Joyful Grief

On Friday, July 28, my life changed profoundly for the second time in thirteen months.

Leah’s brother, Callum, came into the world healthy, strong, and screaming by repeat cesarean section at 38 weeks gestation.

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Much to my amazement, all of the best case scenarios that I hadn’t dared hope for unfolded in a matter of hours: He cried heartily as my OBGYN removed him from my body. He received a score of 9 on his Apgar tests. I was able to hold him skin-to-skin while still being stitched up on the operating table. And, just as I had secretly hoped, he was born with the same glorious crown of full, dark hair that his sister had.

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Now, we are home, and my heart is so full.

It is full of gratitude each time he wakes me up in the middle of the night to be fed or changed, as it reminds me how privileged I am to have a healthy, growing child.

It is full of awe each time he curls up on my chest after a feeding, as it reminds me how miraculous it is that my body created this delicate, beautiful life.

It is full of joy each time he opens his eyes and glances in my general direction, as it reminds me of all the cuddles, kisses, and “I love you’s” that I hope to share with him in the coming years.

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But my heart is also full of grief and sadness. It was beyond surreal to be back in the same hospital where I spent 33 precious hours with my firstborn daughter under profoundly different circumstances. It reminded me of the moments I spent holding her skin-to-skin, hearing her newborn cries, and marveling at her beauty—all the while knowing that her life was slowly slipping away, and that there was nothing I could do to save her.

Now that Callum and I are home, each moment of joy I experience with him is also a bittersweet reminder of what I missed out on with his sister. It seems that laughter and tears come to me in equal measure these days, often at the same time.

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With each passing day I am reminded that nothing is easy about mothering after loss. It is a tumultuous journey wherein life’s most beautiful moments are also filled with heartache and longing for what will never be. But it is my journey, and for now I am beyond thankful for the two beautiful children it has given me along the way.

The Home Stretch

Last Friday after work, I went to the hospital for my weekly nonstress test. At this point, I had probably completed at least ten of these procedures throughout this pregnancy—some of which had been scheduled as part of my third trimester care plan, while others had occurred during impromptu visits to Labour and Delivery to ease my ongoing anxiety. As per usual, I lay strapped to the fetal monitor, heaving sighs of relief as my son’s reassuring kicks rocked my belly.

But then something unexpected happened. Seemingly out of nowhere, the resident OBGYN came to my bed and introduced himself.

Your test strip is showing frequent tightenings,” he said, a hint of concern in his voice. “Are you feeling these contractions at all?

I raised an eyebrow and took a moment to consider the question. “No,” I replied. As was the case during my pregnancy with Leah, I had yet to feel any contractions, Braxton Hicks or otherwise. In fact, when I went to the hospital for my first and only nonstress test with her shortly before she would be delivered by emergency c-section, I felt no discomfort at all, even as the test strip showed a steady pattern of uterine tightenings.

When I told the doctor as much, he said they would continue the test for a while longer to monitor how things progressed, but there was a chance that labour might be starting soon.

There I was, 34 weeks pregnant to the day, being told that I might be heading into preterm labour. I imagine that many women would become utterly distressed by such a development, and rightfully so. No mother wants to watch her child endure an extended stay in the NICU, not to mention the complications that often come with delivering an otherwise healthy baby prematurely.

But you know what I felt in that moment? Hope. Hope that maybe—just maybe—they would take this boy out now, while he’s still alive.

You see, I have the misfortune of knowing that there are far worse things than a newborn spending some time in the NICU before eventually going home. Likewise, I know that a healthy female body is not necessarily the safest place for a baby to spend the final weeks of the third trimester, where fatal complications can strike at any time without warningbe it a massive fetomaternal hemorrhage, an umbilical cord accident, a placental abruption, or an undetected infection.

