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Health assessment in high-risk pregnancies

This article reviews existing methods of assessing prenatal high-risk status recommends improvements to the assessment process and addresses the implementation of strategies to minimize risks. 1 concern with some of the present assessment tools is their inability to place risk factors on a continuum. A 2nd concern with many of the current tools is that they are not designed to assess the familys reaction to pregnancy. Since pregnancy is important to the entire family unit mechanisms to evaluate group status are highly advisable. Family assessment should include 3 health dimensions: physiologic psychologic and environmental. The evaluation of physiologic status in pregnancy is crucial to the health of mothers and infants; a primary focus should be on identifying and preventing preterm delivery. A brief evaluation of the health of family members should also be included in the analysis. The psychologic dimensions of any prenatal assessment tool should include: individual pregnant clients and their families coping abilities; the social support they are able to provide one another; and their perceptions of the status of the pregnancy. Environmental factors such as socioeconomic status prenatal care and personal health habits are also crucial to assessment of risk. Strategies for the promotion of health in high risk pregnancy include family assessment education and provision of 24-hour support services. Continued research aimed at identifying factors associated with high-risk pregnancies and the application of findings to practice is crucial for the promotion of health in mothers and infants.