High Risk Pregnancy Management in Yelahanka, Bangalore

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

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