High Risk Pregnancy

The type of pregnancy that can affect the health of the mother and her baby, or it can be fatal for either of them is called a high-risk pregnancy. Some of the factors that can result in a high-risk pregnancy are hypertension, PCOS, kidney or heart problems, autoimmune disease, smoking, alcoholism, drug abuse, obesity, advanced maternal age, and thyroid disorder.

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Why did USG at 16 weeks show separation of amnion and chorion?

Query: Hi doctor, My wife is pregnant now. Her first pregnancy was completely normal. Now, at 13 weeks she had major bleeding and that took us to the ER. US showed movement and heartbeat.  Since then, she has continued to bleed with dark brown clots and occasional red blood. She had 16 week US and it sh...  Read Full »


Dr. Sweta Singh

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. First, let me say that I am sorry for your wife's trouble in this pregnancy. It appears as if there is a placental separation and there is a chance that your wife may miscarry. Lower back ache and continuous bleeding are not very good signs of a normal pregnancy, unfortun...  Read Full »

I have had two C-sections. What are the risks of getting pregnant again?

Query: Hi doctor, A couple of days before I found out that I am pregnant. According to the first day of last menstrual period, I am about four and a half weeks pregnant. This is my fourth pregnancy. I had an ectopic pregnancy before four years. Then gave a birth after a year through emergency cesarean and ...  Read Full »


Dr. Anindya Das

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I think your GP has guided you correctly. Abortion can be associated with complications, some of which may be major. Your gynecologist informed you about your weak uterine scar. So, continuation of pregnancy can be risky as well. In my opinion you should consult y...  Read Full »

How does diabetes affect the baby during pregnancy?

Query: Hi doctor, My sister is 21 years old with type 1 diabetes. When she was 35 weeks pregnant, she had a cesarean section delivery. The baby's heartbeat stopped and they could not get it started. The doctors are blaming it to be due to diabetes. They said that the baby's blood acid was 25, which is five...  Read Full »


Dr. Anshul Varshney

Criticalcare Physician, Diabetologist, General Medicine Physician, Internal Medicine Physician, Medical Gastroenterologist, Nephrologist, Pulmonologist, Rheumatologist

Answer: Hi, Welcome to icliniq.com. We are here to help you. Diabetes is a big problem and so, the pregnancy during diabetes is labeled as high risk pregnancy. It is very uncertain to know what side effect might occur. However, the side effects can vary from person to person. It is very difficult to commen...  Read Full »

Please tell me the dos and don'ts after cervical cerclage.

Query: Hi doctor, I am 110 days pregnant. When we took scan in the 13th week, the report showed that the uterus is open. They said it as cervical incompetence and immediately advised operation for cervical suturing treatment. I need a second opinion regarding this. Thank you.  Read Full »


Dr. Sweta Singh

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. If the ultrasound shows your cervix is open, then you need to follow the doctor's advice and get the stitching done. Otherwise, there is a very high chance of losing the pregnancy. It is a minor short procedure done under anesthesia and you will need to be admitted for on...  Read Full »

Why results in high neutrophils during pregnancy?

Query: Hello doctor, My wife is in her 31st week of pregnancy with neutrophils at 77.3% and lymphocytes at 11.6% which is low. Again RBC, PCV and platelet count is also low. I am really worried what can be the reason.  Read Full »


Dr. Sagar Ramesh Makode

Cardiologist, General Medicine Physician, Internal Medicine Physician, Family Physician, General Practitioner

Answer: Hello, Welcome to icliniq.com. These are likely physiological, normal changes which occur during pregnancy. There is an increase in neutrophils and relative fall in lymphocytes. Also, there is mild fall in platelet count and hemoglobin. Only low hemoglobin is treated with iron supplements durin...  Read Full »

Should I avoid folic acid during MTHFR pregnancy?

Query: Hello doctor, I am 5 weeks pregnant and I have MTHFR and PAI mutations. My doctor recommended me to take Folic acid. I read it should be avoided during MTHFR pregnancies. Along with that I am on Prozac and Euthyrox. What do you think? What should I do? Please help.  Read Full »


Dr. Sanjay Kumar Bhattacharyya

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. Truly speaking, MTHFR - methylene tetrahydrofolate reductase mutations are widely spread and all most one half of the population is having or carrying these mutations by different extent. By different extent, I mean to say, various levels of affection or involvement tha...  Read Full »

Is it safe to travel with placenta previa?

Query: Hi doctor, Last week, on my second scan (20 week pregnancy), I was diagnosed with the low-lying placenta. I did not have any bleeding or pain so far. I am going for my holiday in five days, and I am wondering if I can fly. Is it safe?  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. Low lying placenta makes you a high-risk pregnancy anyways and travelling is usually to be avoided in such conditions as bleeding may start due to undue jerks during travelling. But, low lying placenta again is not placenta previa if the lower end of the place...  Read Full »

I have a history of miscarriages and now my UPT is positive. Can taking hCG injection help me?

Query: Hello doctor, My lmp was on five months ago. I was spotting for three days during my lmp and got a positive strip test after seven days. My beta hCG level on the day of a positive result was 126, and after two days, it was 125. I am being told that I will get periods in two weeks but told to continu...  Read Full »


Dr. R Balakrishnan Menon

Infertility Specialist, Obstetrician And Gynaecologist

Answer: Hello, Welcome to icliniq.com. Unfortunately what your doctor has said is right. Spotting in early pregnancy is normal. But a fall or no rise beta HCG is a poor sign. Beta hCG is a hormone produced from fetal tissue. At a level of 25 mIU/mL urine test is positive it doubles in 48 hours. So if the ...  Read Full »

To avoid diabetes during pregnancy, what diet should have to follow?

Query: Hello doctor, I am 26 weeks pregnant. This weekend I had my glucose tolerance test (3 hours) and on which I failed badly. My fasting numbers were 172, 325 and 318. I know they are bad, but my doctor never told me to follow a strict diet of three to five days prior to the test. In my pregnancy, I ...  Read Full »


Dr. Sameer Kumar

Family Physician, Obstetrician And Gynaecologist, Infertility Specialist

Answer: Hello, Welcome to icliniq.com. You are suffering from gestational diabetes mellitus without any doubt. As per IADPSG criteria (International Association of Diabetes and Pregnancy Study Group) and DIPSI criteria (The Diabetes and Pregnancy Study Group India) both makes you overt diabetic. T...  Read Full »

How to avoid recurrence of ectopic pregnancy?

Query: Hi doctor, My wife had an ectopic pregnancy seven months ago. Through a surgery right side fallopian tube was removed at that time. Now what kind of treatment does she need to avoid ectopic pregnancy again? Please suggest.  Read Full »


Dr. Megha Tuli Gupta

Obstetrician And Gynaecologist

Answer: Hi, Welcome to icliniq.com. I understand your concern. Actually, there is no treatment or medicine to prevent ectopic pregnancy. Only thing to look for is to avoid using copper-T for contraception as this may increase the chance of ectopic pregnancy in case you conceive. Take care to get an early ul...  Read Full »

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