Perinatology - High Risk Pregnancy

Perinatology is the science of high-risk pregnancy. However, not only high-risk pregnant women but also healthy pregnant women with no problems in herself and her baby are monitored in perinatology centers and their screening tests are performed there.

What is done in perinatology center?

Double, triple and quadruple tests to determine the risk of Down syndrome, fetal DNA tests inside of the womb; detailed ultrasonography and fetal echocardiography  to determine possible anomalies in baby are performed. If an anomaly is determined in screening tests or detailed ultrasonography, further evaluations are conducted. Invasive operations such as amniocenteses (taking sample from the fluid baby is in), chorionic villus sampling, cordocentesis (taking sample from umbilical cord of baby), amnioreduction (decreasing the amount of the fluid the baby is in), amnioinfusion (supplying fluid to the womb) are performed in these centers.

Pregnant women with prepregnancy chronic diseases and pregnant women with pregnancy tension and diabetes must be monitored with a multidisciplinary approach. It is appropriate to monitor the patients in the hospitals with nephrology, cardiology, endocrinology, diet, rheumatology, neurology, gynecology and obstetrics, anesthesiology and neonatal units.

if there is a heart problem in baby, it is recommended to give birth in a hospital with pediatric cardiologist and if there is a disease requiring postnatal surgery, it is recommended to give birth in a hospital with pediatric surgery and brain surgeon.

Who are the high-risk pregnant women?

High-risk pregnant women are pregnant women over the age of 35, multiple pregnants, women became pregnant by techniques such as test-tube baby or Intrauterine insemination, women who has chronic hypertension, diabetes, rheumatism, heart disease, kidney disease, liver disease, neurological diseases such as epilepsy, patients with a story of toxemia of pregnancy, pregnancy diabetes, preterm delivery, baby death in womb or neonatal term, overweight pregnants (whose body mass index is >30kg/m2), women with a recurrent miscarriages, deficiency in cervix and who had a surgery to restore the uterus shape, patients with myoma and antiphospholipid antibody syndrome.

Why close monitoring is important?

Women who have a high-risk pregnancy should be monitored by physicians experienced in high-risk pregnancies, because diseases of these patients may suddenly worsen, even though these do not create problems very long time. Patients should know when they need to make contact with the doctor immediately and they should plan their birth to be given in centers in which all the required interventions can be done when they come in case of emergency.

Published On: 27.08.2015
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