Much to my disappointment, when the doctor returned to check my test strip half an hour later, the contractions had subsided. I was sent home with the usual comments about how “happy” my active baby was, knowing all the while that having a “happy” baby in that particular moment did not guarantee that he would still be alive that night, the next morning, or even in a few hours.

Still, I left the hospital that evening acutely aware that, for better or for worse, I had officially entered the home stretch of this pregnancy. Unfortunately, I have not been able to draw any comfort from this realization. Simply put, the pregnancy “home stretch” is a completely different experience for women who know the agony of stillbirth and neonatal death. As such, unlike most parents who spend the final weeks of pregnancy confidently anticipating their babies’ arrivals, I have spent this time more fearful than ever for my son’s life.

I still vividly recall having one such moment of overwhelming fear when I was 38 weeks pregnant with Leah. While I was largely immersed in my long-delayed pregnancy bliss at this point, one afternoon I suddenly found myself consumed by a desperate urge to get her out of my body while she was still alive. After enduring eight months of grueling anxiety, it was torturous to know I was so close to the finish line, yet still without a guarantee that she would make it into the world unscathed. I remember sitting on my bed and crying, knowing that I was powerless to protect the girl whom I loved so much. However, after half an hour or so I was able to talk myself out of my anxiety spiral by meditating on the conventional wisdom that had been recited to me over and over again throughout my pregnancy:

We’ve made it this far without any complications. Statistically speaking, if something were to go wrong, it would have happened already. Just enjoy these final days of your pregnancy!

Every day the majority of full-term babies are born healthy and alive, so why should your pregnancy end any differently?

You are young and healthy. Your body knows exactly what it’s doing. Just trust that Leah will come out when she’s ready! 

God loves Leah and wants what’s best for her, so why would He suddenly abandon her when He has been answering your prayers for her protection all along? Have faith that God will provide!

I cannot count how many of these anxiety spirals I have had throughout the past few weeks. The key difference, however, is that I can no longer talk myself into a “reasonable” state, since our culture’s conventional wisdom about pregnancy and childbirth no longer applies to me. I know firsthand that making it to the final weeks of a healthy and complication-free pregnancy does not mean I will get to raise this child into adulthood. Similarly, I can no longer presume that everything is “probably fine” when I suddenly realize I haven’t felt my baby move for any given period of time, be it ten minutes or one hour. Simply put, I know that the pregnancy “home stretch” is not a guaranteed safe zone, and each day I am cognizant of the fact that the people around me may be eagerly anticipating another baby who will never come home.

And herein lies my dilemma: Throughout this pregnancy my guiding mantra has been to take life day by day—and when that proves to be too much, I take it moment by moment: Today I am pregnant. Right now my baby is alive. I don’t know what the future holds, but in this moment everything is okay. As it is, trying to plan beyond the here and now usually leaves me feeling overwhelmed and hopeless. But this mantra proves increasingly difficult to abide by as my c-section date draws nearer.

As it is, the fact that I expel the bulk of my energy each day just getting from one hour to the next means I am not mentally prepared for the possibility of bringing this boy home in three weeks’ time. Likewise, when I try to envision this positive outcome, every cell in my body seems to scream out in protest, reminding me that I’ve been down this road before, and that allowing myself to be optimistic will only make me complacent when I should actually be more vigilant than ever.

Nevertheless, throughout the past two weeks my inner pragmatist has forged a stake in this ongoing mental battle, reminding me that I must make some basic preparations for my son’s birth—after all, the fact remains that I am statistically more likely to bring a healthy baby home than not. And so, one sunny afternoon, I summoned every ounce of emotional strength that I could muster and finally opened the door to Leah’s brother’s room.

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For the previous four weeks since our move, this room’s contents had been left scattered across the floor and shut away from sight. I simply could not enter this space and confront the painful memories, as well as the fears of the uncertain future, that lurked inside. Just as I had suspected, walking into this room felt like I was plunging headfirst into my grief and trauma. Suddenly I was surrounded by the items that I had excitedly selected, washed, and assembled for Leah only one year prior—and there was nowhere to hide from the anguish they triggered.

