What Is a High-Risk Pregnancy?
A high-risk pregnancy is one where the mother, the baby, or both face an increased chance of complications during pregnancy, labour, or delivery. Being classified as high-risk does not mean something will go wrong — it means your care team needs to monitor you more closely and act swiftly if needed.
With the right specialist, the vast majority of high-risk pregnancies result in healthy mothers and healthy babies. Dr. Juneja's approach combines rigorous monitoring, early intervention, and compassionate communication to ensure you feel safe and informed throughout.
Common Reasons for a High-Risk Pregnancy
- Under 17 years old
- Over 35 years old
- First pregnancy after 40
- Diabetes (Type 1 or Type 2)
- High blood pressure / hypertension
- Thyroid disorders
- Heart or kidney disease
- Autoimmune conditions (lupus, etc.)
- Preeclampsia
- Gestational diabetes
- Placenta previa / abruption
- Preterm labour
- Multiple gestation (twins, triplets)
- Incompetent cervix
- Recurrent miscarriages
- Previous preterm birth
- Prior caesarean delivery
- Low birth weight baby
- Stillbirth history
- Severe headache or visual disturbances
- Sudden swelling of face, hands, or feet
- Decreased fetal movement
- Vaginal bleeding at any stage
- Severe abdominal pain or cramping
- Fever over 38°C
- Painful or burning urination
- Persistent vomiting / inability to keep fluids down
How Dr. Juneja Manages High-Risk Pregnancies
Every high-risk case receives a fully individualised management plan. Dr. Juneja does not apply a one-size-fits-all protocol — she evaluates each patient's complete medical picture and designs a monitoring schedule, intervention strategy, and birth plan accordingly.
- Detailed initial risk assessment and baseline investigations
- Increased frequency of antenatal visits and ultrasound monitoring
- Doppler blood flow studies to assess fetal and placental health
- Non-stress testing (NST) and biophysical profile when indicated
- Gestational diabetes management — diet, medication, and insulin if required
- Preeclampsia surveillance and prevention with low-dose aspirin where appropriate
- Cervical length assessment and cerclage if cervical incompetence is identified
- Multidisciplinary coordination with cardiologists, endocrinologists, and nephrologists
- Detailed birth plan — timing and mode of delivery tailored to your risk profile
- Neonatal team briefed and on standby for complex deliveries
Preeclampsia — Special Expertise
Preeclampsia (high blood pressure combined with protein in urine after 20 weeks) is one of the most serious pregnancy complications. Dr. Juneja has extensive experience in early screening using first-trimester combined testing, preventive low-dose aspirin protocols, and intensive monitoring to detect deterioration before it becomes an emergency.
Multiple Pregnancies (Twins & Triplets)
Multiple gestation pregnancies carry higher risks of preterm labour, growth discordance, and delivery complications. Dr. Juneja provides specialist twin and triplet pregnancy care — including serial growth scans, cervical monitoring, and a carefully planned delivery strategy to give each baby the best possible start.