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Content warning: This article addresses high-risk pregnancies, miscarriages, and mental health concerns. Some readers may find this subject distressing.
After experiencing multiple miscarriages, Sarah* was astonished to learn she was pregnant again. Unfortunately, along with her past losses, she dealt with chronic hypertension and was classified as overweight, labeling her pregnancy as high-risk. Sarah was passed around to various OB-GYNs, all of whom pressured her to lose weight during her pregnancy.
“They treated me like I was merely a ‘number’ rather than a person,” Sarah recounts. “While I understand the need for diligence, their approach left me feeling more anxious and depressed than ever, despite my best efforts to maintain a healthy pregnancy.” Although her doctors occasionally touched on her mental well-being during visits, Sarah felt they rushed through the discussions, not truly hearing her worries. “I was terrified of everything,” she shares. “Even the slightest discomfort made me fear another miscarriage or preterm labor. I would panic if my blood pressure rose even a little, and the thought of SIDS haunted me. Now, 2.5 years postpartum, I still worry about it.”
Similarly, Emma Green encountered a challenging situation upon discovering she was pregnant with twins, one of whom had Intrauterine Growth Restriction, marking her pregnancy as high-risk. “Being a first-time mother, I received little information or guidance about available resources and support,” she explains. “Though my doctors were aware of my depression, it seemed to be just a note on my chart. I felt isolated and unimportant, left to navigate this journey alone while trying not to over-stress due to my high-risk status.”
This highlights a troubling paradox in high-risk pregnancies: while women are informed of the risks, which often lead to heightened anxiety and emotional suffering, they frequently lack the mental health resources necessary to navigate these challenges effectively.
Understanding High-Risk Pregnancy
High-risk pregnancies can arise from various factors. According to the Mayo Clinic, these include “advanced maternal age” (mothers over 35), substance use (including smoking or alcohol during pregnancy), carrying multiples, existing maternal health issues (like high blood pressure or diabetes), previous pregnancy complications, and current pregnancy complications (such as abnormal placenta positioning). With the increasing number of pregnancies among women over 35, high-risk pregnancies are becoming more common and should not be viewed as rare occurrences.
Types of High-Risk Pregnancies:
- Premature labor: contractions occurring before the 37th week, resulting in premature birth.
- Placenta previa: a condition where the placenta covers the cervix, potentially causing heavy bleeding, particularly in women with prior cesareans or multiple pregnancies.
- Preeclampsia: characterized by high blood pressure and protein in urine, risking the mother’s organ function.
Mental Health Support during High-Risk Pregnancies
It’s essential to understand that while OB-GYNs could play a role in mental health support, they often do not prioritize it. “Currently, OB-GYNs generally don’t inquire about their patients’ mental health, despite evidence highlighting the anxiety and stress associated with high-risk pregnancies,” states Dr. Jane Fox, a psychotherapist. “The medical community often disconnects the mind from the body; those treating physical health may neglect the mental aspects.”
Although some women report positive experiences with their OB-GYNs regarding mental health support, the main issue tends to be time constraints during appointments. “Many clients tell me that when appointments are not rushed, they feel heard and valued,” adds Dr. Emily Thompson, a licensed therapist focused on maternal mental health.
Seeking Support During High-Risk Pregnancy
Women experiencing high-risk pregnancies are at an elevated risk of anxiety and depression. “Anxiety often arises from perceived threats to the health of oneself or the baby,” explains Dr. Annabelle Carter, a psychologist specializing in perinatal mood disorders.
If you find yourself navigating a high-risk pregnancy, creating a support network is crucial. “Consider therapy to process the emotions tied to your high-risk pregnancy,” suggests Dr. Lisa Miller, a mental health clinician. “Joining a support group, even virtually, can also be beneficial.”
Dr. Perkins, a family physician who had her own high-risk pregnancy, emphasizes the importance of seeking help. “Women shouldn’t shoulder this burden alone; they should openly communicate their struggles and seek support,” she advises. “Mental health is just as vital as physical health, and neglecting it can exacerbate the risks associated with high-risk pregnancies.”
How Friends, Family, and Partners Can Provide Support
If you’re close to someone facing a high-risk pregnancy, you might feel uncertain about how to help without intruding. “Supporters should frequently check in, asking simple questions like ‘How are you feeling?’ or ‘What can I do to assist you?’” recommends Dr. Fox. “These inquiries provide an opportunity for the woman to express her feelings and feel connected.”
Listening non-judgmentally is crucial; avoid unsolicited advice unless specifically requested. Instead of suggesting solutions, offer practical help—whether it’s preparing meals, running errands, or accompanying them to medical appointments.
Above all, communicate your presence and willingness to support. “It’s okay to admit that you don’t have the right words but acknowledge their struggles,” Dr. Miller suggests. “Simply being there can mean a lot.”
*Names have been changed.
For further insights, you might find our related posts on high-risk pregnancy and resources on boosting fertility useful. For more detailed information, check out this excellent resource on IUI success.
Summary
Women facing high-risk pregnancies often experience heightened anxiety and depression due to the stress of their situation. It is vital for them to seek emotional support through therapy and support groups. Friends, family, and partners can help by simply checking in, listening, and offering practical assistance while being mindful of their loved one’s emotional and mental health needs.
High-risk pregnancy, anxiety in pregnancy, mental health support during pregnancy, how to support pregnant women, perinatal mental health resources
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