As much as I had hoped to simply push these feelings aside and delve into the work that needed to be done, all I could do was sit in the antique rocking chair that had been given to me for Leah—the chair that I had so vividly imagined using to feed her, rock her to sleep, and read her bedtime stories each night—and cry profusely.

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I cried for the daughter whom I love more than life itself, but whose own life was snatched away before it ever truly began.

I cried for the son whom I have grown to love with equal ferocity throughout the past eight months, yet who is not guaranteed a long, healthy life in this world anymore than his sister was.

And finally, I cried for myself—out of the utter helplessness and hopelessness I felt, knowing that I may never get to share my deep reservoir of maternal love with either of my children in this lifetime.

I just want my babies. I just want my babies,” I said over and over again between sobs. “I just want both my babies.”

Eventually, I was able to get out of the chair and wipe away my tears. That afternoon I managed to unpack one bag of gender neutral baby clothes that had once been washed and folded in joyful anticipation of my daughter’s arrival. The following day, I started organizing the closet. Over the course of the next week, I assembled the bassinet, prepared the diaper changing station, and hung up the frames that would have eventually adorned the walls of Leah’s bedroom. And then, several days ago, I finally took the last, most emotionally excruciating step:

I handpicked a few of my favourite gender neutral newborn outfits, all of which had originally been purchased for Leah, and re-packed my hospital bag.

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Contrary to what people may presume, I do not consider this to be a “step forward” toward faith or optimism that things must inevitably turn out differently this time. The brutal truth is that there has been very little joy or excitement in preparing for another baby who may never leave the hospital. Yet in the depths of my fear and uncertainty, there has been love—boundless, heart-bursting, undeniable love. And so, each day I tell myself that Leah’s brother deserves to have a space in our home awaiting his arrival, even if this room proves to be a painful haven where I will go to grieve his unlived life. To some extent, I have accepted that I cannot predict or control what happens in the next three weeks. Instead, all I can do is remain vigilant, take nothing for granted, and cling to any passing glimmer of hope I can muster.

And so, with a wounded heart and weary spirit, I wait.

Moving

Last week my husband and I moved to a new apartment. Needless to say, my transition to June has been a tiring blur of packing, cleaning, and unpacking, intermingled with the usual onslaught of busy workdays and prenatal appointments. With Leah’s birthday fast approaching and her brother’s due date following soon after, I’ve been spending much time thinking about what this move means for this particular moment in my ongoing grief journey.

As I sit in my new bedroom on this sweltering spring day, it is surreal to think how different my life looks in comparison to what it was one year ago. In many ways, it is almost unrecognizable. This time last year, Leah’s due date was less than one week away. I can still vividly recall every mundane detail of how I spent those final blissful days of my pregnancy: Walking to the neighbourhood grocery store with my husband on humid evenings to appease my unrelenting watermelon cravings. Going for purposeful strolls to the park every morning in the hopes of jump starting my labour, all the while imagining a sweet baby girl strapped to my chest in the ergonomic carrier I had purchased. Crafting a generous batch of homemade pierogies the weekend before Leah’s birthday, and eating the leftovers for dinner mere hours before going to the hospital and learning that the hopes and dreams I had for my daughter’s life would never come to pass.

During this time, I had accepted that the months and years ahead would be challenging for my husband and I as we prepared to care for Leah in a minuscule apartment with our meager academic teaching incomes. The future that I anticipated would undoubtedly be filled with stress and uncertainty—yet I was not afraid. Soon I would finally get to meet, hold, and kiss the girl who had shared my body for the previous nine months, and I was excited for my family of three to venture ahead through the slew of sleepless nights and mountains of dirty diapers that awaited us.

