Doctors say pregnant Nicole Richie and her unborn child is at an extreme risk for health problem due to her drug abuse battle and plummeting weight.

According to Star Magazine: ‘Although she’s scared and desperate to stay clean, sources say sobriety remains a daily struggle, and experts agree that beating her demons will possible be a long and difficult process. Doctors say Nicole’s pregnancy is unusually high-risk. If she did have drugs in her system when she got pregnant, she could be at risk for a miscarriage or birth defects.

Yale University clinical professor and M.D. Mary Jane Minkin is surprised Nicole was even able to imagine, and says her child is at extraordinary risk.

Dr. Minkin explains: “That baby is at extraordinary risk.” “Nicole needs to gain at least 40 pounds to nourish the baby properly.”