High-Risk Pregnancy Care in Greater Kailash, South Delhi

Specialized Care for Complicated Pregnancies

At Dr. Deepa Dureja’s Gynaecology Clinic in Greater Kailash Part 2, we provide comprehensive high-risk pregnancy care in South Delhi. A high-risk pregnancy has a higher chance of complications and requires closer monitoring, advanced testing and coordinated care — but with proper management, most high-risk pregnancies still result in healthy mothers and healthy babies.

What Is a High-Risk Pregnancy?

A pregnancy is called high-risk when the mother, baby or pregnancy conditions increase the chance of complications. This may be due to maternal age, pre-existing medical conditions, problems in previous pregnancies, or complications that develop during the current pregnancy.

High-risk does not mean something will definitely go wrong — it simply means you need specialized monitoring and expert care to reduce risks and respond quickly if problems appear.

Conditions We Commonly Manage

1. Maternal Age–Related Risk

• Advanced Maternal Age (35+ years)
  Increased screening for chromosomal abnormalities, close monitoring for gestational diabetes and preeclampsia, specialized ultrasound surveillance and individualised care plans.
• Teen Pregnancy (Under 18 years)
  Nutritional guidance, counselling and education, and close prenatal monitoring for both mother and baby’s growth.

2. Pre-Existing Medical Conditions

• Diabetes (Type 1 or Type 2) – Strict blood sugar monitoring, insulin management, fetal growth surveillance and planning the safest timing and mode of delivery.
• Hypertension (High Blood Pressure) – Regular BP checks, medication adjustment, preeclampsia screening and fetal well-being assessment.
• Thyroid Disorders – Regular thyroid function tests, dose adjustment and monitoring baby’s development.
• Heart Disease – Pregnancy management in coordination with cardiologists, activity modification and tailored delivery planning.
• Autoimmune Diseases (e.g. Lupus) – Medicine management, close fetal monitoring and coordination with rheumatologists or other specialists.
• Obesity (BMI > 30) – Nutritional counselling, screening for gestational diabetes, blood pressure monitoring and specialized ultrasound techniques.

3. Previous Pregnancy Complications

• Previous Preterm Birth – Progesterone support, cervical length monitoring, activity modification and steroids for fetal lung maturity when needed.
• Previous Pregnancy Loss – Evaluation for causes, close early pregnancy monitoring, emotional support and specialized care planning.
• Previous Preeclampsia – Low-dose aspirin therapy, frequent BP checks and early screening for recurrence.
• Previous C-Section – VBAC (Vaginal Birth After Caesarean) counselling, uterine scar monitoring and delivery planning.

4. Complications in Current Pregnancy

• Multiple Pregnancy (Twins, Triplets) – Frequent growth scans, screening for complications like twin-to-twin transfusion, preterm labour prevention and specialised delivery planning.
• Gestational Diabetes – Blood sugar checks (often 4 times/day), diet planning, insulin therapy if required and growth monitoring.
• Preeclampsia – BP monitoring, blood and urine tests, fetal well-being assessment and timing of delivery based on severity.
• Placental Problems – Placenta previa, placental abruption, placenta accreta – managed with serial ultrasounds and delivery planning in appropriate facilities.
• Fetal Growth Restriction (IUGR) – Frequent growth scans, Doppler studies and careful decision on when to deliver.
• Cervical Insufficiency – Cervical cerclage (stitch) when indicated, activity restriction and frequent monitoring.
• Polyhydramnios (High Fluid) or Oligohydramnios (Low Fluid) – Fluid assessment, search for underlying causes and delivery timing based on baby’s well-being.

How We Manage High-Risk Pregnancies

High-risk pregnancy care is structured, protocol-based and individualized. Our approach includes increased monitoring, advanced tests, specialist collaboration and careful planning of delivery.

