From Challenge to Resilience: Advancing Psychosocial Preparedness for Motherhood in High-Risk Pregnancy

Pregnancy involves profound physical, emotional, and social transformations, with high-risk pregnancies presenting unique psychosocial challenges that significantly increase maternal vulnerability to stress, anxiety, depression, and mental health issues, compounded by hormonal changes. Based on systematic searches of PubMed, Medline, and CINAHL, this literature review examined the lived experiences of high-risk pregnant women as well as psychological adaptation. According to research, high-risk pregnancies have an impact on a woman's physical, psychological, social, marital, and spiritual well-being. Almost one-fifth of women experience significant anxiety during and after pregnancy, which is frequently made worse by ineffective coping mechanisms. Physical stability, emotional control, self-efficacy, supportive relationships, and spiritual significance all have an impact on the multifaceted state of well-being in high-risk pregnancy. Resilience is greatly increased by protective variables such as strong family and marital support, adaptive coping skills, and spirituality, even while high-risk pregnancies increase vulnerability through uncertainty, limited roles, and societal stigma. Despite juggling dread, worry, optimism, and joy at the same time, women with strong support networks exhibit superior psychological response. To improve maternal well-being, pregnancy outcomes, and long-term child development, findings emphasise the critical need for frequent psychological screening and comprehensive, culturally sensitive, woman-centred care that incorporates physical, emotional, social, and spiritual support.