Yet here I am, nearly one year later, leading a very different sort of life. In one respect, my family’s financial future is more secure, thanks to the private sector job I started last fall. In addition to qualifying for the paid parental leave that I would not have had with Leah, this change has allowed us to move to a new space that is nearly twice the size of our old apartment. It means the son I now carry will have his own room waiting for him should we be fortunate enough to bring him home from the hospital, even though I cannot bring myself to unpack or assemble the plethora of baby items that remain haphazardly strewn across the floor.

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Leah’s brother and I at 30 weeks gestation

As I sit back and reflect on my life as it is now, I know that I have much to be thankful for. I know that I am fortunate to have good physical health, a loving marriage, and supportive family and friends. I know how privileged I am to have a secure roof over my head, fresh food in my refrigerator, and a job that allows me to utilize my education and hone my professional skills. Similarly, I know that many women who struggle with infertility and recurrent pregnancy loss would give so much to be in the third trimester of what has thus far proven to be a healthy and complication-free pregnancy.

And yet…

I begrudge the fact that—rightly or wrongly—I feel compelled to continually remind people that I am both cognizant of and thankful for my good fortunes, despite the injustice of my daughter’s death. Perhaps this is because of our cultural discomfort with the messy emotions that accompany child loss, as if sadness, longing, and anger are pathological symptoms of grieving an unlived life. Or perhaps it is because, as time continues to pass and my pregnant belly continues to swell, the world hastens to remind me that it is time to “move on” and “move forward” in my grief, as if Leah was a momentary blip in my life narrative that I must ultimately leave behind, and as if my son being born healthy and alive can somehow give my daughter her life back.

It’s a curious place to be, standing at the junctures of hope, hopelessness, gratitude, and despair. After all, if I say that life is shit because my daughter is dead, it means I lack the introspection to recognize and appreciate all the good things I have in my life. If I say that I long to be back in my old apartment, chasing after a bright-eyed and bumbling one-year-old girl each day, it means I don’t love my son as much as I should, since he would not have been conceived at all if Leah was alive. If I say that I want to be among those people who are both privileged and naive enough to assume that a pregnancy will ultimately result in a healthy baby coming home, it means I am selfish enough to wish I was ignorant of the life-changing pain that accompanies child loss, even though so many parents are forced to carry this burden day after day.

These past few weeks, people have been quick to suggest that moving will be a “fresh start” and a “positive step forward” for me and my family. Admittedly, when we decided to start searching for a new place earlier this year, part of me hoped that moving would alleviate some of the grief triggers that lingered in the space where Leah would have spent the first years of her life. Yet as I finished packing the last of our belongings and surveyed the empty apartment that once held the promise of so much joy, I was overcome with a deep, visceral ache that has yet to abate. I have brought this pain with me to my new place, and have spent much time weeping violently for all the memories that did and didn’t happen in what I thought would be Leah’s first home.

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Kiwi and I doing a final sweep in our old apartment

While some people may believe it is a sign of weakness or stagnation, I am not ashamed to say that I do not miss Leah any less than I did nearly one year ago when I stroked her hair and kissed her cheek for the last time. If this past year has taught me anything, it’s that there are some types of love and loss from which we aren’t meant to move on and move forward. I know that every ounce of pain I continue to carry in my heart is a direct reflection of the love I carry for my daughter. Simply put, it is a love that I have no intention of leaving behind, despite the tears it brings with each passing day.

Faith

Some time ago, I was scrolling aimlessly through my social media newsfeed when I came across this post. Being the sucker for punishment that I am, I proceeded to read the article despite gleaning from the click bait title that nothing good would come of it. Long story short, it ended up being one of many posts floating around cyberspace documenting the incredible survival of a “miracle baby” who managed to beat the odds of a grim medical prognosis made during pregnancy.

Obviously, this in and of itself is not problematic. As a mother who knows the despair of watching her newborn baby die in her arms, the last thing I want is for other families to join the tragic child loss club. Instead, it was this excerpt in particular that left me reeling:

The family never gave up on their miracle baby for a second. Maybe it was their unwavering hope that helped [him] develop into a strong, healthy boy.”

