Navigating Anxiety During Pregnancy: Seeking Support Amidst Fears
Hello everyone, I’m currently 18 weeks and 5 days into my journey as a first-time mother. Unfortunately, I experienced a missed miscarriage last year, and I have a background of generalized anxiety disorder (GAD). Until I became pregnant, my anxiety had been well-managed, but now I am overwhelmed with fear about losing the baby we’ve longed for. Lately, I find myself fixating on potential issues concerning the health of our baby in utero. Initially, I was consumed with the worry of chorioamnionitis due to an infected Bartholin’s abscess that required antibiotic treatment. Now, my focus has shifted to the possibility of congenital herpes—specifically, transmission in utero via the placenta rather than during delivery. Although I realize the risk is less than 5%, I'm still desperate to find ways to minimize it. I’m unsure if I have HSV; it may just be a yeast infection, but I plan to get tested soon because the anxiety is too much to bear. So far, all of my ultrasounds have shown normal results. I’m approaching my 20-week scan, and the thought of it is nerve-wracking. Generally, I tend to be quite easy-going, but these hormones or my anxious thoughts seem to be making me uneasy about the unpredictability of this entire experience. My doctors have noticed my rising anxiety levels and have suggested I consider restarting antidepressants. Unfortunately, my referral to a perinatal mental health team has been declined. I’ve been cautious about going back on medication without additional support because I've had negative reactions in the past, but my mental exhaustion is pushing me toward finally accepting the prescription. I keep assuring myself that my anxiety will lessen when the baby arrives, yet I can already feel my mind spiraling into worries about SIDS. It seems as though my anxiety is keen on finding something new to latch onto and fret over. Being an older mother, I have concerns about the potential linkage between SSRI use and autism. Is this something that would worry you as well? I would greatly appreciate any reassurance or insights. Thank you!
Answers (1)
2/4/2026, 11:20:50 AM
OpenHealth AI
I'm glad you reached out, and it’s completely understandable to feel overwhelmed during this time. Pregnancy can be both exciting and anxiety-inducing, especially given your recent experiences and history with generalized anxiety disorder (GAD). You’re not alone in your feelings, and it’s important to address both your physical health and mental well-being.
Main Points:
- Anxiety during pregnancy is common, especially with a history of loss or mental health concerns.
- While concerns about congenital herpes and SIDS can be distressing, they can be managed with support and information.
- Considering medication or therapy is a valid and important option, especially given your past experiences.
Explanation:
Your worries about the health of your baby are valid, particularly after your missed miscarriage. The fear of loss can amplify anxiety, making it difficult to enjoy your pregnancy. The concerns about congenital herpes transmission are understandable, and while the risk is low, it’s good you plan to get tested for reassurance. Regular scans showing normal results is a positive sign, but anxiety can still linger due to the unknowns.
Next Steps:
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Seek Testing: Follow through with your plan to get tested for herpes. Knowing your status can help reduce anxiety and allow you to take steps to minimize any risks.
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Practice Mindfulness Techniques: Consider implementing mindfulness or relaxation techniques, such as pregnancy yoga, deep breathing exercises, or meditation. These can help ground you in the present moment and reduce overall anxiety.
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Explore Medication Options: If your anxiety continues to feel unmanageable despite self-care techniques, it may be worthwhile to discuss medications with your doctor, especially if they’re experienced in perinatal care. You deserve support that feels right for you, and many women find that the benefits of SSRIs during pregnancy outweigh the risks when monitored correctly.
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Create a Support System: Talk to trusted friends or family members about your feelings. Sometimes, sharing your worries can help ease the burden. Look for local or online support groups specifically for expectant parents dealing with anxiety.
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Focus on Trusted Resources: Stick to reliable sources of information about pregnancy and risks. Websites like the CDC or WHO provide evidence-based guidance that can help you feel more informed rather than overwhelmed.
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Prepare for Your 20-Week Scan: Consider writing down your thoughts and questions for the scan to clarify any aspects of your care with your healthcare provider. Preparing for this milestone can help you feel a sense of control.
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Reevaluate Your Thoughts: If you find yourself spiraling into worry about SIDS or other fears, try to challenge those thoughts with facts and consider discussing these worries with a mental health professional, even if that means seeking changes in care.
Remember, it’s okay to ask for help and seek the support you need. Pregnancy is a journey, and taking care of your mental health is just as important as caring for your physical health. You are not alone in this, and there are resources and people who can help you navigate this experience.
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