Pregnancy at risk? Here's what you need to know to do the right thing

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Catherine Le Nevez
@catherinelenevez
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Source: Reuters

Pregnancy at risk what to do

Pregnancy should be a peaceful and peaceful time; just to try to avoid unpleasant consequences it is good to remember that there are some particular situations that can cause one high-risk pregnancy. Which ones are they? How to behave? Let's see which are the most risky complications which can occur during pregnancy.





High-risk pregnancy, first trimester

It may happen that even in the former ultrasounds emerge a little detachment of the placenta. In this case the gynecologist will prescribe bed rest, abstention from sexual intercourse, taking a progesterone-based therapy and the pregnancy will be considered until the next ultrasound check.



Detachment of the placenta can occur in different forms more or less severe and with various symptoms such as vaginal bleeding and pains similar to those that occur during childbirth. In the presence of these symptoms it is best to call the gynecologist right away or go to the hospital. in these cases it is necessary to go to the hospital as soon as possible to monitor the situation.

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High-risk pregnancy, second trimester

In second quarter Routine tests are usually performed to help you understand how the pregnancy is progressing and if there are any problems. Here are some of the complications that can arise in the second trimester:

  • Gestational diabetes: Gestational diabetes increases the risk of developing type 2 diabetes after childbirth. A test called a test is performed around the 12th-14th week of pregnancy or even around the 24th for the diagnosis glycemic mini-curve which allows you to monitor blood glucose levels. A radical change in diet is the first form of treatment for gestational diabetes. The causes of diabetes in pregnancy must be sought in a previous condition of the woman, which is therefore already predisposed.
  • Preeclampsia: also called gesturesi, the symptoms they are increased blood pressure, increased protein in the urine and bruising on various parts of the body and swelling of the lower limbs. It should be monitored regularly with antihypertensive therapy and regular examinations, because it can be a very serious complication and in the end you can also choose to have an emergency cesarean.

Complications in late pregnancy

These are the complications that can arise late pregnancy.

  • Detachment of the placenta: placental abruption can also occur in the third trimester of pregnancy. What happens if a placental abruption is found? If it is mild, the woman is advised to bed rest in the hospital if the situation improves, the expectant mother can then be discharged. If, on the other hand, the situation is more serious, it is also possible to decide for an emergency caesarean section. THE symptoms and causes abruption of the placenta can be various: usually bleeding occurs accompanied by pain in the lower abdomen. The causes are also related to age and cigarette smoking.
  • HELLP syndrome: it is a set of pathological manifestations that generally appear towards the end of gestation or even after childbirth. The three typical manifestations of this syndrome are haemolysis, increase in liver enzymes, decrease in the number of platelets or thrombocytopenia.
  • Previous placenta: in this case the placenta adheres to the lower part of the uterus wall, in the case of placenta previa it may be necessary to opt for a caesarean section.
  • cuticles: it is a bacterial inflammation of the renal pelvis that can extend to the whole kidney. It must be treated in time so as not to risk permanently compromising renal function.

Infectious diseases in pregnancy

Then there are some infectious diseases particularly feared in pregnancy. Here are the most serious:

  • toxoplasmosis: to avoid it a woman should not consume sausages, raw meat, she should avoid touching the cat's feces and always clean their litter boxes using gloves. The fetus could be damaged if the infection occurs during the first trimester of pregnancy. It generally does not manifest itself with any symptom.
  • rubella: it is dangerous especially if contracted in the first four months because the fetus could suffer damage to sight, hearing and mental retardation. The ideal would be to have the vaccine one month before pregnancy.
  • Cytomegalovirus: a virus belonging to the herpesvirus family, is often asymptomatic, like toxoplasmosis, and for this reason, when you discover that you are expecting a child, a blood test is prescribed by the gynecologist to determine if you are immune or not.

Hazardous work during pregnancy

First of all, the employer must carry out an assessment of the risks for the safety and health of the workers in order to take the necessary measures to limit the risk, even by moving the woman to other, safer jobs.

Some types of jobs are a risk for pregnancy, such as: heavy work in uncomfortable positions, work carried out in environments with an unfavorable climate (for example too noisy, dusty, too hot or too cold), jobs, including domestic ones, that involve lifting heavy loads, jobs that require you to stay in feet for more than half of the working time or subject to continuous vibrations, jobs that expose to harmful chemicals. In all these cases the woman will have to be moved to another job and if it is not possible to do so then you can ask for theearly abstention for high-risk pregnancy.

Early maternity

In case of a high-risk pregnancy it is possible to request a early maternity leave. In this way it will be possible to be absent from work from the first months of pregnancy or in any case as soon as the exams show any complication in the gestation. The early maternity leave provides for the same salary for employees as for the compulsory one: therefore 80% of the average daily salary of the last paycheck.

How to behave at work in case of a high-risk pregnancy? A medical certificate proving the pregnancy and one certifying the complications of pregnancy or antecedent morbid forms that could be complicated by pregnancy must be presented immediately. There tax visit it can also be done in the event of a high-risk pregnancy, however there is no obligation for the pregnant woman to stay at home. In the event of a high-risk pregnancy, it is possible to go to your local health authority and request exemption from the tax visit.

Pathologies in pregnancy

Summarizing, therefore, here is the list of pathologies that can appear during pregnancy and put it at risk:

  • detachment of the placenta;
  • cytomegalovirus;
  • toxoplasmosis;
  • previous placenta;
  • gestational diabetes;
  • Gestosi (preeclampsia);
  • HEELP syndrome;
  • Leather;
  • infectious diseases.
  • infections in pregnancy
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