Expecting the Expected and Unexpected

One of the most challenging aspects of continuing a pregnancy after a serious or life-limiting diagnosis is living with uncertainty. While your healthcare team can help you understand what is most likely to happen, no one can predict exactly how your baby's story will unfold.

Many families describe preparing for one outcome and experiencing something entirely different. Some babies die before birth or during labor, while others live for minutes, hours, days, or longer than expected. Some babies survive and require ongoing medical care or support.

Living with this uncertainty can feel overwhelming. You may find yourself preparing for different possibilities while also trying to remain present in your pregnancy and your time with your baby.


What You May Expect

You may experience:

  • Frequent medical appointments and conversations about your baby's condition

  • Changes to your plans as new information becomes available

  • Difficult decisions regarding your baby's care and birth

  • A wide range of emotions, including hope, grief, fear, love, and uncertainty

  • The need to revisit decisions throughout your pregnancy


What You May Not Expect

Some families describe being surprised by:

  • Moments of joy, love, or connection alongside fear and grief

  • Finding meaning in parenting their baby during pregnancy

  • Their baby's condition changing or being different from what was initially predicted

  • Their baby living longer or shorter than anticipated

  • Unexpected emotions or changes in how they feel about their pregnancy

  • How meaningful ordinary moments together may become

  • Discovering that their needs for information, support, or connection change over time


Give Yourself Permission

Living with uncertainty can be exhausting. You may find yourself hoping for more time with your baby while also preparing for the possibility of saying goodbye. These feelings can exist alongside one another.

Give yourself permission to experience whatever emotions arise. You may feel hopeful one day and overwhelmed the next. You may want to make detailed plans or find that thinking too far ahead feels impossible.

You do not need to prepare for every possible outcome or know how you will respond to what happens. It is okay to take things one day at a time, ask for support, and change your plans as you learn more.

Whatever happens, your experience of this pregnancy and your relationship with your baby are uniquely yours.

 
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Planning for Birth

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Meeting and Caring for Your Baby