After experiencing two miscarriages, Sarah was taken aback to learn she was pregnant again. Along with her previous losses, she also dealt with chronic hypertension and was classified as overweight, leading her doctors to label her pregnancy as high-risk. “I felt like I was just a number rather than a person,” Sarah recalls. “While I appreciate thoroughness, the way I was treated made me feel more anxious and depressed than supported — despite my efforts to maintain a healthy pregnancy.”
Although her healthcare providers did mention her mental health during visits, it often felt scripted and rushed, leaving Sarah feeling unheard. “Every little symptom sent me into a panic about another miscarriage or premature birth. Even now, years later, I still worry about SIDS,” she adds.
Similarly, Jessica faced challenges when she discovered she was expecting twins, one of whom had Intrauterine Growth Restriction. “I was completely unprepared for the reality of my high-risk pregnancy and received little guidance on available resources,” she shares. “Despite my documented history of depression, it felt like no one was looking out for my emotional well-being. I was left to navigate this overwhelming situation on my own.”
This highlights the troubling paradox of high-risk pregnancies: women are often informed of the potential dangers, which can lead to significant anxiety and emotional distress, yet they frequently lack access to the mental health resources that could help them cope. To explore available emotional support options, we consulted healthcare professionals and women who have experienced high-risk pregnancies.
Understanding High-Risk Pregnancies
A pregnancy may be classified as high-risk for a variety of reasons, including advanced maternal age (defined as over 35), substance use, carrying multiples, existing maternal health issues (like high blood pressure or diabetes), a history of complications in past pregnancies, or current pregnancy complications such as fetal growth restriction or placental issues. With the increasing number of pregnancies among women aged 35 and older, high-risk pregnancies are becoming more common and should not be seen as uncommon.
Types of High-Risk Pregnancies
Some examples include:
- Premature labor: Occurs when contractions happen before the 37th week, leading to premature birth.
- Placenta previa: A condition where the placenta partially or completely covers the cervix, posing risks of heavy bleeding.
- Preeclampsia: Characterized by high blood pressure and protein in the urine, potentially harming maternal organs.
Seeking Mental Health Support
Although it would be ideal for all healthcare providers to monitor their patients’ mental health, this is not always the case. “Many OB-GYNs do not routinely assess their patients’ emotional states, despite the known stress that high-risk pregnancies can bring,” says Dr. Emily Wright, a psychotherapist. “There’s a significant gap in the medical community when it comes to integrating mental and physical health care.”
That said, some women have reported positive experiences with their providers. “When appointments aren’t rushed, patients often feel heard and understood,” notes Dr. Lisa Green, a licensed therapist specializing in maternal mental health.
Steps to Find Emotional Support
If you’re facing a high-risk pregnancy, it’s crucial to establish a strong support network. Don’t hesitate to seek help when needed. “Consider starting therapy to navigate the complex emotions that arise during a high-risk pregnancy,” suggests Dr. Anna Roberts, an expert in perinatal mood disorders. “Support groups, especially virtual ones, can also be beneficial.”
Additionally, connecting with online communities can provide comfort and insight. Dr. Mark Johnson, director of Postpartum Support Virginia, recommends joining Facebook groups where you can share experiences with others who understand.
It’s important to recognize that support is vital, even for experienced mothers. Dr. Rachel Smith, a family physician, emphasizes that women in high-risk pregnancies should not feel that they have to manage everything alone. “Mental health is just as crucial as physical health, and stress can exacerbate high-risk situations,” she explains.
How Friends and Family Can Offer Help
If you know someone experiencing a high-risk pregnancy, you may feel unsure about how to assist them. “It really does take a village. Regularly checking in with simple questions like ‘How are you feeling?’ can open up meaningful conversations,” Dr. Wright advises. “These inquiries create an opportunity for the mother to share her experiences and feel connected to her support system.”
Listening without offering unsolicited advice is equally important. Instead, focus on providing help in practical ways, such as offering to prepare meals, assist with errands, or accompany them to appointments.
When in doubt, let them know you’re there for support. “Sometimes just acknowledging that you don’t know what to say but that you’re present can be incredibly comforting,” suggests Dr. Roberts.
For more information on navigating pregnancies and related emotional challenges, check out this insightful post here and visit CDC for excellent resources about pregnancy and home insemination.
Summary
Women with high-risk pregnancies often face heightened anxiety and emotional distress. Establishing a robust support system is crucial, whether through therapy, support groups, or simply connecting with loved ones. Friends and family can play an important role by checking in regularly, listening, and providing practical assistance.