High-risk pregnancy care in Badalona

A high-risk pregnancy is not necessarily a pregnancy with a poor outcome. It is a pregnancy in which one or more factors mean that closer monitoring is advisable. At Badagine, a gynaecology and obstetrics clinic in Badalona since 1998, we tailor clinical reviews and ultrasound follow-up to each pregnancy.

What is considered a high-risk pregnancy?

A pregnancy may be considered high risk when a factor increases the likelihood of complications for the pregnant person or the baby. It may be present from the beginning or develop during pregnancy. Examples include:

• High blood pressure, diabetes, thyroid disease or another pre-existing condition.
• Previous pre-eclampsia, premature birth or pregnancy loss.
• A multiple pregnancy (twins or more).
• A previous caesarean birth.
• Advanced maternal age.
• Significant obesity or low body weight.
• Pregnancy following assisted reproductive treatment.

Having a risk factor does not mean that a complication will occur. It means that closer observation may help identify problems early.

First trimester: establishing a care plan

Your first appointment and the first-trimester ultrasound scan help confirm the pregnancy, establish gestational age and identify possible risk factors. At this stage, your clinician can also assess your individual risk of conditions such as pre-eclampsia and discuss appropriate prevention and monitoring.

Pre-eclampsia and high blood pressure

Pre-eclampsia usually develops after 20 weeks of pregnancy. It involves high blood pressure and may affect other organs. Blood pressure is therefore checked during appointments, and warning symptoms are reviewed. If you already have hypertension or develop it during pregnancy, your care plan may need closer monitoring. Your gynaecologist will discuss whether preventive measures are appropriate.

Twin pregnancy and fetal growth

Multiple pregnancies generally require more frequent ultrasound assessments. Doppler ultrasound measures blood flow and can help assess placental and fetal circulation, monitor growth and identify potential complications. The monitoring schedule depends on the type of twin pregnancy and the findings at each scan.

Previous caesarean birth and planning delivery

A previous caesarean does not automatically rule out vaginal birth. The options are assessed individually, taking into account the reason for the previous caesarean, the type of uterine incision where known, your current pregnancy and your preferences. Your obstetrician will explain the benefits and risks of each option.

Vaccination during pregnancy

Some vaccines recommended during pregnancy also help protect the newborn during the first months of life. Recommendations depend on the stage of pregnancy and current public-health guidance. Ask your clinician which vaccines are appropriate for you.

High-risk pregnancy care in Badalona and the Maresme

Our clinic is at 180 Maria Auxiliadora Street, Badalona. We welcome patients from Badalona, Santa Coloma de Gramenet, Sant Adrià de Besòs, Montgat, Tiana and across the Maresme. We are open Monday to Friday, 9:00 am–8:00 pm, and Saturdays, 9:00 am–3:00 pm, by appointment. See how to reach the clinic.

When should you contact your maternity team?

Follow the advice given by your maternity team about symptoms that require urgent assessment. Seek urgent medical advice for severe headache, visual disturbances, severe upper abdominal pain, vaginal bleeding, reduced fetal movements, fluid leakage or any symptom that causes concern.

This page is for general information and does not replace individual medical advice. Your monitoring plan should be agreed with your obstetrician or maternity team.

Frequently asked questions

Does a high-risk pregnancy mean something will go wrong?

No. It means that a factor may increase the likelihood of a complication and that closer monitoring may be recommended. Many high-risk pregnancies progress well.

Will I need more ultrasound scans?

Possibly. The number and timing of scans depend on the risk factors, the type of pregnancy and how you and your baby are doing.

Can I have a vaginal birth after a caesarean?

Some people can. The decision depends on your previous operation, current pregnancy and individual circumstances, and should be discussed with your obstetrician.