A high-risk pregnancy means you or your baby are more likely to experience health problems during pregnancy, during delivery, or after birth. These can range from minor issues to serious ones that could endanger the life of the mother or baby. You can get an idea of your risk level during pregnancy with a self-administered question-and-answer quiz. Below are three sections containing questions about your general health, your previous pregnancy, and your current pregnancy.
1. Answer the questions
| Questions | NO | YES |
|---|---|---|
| Risks Related to Your General Health | ||
| Do you have diabetes? | ||
| Do you have chronic kidney disease? | ||
| Do you have heart disease? | ||
| Do you have goiter? | ||
| Do you have any blood diseases other than anemia? | ||
| Do you have alcohol, tobacco, or other substance addiction? | ||
| Do you have nutritional deficiencies? | ||
| Do you have tuberculosis? | ||
| Have you had uterine or cervical surgery? | ||
| Do you have liver disease? | ||
| Do you have any other disease not asked here? (Can be up to 3 points depending on severity) | ||
| Risks Related to Your Previous Pregnancies | ||
| Have you had more than four "births"? | ||
| Have you had three miscarriages in a row? | ||
| Have you ever had high blood pressure or preeclampsia? | ||
| If you are Rh negative and your partner is Rh positive, did you have a bad blood test? | ||
| Did you give birth three weeks or more earlier than expected? | ||
| Did you have a difficult vaginal delivery requiring additional medical attention? | ||
| Was your last baby's birth weight less than 2500 grams? | ||
| Was your last baby over 4500 grams at birth? | ||
| Did you have bleeding enough to require blood transfusion after birth? | ||
| Have you had a cesarean section? (Two cesareans are worth 3 points. Three cesareans are worth 6 points) | ||
| Do you have a child with a physical or mental disability from birth? | ||
| Have you had a stillbirth or a baby that died at one month old? | ||
| Risks Related to Your Current Pregnancy | ||
| Are you under 16? | ||
| Are you over 35? | ||
| Did you conceive after undergoing infertility treatment? | ||
| Are you pregnant with twins (or more)? | ||
| Will this be your first birth? | ||
| Have you had a large cyst or tumor in your abdomen or pelvic area? | ||
| Have you had vaginal bleeding (from the vagina) after passing the halfway point of pregnancy? | ||
| Have you been diagnosed with high blood pressure or preeclampsia? | ||
| Has anemia requiring treatment been detected? | ||
| If you are Rh negative and your partner is Rh positive, did you have a negative blood incompatibility test? | ||
| Has it been determined that the baby is not developing adequately? | ||
| Has it been determined that the baby's water level has decreased or increased? | ||
| From the vagina (Did you suddenly have a large amount of water (from the reservoir)? | ||
| Has the baby been detected in breech position during the last two months of pregnancy? | ||
| Has a suspicious result been found on screening tests or ultrasounds, such as double, triple, or quadruple? Is it? | ||
2. Add up your points
3. Know your risk
The most important thing that any level of risk can cause is the loss of the baby during pregnancy, at birth, or in the first week after birth, that is, the perinatal period. Your risk assessment is based on your likelihood of experiencing this adverse outcome.
| 0 points: You have a BASIC pregnancy risk.
Unfortunately, a zero point score doesn't mean you're at zero risk. Every pregnancy carries risk. You can think of your risk as the first rung of an 18-step ladder. Approximately 40 out of every 100 pregnancies are at this rung. 1 in 200 pregnant women with a baseline risk like yours will experience fetal loss. |
1-2 points: You have a LOW pregnancy risk.
The word "low" here means "slight" or "low." You can think of your risk as the third rung on an 18-step ladder. About 30 out of every 100 pregnancies reach this rung. While 1 in 200 pregnant women with a baseline risk experience fetal loss, low-risk women like you experience it six times. |
|---|---|
| We recommend that you continue to see your midwife or family doctor, as well as your obstetrician, for your pregnancy checkups, and that you give birth at a hospital with a gynecologist and pediatrician. | |
| 3-5 points: You have a MODERATE pregnancy risk.
You can think of your risk as the 9th rung of an 18-step ladder. Approximately 20 out of every 100 pregnant women are on this rung. While 1 in 200 pregnant women with "basic" risk experience miscarriage, medium-risk pregnant women like you experience it 18 times. |
Score of 6 or higher: You have a HIGH pregnancy risk.
You can think of your risk as the top rung of an 18-step ladder. About 10 out of every 100 pregnant women are on this rung. While 1 in 200 pregnant women with "basic" risk experience miscarriage, high-risk pregnant women like you experience it 36 times. |
| We recommend that you continue to see a perinatologist* for your pregnancy checkups, in addition to your midwife, family doctor, or obstetrician. If possible, you should give birth in a hospital with a perinatologist and neonatologist (newborn specialist). Ensure that the hospital you choose is qualified to provide adult and infant intensive care. | |
Remember
The risk assessment you completed is valid for today. Without appropriate pregnancy and birth monitoring, your current risk may increase. New risks may arise in the future of your pregnancy.
We recommend that you keep this form and be especially vigilant about the conditions listed in the "Risks Related to Your Current Pregnancy" section. The emergence of any of these conditions could significantly alter your risk level and require additional care. If you suspect such a thing, consult your midwife/physician immediately.
Please remember that other things not mentioned in this form may also pose a risk. To keep yourself and your baby as safe as possible, you should continue your regular checkups. Research the doctors and hospitals in your area and choose the one that best suits your risk. You can get help from your midwife and physicians in this regard.
We wish you a healthy and safe pregnancy.