There it was—the omnipresent mantra powered by the prosperity gospel paradigm which shaped my Christian faith while growing up: Believe enough, pray enough, hope enough, and God will deliver positive results. Of course, this paradigm is itself a product of the broader New Thought movement that defines our culture in many ways: Choose to have positive thoughts, and positive outcomes will ultimately follow.

It goes without saying why these glib sentiments pour salt in the loss wounds of bereaved parents. I personally know several loss mamas who learned at their second trimester anatomy scans that their babies had a fatal genetic condition, but chose to carry their pregnancies to term anyway, hoping and praying every day that their children would survive. In all these cases, their babies died before or shortly after birth. So does this mean they simply didn’t have enough hope to heal their babies’ bodies?

I also know a number of women who lost their children to sudden complications at the end of an otherwise textbook pregnancy. Like me, some of these mothers had to make the heart wrenching decision to remove their babies’ life supports after learning that they wouldn’t survive—sometimes hours, sometimes days, and sometimes weeks after giving birth. Does this mean we didn’t have enough faith and positivity to overcome our children’s dire conditions?

Don’t get me wrong, there’s nothing wrong with clinging to positivity during periods of struggle and uncertainty. But many people don’t realize how hurtful it is for those who have suffered the worst types of hardship to hear our more fortunate peers attribute their positive outcomes to hope and faith. After all, I never took Leah’s safety for granted during my pregnancy, and I prayed every day that God would protect her. Likewise, when I received her devastating prognosis mere hours after her birth, I prayed for a miracle, promising God that I would love her and care for her for the rest of my life, no matter what condition she was in. As it is, hearing other people say that their hope, faith, and prayers are responsible for landing them a new job, healing a loved one of an illness or injury, or keeping their children healthy and safe feels like a callous slap in the face.

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As my due date with Leah’s brother draws nearer, I have been reflecting on how my understanding of faith has evolved since this time last year. To be sure, “faith” was already a complex concept for me during my pregnancy with Leah. As I inched my way through the first and second anxiety-ridden trimesters, I wanted to believe that God loved my daughter enough to protect her from harm, and I always thanked Him for answering my prayers whenever I received reassuring ultrasound or blood test results. But at the same time, I was aware of how frequently pregnancy and infant loss occurred. If God didn’t intervene to save these other babies, despite their mothers’ hopes and prayers, why should I believe that my daughter and I were guaranteed His personal protection?

When I confided in others about my fears of miscarriage and stillbirth, I was frequently told to “have faith.” And by the final weeks of my pregnancy, I finally did. After making it to the third trimester with no cause for concern in sight, I was simply bursting at the seams with faith. I had faith that God had been answering my daily prayers for Leah’s protection, and that He would continue to do so until she was finally out of my womb and safe in my arms. I had faith that my healthy female body, in all its corporeal wisdom, knew how to carry a pregnancy to term and birth a child into the world safely. I had faith that the people around me knew what they were talking about when they told me not to worry, because they were certain that everything would be okay.

It is painful to look back and reflect on how differently things might have turned out if perhaps I hadn’t had so much faith. If I knew then what I know now, I would have gone to the hospital immediately after Leah missed her post-dinner kick session. Instead, I dismissed the encroaching worry and decided to choose faith over fear—after all, God surely wouldn’t forsake us after bringing us this far, plus everyone says that babies start to slow down right before labour. As evening turned to night and her movements didn’t change, it became harder to ignore my anxiety’s alarm bells, yet I still told myself that things must be okay—after all, people constantly assured me throughout my pregnancy that my worst-case scenario fears were unwarranted, and until this point they had been correct.

