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A heterotopic pregnancy is a complication of pregnancy in which both extrauterine pregnancy and intrauterine pregnancy occur simultaneously. [2] It may also be referred to as a combined ectopic pregnancy, multiple‑sited pregnancy, or coincident pregnancy. The most common site of the extrauterine pregnancy is the fallopian tube.
This includes: pre-existing maternal factors (e.g., smoking, hypertension, advanced age), [51] as well as pregnancy-related factors such as multiple pregnancies or the presence of in-utero infections. Identifying risk factors beforehand in order to take steps and make quick reactions to minimize the likelihood of unfavorable outcomes for the ...
A high-risk pregnancy is a pregnancy where the mother or the fetus has an increased risk of adverse outcomes compared to uncomplicated pregnancies. No concrete guidelines currently exist for distinguishing “high-risk” pregnancies from “low-risk” pregnancies; however, there are certain studied conditions that have been shown to put the mother or fetus at a higher risk of poor outcomes. [1]
Risk factors include the first pregnancy, multiple pregnancy, obesity, prior or family history of HG, and trophoblastic disorder. A December 2023 study published in Nature indicated a link between HG and abnormally high levels of the hormone GDF15 , as well as increased sensitivity to that specific hormone.
Risk factors for ectopic pregnancy include pelvic inflammatory disease, often due to chlamydia infection; tobacco smoking; endometriosis; prior tubal surgery; a history of infertility; and the use of assisted reproductive technology. [2] Those who have previously had an ectopic pregnancy are at much higher risk of having another one. [2]
A multiple pregnancy may be the result of the fertilization of a single egg that then splits to create identical fetuses, or it may be the result of the fertilization of multiple eggs that create fraternal ("non-identical") fetuses, or it may be a combination of these factors. A multiple pregnancy from a single zygote is called monozygotic ...
Being or becoming overweight in pregnancy increases the risk of complications for mother and fetus, including cesarean section, gestational hypertension, pre-eclampsia, macrosomia and shoulder dystocia. [101] Excessive weight gain can make losing weight after the pregnancy difficult. [101] [105] Some of these complications are risk factors for ...
The greatest risk factors are an abnormal position of the baby within the uterus and a premature or small baby. [2] Other risk factors include a multiple pregnancy, more than one previous delivery, and too much amniotic fluid. [2] [3] Whether medical rupture of the amniotic sac is a risk is controversial.
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