Content Warning: This article discusses high-risk pregnancies, miscarriages, and mental health issues. Some readers may find the content distressing.
After experiencing two miscarriages, Sarah was taken aback when she discovered she was expecting again. With chronic hypertension and being classified as overweight, her pregnancy was labeled high-risk. Sarah found herself navigating through various OB-GYNs, each emphasizing the need for weight loss during her pregnancy. “They treated me like just another statistic rather than a patient,” Sarah shares. “While I understand the importance of thoroughness, their approach only heightened my anxiety and feelings of isolation, despite my efforts to ensure a healthy pregnancy.”
Although her doctors occasionally touched on her mental health, Sarah felt they were merely following a script, barely taking the time to address her fears. “Every little sensation sent me into a panic, fearing a miscarriage or preterm birth. Even now, 2.5 years postpartum, I still worry about SIDS.”
Jessica faced a similar situation during her pregnancy with twins, one of whom was diagnosed with Intrauterine Growth Restriction. “As a first-time mom, I was left in the dark about available resources and support,” she recalls. “My doctors were aware of my history with depression, but it seemed to be just a note on my chart. I felt overlooked and abandoned, left to navigate this challenging journey alone.”
This highlights the troubling paradox of high-risk pregnancies: while women are informed of the potential dangers that can lead to anxiety and emotional distress, many lack the mental health support necessary to cope. To better understand how emotional support can be offered, we consulted with healthcare professionals and women who have experienced high-risk pregnancies.
What Constitutes a High-Risk Pregnancy?
High-risk pregnancies can arise from a range of factors. According to the Mayo Clinic, these include being over the age of 35, substance use during pregnancy, carrying multiples, existing health issues like diabetes or hypertension, and a history of complications in previous pregnancies. With more women over 35 becoming pregnant, high-risk situations have become increasingly common and should not be treated as anomalies.
Types of High-Risk Pregnancies
Examples of high-risk pregnancies include:
- Premature labor: Contractions occurring before the 37th week.
- Placenta previa: A condition where the placenta covers the cervix, leading to heavy bleeding.
- Preeclampsia: Characterized by high blood pressure and protein in urine, which can affect liver and kidney functions.
Don’t Rely Solely on OB-GYNs for Mental Health Support
While it would be ideal for OB-GYNs to monitor their patients’ mental health, this is not always the case. “Currently, many OB-GYNs do not prioritize mental health inquiries, despite the known stressors associated with high-risk pregnancies,” explains Dr. Emily Watson, a psychotherapist. “There’s often a disconnect in the medical field between physical health and emotional well-being.”
That said, some women report receiving excellent mental health support from their OB-GYNs. The issue often lies in time constraints during appointments. “When they aren’t rushed, patients typically feel more understood and valued,” notes Dr. Laura Nelson, a licensed marriage and family therapist.
Seeking Emotional Support During a High-Risk Pregnancy
Women experiencing high-risk pregnancies often face heightened anxiety and depression. Dr. Lisa Carter, a clinical psychologist, explains, “Anxiety is a typical response to perceived threats, particularly regarding the health of the mother and baby.”
If you find yourself in this situation, it’s crucial to establish a support system. Don’t hesitate to reach out for help. “Consider attending therapy to process your feelings. Support groups, whether in-person or online, can also provide valuable connections,” suggests Dr. Amanda Lee, a mental health clinician.
Dr. Perkins, a family physician, emphasizes, “Women in high-risk pregnancies shouldn’t handle everything alone. It’s vital to express when you’re struggling.” Remember, mental health is just as important as physical health—stress can exacerbate the risks associated with high-risk pregnancies.
Also, you don’t have to navigate this alone. Talk openly with your doctor, partner, and friends about your experiences. They can offer additional support or direct you to helpful resources. Building a “Mom Tribe,” a community of women who understand your struggles, can provide comfort and education.
How Partners, Family, and Friends Can Help
If someone close to you is experiencing a high-risk pregnancy, you may feel uncertain about how to assist them. “It takes a village—check in frequently, asking simple questions like ‘How do you feel?’ or ‘Is there anything I can do to help?’” advises Dr. Wijkstrom. “These inquiries allow the expectant mother to share her experiences and feel connected to those who care.”
Listening without judgment is crucial, as is refraining from offering unsolicited advice unless asked. Instead, consider practical ways to help, such as preparing meals, running errands, or accompanying them to appointments. Above all, assure them of your presence and support. Dr. Mahoney suggests acknowledging the difficulty of their situation and simply being there for them.
Some names have been changed.
For more resources on emotional support during high-risk pregnancies, check out this informative article, or visit Make A Mom for expert insights. Also, the CDC provides excellent resources regarding pregnancy and home insemination.