How to prepare for a video visit about Perinatal Anxiety - Triage

Audience: pediatric

Perinatal anxiety is a type of anxiety that can occur during pregnancy or in the first year after childbirth. It can affect how a parent feels, thinks, and cares for their baby. Preparing for a video visit about perinatal anxiety helps you get the most from your appointment and share important information with your healthcare provider. During the visit, you can talk about your feelings, symptoms, and concerns. The provider can offer support, suggest coping strategies, and discuss if further care is needed. Telemedicine is a helpful way to connect with healthcare professionals from home, but it may not replace in-person visits if symptoms are severe. Knowing when to seek urgent help is important for your safety and your baby's. This guide explains how to prepare for your video visit, what telemedicine can and cannot do, and what to do after your appointment.

Red flags — go in person / ER

• If you have thoughts of harming yourself or your baby, seek emergency help immediately.
• If you cannot care for your baby safely or notice your baby is unwell, contact emergency services or go to the nearest hospital.
• If you experience severe symptoms such as panic attacks, confusion, or inability to function daily, arrange urgent in-person evaluation.

What telemedicine can do

• Discussing symptoms and feelings related to perinatal anxiety.
• Receiving education about anxiety and coping strategies.
• Planning follow-up care and referrals to counseling or support groups.
• Medication management for mild to moderate symptoms when appropriate.

What telemedicine cannot do

• Emergency situations involving risk of harm to self or baby.
• Severe mental health crises requiring immediate in-person assessment.
• Physical examinations or tests that require face-to-face visits.
• Situations where safety of mother or child is compromised.

What is Perinatal Anxiety?

Perinatal anxiety includes feelings of worry, fear, or nervousness during pregnancy or after having a baby. It is common and can affect daily life and caring for your child. Symptoms may include racing thoughts, trouble sleeping, feeling restless, or physical signs like a fast heartbeat. Recognizing these signs early helps you get support.

How Telemedicine Can Help

A video visit lets you talk with a healthcare provider about your feelings and symptoms without leaving home. Providers can listen, offer advice, and help you understand your emotions. They may suggest ways to manage anxiety, such as relaxation techniques or referrals to counseling. Telemedicine is often convenient and private.

Limitations of Telemedicine for Perinatal Anxiety

While telemedicine is useful for many concerns, it cannot fully replace in-person care if your symptoms are severe. For example, if you have thoughts of harming yourself or your baby, or if you cannot care for your child safely, you need urgent, face-to-face help. Some tests or physical exams may also require an office visit.

Preparing for Your Video Visit

Before your appointment, find a quiet, private place with good internet. Write down your symptoms, questions, and any changes in mood or behavior. Have a list of medications and any medical history ready. Make sure your device is charged and test your camera and microphone. This preparation helps the visit go smoothly.

What to Expect During the Visit

Your provider will ask about your feelings, sleep, appetite, and daily activities. They may discuss your support system and any stressors. Be honest and open to get the best help. The provider may recommend coping strategies, follow-up visits, or additional support services.

After Your Video Visit

Follow any advice or treatment plans given. This might include scheduling another appointment, trying relaxation exercises, or contacting a counselor. Keep track of your symptoms and share updates with your provider. If your condition worsens, seek in-person care promptly.

How to prepare for your tele-visit

• Find a quiet, private space for your video visit.
• Ensure your device (phone, tablet, or computer) is charged and connected to the internet.
• Test your camera and microphone before the appointment.
• Write down your symptoms, feelings, and any questions you want to ask.
• Have a list of current medications and medical history ready.
• Inform a trusted person nearby in case you need support during or after the visit.

After your tele-visit

• Follow the healthcare provider's advice and treatment plan.
• Schedule any recommended follow-up appointments or referrals.
• Practice suggested coping techniques such as relaxation or mindfulness exercises.
• Monitor your symptoms and mood daily.
• Seek immediate in-person care if you experience any red-flag symptoms.
• Reach out to support groups or counseling services if advised.

FAQs

What is perinatal anxiety and how is it different from normal worry?

Perinatal anxiety is more intense and persistent than typical worry. It can interfere with daily life and caring for your baby. Normal worry comes and goes and usually does not affect your ability to function.

Can I take medication for perinatal anxiety during pregnancy or breastfeeding?

Some medications may be safe during pregnancy or breastfeeding, but this depends on your individual situation. Your healthcare provider will discuss options and risks with you during your visit.

What should I do if I feel overwhelmed between appointments?

Try grounding techniques like deep breathing or talking to a trusted friend or family member. If you feel unsafe or have thoughts of harming yourself or your baby, seek emergency help immediately.

How often should I have follow-up visits for perinatal anxiety?

The frequency depends on your symptoms and treatment plan. Your provider will recommend follow-ups to monitor your progress and adjust care as needed.

Is telemedicine private and secure?

Most telemedicine platforms use secure technology to protect your privacy. You can ask your provider about the security measures they use if you have concerns.

Sources

1. Perinatal Anxiety and Depression — MedlinePlus, U.S. National Library of Medicine.
2. Anxiety During Pregnancy — Centers for Disease Control and Prevention (CDC).
3. Perinatal Anxiety Disorders: A Review — National Library of Medicine.
4. Telemedicine: What You Need to Know — Mayo Clinic.

This telemedicine guidance is for educational purposes only and is not a substitute for professional in-person medical care. If you have urgent or severe symptoms, please seek immediate medical attention.