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    6 Smart Strategies for a Low-Risk Second Pregnancy

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    A high-risk pregnancy is one that endangers the mother’s or her fetus’s health or life, and according to studies, only 6-8% of all pregnancies are high-risk. Although most women have normal pregnancies, understanding more about common pregnancy issues can help you make better decisions for your health and the health of your kid.

    “Some conceptions become a high risk as they advance, while some women are at a greater risk for complications even before they get pregnant for an array of reasons,” said Dr Sujata Gandhare-Rajput, Senior Consultant – Obstetrician and Gynaecologist at Cloudnine Group of Hospitals on Pune’s SB Road.

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    Early and consistent prenatal care enables many women to have safe pregnancies and births free of problems. It frequently needs specialised treatment from carefully trained personnel.”

    Risk factors for a high-risk pregnancy, according to her, might include:

    • Existing medical issues, such as high blood pressure, diabetes, or HIV infection.
    • Obesity and being overweight.
    • Obesity raises the risk of hypertension, preeclampsia, gestational diabetes, stillbirth, neural tube abnormalities, and caesarean section.

    Tips for avoiding a high-risk pregnancy – Dr Sujata Gandhare-Rajput recommended the following six precautions to avoid a high-risk pregnancy:

    1. Maintain or attain a healthy weight prior to pregnancy –

    Being overweight or obese while pregnant raises the risk of issues such as high blood pressure, hypertension, gestational diabetes, and stillbirth. If you intend to become pregnant, losing weight before to conception lowers your chance of difficulties. To reduce weight and maintain a healthy weight, eat a nutritious diet and undertake frequent exercise. To ensure safe labour and delivery, follow the doctor’s weight growth suggestions while pregnant.

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    2. Pre-existing medical problems should be managed –

    Uncontrolled pre-existing medical issues can make pregnancy dangerous. High blood pressure, heart disease, diabetes, sexually transmitted infections (STDs) including HIV, and autoimmune disorders such as lupus or multiple sclerosis are all common problems that might interfere with conception. Pregnancy is hard on your body. Managing health issues with medication and lifestyle modifications before to pregnancy allows your body to function optimally while pregnant.

    3. Take prenatal vitamins –

    Your body needs more of certain nutrients when pregnant to support your developing kid. Taking a prenatal vitamin or supplement can provide you with folic acid, iron, protein, and calcium that you would not normally get through your diet.

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    4. Avoid alcohol, cigarettes, and illegal substances –

    While pregnant, drinking alcohol, smoking or using tobacco products, and using drugs can all have a negative influence on your baby’s health. If you use alcohol while pregnant, you increase your chances of developing Foetal Alcohol Spectrum Disorder, which causes catastrophic birth abnormalities. Cigarette smoking can result in low birth weight newborns and possibly intrauterine foetal death. Using illicit drugs or abusing prescription pharmaceuticals can result in birth abnormalities, and newborns can be born addicted to a substance used during pregnancy. During pregnancy, only take the drugs advised by your doctor.

    5. Understand the dangers of advanced maternal age –

    Beginning at the age of 35, your chance of pregnancy problems rises. Complications include the inability to become pregnant, miscarriage, and genetic problems in the infant. Fertility begins to drop gradually around the age of 30 and accelerates for women 35 and beyond. Common difficulties for moms over the age of 35 include:

    • Premature delivery
    • Birth weight is too light
    • Pregnancy diabetes
    • Preeclampsia
    • A c-section (caesarean) birth is required.
    • Women in their twenties have the lowest chance of pregnancy problems.

    6. Visit the doctor on a frequent basis during your pregnancy –

    Prenatal checkups are essential for monitoring both your health and the health of your growing baby. The doctor monitors your vital signs and the baby’s progress at each consultation. If any potential problems are discovered, such as gestational diabetes or preeclampsia, we will devise a treatment plan to ensure that you have the healthiest pregnancy and birth possible.

    The interval between two pregnancies

    “While having a second child is a personal choice,” Dr Sujata Gandhare-Rajput remarked, “it’s considered best to wait for some time before conceiving again.” Most women nowadays begin their pregnancies late, in their thirties, leaving them with little choice but to have a large gap between two pregnancies due to declining fertility.”

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