Content warning: This article discusses high-risk pregnancies, miscarriages, and mental health concerns. Some readers may find this content distressing.
After experiencing two miscarriages, Sarah* was taken aback when she discovered she was pregnant again. Given her history and her struggles with chronic hypertension, she was classified as having a high-risk pregnancy. Sarah found herself navigating a series of OB-GYN appointments, where she felt pressured to lose weight while pregnant. “They treated me like I was just a number instead of an individual,” she shared. “While I understand the importance of thoroughness, their approach only added to my fear and depression, regardless of my efforts to maintain a healthy pregnancy.”
Although her doctors occasionally mentioned her mental health, Sarah felt they were merely reciting a script rather than genuinely addressing her concerns. “Every little ache made me panic about miscarriage or preterm labor,” she said. “Even now, years later, the fear of SIDS lingers.”
Similarly, Jessica faced challenges during her high-risk twin pregnancy, particularly with one baby diagnosed with Intrauterine Growth Restriction. “As a first-time mom, I received little guidance on available support resources,” she explained. “Even though my doctors knew about my depression, it felt like just another note in my file. I was left to navigate everything alone while already feeling the heavy burden of being high-risk.”
This highlights a troubling paradox for women in high-risk pregnancies: while they may experience intense anxiety and emotional distress, mental health resources often remain elusive. We consulted with healthcare professionals and women who have navigated high-risk pregnancies to explore available emotional support and how friends, family, and partners can assist.
Understanding High-Risk Pregnancies
High-risk pregnancies can arise from various factors, such as advanced maternal age (over 35), substance use, carrying multiples, maternal health issues (like high blood pressure or diabetes), and previous complications. As pregnancy rates for women aged 35 and older continue to rise in the U.S., high-risk pregnancies are becoming increasingly common and should not be viewed as rare.
Examples of High-Risk Pregnancies
Some types of high-risk pregnancies include:
- Premature Labor: Contractions occurring before the 37th week, leading to premature birth.
- Placenta Previa: A condition where the placenta covers the cervix, potentially causing heavy bleeding.
- Preeclampsia: Characterized by high blood pressure and protein in urine, which can affect liver and kidney function.
Seeking Emotional Support During a High-Risk Pregnancy
Women experiencing high-risk pregnancies are at an elevated risk for anxiety and depression. “Anxiety is a natural response to perceived threats, and in high-risk pregnancies, this threat often concerns the well-being of both the mother and baby,” explains Dr. Lisa Thompson, a clinical psychologist.
If you find yourself in this situation, prioritize building a support network. Don’t hesitate to seek help. “Consider therapy to process your feelings,” suggests Amanda Wright, a mental health clinician. “Support groups, even virtual ones, can provide a sense of community.”
Katherine Mahoney, from Postpartum Support Virginia, notes that many find online groups beneficial, connecting with others facing similar challenges.
It’s vital to remember that even seasoned mothers can experience high-risk pregnancies. Dr. Emily Johnson, a family physician, shares her own journey: “Despite my medical knowledge, I faced a complicated pregnancy that included bed rest and gestational diabetes. It reminded me that no one should navigate this alone.”
Dr. Johnson encourages women to express their feelings and seek help, stating that mental health is just as crucial as physical well-being.
How Friends and Family Can Provide Support
If you know someone going through a high-risk pregnancy, your support can make a significant difference. “Regularly check in by simply asking, ‘How are you feeling?’ or ‘How can I help?’” suggests therapist Lisa Campbell. This shows you care and allows the mother to share her experiences.
Listening without judgment is crucial. Avoid giving unsolicited advice unless asked, and instead offer practical help, such as bringing meals, grocery shopping, or offering transportation to appointments.
When in doubt, remind them you’re there for them. Acknowledge the difficulty of their situation and that you’re willing to just be present during this challenging time.
Building a “Mom Tribe” can also be beneficial. Connecting with other mothers who have faced high-risk pregnancies can provide reassurance and shared experiences.
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Summary
Women facing high-risk pregnancies often endure significant emotional strain, yet they frequently lack adequate mental health support. Building a solid support system, whether through therapy, support groups, or simply reaching out to friends and family, can help alleviate anxiety. It’s crucial for those close to them to listen and offer practical help without judgment. Ultimately, the journey through a high-risk pregnancy doesn’t have to be faced alone; support is essential.

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