{"id":43808,"date":"2025-08-11T14:06:56","date_gmt":"2025-08-11T14:06:56","guid":{"rendered":"https:\/\/droukacha.formation360.ma\/?page_id=43808"},"modified":"2025-09-09T14:38:02","modified_gmt":"2025-09-09T14:38:02","slug":"suivi-de-grossesse-a-risque","status":"publish","type":"page","link":"https:\/\/docteuroukachanadia.com\/en\/suivi-de-grossesse-a-risque\/","title":{"rendered":"Monitoring high-risk pregnancies"},"content":{"rendered":"
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Dr Oukacha Nadia - Obstetrics specialist in Casablanca<\/h6>\t\t\t\t<\/div>\n\t\t\t\t
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Monitoring high-risk pregnancies\n<\/h1>\t\t\t\t<\/div>\n\t\t\t\t
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High-risk pregnancies are pregnancies that pose risks to the health of the mother and\/or child.<\/p>

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.<\/p>

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....<\/p>

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.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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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.<\/p>

We detail the two most common pathologies in current practice, namely gestational diabetes and pre-eclampsia.<\/p>

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....).<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t

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Book your consultation<\/span><\/span><\/a><\/div><\/div>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t
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Gestational diabetes:<\/b> This is a sugar intolerance that occurs specifically during pregnancy:\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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Gestational diabetes can be detected by a urine test (glycosuria) or a blood test.<\/p>

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.<\/p>

One of the main complications of gestational diabetes is having a \u00abbig\u00bb baby, with the risk of premature delivery sometimes caused by excess amniotic fluid, or a difficult delivery.<\/p>

The baby may also be hypoglycemic at birth.<\/p>

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).<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t

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Pre-eclampsia:<\/b> renal disease with hypertension, which can occur in the third trimester of pregnancy, sometimes earlier in the second trimester.<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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It is associated with proteinuria, high blood pressure and oedema (swelling of fingers, feet, face).<\/p>

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

Treatment combines antihypertensive drugs and rest, usually during hospitalization.<\/p>

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.<\/p><\/div><\/div><\/div><\/div><\/div><\/div><\/div>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/section>\n\t\t

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Other risk situations during pregnancy :\n\n<\/h2>\t\t\t\t<\/div>\n\t\t\t\t
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