Expert High Risk Pregnancy management at Dhaara Hospital Yelahanka by Dr. Prathima Srinivas. Diabetes in pregnancy, twins, preeclampsia, placenta previa. Call 87478 74666.
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Key Takeaways
- High-risk means extra monitoring, not extra worry — most high-risk pregnancies end happily with a planned approach.
- Diabetes, BP disorders, twins, previous losses and medical diseases are managed with a written, individualised protocol.
- 24/7 emergency, ICU, neonatal support and blood bank access give your pregnancy a safety net.
- Bring all previous reports to your first visit — the plan is built on your history.
What is a High Risk Pregnancy?
A pregnancy is classified as high risk when certain conditions — either pre-existing or developing during pregnancy — increase the likelihood of complications for the mother, the baby, or both. A high-risk pregnancy requires closer monitoring, specialist involvement and sometimes specific medical interventions to achieve the best possible outcome.
At Dhaara Speciality Hospital, Yelahanka, Dr. Prathima Srinivas brings extensive experience in managing complex, high-risk pregnancies. Our team, supported by ICU facilities, neonatology support and 24/7 surgical readiness, provides the comprehensive safety net that high-risk mothers need.
Conditions That Make a Pregnancy High Risk
Maternal Medical Conditions
- Pre-existing diabetes (Type 1 or Type 2)
- Gestational diabetes (GDM)
- Chronic hypertension
- Pregnancy-induced hypertension or preeclampsia
- Heart disease
- Thyroid disorders
- Anaemia (severe)
- Renal (kidney) disease
- Autoimmune conditions (lupus, antiphospholipid syndrome)
Pregnancy-Related Factors
- Multiple pregnancy (twins, triplets)
- Placenta previa (placenta covering the cervix)
- Placental abruption
- Preterm labour (before 37 weeks)
- Intrauterine growth restriction (IUGR)
- Previous stillbirth or recurrent miscarriage
- Rh incompatibility
- PPROM (premature rupture of membranes)
Maternal Age Factors
- Teen pregnancy (below 18 years)
- Advanced maternal age (35 years or above)
Previous Obstetric History
- Previous caesarean section (especially classical cut)
- Previous preterm birth
- Previous postpartum haemorrhage
- Recurrent miscarriages (3 or more)
Management of Common High Risk Conditions
Gestational Diabetes (GDM)
GDM affects 15–20% of pregnancies in India — one of the highest rates in the world. At Dhaara Hospital, we screen all pregnant women between 24–28 weeks using an oral glucose challenge test (OGCT). Women diagnosed with GDM receive:
- Medical nutrition therapy with our clinical dietitian
- Blood sugar monitoring at home (we provide guidance on targets)
- Insulin therapy when dietary control is insufficient
- Increased ultrasound monitoring for fetal growth (macrosomia risk)
- Post-partum glucose tolerance test to screen for Type 2 diabetes
Preeclampsia and Gestational Hypertension
Preeclampsia — high blood pressure plus protein in urine after 20 weeks — is a serious condition that can progress to eclampsia (seizures) if untreated. Our management includes close blood pressure monitoring, blood and urine tests, antihypertensive medications, and planned delivery at the optimal time for mother and baby's safety.
Multiple Pregnancy (Twins)
Twin pregnancies carry inherently higher risks including preterm birth, growth restriction and twin-to-twin transfusion syndrome (for identical twins). We monitor twin pregnancies more frequently with fortnightly growth scans from 20 weeks, and plan delivery timing and mode based on the type of twins and their presentation.
Previous C-Section (Scar Uterus)
A uterus with a previous scar requires careful monitoring for scar integrity and placental location. Dr. Prathima Srinivas is experienced in VBAC (Vaginal Birth After Caesarean) selection and will discuss the risks and benefits of VBAC vs. repeat C-section based on your specific history.
Monitoring in High Risk Pregnancy
- More frequent antenatal visits (sometimes every 1–2 weeks)
- Serial growth scans (every 2–4 weeks depending on the condition)
- Non-stress test (NST) for fetal heart rate monitoring
- Doppler studies of umbilical and uterine arteries
- Biophysical profile scoring
- Regular blood and urine tests
- Multi-disciplinary team involvement — diabetologist, cardiologist, nephrologist as needed
Consult Dr. Prathima Srinivas
High Risk Pregnancy Specialist, Yelahanka
📞 87478 74666 💬 WhatsApp NowRelated Services
Conditions We Manage With Dedicated Protocols
- Gestational diabetes and pre-existing diabetes (insulin planning, fetal growth monitoring)
- Pregnancy hypertension and pre-eclampsia surveillance
- Thyroid disorders, anaemia, infections (hepatitis B, HIV, TORCH)
- Twins and multiple pregnancy; previous preterm birth or miscarriages
- Medical disorders — heart, kidney, epilepsy, asthma — with physician co-management
- Growth-restricted babies: doppler-based surveillance and timely delivery decisions
What Extra Monitoring Actually Involves
Your visits are closer together and each has a purpose: BP and weight every visit, growth scans with dopplers every 2–4 weeks where indicated, sugar profiles reviewed weekly, and steroid injections for baby's lungs when early delivery is possible. You receive clear thresholds — exactly which symptom should trigger a call at 2 am and which can wait for the next visit. Clarity is the antidote to pregnancy anxiety.
Your High-Risk Pregnancy Plan at Dhaara
Frequently Asked Questions
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No. The mode of delivery depends on the specific risk and how pregnancy progresses. Many high-risk mothers deliver normally. What changes in a high-risk pregnancy is the intensity of monitoring, not automatically the mode of birth.
Very possibly. Recurrent miscarriage has identifiable, treatable causes in a majority of cases — thrombophilia, hormonal issues, uterine factors. Investigation between pregnancies plus early, close monitoring in the next one changes outcomes significantly.
Insulin remains the gold standard when diet control fails — it does not cross the placenta. Metformin is used in selected cases. What matters most is achieving target sugars; our protocol gets you there safely with home glucose monitoring.
Most chronic medicines need adjustment, not stopping. Abruptly stopping some drugs (anti-epileptics, BP medicines) is dangerous for both mother and baby. Book a pre-pregnancy or early-pregnancy medication review — never self-stop.
Dhaara has paediatric and neonatal care support with emergency theatre access 24/7. For extreme prematurity we coordinate transfer to a level-III NICU — the decision is made in advance, never in a crisis.
Words From Our Happy Clients
Glowing testimonials from satisfied clients share their positive experiences.
Dhaara Speciality Hospital is a trusted healthcare institution equipped with state-of-the-art facilities and a team of skilled surgeons, including specialists in laparoscopic procedures. Choosing Dhaara for your laparoscopic gallbladder surgery comes with several advantages.
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Vinay T
India
Surprised at the excellent facilities
I visited Dhaara Hospital and consulted with Dr. Prathima, a fantastic gynecologist. She's professional, friendly, and listens to my concerns. Her treatment worked well for me, and she always suggests the best.
Suchetha
India
Surprised at the excellent facilities
Dr Sreenivas is brilliant. The way, he listens to the patients issue giving so much time inspite of his busy schedule. I am very happy to have met him for my mom's surgery. Best Gastro surgeon👏👏.
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