A High-Risk Pregnancy Is a Highly Medicalized Experience
In our phone and video sessions with patients during COVID-19, we recognize how scary a high-risk pregnancy can be, particularly when the medical system is over-burdened and a high-risk pregnancy may also mean being at a higher risk of contracting the virus. In remote therapy at Tribeca Maternity, we talk with women about all aspects of the extremely medicalized experience of high-risk pregnancy, and what that means and feels like for you during a pandemic. A high-risk pregnancy can include:
High blood pressure
Any maternal cardiac anomaly
History of blood clots
Any type of known condition like Crohn’s disease
Sickle cell anemia
History of late miscarriage (after second trimester or preterm birth)
Most autoimmune disorders, including conditions such as certain antibodies that could attack fetal cells, Hashimoto’s thyroiditis, and rheumatoid arthritis.
History of gastric bypass surgery or gastric sleeve for weight loss
Physical handicaps such as paraplegic
Any fetal cardiac anomaly
Fetal development still compatible with life, such as cardiac as noted above, or other malformations that will make transition through birth critical (these are usually esophageal in location)
Location such as over the cervix
Extra amniotic layer that can create a rubber band-like effect and impair fetal growth
Placental blood clot
Placental window (literally a hole in the placenta)
Cord insertion limiting blood flow to baby: may be minor or severe
While increased medical intervention is appropriate, you likely have a range of thoughts and feelings about the medical procedures, frequent doctor’s appointments, and having to scale back activities like sex or exercise—especially during COVID-19.
While all of our therapy has gone remote in the current environment, we’re aware that even under usual circumstances, you may not be able to come into our office during a high-risk pregnancy. As with all our therapy offerings, even when our offices are open we provide remote therapy via phone, Skype, Google Meet, Zoom, FaceTime, and other video chat platforms.
You Didn’t Get to Write the Script of How Your Pregnancy Would Go
To some degree with high-risk pregnancies, you just have to follow the medical advice, and it may feel as if you were robbed of some parts of your pregnancy. In our phone and video chat therapy sessions, we provide the opportunity to unpack the experience you had, as well as the one you wished you had.
Bed Rest Can Be Isolating—You Need Connection
Whether you’re in a New York City apartment or being monitored in a hospital, you can’t socialize, work, or live in the way you used to during bed rest. Many of us are already self-quarantining due to COVID-19, which may make this extra limitation even more difficult. This restricted new way of life can be isolating, which makes connection during bed rest extremely important. At Tribeca Maternity, we’ll talk about your experience of bed rest, and come up with a creative plan to get you through this time. We also help couples navigate bed rest, as well as the role it’s playing in the relationship.
Your Experience of High-Risk Pregnancy Doesn’t Go Away Once the Baby is Born
A potentially difficult experience with high-risk pregnancy doesn’t just disappear after the baby is born. At Tribeca Maternity, we understand that dealing with a high-risk pregnancy often means you may not be able to see us until afterward, and that’s okay. In online therapy, we’ll unpack this experience in its aftermath, including:
- What it brought up for you now that the baby is here
- How to readjust after being on bed rest for an extended time, especially if you’re still needing to self-isolate during COVID-19
- How to connect with your baby after the fear, frustration, or anxiety of the high-risk pregnancy
- What it means in your relationship with your partner