Prof. Dr. Ali EKİZ

Prof. Dr. Ali EKİZ

Gynecology and Perinatology (Risky Pregnancy) Specialist

With over 15 years of professional experience, dozens of national and international research articles, and most importantly, his smiling face, Gynecology and Perinatology Specialist Prof. Dr. Ali EKİZ is with you.

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Deliveries with High Probability of Complications

What are Births with High Complication Probability?

One of the most important and exciting moments of stepping into parenthood is undoubtedly birth. Birth is usually a natural and unproblematic process; however, complications can occur in some cases. These complications can affect both mother and baby and can be serious, require treatment or be milder problems. In this article, we have compiled what you need to know about births with a high probability of complications.

What are Births with High Complication Probability?

We can list the births with a high probability of complications as follows:

• Low or high birth weight: The baby’s birth weight may be lower or higher than the normal range. Babies born with low birth weight or very early (before 28 weeks) are more vulnerable to birth traumas because they are not fully developed. Babies over 4000 gr bring risks such as compression in the birth canal and shoulder entrapment.

• Premature birth: If the baby is born before the normal term, that is, before 37 weeks, it is called premature birth. Premature babies, especially premature birth risks (need for intensive care, respiratory distress, etc.) are high.

• Difficult delivery (dystosia): In cases where the baby has difficulty in progressing through normal delivery, difficult delivery may occur. These babies can be exemplified as those whose head position is not correct, those with a non-head development and multiple pregnancies. Interventional delivery and cesarean section rates are higher in these deliveries.

• Placenta problems: The placenta is a vital organ for the development of the baby and attaches to the uterine wall. Problems such as premature separation of the placenta (placenta ablation) or placement of the placenta in the low cervix (placenta previa) make the birth very risky.

• Birth canal infections: The mother can transmit the infection present at the time of birth to the baby. Examples of these are HSV (herpes), HPV (condyloma) and Beta hemolytic streptococcal colonization.

• Birth injuries: Injuries to the baby’s or mother’s body may occur during both cesarean section and normal delivery.

• Postpartum bleeding: Postpartum uterine contractions may be insufficient and in this case, excessive bleeding may occur in the mother. Multiple pregnancies, pregnant women with excess water (polyhydramnios) and pregnant women with fibroids constitute the high-risk group in this respect.

Complications may not be completely prevented. However, risks can be minimized with modern medical interventions and appropriate precautions to be taken by the specialist healthcare team during childbirth. For this reason, pregnant women should do regular pregnancy check-ups and follow the guidance of specialist health professionals during the birth process.

How to Follow Pregnancy for Births with High Complication Probability?

Pregnancy follow-up for births with a high probability of complications requires a more careful and comprehensive approach. In such pregnancies, regular prenatal checks, special tests and a more strict monitoring process are applied to protect the health of the mother and baby. Pregnancy follow-up can be done as follows in deliveries with a high probability of complications:

• Hospital and Doctor selection: It is important to work with a hospital that has absolutely necessary conditions and a perinatologist (high-risk pregnancy specialist) when necessary, for births with a high probability of complications. The health care team will follow the mother regularly at all stages of pregnancy.

• Regular prenatal checkups: Regular prenatal checkups are of great importance throughout pregnancy. In these controls, the health of the mother and baby is monitored, necessary tests are performed and possible risks are determined in advance. The most important examination in determining the risks is the detailed ultrasound performed by the perinatology specialist.

• Advanced imaging and tests: Some additional tests and imaging methods can be applied for births with a high probability of complications. The baby’s health and development are monitored more closely with tests such as ultrasonography, amniocentesis, and biochemical scans.

• Evaluation of health history and risk factors: The health history of the expectant mother and any complications in her previous pregnancies are carefully evaluated. For example, the risk is high in the next pregnancy of a patient who had preeclampsia, that is, pregnancy poisoning in her previous pregnancy.

• Birth planning: Birth planning is an important step in births with a high probability of complications. The conditions under which the birth will take place, with which medical interventions and in which hospital are determined in advance.

• Measures to reduce risks: In some cases, special measures can be taken to reduce the risk of preterm birth to reduce complications.

• Emotional support during pregnancy: Pregnancy can be physically challenging and emotionally stressful as well. Providing emotional support to the expectant mother contributes to a more positive birth process. Psychiatric support should not be avoided when necessary.

Although births with a high probability of complications require meticulous and careful follow-up, risks can be minimized and a healthy birth process can be achieved with the opportunities provided by modern medicine.


You can make your appointment with Perinatology (Risky Pregnancy) Specialist Prof. Dr. Ali Ekiz via the WhatsApp button.

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