Overview

• Risk Factors for High-Risk Pregnancies ⇒
  • Age <15 or >35.
  • Height <5ft.
  • Uterine Malformations.
  • Being Single.
  • Ilicit Drugs.
  • Low Socioeconomic Status.
  • Hypothyroid.
  • Pre-Pregnancy weight <45kg or obese.
  • Incompetent cervix.
  • Small pelvis.
  • Smoker / Alcohol.
  • No access to early prenatal care.
  • Previous hx of recurrent miscarriages.
  • Hyperthyroid
  • Any previous complicated pregnancies (BIGGEST RISK FACTOR)

Making Diagnosis

Clinical Features

Investigations

Management Plan

• High-Risk ⇒ refer to obstetrician led-care.
  • Continued surveillance for high risk patients (more frequent scans).
  • High Dose Folate 5mg → previous child with NTD, woman on anti-epileptic, HIV positive taking co-trimoxazole, DM, obesity, sickle cell.
  • Low dose aspirin (75mg, OD) as prophylaxis for pre-eclampsia.

Complications →

Prognosis →