High Risk Pregnancy Care in Mumbai

A high-risk pregnancy is one where a condition in the mother or the baby raises the chance of complications, and so needs closer monitoring than a routine pregnancy. Common reasons include diabetes or high blood pressure (including sugar in pregnancy and preeclampsia), carrying twins, thyroid disease, a previous miscarriage or caesarean, and pregnancy after 35. Dr. Poonam Nautiyal, who holds the MRCOG (UK), manages high-risk pregnancies in Mumbai with closer scans, tighter monitoring and a written plan for delivery.

Also searched as: complicated pregnancy, BP in pregnancy, sugar in pregnancy, twins pregnancy

What high risk pregnancy care involves

Being told your pregnancy is high-risk is frightening, and the word makes it sound worse than it usually is. In practice it means one thing: you are seen more often and watched more closely, so that a problem is caught while it is still small. That might mean fortnightly visits instead of monthly ones in the third trimester, extra growth scans, home blood pressure or sugar readings, or adjusting a thyroid dose as the pregnancy progresses. Dr. Nautiyal's MRCOG (UK) training is in exactly this kind of protocol-driven monitoring, and her attachments to Surya Hospital in Santacruz West, Criticare in Andheri East, Cloudnine in Malad West and Apollo in Navi Mumbai mean that if a pregnancy does need specialised support at delivery, the infrastructure is already in place. Most closely-watched high-risk pregnancies end in a healthy baby and a healthy mother.

What this includes

Management of gestational diabetes (sugar in pregnancy) and preeclampsia (high BP in pregnancy).
Care for pregnancy after 35, often called advanced maternal age.
Monitoring plans for twins and triplets.
Closer fetal monitoring and detailed anomaly and growth scans.

“Extremely proactive, very strong commitment and sense of responsibility, deeply empathetic, near 24/7 availability for patient, always flexible to accommodate the patient's needs, very professional yet so humane.”

Haryy G. — Practo, 3 years ago

Frequently asked questions

Can I still have a normal delivery with a high-risk pregnancy?

Often yes. It depends on the specific condition. Many women with well-controlled gestational diabetes or high blood pressure go on to have a normal vaginal delivery. Some situations do call for a planned caesarean, and that decision is made with you well before your due date, not in a rush on the day.

How often will I need check-ups?

More often than a routine pregnancy. Instead of monthly visits, expect to be seen every one to two weeks, particularly in the third trimester, with extra scans as needed.

What makes a pregnancy high risk in the first place?

The common reasons are diabetes or high blood pressure before or during pregnancy, thyroid disease, twins or triplets, being over 35, obesity, a previous caesarean, previous miscarriages or preterm birth, and any condition affecting the baby's growth.

Which hospital will I deliver at?

Dr. Nautiyal is attached to Surya Hospital (Santacruz West), Criticare Hospital (Andheri East), Apollo Hospitals (Navi Mumbai) and Cloudnine Hospital (Malad West). The choice is made together, based on where you live and what your pregnancy needs.