{"id":28675,"date":"2022-10-11T16:59:12","date_gmt":"2022-10-11T20:59:12","guid":{"rendered":"https:\/\/www.getmaple.ca\/?p=28675"},"modified":"2025-04-12T14:01:38","modified_gmt":"2025-04-12T18:01:38","slug":"navigating-challenging-and-high-risk-pregnancies","status":"publish","type":"post","link":"https:\/\/www.getmaple.ca\/blog\/navigating-challenging-and-high-risk-pregnancies\/","title":{"rendered":"Navigating challenging and high-risk pregnancies"},"content":{"rendered":"<p><span style=\"font-weight: 400\">Finding out you\u2019re pregnant can be a joyful and exciting event. For many people, however, pregnancy comes with hardships. Many experience fertility challenges \u2013 <\/span><span style=\"font-weight: 400\">one in four pregnancies end in miscarriage<\/span><span style=\"font-weight: 400\"> \u2013 or have issues accessing healthcare providers. On average, Canadians wait five months to see a family health specialist.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Over 350,000 people in Canada gave birth last year \u2014 and it wasn\u2019t always an easy path to get there. While many birthing parents experience pregnancies and deliveries free from complications, others encounter complex obstacles.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Analyzing data from more than 3.1 million pregnancies across Canada, <\/span><a href=\"https:\/\/www.sickkids.ca\/en\/news\/archive\/2019\/canadian-research-finds-older-mothers-at-higher-risk-for-childbirth-complications\/\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">a study by<\/span><\/a><span style=\"font-weight: 400\"> The Hospital for Sick Children (SickKids), Sunnybrook Health Sciences Centre, and the Institute of Health Policy, Management and Evaluation at the University of Toronto (IHPME) found that mothers under the age of 19 or over 30 were at increased risk for severe maternal morbidity and mortality. The highest risk was for women over the age of 44, a very advanced maternal age, while mothers aged 20 to 24 had the lowest.<\/span><\/p>\n<p><span style=\"font-weight: 400\">With birth demographics changing, the age of mothers giving birth has increased, leading to more pregnancies in those of advanced maternal age (over the age of 35).\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">The resulting changes in pregnancy care and outcomes is forcing parents and businesses to evolve and adjust to today\u2019s definition of parenthood. Simply put, supporting mainly young heterosexual couples with no mental or physical health issues doesn\u2019t actually help today\u2019s new parents.<\/span><\/p>\n<h3>What\u2019s a high-risk pregnancy?<\/h3>\n<p><span style=\"font-weight: 400\">A high-risk pregnancy involves increased health risks for either the birthing person, the baby, or both. Pregnancies can begin as a high-risk pregnancy \u2013 when the birthing person has pre-existing medical conditions \u2013 or evolve gradually or suddenly into a high-risk pregnancy involving fetal, placental, or other complications.<\/span><\/p>\n<p><span style=\"font-weight: 400\">Factors that may <\/span><a href=\"https:\/\/www.healthlinkbc.ca\/pregnancy-parenting\/pregnancy\/risks-and-complications-during-pregnancy\/high-risk-pregnancy\" target=\"_blank\" rel=\"noopener\"><span style=\"font-weight: 400\">make a pregnancy high-risk<\/span><\/a><span style=\"font-weight: 400\"> include:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Pre-existing health problems like depression, diabetes, cancer, high blood pressure, kidney disease, or epilepsy<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Use of alcohol, tobacco, or illegal drugs<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Intimate partner or domestic violence<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Maternal age younger than 17 or older than 35<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Multiple pregnancies (e.g. carrying twins or triplets)<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">History of three or more miscarriages<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Carrying a baby with a genetic condition such as Down syndrome or a heart, lung, or kidney problem<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">History of previous pregnancy complications, such as preterm labour or birth, pre-eclampsia or seizures (eclampsia), or having a baby with a genetic disorder<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">An infection such as HIV, Hepatitis, cytomegalovirus (CMV), chickenpox, rubella, toxoplasmosis, syphilis, or COVID-19<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">The reality is that growing a family \u2014 and doing so amidst a global pandemic over the last two years \u2014 is not easy for many.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">A study polling 2,000 U.S. families found that 58% of new parents are overwhelmed by the sea of impersonal options when it comes to family health. Moreover, <\/span><a href=\"https:\/\/bmcprimcare.biomedcentral.com\/articles\/10.1186\/1471-2296-10-34\"><span style=\"font-weight: 400\">80% of new or expecting parents rely on online search<\/span><\/a><span style=\"font-weight: 400\"> or other forms of non-evidence-based resources for information that often leads them astray.<\/span><\/p>\n<h3>What you should do if your pregnancy is high-risk or particularly challenging<\/h3>\n<p><span style=\"font-weight: 400\">If you or your partner are currently experiencing a higher-risk pregnancy, here are some useful tips to consider:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">You may need additional medical care for the birth available in a hospital, as opposed to a birthing centre or at home. For rural parents, this may require travel.