<![CDATA[Pregnancy is widely perceived as a positive and transformative life event; however, when complications categorise a pregnancy as high-risk, women often experience substantial psychological distress alongside physical challenges. Emotional responses such as anxiety, fear, uncertainty, and depressive symptoms may adversely influence maternal wellbeing, foetal health, and the overall pregnancy experience. Despite advancements in obstetric care, the psychological needs of women with high-risk pregnancies remain insufficiently integrated into routine antenatal services. This integrative review aimed to examine the psychological impact of high-risk pregnancy and evaluate the effectiveness of nursing interventions in supporting emotional wellbeing and coping. A comprehensive literature search was conducted across major electronic databases for studies published between 2010 and 2025. Both qualitative and quantitative evidence were considered, and methodological quality was assessed using established appraisal frameworks. Data were analysed through thematic synthesis to identify recurring patterns and key findings. The review demonstrated that women with high-risk pregnancies commonly report elevated levels of anxiety, depression, fear of adverse outcomes, and feelings of emotional vulnerability. Socioeconomic challenges, inadequate social support, and limited psychological care were identified as important contributing factors. Positive coping was strongly associated with family involvement, supportive healthcare interactions, and effective communication. Nurse-led interventions, including counselling, relaxation techniques, mindfulness-based strategies, structured education, and telehealth support, were consistently associated with improvements in psychological wellbeing and maternal–foetal attachment. High-risk pregnancy should therefore be recognised as both a psychological and physiological experience. Integrating structured psychosocial support within antenatal care is recommended to enhance coping, emotional resilience, and maternal outcomes.]]>
