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December 9, 1974

High-Risk Pregnancy

Author Affiliations

Dartmouth Medical School Hanover, NH

JAMA. 1974;230(10):1389. doi:10.1001/jama.1974.03240100019016

To the Editor.—  The recent summary on the management of high-risk pregnancy by Pearson (229:1439, 1974) was clear, concise, and almost comprehensive. There is, however, one additional general consideration that practicing obstetricians should keep in mind.Pregnancy is a time of joy for most couples, but also a time of great stress and anxiety. There are reports suggesting that excessive amounts of emotional stress or anxiety may increase the probability of spontaneous abortion and prematurity.1 In addition, there is a gradually increasing body of information suggesting that stress and anxiety during pregnancy can affect both the neonatal behavior of the infant and the attachment between the parents and the infant.2,3Since couples in high-risk pregnancies are likely to be especially anxious, it is important that obstetricians make special provisions to provide these parents with emotional support. Such support can be provided in a variety of ways, including the