Perth obstetrician for high-risk pregnancy

What is a high-risk pregnancy?

Have you been told to find a Perth obstetrician who has a special interest in high-risk pregnancies as your pregnancy may require extra care? It’s normal to feel worried and to have strong emotions when you are pregnant. And when a doctor mentions that your pregnancy may be high risk, these emotions can even feel more intense. At Joondalup Obstetrics and Gynaecology Group, we are here to help you safely deliver your baby and to make your pregnancy a time as joyful as possible, even if you are considered high risk. 

perth obstetrician high risk
perth obstetrician high risk
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In a nutshell
  • A pregnancy is considered high risk when there are potential complications that could affect you as a mother, your baby, or both.
  • At Joondalup Obstetrics and Gynaecology Group, you are in safe hands in case your pregnancy is high risk. Our Perth obstetricians are highly trained to manage your pregnancy. Our aim is always to deliver your baby as healthy as possible, also with the most healthy outcome for you as a mum.

Perth obstetrician explains High-risk pregnancy

What are high-risk pregnancies?

We call a pregnancy high risk you as the mum-to-be and your foetus are facing a higher-than-normal chance of experiencing any problems. In essence, these types of pregnancies require extra and specialised care. This may mean we see you more often, to lower your risk and create the best chance of a healthy and joyful pregnancy. 

Many factors can make a pregnancy high risk and we will go over the most common ones.

High-risk Perth obstetrician

High-risk factors of pregnancy

In some cases, a pregnancy is a high risk because of a maternal condition that is present before your pregnancy. As part of your antenatal routine visits and consultations, you would always find out at the very start of your pregnancy when we go over your medical history in full detail, during your first antenatal consultation. 

In other cases, a medical condition can develop during your pregnancy.


Pre-eclampsia is a serious disorder and it can affect different organs. You may be diagnosed with pre-eclampsia if you have high blood pressure, as well as protein in your urine, and fluid retention. Pre-eclampsia usually develops after 20 weeks. There are different variants. For example, if it develops prior to 34 weeks, it can be called early-onset pre-eclampsia. It can also develop in the weeks after you have given birth. 

Pre-eclampsia is dangerous because it can lead to seizures and strokes. It can also lead to HELLP syndrome. This is a medical emergency.

Gestational hypertension

Gestational hypertension is a form of high blood pressure in pregnancy. It’s different from chronic hypertension, which is high blood pressure that was already present before you were pregnant.

Gestational hypertension can develop into pre-eclampsia. Families often ask me what the difference is between the two. You must think of these as a continuum of the same disease, with gestational hypertension being hypertension in isolation, seen in pregnancy with no other organ involvement.

Like pre-eclampsia, there is the long-term risk of kidney or heart disease and stroke, especially if it develops into essential or chronic hypertension.

Gestational diabetes

Gestational diabetes is diabetes that is diagnosed in pregnancy when there is no history of diabetes prior to the pregnancy. 


Twin / multiples pregnancy

In case you find out you are having twins or multiples, your pregnancy is automatically considered high risk. Twin pregnancies present particular challenges and require close monitoring especially if they are monochorionic twins (identical twins that share a placenta). Twin-to-twin transfusion (TTTS), for example, is a syndrome that can occur in monochorionic twins in which one twin is getting more of the placenta’s blood supply than the other. This then results in the two foetuses growing at different rates. 

Maternal age

Luckily, your maternal age is not a condition. But maternal age plays a role when we talk about pregnancy and high risk. We think that a woman’s best fertility years are in her twenties and early thirties. As you get older your fertility naturally declines and by the age of 45 natural conception is unlikely. 

We know that older women face a higher risk of pregnancy complications such as gestational diabetes and pre-eclampsia. There also seems to be a higher risk of foetal growth restriction and other foetal complications.

Previous premature pregnancy

When you have had a previous preterm birth, your current one will be seen as a high-risk pregnancy. Unfortunately, a previous premature pregnancy puts you at risk of this happening again and will need close monitoring with possible treatment. 

12 excellent reasons to choose Joondalup Obstetrics and Gynaecology Group


Care for the whole family, organising work certificates for partners.


Providing safe care and birth options (experience as a rural GP obstetrician).


A limited number of private patients to allow us the ability to provide patients with the service they deserve. 


Make the time for patients, understand what they want/expect from their journey, available 24/7 (when on leave you will be covered during those times). 

After hours and weekend appointments to assist the whole family
Remote foetal monitoring

Blood pressure management. 


Foetal growth assessment.


Maintaining a close relationship with your GP.


In-house access to allied health services such as physiotherapy and lactation consultants.


Free online antenatal classes.


We are Joondalup Obstetrics and Gynaecology Group, in short JOGG. We are a Joondalup-based private obstetrics and gynaecology practice, and cater for mums, women and families across the Perth metro area. 

Joondalup Obstetrics and Gynaecology Group