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Screening in high-risk pregnancies

Anna Piotrowska Source: J.W.Dudenhausen: Practical obstetrics and obstetric surgery; PZWL 2009,Warsaw, p.35.37.

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Screening in high-risk pregnancies

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Pregnancy check-ups

A high-risk pregnancy means a pregnancy in which there is a risk to the woman or the baby.

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The German Society for Perinatal Medicine outlines such risk factors that carry a risk:

  • pregnancy-induced hypertension;
  • pregnancy transmission;
  • haemolytic disease of the fetus;
  • diabetes;
  • preterm delivery;
  • woman's age under 15 or over 40;
  • organ diseases: heart, cardiovascular, lung, liver, kidney, thyroid;
  • anaemia of the pregnant woman;
  • abnormal position of the baby;
  • obesity of the pregnant woman;
  • abnormal size of the uterus in relation to the age of pregnancy;
  • infectious diseases: syphilis, tuberculosis, aids, herpes, viral diseases;
  • bleeding;
  • multiple pregnancy;
  • serological conflict;
  • pre-eclampsia.

In pregnant women whose pregnancy is a risk to mother and baby, additional tests are performed to give more accurate information.



photo: pantherstock

Diagnostics include:

  1. assessment of placental respiratory function;
  2. assessment of placental nutritional function;
  3. assessment of fetal lung maturity;
  4. prenatal diagnosis of genetic defects.