Our Services High-Risk Obstetrics

Pre-pregnancy counseling and obstetric care are offered to women with adverse past obstetric history and pre-existing medical illnesses.

Adverse Past Obstetric History

• Prediction of Preterm Delivery
  
  • The use of transvaginal ultrasound for cervical length assessment
  • Regular monitoring and management if necessary (eg. cervical cerclage)
• Prediction of Pre-Eclampsia / Intra-Uterine Growth Restriction (IUGR)
  • Use the maternal medical history and Doppler ultrasound technique to predict the possibility of preeclampsia / IUGR
  • Given prophylaxis ( eg. aspirin) and appropriate management if necessary
  • Monitoring of fetal growth and fetal wellbeing
• Identification of Underlying Medical Illness
  • Gestational Diabetes
    
    • Team approach in the management (dietitian, diabetic nurse specialist)
    • Ultrasound assessment for macrosomia and/ or polyhydramnios
    • Liaise with endocrinologist in joint counselling and management if necessary
  • Chronic Hepatitis B Carrier
    
    • Regular monitor the chronic Hepatitis B activity status (eg. Hepatitis B DNA viral load) to predict the risk of neonatal infection
    • Given anti-viral medication to decrease the risk of neonatal infection if necessary
    • Liaise with hepatologist in joint counselling and management if necessary

Pre-existing Medical Disease Complicating Pregnancy

• Cardiac diseases
• Endocrine diseases, eg. thyroid disease
• Asthma / respiratory diseases
• Autoimmune / renal diseases
• Neurological disease

Liaison with the physician in a team approach (e.g. liaison with a cardiologist in women with cardiac disease) will be arranged if necessary.