Pregnancy: risk groups


Sometimes pregnancy requires more careful follow-up. In itself, this does not mean that you should worry about yourself and your child. This means that your pregnancy will be more closely followed and observed in order to avoid complications.

What factors influence the decision of a gynecologist to classify your pregnancy as a risk group? Let us consider the most common cases in practice.


Pregnancy in women over 35 years of age is at risk. The probability of chromosome abnormalities in the child whose mother is 35 years of age or older is higher.


Pregnancy in the woman who has already suffered a miscarriage, ectopic pregnancy or other complications is considered to be at risk.

Chronic diseases

Pregnancy in the women with chronic diseases (diseases of the cardiovascular system, diabetes) is considered as a risk group. In this case, women should discuss with the doctor possible risks as far as possible before pregnancy.


Women who carry twins are at risk. Because of the limited space in the abdomen, the risk of premature birth of twins is generally elevated and requires careful monitoring.

Blood type

The prerequisite for the so-called Rh-conflict is different blood groups in the mother and her future child. If the mother is Rh-negative, and the fetus is Rh-positive, it can happen that it (this occurs mostly for the first time shortly before the birth) produces antibodies against the baby’s erythrocytes. For the first child, this is largely unaffected, but if the mother becomes pregnant a second time, then her immune system reacts to the child and can cause serious damage. It is important that intolerance should be identified as early as possible and treated with anti-D antibodies.

Breech presentation of the fetus

If the child is in the pelvic or breech presentation, spontaneous labor may not be possible, most often a caesarean section is needed.

Cesarean section

A pregnant woman who once gave birth by caesarean section is at risk, since the likelihood of complications from natural delivery will be slightly higher. It is likely that she will again have to undergo a caesarean section.

Metabolic disorders

Women suffering from metabolic disorders (gestosis) are considered to be at risk. Previously, the disease was called “toxicosis in pregnancy”. With late gestosis, there is a relatively high risk of premature birth.

Multiple deliveries

Women with 4 children are considered at risk, as the mother’s body has already experienced a great deal of stress in the course of previous pregnancies and childbirth. In this case, more careful accompaniment of each subsequent pregnancy makes sense.



The Clinic of Obstetrics and Gynecology at the City Clinic in Solingen has the most modern possibilities for prenatal diagnostics and monitoring of pregnancy. The well-coordinated work of doctors and attendants provides a high professional level of service, and expectant family replenishment can focus on pleasant moments of pregnancy without excess stress.

Our Clinic undergoes regular certification and is marked as “Clinic, friendly to the child”. For our inpatients, we have comfortable family rooms, and highly qualified, polite staff is at your service 24 hours a day.




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