Needless to say, my understanding of faith during my current pregnancy has been shaken up to the point of incoherence. I still pray for my son’s protection every day, because it is literally all I can do, but this does not come without a list of caveats. If this boy makes it into the world unscathed, it will be difficult to attribute his positive outcome to answered prayer when I prayed just as vigilantly for my daughter’s safety each and every day that I carried her. Simply put, I have a hard time believing that a benevolent and omnipotent God would decide to actively protect one of my precious babies, while allowing the other one to suffer and die.

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Leah’s brother at 28 weeks gestation

And yet it isn’t quite that simple. There are days when I am so desperate to believe that this boy will be born healthy—and so adamant that there must be order in the chaos—that I indulge in the same epistemological hoop-jumping that causes me to roll my eyes at other Christians: Maybe Leah was destined for Heaven this whole time, and God made me her mother because He knew I would love her fiercely during her brief life and after her death. Maybe she belongs with God and this boy is the child I’m supposed to raise on earth. Maybe God allowed this to happen because He knew I would be strong enough to use my suffering to help other mothers whose children have died.  

For me, faith now means accepting that I will never have the answers to these theological ruminations. As it is, I simply don’t want to believe that a benevolent God with the capacity to answer prayer would actively “bless” a privileged minority with comfortable lives and healthy families, while leaving many others to endure the worst kinds of suffering. As comforting as it is to believe that God is an omnipotent micromanager who is perpetually on-call to answer our prayers, it seems far more likely that the beautiful and devastating things that happen in our lives are all part and parcel of the broken world we live in—a world whose ongoing chaos just happens to benefit some people more than others. And yet, if God is real, it is not for me to define His nature or His role in the universe. The truth is that I simply don’t know.

But one thing I do know is that, while my grief for Leah has brought me to the darkest emotional places imaginable, it has not left me without faith. When I began writing this post, I had intended to discuss an article that I encountered about a month after Leah’s death. Like the post mentioned above, this viral story documented a family whose baby girl, Jocelyn, had been born alive and seemingly healthy after prenatal testing delivered a fatal medical prognosis. Christian media platforms and social media users naturally clung to this story like a barnacle, praising God for rewarding the family’s unwavering faith with His miraculous healing. I remember how this ignited visceral rage within me while my grief was still so fresh and raw—how dare these people give glory to God for healing this baby after He stood by and allowed my daughter to suffer and die.

As it turns out, while she had initially beaten the odds by making it into the world alive, baby Jocelyn died suddenly of continued complications at three months old—despite her family’s continued hope, faith, and prayers. When I read this update (which, unsurprisingly, did not spread across the Christian corners of the internet like wildfire), I broke down and cried. I cried for Jocelyn’s mother, who was walking the same devastating path as me and the other loss mamas I know. I also spent some time looking at photos of her beautiful baby girl, who was still so loved and cherished by her family. And then, seemingly out of nowhere, it hit me: If there is a God, and if there is a Heaven, Jocelyn is there with my own much-loved daughter right now, along with all the other children whose unjust deaths have left gaping wounds on their parents’ hearts.

Do I know this for sure? No, of course not.

Do I hope this is true? Yes, with every fiber of my being.

You see, my current understanding of faith is that it isn’t synonymous with certainty. For some Christians, this may not qualify as “true” faith at all. But for now it is the best that my shattered heart and broken spirit can muster. And, despite what other people may theologize, I believe it is enough.          

Mother’s Day

Next Sunday is Mother’s Day for those in Canada, the United States, and a number of other countries. It is fair to say that I have been reflecting far more on this upcoming occasion than I would be if Leah was alive. While growing up, my family never commemorated Mother’s Day (or Father’s Day, for that matter) with memorable traditions, so it is unlikely that I would have given much thought to it this year if I was a normal mother whose daily existence was not defined by the anguish of infant loss.

