Pregnancy is often described as a beautiful, life-changing journey—but it can also present unique challenges. Not all pregnancies are the same, and some require extra monitoring and care to ensure both mother and baby remain healthy. These are known as high-risk pregnancies. Understanding what factors classify a pregnancy as high-risk can help expectant mothers receive the proper support and guidance from experienced healthcare professionals.

Maternal Factors That May Increase Risk

One of the most significant contributors to a high-risk pregnancy is maternal health. Certain pre-existing conditions can increase the likelihood of complications during pregnancy. For example:

• Age over 35: While women of any age can have healthy pregnancies, those over 35 may face increased risks of complications such as gestational diabetes, high blood pressure, and chromosomal abnormalities in the baby.

• Chronic health conditions: Women managing diabetes, high blood pressure, autoimmune disorders, or heart disease may require closer monitoring throughout pregnancy. These conditions can affect both maternal and fetal health, making early intervention and consistent prenatal care essential.

• Obesity or underweight status: Both extremes of body weight can impact pregnancy outcomes. Excess weight may increase the risk of gestational diabetes, preeclampsia, and cesarean delivery, while being underweight can contribute to low birth weight or preterm labor.

By carefully evaluating these factors and addressing potential complications, expectant mothers can take proactive steps toward a safer pregnancy. Dr. Joseph Leveno, a highly experienced OBGYN at Medical City Plano, specializes in guiding patients through these high-risk scenarios, providing personalized care to help both mother and baby thrive.

Pregnancy-Related Complications

Even if a woman starts pregnancy in good health, complications can still arise that classify the pregnancy as high-risk. Some common pregnancy-specific issues include:

• Multiple gestation (twins, triplets, or more): Carrying more than one baby can increase the risk of preterm labor, low birth weight, and gestational diabetes. High-risk pregnancies with multiples often require more frequent monitoring and ultrasounds to track fetal growth and maternal health.

• Preeclampsia: This condition is marked by high blood pressure and signs of organ damage, usually after the 20th week of pregnancy. If left untreated, preeclampsia can pose serious risks to both mother and baby. Early detection and management are key, and Dr. Leveno works closely with his patients to monitor blood pressure and organ function throughout pregnancy.

• Gestational diabetes: Some women develop diabetes during pregnancy, which can increase the risk of high birth weight, preterm birth, and complications during delivery. Careful monitoring of blood sugar levels and nutrition is essential for reducing these risks.

Addressing these complications early through regular prenatal visits allows for timely interventions that can make a significant difference in outcomes for both mother and baby.

Lifestyle and Pregnancy History

Lifestyle choices and previous pregnancy experiences can also play a role in classifying a pregnancy as high-risk. Important considerations include:

• Smoking, alcohol, or drug use: These habits can negatively impact fetal growth and development, increase the risk of preterm birth, and contribute to long-term health issues for the baby. Quitting or avoiding these substances is strongly recommended.

• Previous preterm birth or pregnancy complications: Women who have experienced preterm labor, stillbirth, or other complications in prior pregnancies may require additional monitoring in subsequent pregnancies.

• Genetic conditions or family history: Certain inherited conditions may increase the risk of complications. Genetic counseling can help assess these risks and guide prenatal care decisions.

Dr. Leveno emphasizes a proactive approach, working with patients to minimize lifestyle-related risks and address any concerns related to pregnancy history. This guidance can improve the likelihood of a healthy pregnancy and delivery.

Why Partnering with a High-Risk Pregnancy Specialist Matters

High-risk pregnancies benefit from specialized care and closer monitoring. This may include more frequent ultrasounds, lab tests, or consultations with maternal-fetal medicine specialists. Having a knowledgeable OBGYN like Dr. Leveno ensures that you receive comprehensive care tailored to your unique needs.

From evaluating your medical history to guiding you through nutrition, exercise, and prenatal testing, a high-risk pregnancy specialist is your partner in maintaining both maternal and fetal health. Early intervention and ongoing support can significantly reduce complications and help you feel confident throughout your pregnancy journey.

Take the First Step Toward a Safe Pregnancy

If you suspect your pregnancy may be high-risk or simply want to ensure the best possible outcome, scheduling a consultation with Dr. Leveno at Medical City Plano is the first step. With personalized guidance, careful monitoring, and compassionate support, Dr. Leveno helps expectant mothers navigate their pregnancies safely, giving both mom and baby the healthiest start possible.