Pregnancy is a transformative journey, but it doesn’t always unfold predictably. It involves extra monitoring and care for some women due a high-risk pregnancy. While the term might sound alarming, many women with high-risk pregnancies still manage to deliver their babies with proper guidance, support, and timely medical attention.
Understanding what makes a pregnancy high-risk and how to manage it effectively is the first step towards a healthier experience for both mother and baby.
What Is Considered a High-Risk Pregnancy?
A high-risk pregnancy doesn’t mean the outcome will be negative, but it does signal that medical, physical, or situational factors could increase the likelihood of complications during pregnancy or delivery.
These pregnancies can involve risks that present before conception, such as chronic illnesses or genetic concerns. In other cases, complications develop as the pregnancy progresses, such as gestational diabetes or issues with the placenta. The label “high-risk” is a clinical term that prompts closer observation and more personalised care.
For example, a woman with a history of preeclampsia or who is expecting twins may need more frequent scans and consultations. A mother-to-be over the age of 35 may require genetic testing and additional screening to track fetal development. Sometimes, it may involve working with multiple healthcare professionals to manage overlapping concerns.
In Singapore, this type of pregnancy is typically supported by a multidisciplinary team led by an obstetrician/gynaecologist who can coordinate care, monitor changes, and make informed decisions quickly.
Common Causes of High-Risk Pregnancies
These are some of the most common causes of high-risk pregnancies.
Maternal Age
Age plays a key role. Women under 17 or over 35 are more likely to experience pregnancy complications. For older mothers, the risk of genetic conditions and gestational diabetes can be higher. Younger mothers, especially teens, may face challenges such as preterm labour or low birth weight. Regardless of age, individualised care from a skilled obstetrician in Singapore can make a big difference.
Pre-existing Medical Conditions
Health conditions that existed before pregnancy, like hypertension, diabetes, thyroid disorders or autoimmune diseases, may influence how the pregnancy develops. These conditions can increase the chances of complications but can often be managed safely with the right medical plan.
Pregnancy-Related Complications
Some issues develop only after conception. Preeclampsia, gestational diabetes, placenta previa, or having multiple pregnancies can shift a routine pregnancy into the high-risk category. These complications usually require closer monitoring to ensure both mother and baby are well-supported throughout the pregnancy.
Lifestyle Factors
Habits and daily routines also matter. Smoking, alcohol consumption, drug use, or being significantly underweight or overweight can all increase the risk of pregnancy-related complications. Addressing these lifestyle issues early helps improve outcomes significantly.
Previous Pregnancy Issues
A history of miscarriage, preterm birth, or caesarean delivery may affect future pregnancies. Each of these experiences provides insight into what kind of care and precautions may be needed this time round.
Managing a High-Risk Pregnancy
A high-risk label doesn’t define the outcome of your pregnancy. With the proper steps, many women go on to have healthy deliveries. Here’s how good management looks like.
Early and Regular Prenatal Care
Starting prenatal care early allows for potential risks to be identified and managed from the start. Regular check-ups help your doctor track your baby’s development and respond quickly to any changes. It’s the best way to stay ahead of any concerns.
Working with a Gynecologist & Obstetrician
A high-risk pregnancy requires the care of a specialist who understands the nuances of both maternal and fetal health. An obstetrician in Singapore with experience in high-risk cases can provide a personalised care plan, tailor testing schedules, and advise you on what to expect. Dr Chang is a Maternal Fetal Medicine specialist who does his own prenatal diagnostic procedures and high risk pregnancy scans to optimize the health of your pregnancy.
Healthy Lifestyle Adjustments
Eating well, sleeping enough, and reducing stress all help your body cope better during pregnancy. Even gentle daily walks can improve blood circulation and mood. Avoiding processed foods and staying hydrated also supports your body’s changing needs.
Managing Underlying Health Conditions
If you’re already dealing with conditions like high blood pressure or diabetes, it’s key to work closely with your primary doctor. Medication adjustments might be needed, and regular screenings can help keep your condition stable.
Planning for Delivery
Some high-risk pregnancies benefit from earlier or more controlled deliveries. Your doctor may discuss birth plans, including induction or a scheduled caesarean, based on your specific condition.
Emotional Support and Mental Health
Beyond physical care, emotional well-being matters just as much. High-risk pregnancies can bring added stress, anxiety, or even guilt. Talking to a counsellor, joining a support group, or simply sharing your feelings with trusted loved ones can lighten the emotional load.
Personalised Care with an Obstetrician and Gynecologist in Singapore
Every pregnancy comes with its own story. When the journey is high-risk, an obstetrician with years of experience helping mothers in Singapore can help.
Whether you’re managing a pre-existing condition, carrying multiples, or simply seeking peace of mind, Dr TC Chang offers care that is tailored to your needs. From the first appointment to the final trimester, he’ll explain every step clearly and adjust your screening and tests as necessary for your particular condition.
