Dr Oukacha Nadia - Obstetrics specialist in Casablanca

Monitoring high-risk pregnancies

High-risk pregnancies are pregnancies that pose risks to the health of the mother and/or child.

They are due either to a pre-existing pathology in the mother, or to the development of the fetus, or to the occurrence of specific events during pregnancy.

A high-risk pregnancy occurs when the mother-to-be presents a high-risk background: a very young or elderly woman, or one who suffers from a chronic illness such as diabetes, high blood pressure or heart disease....; similarly, if she has a twin or multiple pregnancy, or a particular obstetrical history such as uterine malformation or placenta acreta....

Mothers with no particular problems at the outset may experience pregnancy complications such as haemorrhage, gravid hypertension, infection (e.g. severe urinary tract infection), phlebitis or even pulmonary embolism, all of which need to be diagnosed and treated rapidly.

That's why pregnancies - all pregnancies - must be periodically monitored during obstetric consultations and by ultrasound scans, sometimes combined with uterine and/or umbilical Doppler or even fetal well-being monitoring.

We detail the two most common pathologies in current practice, namely gestational diabetes and pre-eclampsia.

Other pathologies are listed here for information only, as their management is often multidisciplinary, requiring parallel monitoring by other specialists (cardiologist, haematologist, nephrologist, addictologist, infectiologist....).

Gestational diabetes: This is a sugar intolerance that occurs specifically during pregnancy:

Gestational diabetes can be detected by a urine test (glycosuria) or a blood test.

Treatment is based on a special diet that limits the intake of fast sugars. If this is not enough to normalize blood sugar levels, insulin injections may be necessary.

One of the main complications of gestational diabetes is having a «big» baby, with the risk of premature delivery sometimes caused by excess amniotic fluid, or a difficult delivery.

The baby may also be hypoglycemic at birth.

Diabetes usually ceases after pregnancy, but may reappear during a subsequent pregnancy or at menopause (a diet low in fast sugars and regular exercise can help prevent this).

Pre-eclampsia: renal disease with hypertension, which can occur in the third trimester of pregnancy, sometimes earlier in the second trimester.

It is associated with proteinuria, high blood pressure and oedema (swelling of fingers, feet, face).

It requires close monitoring of the fetus because of the risk of intrauterine growth retardation, retroplacental hematoma, premature birth and intrauterine fetal death.

Treatment combines antihypertensive drugs and rest, usually during hospitalization.

One of the main complications of this disease, when undetected and untreated, is the onset of eclampsia (a combination of very high blood pressure and convulsions), which can be life-threatening for the mother-to-be.

Other risk situations during pregnancy :

Care philosophy

A holistic approach to women's health

Dr Nadia Oukacha puts her expertise in gynecology, obstetrics and fertility at the service of every woman, combining listening, prevention and cutting-edge technology.

Active listening and caring

Each consultation begins with an in-depth discussion to understand your needs and establish a climate of trust.

Comprehensive, personalized approach

A complete check-up, nutritional advice and psychological follow-up are adapted to your age and life situation.

Focus on prevention

Regular smear tests, screening and check-ups aim to anticipate risks and preserve your health over the long term.

Frequently asked questions (FAQ)

Here you'll find answers to the most frequently asked questions about consultations, specialties, booking appointments and how the practice works.

How do I make an appointment with Dr Oukacha?

You can book your consultation directly online via our website or by calling the practice on +212 606 12 12 13. A contact form is also available on the site.

What are Dr Nadia Oukacha's specialties?

Dr Oukacha specializes in :

  • Gynecology (consultations, pap smears, colposcopy, ultrasounds)

  • Obstetrics (pregnancy monitoring, ultrasound, amniocentesis)

  • Intimate and breast surgery

  • Fertility and medically assisted reproduction (MAP)

What examinations are carried out at the clinic?

The practice is equipped for :

  • Gynecological and obstetrical ultrasounds

  • Cervico-vaginal smear

  • Colposcopy

  • Fertility assessment

What are the opening hours?

  • Monday to Friday: 9:00 am - 5:00 pm

  • Saturday: 9:00 am - 1:00 pm

  • Sundays and public holidays: closed

Where is the office located?

The office is located in Casablanca, at 125 BD Brahim Roudani, 1st floor, Appt 11. An interactive map is available on the Contact page.

Book your consultation

Access specialized gynecology, obstetrics and fertility care with confidence and simplicity.