In many ways, it is wholly appropriate that I write this post on International Bereaved Mother’s Day. Since 2010, this day has been set aside to honour the many women whose mothering journeys are shaped by the unique grief that accompanies child loss, and it is especially significant for mothers without living children. Even so, it is important for non-bereaved people to purposefully include loss mamas and their deceased children in Mother’s Day traditions, thereby validating the complex emotions and experiences that shape their day to day lives. Unfortunately, as I and the many mothers who have walked this devastating path before me know too well, this is not the reality of the culture we live in.

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A special thank you to Danielle at Jensen Grey for creating this Mother’s Day wreath for Leah

As Mother’s Day draws nearer, I have also been reflecting on how it will shape my first grief season as a bereaved mother. You see, my baby showers were held on Mother’s Day weekend, just over a month before my June 17 due date. It is ironic that, this time last year, Mother’s Day marked the beginning of the end of my hopes and dreams for Leah’s life. After eight months of grueling anxiety, I was finally confident enough to let go of my fear and plunge into the pregnancy bliss that I hadn’t yet allowed myself to feel. After eight months of cautious optimism and speaking about Leah in terms of “if” rather than “when,” I allowed myself to envision every aspect of my life with the daughter whom I had fallen head-over-heels in love with. And, after eight months of unyielding prayer that God would protect my baby from harm, I allowed myself to believe that He had personally escorted both of us to the finish line, and that He would continue to answer my daily pleas for her safety until I could finally wrap her in my loving arms.

My heart has never been so full of joy and gratitude as it was during those precious weeks between my Mother’s Day showers and Leah’s birthday. With my PhD dissertation defended and my teaching obligations for the year completed, my sunny spring days were filled with purposeful walks, thankful prayers, and unbridled anticipation. I was so ready to finally meet, hold, and kiss the girl who would complete my family. As I laundered her clothes, assembled her bassinet, and installed her car seat, I experienced happiness like I had never known before—a pure, untethered sort of happiness that grief will never allow me to feel again.

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May 7, 2016

Needless to say, my current mothering journey could not be more different from what I had envisioned this time last year. For me, being a mother now means shedding tears each day for a dark-haired girl whose death has left an unfillable void in my life. It means never being able to simply enjoy occasions like Mother’s Day, Christmas, or birthdays without grieving for my firstborn daughter, whose absence will always be felt. It means living with PTSD that can be triggered by things that non-bereaved people may deem unreasonable, such as attending baby showers, hearing newborn cries in the street, or being inundated with photos of happy, intact families on social media. It means hesitating each time someone asks me how many children I have, knowing that my painful truth is probably not the answer they want to hear. It means lacking the emotional capacity to feel true joy during my current pregnancy, understanding that the son I now carry is not guaranteed a long, healthy life on this earth anymore than Leah was.

In my life, being a mother ultimately means claiming whatever space I can for myself and my daughter by speaking her name and sharing her story, even when it makes other people uncomfortable. Since bereaved parents do not enjoy the privilege of watching our children grow and change before our eyes each day, we care for them by continually reminding the world that they were here, that they are loved, and that their lives matter. To be sure, keeping our children’s memories alive cannot compensate us for the lifetime of memories we have been robbed of, but each day we seize these opportunities with every ounce of love that our broken hearts hold, because it is literally all we can do.

And so, to my fellow loss mamas, I wish you a gentle Bereaved Mother’s Day. To everyone else, I ask that you hold space for these parents and their much-missed children today, next Sunday, and on each bittersweet Mother’s Day the future brings.

The Aliens

We have a narrative in our culture about pregnancy and motherhood: The inevitably fertile woman conceives—sometimes effortlessly, sometimes with a little planning, and sometimes with the assistance of medical intervention—and then delivers a live, healthy baby 40 weeks later. She may experience challenges along the way, such as debilitating first trimester nausea, excessive second trimester weight gain, and the general third trimester discomforts that come with carrying a rapidly growing baby, but ultimately her journey is a linear one that results in her leaving the hospital with a living child.

