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High-Risk Pregnancies and Multiples: What To Expect

Last updated 6 years ago

Hearing that your pregnancy is high-risk can be overwhelming, and the pressure only increases when you’re pregnant with multiples. Although worrying is natural, the right maternity care can help you safely get through a high-risk pregnancy. Here are some things your OB/GYN may do to care for you:

Frequent Prenatal Visits

Doctors need to keep a closer eye on high-risk pregnancies, so expect to have frequent appointments. During these visits, your doctor will track your weight gain and the development of your baby or babies. He or she will also perform screening tests to keep an eye out for medical issues, such as gestational diabetes and preeclampsia. If you  a pregnancy-related health problem, your doctor will monitor your response to treatment.

Increased Nutrition

Eating right during pregnancy is always important, but it is especially crucial during a high-risk pregnancy. Your doctor will give you dietary guidelines, including a calorie target and recommended weight gain. Mothers carrying multiples will need to gain more weight than a mother with a single pregnancy. The American College of Obstetricians and Gynecologists recommends that women with high-risk multiple pregnancies gain a minimum of 35 to 45 pounds.

Bed Rest

Bed rest is an important part of managing high-risk pregnancies. This bed rest usually starts in the third trimester, but with high-risk multiples, it may start in the second trimester. If your doctor wants to monitor you closely, you may be hospitalized while you rest.

Maternity Medication

In addition to prenatal vitamins and iron, your doctor may prescribe other medication during a high-risk pregnancy. If you’re at risk for an early delivery, your doctor may put you on corticosteroids to help your baby’s lungs develop, especially if you’re pregnant with multiples. You may also be put on insulin, blood pressure medication, and thyroid hormone replacement medication, depending on your pregnancy-related medical issues.

We understand that you need support during a high-risk pregnancy. The Women’s Hospital at Saddleback Memorial is the only women’s hospital in South Orange County, and our doctors are experts in managing high-risk pregnancies for single babies and multiples. Call us today at (949) 837-4500 for a physician referral or for more information about our services.


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