High Risk Pregnancy Care

 For Many Women , pregnancy is a time of unparalleled joy and expectation. But for others , especially those with chronic medical condition who are expecting multiples , pregnancy can be a time of intense fear and uncertainty. In those instances, both mother and child need specialized care to ensure good health.

Some five to ten percent of pregnancies are termed 'high risk ' . A pregnancy is high risk or complicated when the life or health of the mother or baby may be at risk. When babies are born pre term ,they have higher risk for serious health problem.

Families can cope more successfully with a high – risk pregnancy with appropriate medical intervention , education ,and a strong support system. In fact, many risk factor can be identified even before conception occurs.

Srishti Assisted Fertility and Advanced Laparoscopy (SAFAL) Center is the first Reproductive Medicine Center in the Union Territory of Puducherry,India, one of the best fertility clinic in India  .

In srishti we successfully handled number of high risk 'pregnancies.  We as fertility specialists well perceive patient's  emotional facet and supply associate moral and meticulous analysis primarily based approach to fertility treatment.


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Pregnancy Care for patients with Kidney Disease

Pregnancy results in important alterations in acid-base, electrolyte, and renal function due to pregnancy-associated physiologic changes in renal and systemic hemodynamics that occur.

Understanding these changes is essential when evaluating kidney disease pregnancy . Disorders that cause acute kidney or renal failure in early or late pregnancy generally fall into very different categories, and it must also be remembered that pregnancies in women with underlying chronic kidney disease and dialysis who require dialysis during pregnancy, or who have previously undergone renal transplantation pose unique sets of issues. Understanding the physiologic changes and disorders that occur in women with renal disease in pregnancy forms the basis of appropriate management of these unusual disorders.

Chronic kidney disease (CKD) carries significant risks to the mother and fetus in pregnancy. 

 

During a normal pregnancy the renal function undergoes physiological and anatomic changes.

Physiological changes:
The renal plasma flow rate escalates 50-70% during pregnancy (heavy load for kidneys), this change may be more visible during the first 2 trimester. This results in an increased glomerular filtration rate (GFR), that is, 150% of normal. This will be reducing the levels of both blood urea nitrogen (BUN) and creatinine. These changes may lead to renal disease during pregnancy.

Anatomic changes:
During the conception period the female body will show some anatomic changes. The size of the kidney will be increasing by about 1-1.5 cm. A dilatation of the uterus and pelvis occurs and is presumed to be secondary to the smooth muscle–relaxing effect of progesterone. This dilatation is often more pronounced on the right side secondary to dextrorotation of the uterus and dilatation of the right ovarian venous plexus, which in turn can lead to urinary stasis and, as discussed later, an increased risk of developing urinary tract infections (UTIs).

Srishti Assisted Fertility and Advanced Laparoscopy (SAFAL), an exclusive clinic for reproductive medicine center situated at the core of Puducherry, is here to assist you with best Pregnancy Care for patients with Kidney Disease.

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