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Chapter 17 - Screening for High-Risk Pregnancy

from Section 3 - Fetal Medicine

Published online by Cambridge University Press:  20 November 2021

By
Miroslaw Wielgoś  and
Przemyslaw Kosinski
Edited by
Tahir Mahmood ,
Charles Savona Ventura ,
Ioannis Messinis  and
Sambit Mukhopadhyay
Tahir Mahmood
Affiliation:
Victoria Hospital, Kirkcaldy
Charles Savona Ventura
Affiliation:
University of Malta, Malta
Ioannis Messinis
Affiliation:
University of Thessaly, Greece
Sambit Mukhopadhyay
Affiliation:
Norfolk & Norwich University Hospital, UK
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Summary

There are several medical conditions, both maternal and fetal, which can influence the course of pregnancy or even the developing fetus. In the era of modern technology, high-tech ultrasound machines, sophisticated monitoring methods for both mother and her unborn child, it is not enough to deliver a live neonate. What is highly expected by all future parents is a delivery of a healthy baby with a very good prognosis. Therefore, it has to be acknowledged and appreciated that the role of an obstetrician or maternal-fetal specialist cannot be underestimated. General population screening of all pregnant women for medical conditions is essential to achieve this target; otherwise, it is not possible to select a group of pregnant women who require more detailed and watchful monitoring, special care or even targeted treatment. However, not only identification of pregnancies at increased risk for maternal or fetal morbidity and mortality is involved, but also health promotion, education and support for parents. Nowadays, it is possible to predict many severe medical conditions as early as in the first trimester of pregnancy. The awareness of a high-risk pregnancy may improve pregnancy outcomes or even be lifesaving for a mother, her fetus or even both.

Type
Chapter
Information
The EBCOG Postgraduate Textbook of Obstetrics & Gynaecology
Obstetrics & Maternal-Fetal Medicine
 , pp. 139 - 146
Publisher: Cambridge University Press
Print publication year: 2021

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