of low-risk pregnancies, and it is possible that your obstetrician will make special recommendations for care, such as avoiding exercise or remaining on bed-rest throughout your pregnancy. Be sure to discuss your concerns about your high-risk pregnancy care prior to becoming pregnant or at your initial prenatal appointment.

Will my baby be okay if I’m high-risk?

If you have a high-risk pregnancy, one of your biggest worries will probably be whether any harm will come to your baby. It’s natural to be concerned. However, with good prenatal care it’s possible to have a healthy baby. Healthy moms grow healthy babies: That’s why it’s so important to talk to your provider to find out how best to keep you and your baby safe.

How can I reduce the risk of pregnancy complications?

There are a few things you can do to reduce the risk of pregnancy complications when you’re high risk:

  • If you’re not yet pregnant, schedule a preconception visit with your doctor. Plan this at least a few months (or more, depending on your condition) before you start trying to conceive. This gives you time to make any changes your doctor recommends before you become pregnant. (You may also go through “How to Plan and Prepare for a Healthy Pregnancy “)
  • Find out all you can about your condition and what you can do to stay healthy. Ask your doctor for information.
  • At your first prenatal visit, tell your doctor about any current health problems you have, any medication you’re taking, and any difficulties you had in previous pregnancies.
  • Go to all your prenatal appointments and follow your doctor’s advice.
  • Have a healthy lifestyle: Follow your provider’s nutritional guidance, gain the right amount of weight, and stay active if you’re able.
  • Don’t smoke or drink alcohol.
  • Look after your emotional well-being. Take time out for yourself and reduce your stress levels where you can.
  • Ask your partner, family, and friends for support – this is likely to be a stressful time.


Dr Sobia Mohyuddin

MCPS, FCPS, MRCOG, Consultant Obstetrics & Gynaecology

Doctor Sobia Mohyuddin is a highly skilled and experienced Obstetrician and Gynecologist, with 25 years of training and experience in renowned, large institutions. She holds the position of Associate Professor and Fellow at the College of Physicians and Surgeons Pakistan. She is also a member of the Royal College of Obstetricians and Gynecologists (UK).