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High-Risk Pregnancies: Information and Prenatal Care

If your pregnancy has been classified as high risk please know that we are well-equipped to provide the utmost attention and support. Our team of experienced obstetricians and healthcare professionals is dedicated to tailoring a care plan that addresses your unique needs and concerns. With a focus on preventive care, we will work collaboratively to manage any existing medical conditions and ensure they are well-controlled throughout your pregnancy.

 

Your safety and the health of your baby are our top priorities. Rest assured that if any challenges arise during your high-risk pregnancy, we are well-prepared to respond with a comprehensive range of specialized services. Our goal is to keep you informed at every step, involving you in all decisions regarding your care and the care of your baby.

 

We understand that a high-risk pregnancy can be emotionally and physically demanding, and we are here to support you every step of the way.

 

We would like to provide you with information about the most common types of high risk pregnancies:

 

Gestational Diabetes:  

Gestational diabetes is a type of diabetes that develops during pregnancy.  

 

Risk Factors include a family history of diabetes, obesity, advanced maternal age and certain ethnic backgrounds. 

 

Testing  

Between 24 and 28 wks of pregnancy you will undergo a glucose screening test to assess your body’s ability to process sugar.  If the results are abnormal you will need a follow up glucose test.

 

Nutrition Counseling  

A registered dietitian will work with you to develop a personalized meal plan that helps manage blood sugar levels and promotes a healthy pregnancy.

 

Blood Sugar Monitoring  

Regular monitoring of blood sugar levels at home may be required to ensure optimal control and adjust treatment as needed.

 

Fetal Growth Monitoring  

Regular ultrasounds may be scheduled to monitor your baby’s growth and well-being due to the increased risk of macrosomia (large baby) with gestational diabetes.

 

High Blood Pressure (Hypertension)

High blood pressure during pregnancy can lead to complications such as preeclampsia and gestational hypertension.

 

Risk factors

include pre-existing hypertension, obesity, and a history of preeclampsia.

 

Blood Pressure Monitoring

We will frequently monitor your blood pressure during pregnancy to identify any changes or concerns. 

 

Preeclampsia Screening

Due to the increased risk of preeclampsia in pregnancy we may need more specific testing during the last part of your pregnancy. 

 

Fetal Growth Monitoring  

Close monitoring of your baby’s growth and well-being to ensure they are thriving.

 

Prevention

If you have high blood pressure in pregnancy or an increased risk of preeclampsia we may recommend a baby aspirin supplement. 

 

Obesity

Obesity during pregnancy increases the risk of gestational diabetes, high blood pressure, and other complications.

     

Risk Factors

include a pre-pregnancy BMI above 30.

 

Prenatal Care

We encourage you to work with a dietician to develop a balanced meal plan and manage weight gain during pregnancy. 

 

Physical Activity  

Physical activity is a great way to decrease the risk associated with obesity in pregnancy. 

 

Testing in Pregnancy

Due to increased risks associated with obesity, close monitoring of blood sugar levels and blood pressure is essential. You will also have more ultrasounds in the third trimester of your pregnancy to check baby’s growth and well-being. 

 

Advanced Maternal Age (AMA)

  Advanced maternal age refers to pregnancies in women aged 35 years or older.

 

Risks

in an AMA pregnancy include an increased chance of chromosomal abnormalities and pregnancy-related complications.

 

Prenatal Care

To check for possible chromosomal abnormalities we offer screening tests like non-invasive prenatal testing (NIPT).

 

Additional Monitoring 

Due to the increased risk of pregnancy related complications, you will need increased surveillance in the third trimester, such as ultrasounds and non-stress testing. 

 

   

Additional Pregnancy Resources

Click below for more information

Construction Notice

The City of Spokane Valley is improving the Pines & Mission Intersection near our Spokane Valley location. 

Starting April 15th, 2024, most of the work will happen between 8:00 PM and 6:00 AM, with some daytime work too.

They’ll try to limit traffic disruptions, keeping the intersection open and businesses accessible but please plan accordingly when visiting our Spokane Valley office.

Click below for more details:

We can expect minor traffic changes mostly around the northeast and southeast corners of the intersection. This involves digging for the wall, upgrading traffic and pedestrian signals at Pines & Mission intersection, and improving its northeast and southeast corners.

Traffic revisions involve closing westbound Mission Avenue and the northwest shoulder of Pines Road near the 190 offramp, with ongoing modifications to traffic signals, retaining wall construction, sidewalk improvements along northwest Mission Ave, and prep work for repaving Pines Road and Mission Ave.

Traffic changes will close westbound Mission Avenue and part of the northwest Pines shoulder, limit center lanes on the east side of Mission and the south of Pines, pave parts of Mission Avenue and Pines Road, and reconstruct the traffic island at the Pines Road and Mission Avenue intersection.

Mission Avenue will be fully closed from the Pines intersection westbound to just before Applebee’s parking lot’s west driveway, with center lane restrictions on eastbound Mission. The project involves grinding existing asphalt, paving new asphalt, adding traffic islands, installing new road markings and signs, and landscaping the northwest quadrant of Mission and Pines.

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