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Your care provider may also recommend additional imaging and tests, including, but not limited to, ultrasounds, genetic screening, blood tests, and a consultation with an obstetrician.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Make sure you\u2019re taking a high-quality prenatal vitamin that provides at least 16 to 20 mg of iron and 0.4 mg of folic acid, calcium, and vitamin B12.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Beyond your primary care provider, whether it\u2019s a family doctor, OBGYN, or midwife, consider other people who could join your support team, including a doula or family members. A doula is an emotional support person who can help guide you through pregnancy, postpartum, or both.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Keep in mind that one in five women will experience a mood disorder either during pregnancy or postpartum. The Cognitive Behavioural Therapy framework is one tool you can use to fight anxious thoughts. Ask yourself:<br \/>\n1. <\/span><span style=\"font-weight: 400\">What is the kernel of truth in my anxious thoughts?<br \/>\n<\/span><span style=\"font-weight: 400\">2. What evidence do I have to support or disprove this thought?<br \/>\n<\/span><span style=\"font-weight: 400\">3. What\u2019s an alternative way for me to think about this?<br \/>\n<\/span><span style=\"font-weight: 400\">4. What would I tell a friend if they told me they were feeling the same way?<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Consider adding a pelvic floor physiotherapist (PT) to your care team. Preventatively working with a physiotherapist during pregnancy can help manage urinary incontinence, strengthen the pelvic floor, and prevent or treat<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK563229\/\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400\">pelvic organ prolapse<\/span><\/a><span style=\"font-weight: 400\"> and<\/span><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK573063\/\" target=\"_blank\" rel=\"noopener\"> <span style=\"font-weight: 400\">diastasis recti<\/span><\/a><span style=\"font-weight: 400\">.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">If you have nutritional concerns, consider working with a registered dietitian or naturopathic doctor. Research shows that parents who introduce preventative measures in their pregnancy show fewer postpartum thyroid complications. A high-quality prenatal vitamin, which can also be taken after birth, may already include many micronutrients required to maintain your thyroid health.<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Know that one in four pregnancies end early in miscarriage. Factors that impact the risk of miscarriage are genetic abnormalities (which are out of a parent\u2019s control), advanced maternal age (due to changes in egg quality over time), undiagnosed medical conditions like hypothyroidism, high blood pressure, or celiac disease, binge drinking, and infections.<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">Lastly, if you experience any of the following symptoms during pregnancy, speak to a medical professional immediately:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Vaginal bleeding<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Noting a decrease in your baby\u2019s movements<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Severe abdominal pain or cramping<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Symptoms of prenatal anxiety or depression, such as thoughts of self-harm or harm to your baby<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Severe headaches<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Fever and\/or chills<\/span><\/li>\n<\/ul>\n<h3>How your workplace can support new parents<\/h3>\n<p><span style=\"font-weight: 400\">Workplaces have an important role to play as an employee goes through the various stages of pregnancy and parenting \u2014 everything from implementing inclusive work policies to creating safe spaces amongst managers and staff.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">Here are some things your workplace can do to support employees who are growing their families:<\/span><\/p>\n<ul>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Make sure language surrounding parental benefits, as well as the benefits themselves, are inclusive of all types of families \u2014 whether they\u2019re being formed through pregnancy, adoption, or surrogacy<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Plan a parental benefits strategy that covers all stages: conception and\/or adoption navigation, fertility support and\/or treatment, bereavement leave, termination support, prenatal education, care provider navigation, guidance on employment insurance or income top-ups, clear information on your company\u2019s leave policies, postpartum education and\/or support, and early childhood programs<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Remember that parental benefits programs should support parents (the birthing parent and co-parent) as well as the new baby \u2014 many programs mistakenly design solely for the latter<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Coach managers on how to support employees who disclose their family plans and\/or intentions of pregnancy and parental leave<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Coach managers to have open conversations on how, if at all, the employee would like to be kept informed of business changes while on leave<\/span><\/li>\n<li style=\"font-weight: 400\"><span style=\"font-weight: 400\">Build or provide a private and comforting space for pumping or nursing<\/span><\/li>\n<\/ul>\n<p><span style=\"font-weight: 400\">There\u2019s a lot to know about navigating challenging and high-risk pregnancies, but with the right kind of support, many families go on to have healthy deliveries and babies.