1. Increased Monitoring

• Visit Frequency: Every 2 weeks in the second trimester and weekly in the third trimester, or more often if needed.
• Blood Pressure & Weight: Checked at every visit, with home BP monitoring for some conditions.
• Fetal Monitoring: Growth scans, Doppler studies, Non-Stress Tests (NST) and Biophysical Profiles (BPP) in the third trimester.

2. Trimester-Wise Testing

• First Trimester: Early ultrasound, first-trimester combined screening and NIPT (Non-Invasive Prenatal Testing) when indicated, plus baseline blood tests and evaluation.
• Second Trimester: Detailed anomaly (Level II) scan, cervical length measurement, fetal echocardiogram and early glucose testing if you are high-risk for diabetes.
• Third Trimester: Serial growth scans every 2–4 weeks, NSTs 1–2 times per week, BPP, Doppler studies and fluid assessment based on clinical need.

3. Specialist Coordination

For complex conditions, your pregnancy care is coordinated with:

• Maternal–Fetal Medicine specialists
• Cardiologists
• Endocrinologists / Diabetologists
• Rheumatologists / Immunologists
• Neonatologists and Pediatricians
• Genetic counsellors (when needed)

4. Medications & Interventions

• Low-dose aspirin for preeclampsia prevention in eligible women.
• Progesterone support to reduce the risk of preterm birth.
• Insulin or oral medicines for diabetes management.
• Blood pressure and thyroid medications tailored to pregnancy.
• Cervical cerclage for cervical insufficiency.
• Steroid injections for fetal lung maturity when preterm delivery is likely.

5. Delivery Planning

• Deciding the optimal timing of delivery (not too early, not too late).
• Planning mode of delivery – normal vs. cesarean – based on your condition and baby’s health.
• Choosing a hospital with NICU facilities for higher-risk situations.
• Prior coordination with anesthesiologists and pediatric team.

Benefits of Dedicated High-Risk Pregnancy Care

• Early Problem Detection – Issues are picked up before they become serious emergencies.
• Expert Management – 30+ years of experience in managing complex pregnancies.
• Better Outcomes – Reduced risk of complications for both mother and baby.
• Comprehensive Monitoring – Advanced scans, tests and fetal surveillance.
• Coordinated Team Care – Access to multiple specialists when needed.
• Emotional Support – Help in coping with fear, stress and uncertainty.
• Individualised Plans – Every woman’s care is customised to her risk profile.

Emotional Support During High-Risk Pregnancy

We understand that a high-risk pregnancy can be emotionally overwhelming. Many women feel anxious, worried about their baby, and stressed with frequent appointments or restrictions.

• Clear, honest communication about your condition and options.
• Time during visits to discuss your fears and questions.
• Realistic expectations about outcomes and next steps.
• Support with difficult decisions, including timing and mode of delivery.
• Celebrating each positive milestone in your pregnancy journey.
• Referral to counsellors or mental health professionals if needed.

Warning Signs – When to Call Immediately

If you experience any of the following symptoms, seek urgent medical attention or contact us right away:

• Vaginal bleeding more than spotting.
• Severe abdominal or pelvic pain.
• Sudden severe headache or vision changes (blurring, spots).
• Severe swelling of face, hands or sudden weight gain.
• Decreased or absent fetal movements.
• Fluid leaking from the vagina (possible water break).
• Regular contractions before 37 weeks (preterm labour signs).
• Fever > 100.4°F (38°C).
• Severe, persistent vomiting unable to keep fluids down.

Don’t hesitate to call. For urgent concerns, we guide you 24/7 on the next best step.

Cost of High-Risk Pregnancy Care

High-risk pregnancy management usually involves more frequent visits, additional ultrasounds, specialised tests and sometimes consultations with other specialists.

For a clear and transparent estimate based on your condition, please contact us at +91-9811078323 (call or WhatsApp). We will explain the expected investigations, follow-up schedule and hospitalisation requirements, if any.

Frequently Asked Questions