Complex Pregnancy

If you're facing higher risks with a complex pregnancy, you want the reassurance of having the finest obstetrical team caring for you. The board-certified obstetricians and gynecologists at Lenox OBGYN provide comprehensive care to women with complex pregnancies living and working in the Midtown West area of Manhattan in New York City. With their help, you and your baby can stay healthy and optimize the outcomes of pregnancy and birth. Call Lenox OBGYN today to find out more or schedule an appointment using the online booking system.

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What is a complex pregnancy?

A complex pregnancy is one where either you, your baby, or both of you, have health problems or face higher risks of developing problems during pregnancy.

Complex pregnancies are often known as high-risk pregnancies, but careful monitoring and expert treatment at Lenox OBGYN can minimize any problems and reduce the risk of adverse outcomes.

You might know you're going to have a complex pregnancy before conception if you live with a health problem like diabetes. Or your pregnancy might become complex because of problems that develop with you or your baby during the pregnancy. Either way, the Lenox OBGYN team has the skills and experience in maternal-fetal medicine (MFM) to care for you both.

What conditions would cause a complex pregnancy?

Examples of some of the conditions you might already have that would mean your pregnancy is complex include:

Type 1 and Type 2 diabetes
Gastrointestinal conditions
Heart disease
Hypertension
Hepatitis B
Hepatitis C
HIV/AIDS
Kidney disease
Autoimmune conditions like lupus
Thyroid disease or other endocrine disorders
Obesity

Any previous obstetrical problems could also mean you now face a complex pregnancy, for example, a history of miscarriage, preterm cervical dilation, premature rupture, and going into labor prematurely.

How does a pregnancy become complex?

You might develop a condition during your pregnancy that increases your risk of complications. These conditions include:

Parvovirus
Gestational diabetes
Toxoplasmosis
Low amniotic fluid (oligohydramnios)
Excessive amniotic fluid (polyhydramnios)
Placental abruption
Amniotic fluid embolism
Placenta previa
Platelet alloimmunization (Rh complications)
Pre-eclampsia

Multiple gestation, where you're carrying twins, triplets, or quadruplets, is also a type of complex pregnancy.

Testing and scans might reveal that there's a problem with your baby that makes your pregnancy more complex. Fetal anomalies like abnormal fetal growth, macrosomia (where the baby grows larger than normal), fetal growth restriction, and signs of diseases like cystic fibrosis are some of the most common problems.

How are complex pregnancies managed?

Complex pregnancy management depends to a great extent on what the problems are that make your pregnancy high-risk. The Lenox OBGYN team creates a pregnancy care plan for you and your baby, which details all the tests, scans, and check-ups you need to monitor your pregnancy.

The plan also advises on the best treatments for any conditions you have. For example, if you develop gestational diabetes, you need to measure and manage your blood glucose levels and have regular tests to see if the baby's growth rate is normal.

If you have a high-risk pregnancy, it's vital to get the expert care you need to keep you and your baby safe. Lenox OBGYN delivers the highest quality care for mothers and babies facing complex pregnancy, so call today to schedule a consultation or book an appointment online.