Hope during High risk Pregnancy!
High-risk pregnancies
affect a notable number of women each year. Around 22% of all pregnant women
are classified as having high-risk pregnancies. A high-risk pregnancy is
defined as any pregnancy in which there is evidence of actual or potential
threat of harm to the life or health of the mother and/or the baby because of a
disorder or situation coincidental with or unique to pregnancy. Women who were suffering
through high-risk pregnancies may require complex care involving lifestyle
modifications, pharmacological and technical support and even hospitalization.
As a result, these women may experience feelings of vulnerability because they
have a high-risk pregnancy and thus be more exposed to stressful feelings.
Research into the social and psychological aspects of high-risk pregnancies has
focused on the concerns, stressors and needs of women with high-risk pregnancies
during the antepartum period.
Who is likely to
have a high-risk pregnancy?
You
are at risk if you:
- Smoke.
- Are overweight, especially 50 pounds or more.
- Have high blood pressure.
- Have diabetes.
- Have seizures.
- Use drugs.
- Drink alcohol.
- Have a family history of genetic defects.
- Are expecting multiples (twins, triplets).
- Are over age 35 or younger than 18.
- Have previous health issues including cancer, organ transplant, sexually transmitted infections or weight loss surgery.
- Have had any complications in previous pregnancies such as pre-eclampsia, gestational diabetes or preterm labor and/or delivery.
One
study evaluating the experience of high-risk pregnancy described the emotional
responses to high-risk pregnancy events as reported by the parents involved, as
follows: vulnerability of pregnancy, the realization that the pregnancy outcome
was at risk; heightened anxiety, since normal activities were restricted
because of medical symptoms; and the inevitability of premature delivery, with
realization that preterm labor and delivery were imminent. Women who had had a
high-risk pregnancy demonstrated a significantly higher level of stress and
related negative emotions as they dealt with the stress and worse emotions than
women with normal pregnancies. Additionally, a higher intensity of depression
symptoms during pregnancy was observed in a group of high-risk pregnant women. Regarding
reproductive health status, another study found that stress and anxiety are
associated with increased risk of preterm birth and low birth weight.
Poor
fetal outcome (assessed by the presence of at least 1 neonatal problem) was
associated with fewer antenatal visits among women residing in Beirut. With
regard to maternal and neonatal outcomes, their data suggest that additional
antenatal visits might have a protective effect. These visits allowed earlier
and better detection of possible obstetric (maternal) and psychosocial
problems, and consequently better management, resulting in fewer cases of
depression or preterm delivery, better neonatal outcomes, and more caesarean
sections. However, these findings can also be found in studies of women with
low risk pregnancies.
Having
a baby is one of life’s most exciting experiences, but there are many things to
learn when planning for childbirth. Better prenatal care and medical treatment
during pregnancy can help prevent complications. Regardless how healthy you
are, pregnancy can be unpredictable. Plan for the unforeseen now to help ensure
your transition from pregnancy to motherhood is a smooth one.
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