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Content Warning: This article discusses high-risk pregnancies, miscarriages, and mental health topics that may be distressing for some readers.
After experiencing two miscarriages, Sarah* was shocked to discover she was pregnant again. Along with her previous losses, she also dealt with chronic hypertension and was classified as overweight, putting her pregnancy in the high-risk category. Sarah felt overwhelmed as she navigated through multiple OB-GYN appointments, where she sensed pressure to lose weight rather than receiving the compassionate care she needed. “I felt like just a number, not a patient,” Sarah shared. “Though my doctors mentioned my mental health, it felt scripted and rushed. I was constantly anxious about the chance of losing this pregnancy too.” Even now, years later, she still experiences lingering anxiety.
Similarly, Jessica had a challenging experience when she learned she was expecting twins, one of which had Intrauterine Growth Restriction. “As a first-time expectant mother, I wasn’t given any clear information about the support available,” she recounted. “My doctors noted my history of depression but didn’t offer substantial help. I felt alone and overwhelmed, especially as I was already in a high-risk situation.”
This highlights a troubling paradox for women with high-risk pregnancies: they are often informed of the risks and associated anxieties but frequently lack access to the emotional support they truly require. We connected with healthcare professionals and women who have faced similar situations to explore how to best offer emotional support.
What Constitutes a High-Risk Pregnancy?
Several factors may lead to a high-risk classification during pregnancy. The Mayo Clinic identifies issues such as advanced maternal age (over 35 years), substance use during pregnancy, carrying multiples, existing maternal health conditions (e.g., hypertension, diabetes), and complications from past or current pregnancies. Given the rising pregnancy rates among women over 35 in the U.S., high-risk pregnancies are becoming increasingly common and should not be viewed as an anomaly.
Types of High-Risk Pregnancies
Examples of high-risk pregnancies include:
- Premature Labor: Experiencing contractions before the 37th week can result in preterm birth.
- Placenta Previa: A condition where the placenta obstructs the cervix, posing risks of severe bleeding, often seen in women with previous C-sections or multiple pregnancies.
- Preeclampsia: Characterized by high blood pressure and protein in urine, which can compromise liver and kidney function.
The Need for Mental Health Support
While it would be ideal for OB-GYNs to monitor their patients’ mental health, this is not consistently practiced. “Many OB-GYNs overlook the mental toll a high-risk pregnancy can take,” said Dr. Laura Mitchell, a psychotherapist. “There’s a significant disconnect in recognizing the emotional aspects of physical health issues.” However, some practitioners do provide excellent mental health support, but time constraints often impede thorough discussions.
How to Seek Emotional Support During a High-Risk Pregnancy
High-risk pregnancies can elevate the likelihood of anxiety and depression during and after pregnancy. “Anxiety stems from perceived threats,” explained Dr. Emily Torres, a psychologist who focuses on perinatal mental health. “The risks associated with high-risk pregnancies naturally lead to increased anxiety levels.”
If you’re experiencing a high-risk pregnancy, it’s vital to establish a support network. Don’t hesitate to reach out for help. “Consider therapy to process your feelings,” recommended Dr. Karen Holloway, a mental health clinician. “Joining a support group, whether in person or online, can also be beneficial.”
Dr. Lisa Johnson, a family physician, emphasized that even those in the medical field need support. “Having a complicated pregnancy, despite my profession and knowledge, made me realize how crucial it is to seek help,” she stated. “Women shouldn’t have to go through this alone.”
How Loved Ones Can Provide Support
If you know someone navigating a high-risk pregnancy, your support can make a significant difference. “Check in regularly by asking how they’re feeling or how you can assist,” suggested Dr. Wijkstrom. Simple inquiries can foster a sense of community and connection during a challenging time.
Listening without judgment is also crucial. Rather than offering unsolicited advice, focus on being present. “Acknowledge that you may not know the right words to say, but let them know you’re there for them,” said Dr. Souder. Practical help, such as bringing meals or accompanying them to appointments, can also be incredibly supportive.
Ultimately, it’s important to reassure the individual going through the high-risk pregnancy that they are not alone. Creating a “Mom Tribe” can be invaluable—a network of other mothers or mothers-to-be who can provide education and emotional backing.
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In summary, women experiencing high-risk pregnancies require robust emotional support to navigate the challenges they face. Establishing a reliable support network, seeking therapy, and relying on loved ones can significantly alleviate anxiety and promote mental wellness.