Hypertension in pregnancy
Hypertensive women, on getting pregnant, are at risk of worsening hypertension and therefore need to be on close follow up. Their anti-hypertensive medication needs to be changed to the drugs that are safe during pregnancy. Long standing hypertension may have affected the kidney function which may deteriorate further during the pregnancy.
Hence, assessment of kidney function at the beginning of pregnancy is important. The risk of complications is low in those with mild to moderate hypertension; but those with severe hypertension at an increased risk of complications like pre-eclampsia, placental abruption and intra-uterine growth restriction.
Anti-phospholipid syndrome is a condition that affects the blood clotting mechanisms of the body making the blood clot more easily. This is known to cause pregnancy complications like recurrent early pregnancy loss, late pregnancy loss, intra uterine growth restriction and pre-eclamsia. These patients are also at an increased risk of having deep vein thrombosis during pregnancy.
Pregnant patients known to have anti-phospholipid syndrome are co-managed by the Obstetrician with a special interest in ‘High Risk Pregnancy' and rheumatologists/haematologists.
Systemic Lupus Erythemayosus (SLE)
Systemic Lupus Erythemayosus (SLE)is a chronic inflammatory disorder. It is known to affect skin, joints, kidneys, and other organs in the body.
Women with SLE have a higher risk of miscarriage. Women, who have badly affected kidneys, are at an increased risk of developing high blood pressure during pregnancy. Those with mild or well controlled disease at the beginning of pregnancy usually do not experience much problem during pregnancy. These patients are co-managed by the Obstetrician with special interest in ‘High Risk Pregancy' and a Rheumatologist.
Birth Defects Clinic
One in 30 babies born may suffer from a birth defect. This happens while the baby is still developing in the mother’s womb, usually within the first three months of pregnancy.
The birth defect may affect how the baby looks, how the baby’s body works, or both. Some birth defects are cosmetic for example a cleft lip, while others may affect the baby’s inner organs such as the lungs in cystic fibrosis or the blood in thalassaemia.
At NUH, we have brought together clinicians from many disciplines (obstetricians to geneticists, paediatricians and surgeons) to run a Birth Defects clinic. This clinic is dedicated for the care of unborn babies diagnosed by ultrasound to have birth defect. The joint expertise is to plan for the delivery and immediate after-care of the newborn.
The Birth Defects Clinic opens on every 2nd Monday of the month at Clinic G (Main Building, Level 1). Please contact the Appointment Line at (65) 6772 5403 for more information.
Please contact the Women's Clinic at (65)6772 2255 / 2277 for more information or to make an appointment, or email us at Womens_Clinic@nuhs.edu.sg
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