Regular visits to a maternal-fetal medicine specialist are very important if you've been diagnosed with a high-risk pregnancy. Dr. Robert Naef of Mississippi Maternal-Fetal Medicine in Jackson, MS, monitors conditions and diseases that affect your or your baby and offers treatments that may lower the risk of complications or pre-term birth.
What makes a pregnancy high risk?
You may be diagnosed with high-risk pregnancy if:
- You are pregnant with two or more babies.
- You are 35 or older.
- You've had abdominal or uterine surgeries in the past (including previous Cesarean sections).
- You have a chronic disease, such as diabetes, thyroid disease, kidney disease, lupus, and other autoimmune disorders, sickle cell disease, high blood pressure, blood-clotting disorder, or HIV/AIDS.
- You developed certain conditions during your pregnancy, such as gestational diabetes or preeclampsia.
- Your baby has birth defects or isn't growing properly.
- You have a history of pre-term labor.
- You smoke or use alcohol or illegal drugs during pregnancy.
What treatments are offered for high-risk pregnancies?
Your treatment plan is based on the factors that led your Jackson, MS, maternal-fetal specialist to decide to designate your pregnancy high-risk. For example, if you have gestational diabetes, you'll need to make a few changes to your diet to keep your blood sugar level at a normal level, exercise more and use insulin, in some cases. Failure to control gestational diabetes can increase your baby's weight and his or her risk of respiratory distress syndrome. It may also raise your risk of pre-term labor, high blood pressure or preeclampsia.
No matter what condition you or your baby have, you can expect to visit the doctor more often and undergo more tests than usual if you have a high-risk pregnancy. Depending on your specific complications, your doctor may use amniocentesis, high-resolution ultrasound, color flow Doppler, fetal echocardiography, and other tests to assess the health and development of your baby.
Although it can be a little scary to learn that you have a high-risk pregnancy, your maternal-fetal medicine specialist offers compassionate care and a variety of treatments that can help lower your risk of complications.
High-risk pregnancies warrant special care from a highly skilled maternal-fetal medicine specialist. Call Dr. Robert Naef of Mississippi Maternal-Fetal Medicine in Jackson, MS, at (601) 360-5651 to schedule your appointment.
According to the Centers for Disease Control and Prevention (CDC), over 10% of pregnant women suffer from gestational diabetes, but the exact figure remains unknown and may actually be much higher. Comprehensive obstetric care is especially important for women at high risk for gestational and preconception diabetes. Dr. Robert Naef, an obstetrician and maternal-fetal medicine specialist in Jackson, MS, offers gestational diabetes treatment for high-risk pregnancies.
Obstetric Care in Jackson, MS
Gestational diabetes typically develops in pregnant women that did not have diabetes before becoming pregnant. Expectant mothers with gestational diabetes require extra prenatal care and monitoring to keep both their own and the fetal blood sugar levels stable throughout the pregnancy and after the birth. Mississippi Maternal-Fetal Medicine offers treatment for high-risk pregnancies, which are defined by a number of factors:
- Age (typically over age 35, depending on the patient)
- Secondary or underlying medical conditions
- Complications with previous pregnancies
- Being pregnant with multiples (twins or triplets)
- Lifestyle factors like smoking or substance abuse
Risk Factors for Gestational and Preconception Diabetes
Gestational diabetes can generally affect anyone, but there are a few risk factors that can increase the likelihood. Some of the most common known risk factors include:
- Family or personal history of type 2 diabetes prior to pregnancy
- Being overweight or obese
- Race/ethnicity (women of black, Hispanic and Asian backgrounds tend to experience gestational diabetes at higher rates)
Eating a healthy diet, maintaining a healthy weight, and exercising are recommended to help lower the risk of developing or to manage preconception diabetes. High risk pregnancies are generally screened for gestational diabetes in the second trimester, but your doctor may recommend screening sooner depending on your circumstances. Treatment typically involves lifestyle modifications and monitoring, and medication in some cases.
Find an Obstetrician in Jackson, MS
For more information about diagnostic and treatment options for high risk gestational and preconception diabetes, contact Mississippi Maternal-Fetal Medicine by calling (601) 360-5651 to schedule an appointment with Dr. Naef today.
Finding out you're pregnant is exciting. Dr. Robert Naef, III, your Jackson, MS, maternal-fetal medicine specialist wants to support you and your unborn child during your pregnancy.
Preparing for pregnancy is important. Your doctor's counseling consists of him creating a comprehensive treatment plan. Your Jackson doctor will go over your family's medical history to identify risk factors and/or pre-existing medical conditions for your specialized treatment plan.
Dr. Naef will have to adjust, or change, medicine you're taking, just in case it's harmful to your unborn child. He'll aslo recommend routine tests and provide vitamin supplements prior to conception.
Make sure you have done all the following with your doctor to minimize pregnancy complications:
- Nutritional counseling
- Pregnancy screenings
- Prenatal care
- Prenatal ultrasounds and screening
- Labor and delivery care
- Follow-up care after delivery, like birth control and postpartum counseling
What do you need to do during every trimester?
The first trimester should begin with doing the following:
- Standardized lab work and tests
- Specialized screening tests such as genetic testing.
