High-Risk Pregnancy woman with female doctor at prenatal checkup

High-Risk Pregnancy

Some women may need additional care to support a healthy pregnancy and delivery. Rely on maternal fetal medicine experts to help you navigate the process.

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Pregnancy is a transformative time with many ups and downs. Factors such as your age, current health conditions and if you are having multiple babies (twins, triplets, quadruplets) may mean you need additional care during pregnancy.

  • Perinatologists (maternal fetal medicine specialists) manage high-risk pregnancy symptoms and offer treatment to support a safe birth. With our compassionate care, you and your family have the help you need to make the healthiest choices for your situation.
  • If expectant mothers have a history of pregnancy loss, premature labor, previous complications or special health concerns like diabetes and high blood pressure, advanced perinatology services can help. We aim to effectively prevent or correct an issue before or at delivery.

Maternal Fetal Medicine Care

A high-risk pregnancy may feel stressful and overwhelming at times. Your care team is here to help address any fetal abnormalities (birth defects) or complications as soon as possible.

Screenings & Tests

Accurate results from prenatal screenings and diagnostic tests help your doctor determine the best care to manage the health of both you and your baby.

  • Amniocentesis (detects genetic or chromosomal issues from amniotic fluid in the womb)
  • Chorionic villus sampling (CVS)
  • Genetic testing and counseling 
  • Routine, high-resolution ultrasounds
  • 3D/4D obstetrical ultrasounds

Conditions We Treat

Every pregnancy is different. Common reasons you should see a perinatologist for high-risk pregnancy include:

  • Abnormal prenatal screen or test
  • Aneuploidy (chromosomal abnormalities)
  • Diabetes (gestational, type 1 and 2)
  • Ectopic pregnancy
  • Expecting more than one baby
  • Genetic diseases like muscular dystrophy and Fragile X syndrome
  • High blood pressure and hypertension
  • History of infant loss, stillbirth and miscarriage
  • Known or expected congenital disorders (birth defects)
  • Preeclampsia
  • Pregnancy over age 35
  • Preterm labor
  • History of sudden infant death syndrome (SIDS)
  • Teratogen exposure during pregnancy

NICU

The Level IIIB Neonatal Intensive Care Unit (NICU) at the Avera Children’s Hospital in Sioux Falls is monitored 24 hours every day, offering resuscitation as early as 22 weeks’ gestation and rooms for individuals, twins and triplets. Neonatal transport services are available throughout the region by Careflight air and ground ambulance.

Women’s Health Research Now & Into the Future

Avera Research Institute seeks to improve health for mothers and their children through community-based research. Our staff of clinical research experts address regional needs by gaining insight into historically high-risk or medically underserved populations to make a positive impact by:

  • Addressing population health needs
  • Advancing clinical best practices
  • Supporting diverse populations

Clinical Research

Not every expecting mom has access to healthy food, reliable transportation and decent housing. To close the gaps in rural obstetrics care, Avera Research Institute addresses these realities with federally funded, community-based research such as:

Researchers also conduct clinical trials on many topics, including women’s health.  View Studies

Women's Research at Avera

High-Risk Pregnancy FAQ

From conception to delivery, it’s natural to have many questions during your pregnancy journey. Your provider is your most reliable source for answers. Explore frequently asked questions to learn more.

How do I know if my pregnancy is considered high risk?

A high-risk pregnancy means you have additional care needs since there is a higher chance for a health problem or early delivery. You will know if your doctor diagnoses you based on prenatal screenings, tests and/or family history of genetic disorders. They may recommend more advanced testing for your situation as needed. That's why every prenatal appointment is important to attend for the best outcome possible for you and your baby’s health.

Factors such as your age, current health conditions and if you are having multiple babies (twins, triplets, quadruplets) will also indicate your diagnosis.

What are common reasons to need the NICU?

Neonatologists treat babies born too early or with congenital disorders, diseases and other health conditions. Premature babies (born before 37 weeks) need special care and attention because they are not physically or developmentally prepared to live outside the mother’s womb like babies born full term.

What is gestational diabetes?

Healthy women without diabetes may get gestational diabetes, which causes high blood sugar during pregnancy. Women with any kind of diabetes will have increased insulin resistance during pregnancy, which makes managing blood sugars more difficult. Women at risk for gestational diabetes are often overweight or obese, have a family history of type 2 diabetes or are older than 25.

If you experience preexisting or gestational diabetes, your care team can work with you during pregnancy and after delivery to provide education, diabetes management tools and any support you need.

What is preeclampsia?

Preeclampsia happens when blood pressure in a pregnant woman rises to a life-threatening level. It tends to show up in the second or third trimester with symptoms such as high blood pressure, headaches, blurry vision and abdominal pain. OB providers regularly screen for this condition, and they can recommend medications and/or bed rest to help.

A perinatologist can help determine the best time to deliver early for the health of the mother and for the baby’s optimal development. For extreme cases, women may require hospitalization or even premature delivery. If this happens, immediate intervention is needed.


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By Your Side Before, During & After Baby Arrives

Trust our compassionate providers to help you navigate pregnancy, from conception to labor and delivery, as well as parenting support. Schedule an appointment at an Avera clinic in your town and visit with your doctor.

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