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What constitutes a high-risk pregnancy?

If you have any of the conditions or circumstances outlined below, your pregnancy is likely to be considered high-risk by the experts at the UI Hospitals & Clinics. Outcomes for babies born from high-risk pregnancies may do significantly better if they are placed in a Level 4 Neonatal Intensive Care Unit (NICU) such as the NICU at University of Iowa Stead Family Children’s Hospital, which has the only Level 4 NICU in Iowa.

When pregnancy takes an unexpected turn and complications arise, it is important to know that there are physicians who specialize in the care of the unexpected. You may only need to see a high-risk obstetrician for a consultation and treatment options before returning to your primary physician for the management of the complication. However, some complications will require the high-risk obstetrician to assume the management of your pregnancy until the baby is delivered.

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  • Advanced maternal age (over age 35)
  • Blood problems (sickle cell anemia or idiopathic thrombocytopenia purpura (ITP))
  • Cancer (lymphoma, melanoma, or other cancers)
  • Shorts Boutique Japna Shorts Japna Japna Shorts Japna Shorts Boutique Boutique Boutique Cardiovascular problems (congenital heart disease, arrhythmia, cardiac anomalies, or cardiomyopathies)
  • Diabetes (type 1, type 2, gestational diabetes mellitus, or other endocrine disorders)
  • Fibroids
  • Boutique Boutique Boutique Shorts Japna Japna Boutique Japna Japna Shorts Shorts Shorts First trimester screening abnormalities
  • Gastrointestinal disease (Crohn's disease or pancreatitis)
  • High blood pressure (hypertension or preeclampsia)
  • History of previous complications
  • HIV/AIDS
  • Incompetent cervix
  • Intrauterine growth restriction
  • Liver problems (hepatitis, cirrhosis, or transplant)
  • Miscarriages (three or more in first trimester)
  • Molar pregnancies
  • Multiple gestations (twins, triplets, etc.)
  • Musculoskeletal disorders
  • Neurological problems (stroke, multiple sclerosis, seizures, myasthenia gravis, or pseudotumor cerebri)
  • Preterm labor
  • Stillbirth (death of a fetus during pregnancy)
  • Uterine abnormalities

Our services include:

  • Amniocentesis
  • Cordocentesis (fetal blood sampling)
  • Shorts Boutique Shorts Japna Japna Boutique Boutique Japna Shorts Shorts Boutique Japna Counseling services for families regarding options for treatment, follow-up, and future childbearing
  • CVS (Chorionic villus sampling)
  • Diabetic evaluation, education, monitoring and management; glucose tolerance tests are performed for monitoring
  • Dietary consultation services as needed
  • Intrauterine transfusion (IUT) for Rh disease and other disorders
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  • Nonstress tests (antenatal testing for fetal well-being)
  • Nursing evaluation of patient educational needs
  • Boutique Japna Shorts Shorts Boutique Japna Boutique Shorts Japna Japna Boutique Shorts Ongoing medical evaluation and treatment
  • Postpartum evaluation
  • Social service counseling as needed
  • Specialized ultrasound testing to rule out anomalies

Care Team