Informed Pregnancy

Informed Pregnancy

Graphic art of pregnant woman standing in front of an ultrasound machine. The woman has tan skin and is wearing a green dress. She is looking down at her belly. The ultrasound machine show an image of a pink elephant on the screen (djvstock2, smalllike, & clker-free-vector-images acquired from Canva)

There’s an Elephant in the Exam Room

There’s an elephant in the room, and it is more than the fact that stillbirth exists. It’s the fact that pregnant patients, even today, aren’t being given the proper prenatal education to understand and make the most informed choices in their care. This needs to change.

Collage of pictures of pregnant woman and woman with child with title of Preeclampsia & Stillbirth on the top.

The Ways we Discuss when we Disagree

What do you do when you disagree with someone about a subject that’s important to you? It’s important to me that parents have all information to make informed decisions in their pregnancy.⁠ People deserve information, and once they have it, their decisions should be respected.

"Babies come when they're ready." Not always. -Miranda Hernandez, Adrian's Mother

“Babies come when they’re ready”

When I was pregnant for the first time, I heard that babies come when they’re ready, and so I allowed my pregnancy to go overdue. I wish I had known this wasn’t always true.

Woman using a fetal doppler at home (Trendsetter images)

Why I Support Banning Home Fetal Dopplers (Quora)

In recent years, home dopplers have become a popular way both of connecting with your baby and of providing “reassurance” that everything is okay. Unfortunately, any reassurance provided by home dopplers is false—a fetus may have a perfectly normal heart beat, and still be in danger of dying.

What is safe is not always natural & What is natural is not always safe. -Miranda Hernandez, Adrian's Mother

Natural vs. Safe

We hear a lot about the power of nature and avoiding things that are heavily processed to keep ourselves safe. I think it is important to remember: What is safe is not always natural & What is natural is not always safe/

Title: Resources for Pregnancy & Parenting After Loss | overlaid on image of Peanut's mermaid

Resources for Pregnancy & Parenting After Loss

The experience of pregnancy after loss can be complex and terrifying. Getting pregnant quickly or secondary infertility; worry over potential signs of danger; thoughts on when and how to share news about subsequent children; confusion surrounding simultaneous feelings of both grief and joy. If you are pregnant or attempting pregnancy after loss, my heart is with you. I have included resources here that were useful to me in my process. Please take what you find useful, and discard the rest.

"1 in 160" feels like such a small number until you put it in context. For the parents of a stillborn child, 1 in 160 will always be one too many. -Miranda Hernandez, Adrian's Mother

Stillbirth is NOT “Rare”

At current rates of 1 in 160 pregnancies, stillbirth is NOT rare. The fact is, you already personally know at least one person in your life who has experienced stillbirth. You likely know many.⁠

Bright pink flowers with pale purple and bright yellow centers, photo taken in Victoria, British Columbia (Miranda Hernandez)

8 Factors to Consider Before You Go Overdue in Pregnancy

The choice to be induced at the end of pregnancy or to use expectant management and wait for labor to start on its own is a complicated one. These are eight factors that should be considered in order to make an informed decision.

Cliff overlooking the ocean on a clear day (Miranda Hernandez)

Survivor’s Bias

Now imagine I took this example of reckless behavior and used it to justify drinking and driving? Imagine I said that because I did it and I was fine, then of course it must be okay for others to try. This is called survivor’s bias.

Sunset over the Bay of Islands, New Zealand (Miranda Hernandez)

Tone

There is a subconscious, and in some places, even overt “war” going on between midwives and physicians, and it really needs to stop. I truly believe if either set of my providers had swallowed their pride and explained that sometimes, neither nature nor medicine are completely perfect, then my son would be alive today.

Safe pregnancy booth providing resources on safe and informed pregnancy and stillbirth prevention

Preventing Stillbirth Starts With Outreach

Since I first starting researching safe pregnancy practices following Adrian’s death, I have wanted to put together a road show to share this information with the world. Today I ran my first booth at the Monterey Birth and Baby Fair.

Sunset over Lake Tahoe (Miranda Hernandez)

Stillbirth and Statistics: What Does it Mean to be “Rare”?

I think the problem with using words like “rare” in place of actual numbers is that it’s a description that renders those numbers abstract. Our brains are so unused to thinking about statistical concepts that we classify these things as either likely, e.g. I’m likely to have a flat tire at some point in my life; or practically impossible, e.g. I will never win the lottery. But we do a really poor job of thinking about all of the possibilities that lie in between.

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