High-risk fetal pregnancies are pregnancies in which serious risk to the fetus are detected at the expense of the mother – abnormal situations involving a serious risk to the fetus or newborn in the perinatal period.

The main conditions that can cause diseases in such situations are familiar to pregnant women (diabetes, syphilis, malaria, tuberculosis, heart diseases of various kinds), the age of the patient (to become pregnant before age 15 years or older in terms of obstetrics, i.e. over 35, results in an increased risk); tract anomalies, genital diseases contracted during pregnancy, especially infectious diseases (acute or chronic) poisoning and drug addiction, benign or malignant tumors of the genital sphere, exposure to hazardous toxic factors environmental conditions such as gestosis, trauma, the alterations of the placenta. Women who belong for various reasons to the group of ‘high-risk pregnant’ women can be identified early by careful investigation of medical history, in order to monitor them closely for the duration of gestation, so that the birth occurs with all possible guarantees for the mother and fetus using fetal monitoring techniques (allowing constant review of the progress of labor and the state of health of the fetus) of pseudocyesis (or hysterical pregnancy), psychosomatic disorder for which the symptoms are very similar to those of a true pregnancy, as to be absolutely convinced (and convincing others) to be effectively pregnant. The phenomenon is generally linked to the exasperation of an unfulfilled desire to have children or exaggerated pressure.

There are external psychological signatures, often accompanied by symptoms and signs apparently objective, such as termination, menstruation, the swelling of the breasts (sometimes with the appearance of secretion) and enlargement of the abdomen. All

course tests are negative and the uterus is not enlarged. The origin of this disorder is very rare and occurs, as mentioned, on a psychic level, resulting in general or the anxiety of a real or perceived infertility or the terror of facing a real pregnancy and childbirth. Often it is the expression of mental disorders which are more general and deep, covering the whole sphere of sexuality, and the only treatment consists of psychotherapy, gravidanzaprotratta , one that extends beyond the anticipated end of at least 15 days. The mortality before or after birth is high in these cases, probably because of a lack of fetal oxygenation resulting from placental senescence processes. If the diagnosis is confirmed by tests amnioscopici, hormonal, radiological, as well as medical history and clinical data, it should induce labor stimulation medical or resort to Caesarean section, whether the use of oxytocic substances had not happened.