HIGH RISK PREGNANCY
Prepared by:
DR. JUDITH M. MANUEL
Professor, Obstetric Nursing 2
,Goals of Prenatal Care
• The major goal of prenatal care is to help ensure the birth
of a healthy baby while minimizing risk to the mother
The components involve in achieving this objective:
1. Early, accurate determination of gestational age
2. identification of pregnancies at increased risk for
maternal or fetal morbidity or mortality
3. Ongoing evaluation of maternal & fetal health status
4. Anticipation of problems with intervention, if possible, to
prevent or minimize morbidity
5. Health promotion , education, support and shared
decision making
,Risk Assessment during Pregnancy
▪ Risk assessment is part of routine prenatal care
▪ Risk factors are assessed systematically because each
risk factor present overall risk
▪ High-risk pregnancies require close monitoring and
sometimes referral to perinatal center, especially if women
have complex-high risk conditions
▪ These centers offer many specialty and subspecialty services,
provided by maternal, fetal and neonatal specialists
, High-Risk pregnancy
• A high-risk pregnancy involves at least one of the
following:
1. the woman or baby is more likely to become ill or die
than usual
2. Complications before and after delivery are mor likely to
occur than usual
*High-risk patients require sophisticated maternal and fetal
surveillance and in many occasions, difficult management
decisions in order to optimize their outcomes.
Prepared by:
DR. JUDITH M. MANUEL
Professor, Obstetric Nursing 2
,Goals of Prenatal Care
• The major goal of prenatal care is to help ensure the birth
of a healthy baby while minimizing risk to the mother
The components involve in achieving this objective:
1. Early, accurate determination of gestational age
2. identification of pregnancies at increased risk for
maternal or fetal morbidity or mortality
3. Ongoing evaluation of maternal & fetal health status
4. Anticipation of problems with intervention, if possible, to
prevent or minimize morbidity
5. Health promotion , education, support and shared
decision making
,Risk Assessment during Pregnancy
▪ Risk assessment is part of routine prenatal care
▪ Risk factors are assessed systematically because each
risk factor present overall risk
▪ High-risk pregnancies require close monitoring and
sometimes referral to perinatal center, especially if women
have complex-high risk conditions
▪ These centers offer many specialty and subspecialty services,
provided by maternal, fetal and neonatal specialists
, High-Risk pregnancy
• A high-risk pregnancy involves at least one of the
following:
1. the woman or baby is more likely to become ill or die
than usual
2. Complications before and after delivery are mor likely to
occur than usual
*High-risk patients require sophisticated maternal and fetal
surveillance and in many occasions, difficult management
decisions in order to optimize their outcomes.
