Health problems before pregnancy
Before pregnancy, make sure to talk to our doctors about health problems you have now or have had in the past. If you are receiving treatment for a health problem, your doctor might want to change the way your health problem is managed. Some medicines used to treat health problems could be harmful if taken during pregnancy. At the same time, stopping medicines that you need could be more harmful than the risks posed should you become pregnant. Be assured that you are likely to have a normal, healthy baby when health problems are under control and you get good prenatal care.
|Condition||How it can affect pregnancy||Contact Doc On Alert|
|Asthma||Poorly controlled asthma may increase risk of preeclampsia, poor weight gain in the fetus, preterm birth, cesarean birth, and other complications. If pregnant women stop using asthma medicine, even mild asthma can become severe.||
|Depression||Depression that persists during pregnancy can make it hard for a woman to care for herself and her unborn baby. Having depression before pregnancy also is a risk factor for postpartum depression.||
|Diabetes||High blood glucose (sugar) levels during pregnancy can harm the fetus and worsen a woman’s long-term diabetes complications. Doctors advise getting diabetes under control at least three to six months before trying to conceive.||
|Eating disorders||Body image changes during pregnancy can cause eating disorders to worsen. Eating disorders are linked to many pregnancy complications, including birth defects and premature birth. Women with eating disorders also have higher rates of postpartum depression.||
|Epilepsy and other seizure disorders||Seizures during pregnancy can harm the fetus, and increase the risk of miscarriage or stillbirth. But using medicine to control seizures might cause birth defects. For most pregnant women with epilepsy, using medicine poses less risk to their own health and the health of their babies than stopping medicine.||
|High blood pressure||Having chronic high blood pressure puts a pregnant woman and her baby at risk for problems. Women with high blood pressure have a higher risk of preeclampsia and placental abruption (when the placenta separates from the wall of the uterus). The likelihood of preterm birth and low birth weight also is higher.||
|HIV||HIV can be passed from a woman to her baby during pregnancy or delivery. Yet this risk is less than 1 percent if a woman takes certain HIV medicines during pregnancy. Women who have HIV and want to become pregnant should talk to their doctors before trying to conceive. Good prenatal care will help protect a woman’s baby from HIV and keep her healthy.||
|Migraine||Migraine symptoms tend to improve during pregnancy. Some women have no migraine attacks during pregnancy. Certain medicines commonly used to treat headaches should not be used during pregnancy. A woman who has severe headaches should speak to her doctor about ways to relieve symptoms safely.||
|Overweight and Obesity||Recent studies suggest that the heavier a woman is before she becomes pregnant, the greater her risk of a range of pregnancy complications, including preeclampsia and preterm delivery. Overweight and obese women who lose weight before pregnancy are likely to have healthier pregnancies.||
|Sexually transmitted infections (STIs)||Some STIs can cause early labor, a woman’s water to break too early, and infection in the uterus after birth. Some STIs also can be passed from a woman to her baby during pregnancy or delivery. Some ways STIs can harm the baby include: low birth weight, dangerous infections, brain damage, blindness, deafness, liver problems, or stillbirth.||
|Thyroid disease||Uncontrolled hyperthyroidism (overactive thyroid) can be dangerous to the mother and cause health problems such as heart failure and poor weight gain in the fetus. Uncontrolled hypothyroidism (underactive thyroid) also threatens the mother’s health and can cause birth defects.||
|Uterine fibroids||Uterine fibroids are not uncommon, but few cause symptoms that require treatment. Uterine fibroids rarely cause miscarriage. Sometimes, fibroids can cause preterm or breech birth. Cesarean delivery may be needed if a fibroid blocks the birth canal.||
Pregnancy related problems
Sometimes pregnancy problems arise — even in healthy women. Some prenatal tests done during pregnancy can help prevent these problems or spot them early. Use this chart to learn about some common pregnancy complications. Call your doctor if you have any of the symptoms on this chart. If a problem is found, make sure to follow your doctor’s advice about treatment. Doing so will boost your chances of having a safe delivery and a strong, healthy baby.
|Anemia – Lower than normal number of healthy red blood cells||
||Treating the underlying cause of the anemia will help restore the number of healthy red blood cells. Women with pregnancy related anemia are helped by taking iron and folic acid supplements. Your doctor will check your iron levels throughout pregnancy to be sure anemia does not happen again.|
|Depression – Extreme sadness during pregnancy or after birth (postpartum)||
||Women who are pregnant might be helped with one or a combination of treatment options, including:
A mother’s depression can affect her baby’s development, so getting treatment is important for both mother and baby. Learn more about depression during and after pregnancy.
