HEALTHIER YOU: Pregnancy complications that Black women should know about

BY DR. MARGUERITE BRATHWAITE OB-GYN

Pregnancy is often one of life’s most cherished and meaningful experiences. For many women, it is a time filled with anticipation, hope, and joy. While most pregnancies progress safely and result in healthy deliveries, some women may experience medical complications that require closer monitoring and care. 

According to the Centers for Disease Control and Prevention (CDC), Black women are three times more likely to die from pregnancy-related complications than white women. This sobering reality underscores the importance of awareness, early detection, and consistent prenatal care. 

Here are several pregnancy-related conditions that disproportionately affect Black mothers and deserve special attention.

Gestational Diabetes (GD) 

Gestational diabetes is one of the most common pregnancy complications, affecting up to 9% of expectant mothers. The condition occurs when blood sugar levels become elevated during pregnancy. With careful monitoring and proper medical guidance, most women can manage GD without compromising their health or their baby’s well-being. 

Risk factors may include: 

• Being overweight or having a body mass index (BMI) of 30 or higher before pregnancy 
• A family history of type 2 diabetes; A previous pregnancy affected by gestational diabetes 
• Having pre-diabetes prior to pregnancy; Excessive weight gain, including weight gain related to prolonged bed rest. 

Management typically includes a personalized meal plan, regular physical activity as approved by your healthcare provider, and routine blood sugar monitoring.

Preeclampsia 

Preeclampsia usually develops after 20 weeks of pregnancy and is characterized by high blood pressure and signs of organ stress, most commonly affecting the kidneys. If left untreated, it can lead to serious complications for both mother and baby. 

Common symptoms include: 

• A sudden spike in blood pressure; Swelling in the hands and face 
• Severe or persistent swelling of the ankles and feet 
• Frequent or severe headaches; Upper abdominal pain 
• Blurred or altered vision

Prompt medical attention is essential if any of these symptoms appear.

Preterm Labor

Preterm labor refers to the onset of labor before 37 weeks of pregnancy. Babies born prematurely may face increased health challenges and often require specialized medical care after birth. Risk factors may include: 

• Chronic emotional or physical stress 
• Smoking or substance use 
• Structural abnormalities of the cervix or uterus 
• Pregnancy before age 17 or after age 35 

Women’s Innovative Care is dedicated to supporting healthy pregnancies and identifying potential complications early. Regular prenatal visits and open communication with your healthcare provider are key to protecting both you and your baby. If you have questions or concerns, we encourage you to schedule an appointment by calling (702) 413-7740 or visiting us at 851 South Rampart Blvd., Suite 160, Las Vegas, NV.