Who needs extra care
- A previous C-section or other surgery on the womb
- Twins or more
- Diabetes, before or during pregnancy
- High blood pressure or pre-eclampsia
- A previous miscarriage, early birth or stillbirth
- Being over 35, or a first pregnancy at a young age
- Thyroid problems, anaemia or other long-term conditions
What closer care involves
- More frequent check-ups and blood pressure readings.
- Regular checks of blood sugar, with diet advice and medicine if needed.
- Extra scans to follow your baby's growth.
- A clear plan for when and how your baby should be delivered.
- Referral to a hospital with specialist newborn care when that is the safest option.
What you can do
Keep every appointment, take your medicines and supplements as advised, and keep a note of your blood pressure or sugar readings if you check them at home. Bring all your reports to each visit.
Call or come in straight away if you have:
- Bleeding at any stage of pregnancy
- Severe headache, blurred vision or sudden swelling
- Your baby moving less than usual
- Leaking fluid or regular tightening before 37 weeks
If you can't reach us, go to the nearest hospital emergency department.
Common questions
Is a high-risk pregnancy always delivered by C-section?+
No. Many high-risk pregnancies end in a normal delivery. The method is chosen based on what is safest for you and your baby.
I had a miscarriage before. When should I come in?+
As soon as your test is positive. An early scan and early check-up give reassurance and allow any treatment to start promptly.
General information for patients of Dr Maryam's Clinic. It does not replace a consultation. Last updated October 2026.
