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Eva Paris @paris_eva

We all want a quiet pregnancy without complications, but there are many cases in which this dream is truncated. A risky pregnancy means that the future mother has to follow special care and recommendations, including some special treatment, because the health of the baby or her own is in danger.

Women can prevent certain situations of risk, although others are beyond our control. In principle, no pregnant woman is exempt from becoming part of the "high risk", although this does not mean that we should obsess about it, but simply lead a healthy way of life.

There are studies about alternative antenatal care in developed countries that show a percentage change of criteria (from low to high risk) during pregnancy of 20%, while a similar number of women experience it during childbirth.

That is, there is a group of women who did not present complications and who at a given moment were considered to be at risk for pregnancy or childbirth .

This can be due to diverse causes that have to do fundamentally with changes of health of the mother due to pregnancy: hypertension, preclampsia, diabetes


There may also be previous alterations of the mother, such as heart disease, tendency to hypertension ... or exposure to dangerous external agents such as drugs or toxic chemicals ...

In multiparous, the rate of change is much lower than in first-time mothers. During delivery, it may happen that "the diagnosis" is changed and some risk is considered due to different situations.

A risk delivery

When we talk about what a "normal delivery" is, we already saw that the WHO pointed out that this definition would depend enormously on risk assessments and local criteria. That is, at least not all risks are the same for all women or in all contexts.

Of course, with a historical criterion a great advance is detected in overcoming old risks that are now controlled by prenatal observation or adequate medical treatments.

If we have a risky pregnancy, we will have to take proper care and control, and maybe the delivery will be conditioned by that risk, although it does not have to be that way. According to WHO, the birth and delivery of many pregnant women classified as high risk have a normal course, so, in principle, it does not seem that taking measures such as cesarean section intervention are justified in all cases of risk.

Generally, between 70 to 80% of all pregnant women can be considered as "low risk" at the beginning of delivery . Although there is also the opposite case, and is that a pregnant woman who is assumed to be at low risk when labor begins may at any time have a complicated delivery, hence the importance of having adequate professional assistance.

According to the WHO, it is essential that women can be transferred to a higher level of care if risk factors arise or complications arise that justify said transfer, something that obviously is not possible in various contexts, as in many places in the countries Developing. For delivery attended at home, one of the criteria is precisely the proximity and the possibility of fast transport to a hospital.

There are many types of risks in pregnancy and many degrees of complications. Even for spontaneous abortion there are certain precautions that we can take. Many times, taking healthy habits without trying alcoholic beverages, away from tobacco smoke, doing proper physical activity ... decreases the chances of having risks in pregnancy.

In short, with prenatal care and adequate care in most cases the pregnancy risk can come to a good end, and childbirth will not be affected. We can consult the doctor if we consider that we have predisposition to some risk due to some special physical characteristic.

Photos | superbez and Avenue G on Flickr-CC In Babies and more | Abortions: causes and types of abortion, Miscarriage or miscarriage, Mild diseases of the mother can harm the baby, Risks in pregnancy if you suffer a congenital heart disease

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