\u00a0<\/span><\/p>\n<p><span style=\"font-weight: 400\">If you have a high-risk pregnancy, it\u2019s crucial to reach out for support from a healthcare provider so that you and your baby can get the care you need.<\/span><\/p>\n<p class=\"p1\"><i>The information presented here is for educational purposes and is not meant to replace the advice from your medical professional.<\/i><i><\/i><\/p>\n<p class=\"p1\"><i>When using virtual care, all medical treatment is at the sole discretion of the provider. Virtual care is not meant for medical emergencies, and your provider will determine if your case is appropriate for virtual care. If you are experiencing an emergency like chest pain or difficulties breathing, for example, please call 911 or go to your nearest emergency room.<\/i><\/p>\n<p><i><span style=\"font-weight: 400\">* The term \u201cbirthing parent\u201d was used in this article to refer to anyone who physically delivers a baby. We acknowledge this isn\u2019t the only path to parenthood.<\/span><\/i><\/p>\n<p><i><span style=\"font-weight: 400\">This blog was co-written by Maple and Koble, a health app for new and expecting parents. If you\u2019re a Maple user, you can get <\/span><\/i><a href=\"https:\/\/koblecares.app\/maple\/signup\" target=\"_blank\" rel=\"noopener\"><i><span style=\"font-weight: 400\">preferential pricing for Koble<\/span><\/i><\/a><span style=\"font-weight: 400\">.<\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Finding out you\u2019re pregnant can be a joyful and exciting event. For many people, however, pregnancy comes with hardships. Many experience fertility challenges \u2013 one in four pregnancies end in miscarriage \u2013 or have issues accessing healthcare providers. On average, Canadians wait five months to see a family health specialist. Over 350,000 people in Canada&hellip;<\/p>\n","protected":false},"author":23,"featured_media":28676,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"inline_featured_image":false},"categories":[7376],"tags":[],"acf":{"image":{"ID":28676,"id":28676,"title":"Maple-Koble_Blog_1180x483","filename":"Maple-Koble_Blog_1180x483.jpg","filesize":332773,"url":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","link":"https:\/\/www.getmaple.ca\/blog\/navigating-challenging-and-high-risk-pregnancies\/maple-koble_blog_1180x483\/","alt":"","author":"23","description":"","caption":"","name":"maple-koble_blog_1180x483","status":"inherit","uploaded_to":28675,"date":"2022-10-07 15:53:49","modified":"2022-10-07 15:53:49","menu_order":0,"mime_type":"image\/jpeg","type":"image","subtype":"jpeg","icon":"https:\/\/www.getmaple.ca\/wp-includes\/images\/media\/default.png","width":1180,"height":483,"sizes":{"thumbnail":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-150x150.jpg","thumbnail-width":150,"thumbnail-height":150,"medium":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-300x123.jpg","medium-width":300,"medium-height":123,"medium_large":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-768x314.jpg","medium_large-width":768,"medium_large-height":314,"large":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-1024x419.jpg","large-width":1024,"large-height":419,"1536x1536":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","1536x1536-width":1180,"1536x1536-height":483,"2048x2048":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","2048x2048-width":1180,"2048x2048-height":483,"square1200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","square1200-width":1180,"square1200-height":483,"square600":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-600x483.jpg","square600-width":600,"square600-height":483,"square300":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-300x300.jpg","square300-width":300,"square300-height":300,"square200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-200x200.jpg","square200-width":200,"square200-height":200,"square100":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-100x100.jpg","square100-width":100,"square100-height":100,"feature1200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","feature1200-width":1180,"feature1200-height":483,"feature1100":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-1100x483.jpg","feature1100-width":1100,"feature1100-height":483,"feature800":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-800x400.jpg","feature800-width":800,"feature800-height":400,"feature400":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483-400x200.jpg","feature400-width":400,"feature400-height":200,"facebook1200":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","facebook1200-width":1180,"facebook1200-height":483,"medium_retina":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","medium_retina-width":1180,"medium_retina-height":483,"large_retina":"https:\/\/www.getmaple.ca\/wp-content\/uploads\/2022\/10\/Maple-Koble_Blog_1180x483.jpg","large_retina-width":1180,"large_retina-height":483}},"intro_text":"","meta_description":"Finding out you\u2019re pregnant can be a joyful and exciting event. For many people, however, pregnancy comes with hardships.","add_promotional_banner":false,"advertisement_image":false,"advertisement_url":"","add_call_to_action":true,"show_age_gate":false,"call_to_action_text":"See a doctor online","call_to_action_button_text":"Get started ","call_to_action_link":"[mpl-register-link]","reviewer":false,"author":false},"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v18.4 (Yoast SEO v18.9) - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Navigating challenging and high-risk pregnancies - Maple<\/title>\n<meta name=\"description\" content=\"Finding out you\u2019re pregnant can be a joyful and exciting event. 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