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Introduction

Perinatologists are Gynecologists and Obstetricians who have completed fellowship education in Perinatology (High-risk Pregnancy).

They gain knowledge and experience regarding diagnosis, follow up and treatment of high-risk pregnancies in the 3-year fellowship training. They are awarded the title of perinatologist (High-risk Pregnancy Physician) at the end of the three-year period.

What does High-Risk Pregnancy Mean?

Classifications of high-risk pregnancies encompass a fairly large number of patients. Patients who may are more likely to have a risky pregnancy are classified below:

  • Existing risks of the expectant mother
  • Risks arising out of previous pregnancy
  • Risks related to the current pregnancy
  • Fetal risks
  • Risks related to delivery

A Part of Existing Risks in Expectant Mother

  • Pregnancies before 18 years of age
  • Pregnancies after 35 years of age
  • Pregnancies of overweight or lean women
  • Couples of consanguineous marriages
  • Patients with past history of major surgery(ies)
  • Expectant mothers with heart conditions, diabetes mellitus, hypertension, epilepsy, diseases of thyroid gland or other disorders before pregnancy are considered to have high-risk pregnancies.

A Part of Risks Arising Out Of Previous Pregnancy(ies)

  • Expectant mother with history of miscarriage and recurrent abortions
  • Expectant mother who delivered prematurely (earlier than 28 weeks)
  • Expectant mother with history of gestational hypertension (preeclampsia)
  • Mothers with history of prematurity
  • Expectant mothers with history of fetal macrosomia
  • Expectant mother with history of miscarriage in the third trimester (intrauterine fetal death)
  • Mothers with history of excessive hemorrhage on delivery (postpartum vaginal bleeding)
  • Expectant mother with history of uterine rupture
  • Expectant mothers with history of myoma surgery
  • Expectant mothers with history of surgery to correct intrauterine septum.
  • Expectant mothers with history of ectopic pregnancy

A Part of Risks Arising Out Of Current Pregnancy

  • Expectant mothers with risk of miscarriage and bleeding
  • Expectant mothers with multiple pregnancies (twins or triplets)
  • Expectant mothers with high risk indicated by screening tests
  • Expectant mothers requiring diagnostic tests
  • Expectant mothers requiring treatments when pregnant
  • Need for blood transfusion for the fetus
  • Treatment of fetal microbic diseases (intra-uterine infections)
  • Expectant mothers with cervical insufficiency
  • Expectant mothers at risk of premature delivery
  • Expectant mothers with myoma
  • Expectant mothers with hypertension
  • Expectant mothers with retarded fetal development (fetal growth retardation)
  • Expectant mothers with insufficient amniotic fluid (oligohydramniosis)
  • Expectant mothers with insufficient amniotic fluid (polyhydramniosis)
  • Expectant mothers with other potentially risky conditions
  • Expectant mothers with fetal risks
  • Fetuses with documented abnormality
  • Fetuses with history of disease in pregnancy
  • Fetuses with abnormal gestational presentation

Patients with Delivery-related Risks

  • Procedures performed for low position of placenta (placenta previa)
  • Abnormal adhesion of placenta to uterine wall (placenta accrete)
  • Expectant mothers with risk of bleeding at delivery
  • Candidate mothers at risk of surgical removal of uterus in delivery
  • Deliveries of twins or triplets
  • Expectant mothers with history of problems in previous spontaneous vaginal delivery or caesarean section

Healthcare Services Provided in Perinatology and High-risk Pregnancies

Healthcare services offered within scope of Perinatology and High-Risk Pregnancies are listed below. Your exact condition may not be included in the list.

Therefore, please call Perinatology and High-Risk Pregnancy department regarding any and all questions you may have.

  • Screening tests
  • Diagnostic Procedures
  • Ultrasonographic Procedures
  • Fetal Treatment and Surgery
  • Delivery Procedures

Pre-conception counseling is another healthcare service offered by the department.

Thus, pre-conception risks can be analyzed to classify diseases and plan personalized treatment.

What is Perinatology?

Early screening, diagnosis and treatment are planned for possible problems in expectant mother or fetus/baby at pre-conception, gestational and puerperium periods as well as at delivery.

The division consists of perinatologists, experienced healthcare personnel and patient counselors.

Working hours: Patients are admitted on appointments. Perinatology and High-Risk Pregnancies Department is capable of offering emergency healthcare services round the clock.

Which diseases are dealt by Perinatology and High-Risk Pregnancies Division?

Perinatology and High-Risk Pregnancy division is devoted to early screening, diagnosis and treatment for candidate mother and fetus/baby in pre-conception, gestational and puerperium periods.

Patients with high-risk are followed up at Perinatology and High-risk Pregnancy division.

Perinatology is the medical division which diagnoses problems in pregnancies and plans the appropriate treatment. Perinatology deals with maternal and fetal health. The goal is to achieve a healthy delivery by taking necessary precautions against risks arising out of pregnancy.

Perinatologists work at hospitals with perinatology divisions.

High-risk pregnancies are followed up and treated at Perinatology division. Expectant mothers with high-risk pregnancies should present to and be followed up by a perinatologist, who is also a gynecologist and obstetrician.

Risky pregnancies or high-risk pregnancies are characterized with additional pre-conceptional or gestational disease (comorbidity) and risk of miscarriage or a fetal deformity, as indicated by screening tests. These risks are classified as follows:

  • Existing risks of the expectant mother
  • Risks arising out of previous pregnancy
  • Risks related to the current pregnancy
  • Fetal risks
  • Risks related to delivery

A possible extraordinary condition in pregnancy may be detected by perinatologist and the risk is minimized through routine examinations.

Obstetricians order routine screening tests, including double screen, triple test, gestational diabetes and ultrasound in all pregnancies.

Pregnancy may be followed up by a perinatologist should aforementioned risks of expectant mother and fetus/baby are present or detected in routine tests.

Perinatologists, who are also Gynecologists and Obstetricians, follow up high-risk pregnancies at hospital settings.

Special screenings, tests and treatments are carried out by perinatologists at hospitals and outpatient clinics. Thus, both expectant mother and fetus/baby have the opportunity to be closely followed up by a specialist.

Published by Acıbadem Web and Medical Broadcast Board Update Date: Tuesday, February 4, 2020 Publish Date: Monday, January 27, 2020

Hospitals

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Doctors specialized in Perinatology and High-Risk Pregnancies listed as below:

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