High-Risk Obstetric Surveillance & Specialist Delivery in Mahikeng

A pregnancy is classified as high-risk when a pre-existing maternal medical condition, a complication arising during gestation, or a foetal factor increases the likelihood of adverse outcomes for mother or baby. Early identification and close specialist surveillance substantially reduce these risks.

Dr Tebo Rasenyai manages a broad spectrum of complex obstetric presentations at Clinix Victoria Private Hospital, coordinating closely with physicians, paediatricians, haematologists, and dietitians when multidisciplinary input is indicated.

• Hypertensive Disorders: Chronic hypertension, gestational hypertension, pre-eclampsia, and HELLP syndrome risk profiling.
• Endocrine & Metabolic Disorders: Gestational diabetes mellitus (GDM), Type 1 and Type 2 diabetes in pregnancy, and maternal thyroid disease.
• Obstetric History & Uterine Factors: Previous caesarean deliveries, previous myomectomy, recurrent mid-trimester pregnancy loss, cervical incompetence, and uterine anomalies.
• Foetal & Placental Conditions: Twin and dichorionic/monochorionic multiple pregnancies, foetal growth restriction (FGR), placenta praevia, and Rhesus isoimmunisation.

In high-risk pregnancies, deciding the optimal timing and mode of delivery requires balancing the risks of prematurity against the risks of an unfavourable intrauterine environment. We utilise serial biometry ultrasound, umbilical and middle cerebral artery Doppler velocimetry, biophysical profiling, and cardiotocography (CTG) to monitor foetal oxygenation and placental perfusion.

When early delivery is anticipated prior to 34–36 weeks of gestation, antenatal corticosteroids (for foetal lung maturation) and magnesium sulphate neuroprotection protocols are administered in accordance with national and international obstetric guidelines.

Women who have had one previous lower-segment caesarean section often ask whether they can safely attempt a Vaginal Birth After Caesarean (VBAC) or whether a planned repeat caesarean delivery is safer. During your antenatal consultations, Dr Rasenyai reviews your previous operative notes, the clinical indication for your prior caesarean, inter-pregnancy interval, estimated foetal weight, and lower uterine segment integrity.

Whether you proceed with a carefully monitored trial of labour or an elective repeat caesarean section at 39 weeks, every aspect of your anaesthetic care, blood product readiness, and post-operative recovery is planned in advance.

Because Dr Tebo Rasenyai's consulting rooms are situated inside Clinix Victoria Private Hospital, patients experiencing warning signs — such as severe frontal headaches, visual disturbances, epigastric pain, sudden facial or hand swelling, vaginal bleeding, premature rupture of membranes, or reduced foetal movements — can be assessed and admitted rapidly.

Our practice also coordinates structured antenatal care plans for high-risk patients travelling from Lichtenburg, Zeerust, Vryburg, and Lobatse, scheduling combined ultrasound and laboratory visits to minimise road travel in late pregnancy.