Every pregnancy is unique, but some pregnancies carry additional medical challenges that require closer monitoring and specialist involvement. If your pregnancy has been classified as high-risk, it does not mean something will go wrong — it means your healthcare team needs to take extra precautions to keep both you and your baby safe.
At Ruby Hall Clinic Hinjawadi’s Obstetrics & Gynaecology Department, our experienced obstetricians provide specialised high-risk pregnancy care for women across Hinjawadi, Wakad, Baner in Pune.
What Makes a Pregnancy High-Risk?
A pregnancy may be classified as high-risk due to maternal health conditions, pregnancy-related complications or foetal factors. Common causes include:
Maternal Health Conditions
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Gestational Diabetes — high blood sugar developing during pregnancy, which can affect the baby’s growth and delivery
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Gestational Hypertension & Pre-eclampsia — high blood pressure during pregnancy that can affect the placenta and baby
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Pre-existing Diabetes — type 1 or type 2 diabetes present before pregnancy
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Thyroid Disorders — both hypothyroidism and hyperthyroidism require careful management during pregnancy
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Heart Disease — pre-existing cardiac conditions need joint management by an obstetrician and cardiologist
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Kidney Disease — affects fluid balance and blood pressure during pregnancy
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Autoimmune Conditions — lupus, antiphospholipid syndrome and similar conditions require specialist co-management
Pregnancy-Related Factors
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Twin or Multiple Pregnancies — higher risk of preterm labour, growth discordance and delivery complications
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Placenta Previa or Placenta Accreta — abnormal placental positioning or attachment
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Previous Caesarean Sections — scar tissue considerations for subsequent pregnancies
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Preterm Labour History — previous premature births increase the risk of recurrence
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Advanced Maternal Age (35+) — higher risk of chromosomal conditions and pregnancy complications
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Recurrent Miscarriages — three or more pregnancy losses require thorough investigation and management
How Is High-Risk Pregnancy Monitored?
Closer monitoring is the cornerstone of high-risk pregnancy care. At Ruby Hall Clinic Hinjawadi, this includes:
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More frequent antenatal visits — typically every 2 weeks rather than monthly in the second trimester
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Regular growth scans — to monitor foetal growth, amniotic fluid levels and placental function
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Foetal Doppler Studies — assessing blood flow through the umbilical cord and foetal vessels
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Non-Stress Tests (NST) — monitoring foetal heart rate patterns
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Blood pressure monitoring — at every visit and at home if needed
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Regular blood and urine tests — to monitor blood sugar, kidney function and other parameters
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Anomaly scan at 18–20 weeks — detailed assessment of foetal anatomy
Managing Common High-Risk Conditions
Gestational Diabetes
Diet modification and blood sugar monitoring are the first steps. If medication is required, insulin therapy is safe during pregnancy. Babies of mothers with gestational diabetes are monitored for macrosomia (large size) and the delivery plan is adjusted accordingly.
Pre-eclampsia
Pre-eclampsia requires close blood pressure management, monitoring of liver and kidney function, and assessment of foetal wellbeing. In severe cases, early delivery may be necessary to protect the mother and baby. Our team is experienced in managing pre-eclampsia across all stages of severity.
Twin Pregnancies
Twin pregnancies are monitored with additional growth scans from 24 weeks. In monochorionic twins (sharing a placenta), Twin-to-Twin Transfusion Syndrome (TTTS) monitoring is essential. Our team coordinates closely with our Neonatology unit for delivery planning.
Our NICU — Backup for Every High-Risk Delivery
Ruby Hall Clinic Hinjawadi has a Neonatal Intensive Care Unit (NICU) staffed by experienced neonatologists. For high-risk pregnancies where premature delivery or a baby requiring intensive care is anticipated, our NICU ensures the best possible care from the moment of birth.
When Should You Be Referred to a High-Risk Pregnancy Specialist?
You should seek specialist obstetric care if you have any of the conditions listed above, or if your regular doctor identifies complications during routine antenatal visits. Early involvement of a specialist allows timely intervention and better outcomes for both mother and baby.
Do not wait for symptoms to worsen. Book a high-risk pregnancy consultation at Ruby Hall Clinic Hinjawadi today. Our gynaecology and obstetrics team is available Monday to Saturday. Call 020-66999999.
Early detection. Expert care.