- Answering questions you have about prenatal care
- Ultrasound exam to confirm pregnancy viability and confirm due date
The second trimester involves the following tests and exciting news:
- A 20-week ultrasound, to monitor the baby’s development and a look at the baby’s gender.
- A discussion about prenatal classes and classes on how to care for your newborn.
- Screening for gestational diabetes between 24 and 28 weeks.
- Registering at the hospital for your delivery and looking into pediatricians if you don’t already have one.
The bundle of joy is on their way and that means more visits to our office. During the third trimester we will:
- Review precautions you need to take.
- Do another routine test of Group B Strep culture.
- Evaluate your cervix.
- Discuss your delivery plans for anesthesia among other concerns you might have.
- Notify you about when to call with specific symptoms, or problems.
For more information on preparing for pregnancy schedule an appointment with your Jackson, MS, doctor by calling (201) 447-1700.
Pregnancy is a beautiful time. However, it can take a toll on your body and comes with certain risks, especially in multifetal pregnancies, such as those with twins or triplets. However, with an experienced maternal-fetal medicine specialist and knowledge of your risk factors, you can have a healthy, happy multifetal pregnancy. Find out more about multifetal pregnancies and risks with Dr. Robert Naef at Mississippi Maternal-Fetal Medicine in Jackson, MS.
What is a multifetal pregnancy?
A multifetal pregnancy is any pregnancy involving more than one fetus. The most common example of multifetal pregnancies is twins. Higher numbers of multiples, like triplets and quadruplets, though rarer, can happen. Twins are classified as monozygotic when they originate from the fertilization of a single egg and dizygotic when they originate from the fertilization of two separate eggs. Using assistive reproductive procedures like in-vitro fertilization, which stimulates the ovaries to release more follicles, results in a higher chance of multifetal pregnancy.
What are the risks of a multifetal pregnancy?
While many multifetal pregnancies result in healthy, happy babies, there are risks with multiple pregnancies and births. Risks during pregnancy include miscarriage (one or more babies), preeclampsia and high blood pressure, gestational diabetes, increased chance of preterm birth and cesarean delivery, and a higher chance of birth defects. However, careful monitoring of your pregnancy and the fetuses by a maternal-fetal medicine specialist helps lower risk of complications and works towards a happy, healthy pregnancy and delivery.
Managing the Risks of Multifetal Pregnancies in Jackson, MS
Vaginal multifetal deliveries usually take place in an operating room due to the higher risk of cesarean delivery becoming necessary. There are a few main points of interest in managing multifetal pregnancies. They include ensuring the mother gets proper nutrition during the pregnancy, increased rest, increased number of prenatal visits and testing, and monitoring by a maternal-fetal specialist like Dr. Naef.
Dr. Naef specializes in high-risk pregnancies and can guide you through your journey. If your OBGYN has determined that you are high risk they can refer you to Dr. Naef for proper treatment. For more information on the risks of multifetal pregnancies, please contact Dr. Naef at Mississippi Maternal-Fetal Medicine in Jackson, MS. Call (601) 360-5651 to schedule your appointment today!
If you have had three or more miscarriages we know you want answers.
We know that a miscarriage is something that isn’t easy to talk about, which might be what brought you to this post in the first place. We know you want answers and it may be difficult to turn to a doctor for help. Here at Mississippi Maternal-Fetal Medicine, our Jackson, MS, maternal-fetal medicine specialist, Dr. Robert Naef, III, helps women who are dealing with high-risk pregnancies. Here’s what you need to know about why recurrent miscarriages happen and what we could do for you.
Causes of Recurrent Miscarriages
There are so many factors and causes for miscarriages that it’s nearly impossible for our maternal-fetal medicine doctor in Jackson to pinpoint the root cause without coming in for diagnostic testing.
Sometimes the cause is chromosomal or genetic in nature or there are abnormalities with the egg, sperm or embryo. Women over the age of 35 are also considered at an increased risk for miscarriage due to age because with older maternal age also comes an increase in genetic abnormalities.
Sometimes structural abnormalities within the uterus can also affect your ability to get pregnant or increase your chances of a miscarriage. In other situations, your immune system could be the cause. If you have been diagnosed with diabetes or a thyroid disorder this can also affect your pregnancy. This is why it’s so important that you get annual checkups to make sure that any health problems you might have are diagnosed and treated right away. Getting health problems under control can also increase your chances of getting pregnant and reducing miscarriages.
Of course, stress and other environmental factors can also play a role in the health of your pregnancy and increase your chances of a miscarriage.
The treatment plan we create for you will depend on the specific cause of your pregnancy. Of course, our goal is to treat the problem head on to ensure that your future pregnancy goes smoothly.
Some couples decide to undergo genetic testing. If there are any genetic abnormalities that are making it difficult to get pregnant or carry to full-term, in-vitro fertilization (IVF) is often recommended.
Blood tests will also be performed to check for certain conditions like blood clot disorders or polycystic ovary syndrome (PCOS), which can also affect the health of a pregnancy. Luckily, there are medications and other treatment options available to keep these conditions under control and to reduce your risk of miscarriage.
There are many ways to help reduce miscarriages in the future and we are here to help give you the answers you need. The team at Mississippi Maternal-Fetal Medicine in Jackson, MS, is ready to provide you with the gentle, compassionate care you need. Call us today.
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