|Ectopic pregnancy – When a fertilized egg implants outside of the uterus, usually in the fallopian tube||
||With ectopic pregnancy, the egg cannot develop. Drugs or surgery is used to remove the ectopic tissue so your organs are not damaged.|
|Fetal problems – Unborn baby has a health issue, such as poor growth or heart problems||
||Treatment depends on results of tests to monitor baby’s health. If a test suggests a problem, this does not always mean the baby is in trouble. It may only mean that the mother needs special care until the baby is delivered. This can include a wide variety of things, such as bed rest, depending on the mother’s condition. Sometimes, the baby has to be delivered early.|
|Gestational diabetes – Too high blood sugar levels during pregnancy||
||Most women with pregnancy related diabetes can control their blood sugar levels by a following a healthy meal plan from their doctor. Some women also need insulin to keep blood sugar levels under control. Doing so is important because poorly controlled diabetes increases the risk of:
|High blood pressure (pregnancy related) – High blood pressure that starts after 20 weeks of pregnancy and goes away after birth||
||The health of the mother and baby are closely watched to make sure high blood pressure is not preeclampsia.|
|Hyperemesis gravidarum (HG) – Severe, persistent nausea and vomiting during pregnancy — more extreme than “morning sickness”||
||Dry, bland foods and fluids together is the first line of treatment. Sometimes, medicines are prescribed to help nausea. Many women with HG have to be hospitalized so they can be fed fluids and nutrients through a tube in their veins. Usually, women with HG begin to feel better by the 20th week of pregnancy. But some women vomit and feel nauseated throughout all three trimesters.|
|Miscarriage – Pregnancy loss from natural causes before 20 weeks. As many as 20 percent of pregnancies end in miscarriage. Often, miscarriage occurs before a woman even knows she is pregnant||Signs of a miscarriage can include:
* Spotting early in pregnancy doesn’t mean miscarriage is certain. Still, contact your doctor right away if you have any bleeding.
|In most cases, miscarriage cannot be prevented. Sometimes, a woman must undergo treatment to remove pregnancy tissue in the uterus. Counseling can help with emotional healing. See our section on Pregnancy loss.|
|Placenta previa – Placenta covers part or entire opening of cervix inside of the uterus||
||If diagnosed after the 20th week of pregnancy, but with no bleeding, a woman will need to cut back on her activity level and increase bed rest. If bleeding is heavy, hospitalization may be needed until mother and baby are stable. If the bleeding stops or is light, continued bed rest is resumed until baby is ready for delivery. If bleeding doesn’t stop or if preterm labor starts, baby will be delivered by cesarean section.|
|Placental abruption – Placenta separates from uterine wall before delivery, which can mean the fetus doesn’t get enough oxygen.||
||When the separation is minor, bed rest for a few days usually stops the bleeding. Moderate cases may require complete bed rest. Severe cases (when more than half of the placenta separates) can require immediate medical attention and early delivery of the baby.|
|Preeclampsia – A condition starting after 20 weeks of pregnancy that causes high blood pressure and problems with the kidneys and other organs. Also called toxemia.||
||The only cure is delivery, which may not be best for the baby. Labor will probably be induced if condition is mild and the woman is near term (37 to 40 weeks of pregnancy). If it is too early to deliver, the doctor will watch the health of the mother and her baby very closely. She may need medicines and bed rest at home or in the hospital to lower her blood pressure. Medicines also might be used to prevent the mother from having seizures.|
|Preterm labor – Going into labor before 37 weeks of pregnancy||
||Medicines can stop labor from progressing. Bed rest is often advised. Sometimes, a woman must deliver early. Giving birth before 37 weeks is called “preterm birth.” Preterm birth is a major risk factor for future preterm births.|
Infections during pregnancy
During pregnancy, your baby is protected from many illnesses, like the common cold or a passing stomach bug. But some infections can be harmful to your pregnancy, your baby, or both. This chart provides an overview of infections that can be harmful during pregnancy. Learn the symptoms and what you can do to keep healthy. Easy steps, such as hand washing, practicing safe sex, and avoiding certain foods, can help protect you from some infections.
|Infection||Symptoms||Prevention and treatment|
|Bacterial vaginosis (BV)
A vaginal infection that is caused by an overgrowth of bacteria normally found in the vagina.
BV has been linked to preterm birth and low birth weight babies.
||How to prevent BV is unclear. BV is not passed through sexual contact, although it is linked with having a new or more than one sex partner.
Women with symptoms should be tested for BV.
Antibiotics are used to treat BV.
A common virus that can cause disease in infants whose mothers are infected with CMV during pregnancy. CMV infection in infants can lead to hearing loss, vision loss, and other disabilities.
||Good hygiene is the best way to keep from getting CMV.
No treatment is currently available. But studies are looking at antiviral drugs for use in infants. Work to create a CMV vaccine also is underway.
|Group B strep (GBS)
Group B strep is a type of bacteria often found in the vagina and rectum of healthy women. One in four women has it. GBS usually is not harmful to you, but can be deadly to your baby if passed during childbirth.
||You can keep from passing GBS to your baby by getting tested at 35 to 37 weeks. This simply involves swabbing the vagina and rectum and does not hurt.
If you have GBS, an antibiotic given to you during labor will protect your baby from infection. Make sure to tell the labor and delivery staff that you are a group B strep carrier when you check into the hospital.
|Hepatitis B virus (HBV)
A viral infection that can be passed to baby during birth. Newborns that get infected have a 90 percent chance of developing lifelong infection. This can lead to liver damage and liver cancer. A vaccine can keep newborns from getting HBV. But 1 in 5 newborns of mothers who are HBV positive don’t get the vaccine at the hospital before leaving.
|There may be no symptoms. Or symptoms can include:
||Lab tests can find out if the mother is a carrier of hepatitis B.
You can protect your baby for life from HBV with the hepatitis B vaccine, which is a series of three shots:
Flu is a common viral infection that is more likely to cause severe illness in pregnant women than in women who are not pregnant. Pregnant woman with flu also have a greater chance for serious problems for their unborn baby, including premature labor and delivery.
||Getting a flu shot is the first and most important step in protecting against flu. The flu shot given during pregnancy is safe and has been shown to protect both the mother and her baby (up to 6 months old) from flu. (The nasal spray vaccine should not be given to women who are pregnant.)
If you get sick with flu-like symptoms call your doctor right away. If needed, the doctor will prescribe an antiviral medicine that treats the flu.
An infection with the harmful bacteria called listeria. It is found in some refrigerated and ready-to-eat foods. Infection can cause early delivery or miscarriage.
||Avoid foods that can harbor listeria.
Antibiotics are used to treat listeriosis.
|Parvovirus B19 (fifth disease)
Most pregnant women who are infected with this virus do not have serious problems. But there is a small chance the virus can infect the fetus. This raises the risk of miscarriage during the first 20 weeks of pregnancy. Fifth disease can cause severe anemia in women who have red blood cell disorders like sickle cell disease or immune system problems.
||No specific treatment, except for blood transfusions that might be needed for people who have problems with their immune systems or with red blood cell disorders. There is no vaccine to help prevent infection with this virus.|
|Sexually transmitted infection (STI)
An infection that is passed through sexual contact. Many STIs can be passed to the baby in the womb or during birth. Some effects include stillbirth, low birth weight, and life-threatening infections. STIs also can cause a woman’s water to break too early or preterm labor.
||STIs can be prevented by practicing safe sex. A woman can keep from passing an STI to her baby by being screened early in pregnancy.
Treatments vary depending on the STI. Many STIs are treated easily with antibiotics.
This infection is caused by a parasite, which is found in cat feces, soil, and raw or undercooked meat. If passed to an unborn baby, the infection can cause hearing loss, blindness, or intellectual disabilities.
||You can lower your risk by:
Medicines are used to treat a pregnant woman and her unborn baby. Sometimes, the baby is treated with medicine after birth.
|Urinary tract infection (UTI)
Bacterial infection in urinary tract. If untreated, it can spread to the kidneys, which can cause preterm labor.
||UTIs are treated with antibiotics.|
An infection caused by an overgrowth of bacteria normally found in the vagina. Yeast infections are more common during pregnancy than in other times of a woman’s life. They do not threaten the health of your baby. But they can be uncomfortable and difficult to treat in pregnancy.
||Vaginal creams and suppositories are used to treat yeast infection during pregnancy.|
When to call our doctor
When you are pregnant, don’t wait to call your doctor or midwife if something is bothering or worrying you. Sometimes physical changes can be signs of a problem.
Call our doctors as soon as you can if you:
- Are bleeding or leaking fluid from the vagina
- Have sudden or severe swelling in the face, hands, or fingers
- Get severe or long-lasting headaches
- Have discomfort, pain, or cramping in the lower abdomen
- Have a fever or chills
- Are vomiting or have persistent nausea
- Feel discomfort, pain, or burning with urination
- Have problems seeing or blurred vision
- Feel dizzy
- Suspect your baby is moving less than normal after 28 weeks of pregnancy (If you count less than 10 movements within two hours. Learn how to count your baby’s movements on our Prenatal care and tests page.)
- Have thoughts of harming yourself or your baby