Of course, at the same time we know it isn’t that simple. We implicitly acknowledge that the first trimester of pregnancy is a precarious one, which is why expectant parents are generally advised to keep their news a secret until their 12 week ultrasound scan, at which point the risk of miscarriage drops significantly. But after this milestone is reached, pregnant women are expected to plunge ahead at full-force, decorating a nursery, stocking up on diapers and baby clothes, throwing a celebratory shower, and generally planning every aspect of their lives with the assumption that they will be raising this child into adulthood.

Simply put, despite the facts that 1 in 4 pregnancies ends in a loss and 23,600 babies are stillborn each year in the U.S. alone, we take for granted that expectant mothers who make it past the first trimester will bring a living child home—and if a woman’s personal experience disrupts this narrative, she can keep her grief, her trauma, and her deceased child to herself, thank you very much. One thing I have learned since my daughter’s death is that infant loss makes people very uncomfortable. It defies everything they want to believe about pregnancy, birth, and motherhood—both for their own sake, and for the women in their lives whom they would like to believe are immune to such tragedy.

So what does this mean for those of us in the unfortunate minority who know the unspeakable pain of leaving our children’s cold, lifeless bodies behind at the hospital? In short, our experiences—and, by extension, our deceased children—become anomalous tales to be hidden away from expectant parents and society at large. We become “that one woman” you know whose full-term baby died of sudden, unpreventable complications—but don’t worry, it was just “one of those things” that will never happen to you or the women you care about 

In short, we become aliens, walking around in our unruly bodies, weighed down by our empty arms, all the while surrounded by “normal” people who get pregnant, give birth, and get to watch their children grow up. We become accustomed to the fact that well-meaning but misguided individuals will say hurtful things to us, but we bury our feelings and smile politely in response, because goodness knows they are trying their best. We accept that many people simply don’t feel comfortable acknowledging our deceased children, while others pull away and stop talking to us completely. We quickly realize who our “safe” people are, the ones who bravely walk hand-in-hand with us through our grief journeys without judgement or expectation, and we learn to withhold our difficult truths from those who lack the capacity—or perhaps the willingness—to hold space for us while we navigate the most excruciating type of loss that a human being can experience.

While it may seem counterintuitive, my pregnancy with Leah’s brother has only made me feel more like an alien than I did during the five months I spent as a childless mother. To be sure, grief in and of itself is incredibly alienating, regardless of the type of loss one has experienced. Grief has caused me to feel completely alone in a room full of people whose orderly worlds continue to turn while mine has come to a screeching halt. Grief has ignited foreign flames of rage within me when non-bereaved people offer advice for how I should cope with my loss, subtly suggesting that my emotions are a sign of weakness or pathology. But at the same time, during those early grieving months people generally accepted that it was normal for me to be sad and despondent in the wake of my daughter’s death, at least for a designated period of time.

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But things are different now. I am no longer simply a bereaved mother, but a bereaved mother who is privileged enough to have fallen pregnant again without having to endure the crushing pain of secondary infertility. I am a bereaved mother who is well into the second trimester of what has thus far proven to be a complication-free pregnancy. I am a bereaved mother who, if all continues to go well, is on track to bring a healthy son home in three months’ time. Conventional wisdom presumes that I should be bursting at the seams with joy and excitement about the future. Likewise, such wisdom dictates that I should not be fearful, anxious, or quietly wondering if I am too damaged to be as good a mother to this boy as I would have been to Leah.

Here’s the thing with pregnancy after loss: Each and every day, I am living inside my trauma. Each morning I wake up wondering if my baby will still be alive when I go to bed at night, and each evening—after obsessively completing a day’s worth of kick counts—I heave a sigh of relief knowing that he and I have both made it through another day. Simply put, I know what it is to have a perfectly healthy full-term daughter kicking away at my ribs one morning, and to feel her slowly dying in my womb by the end of the same day. This sort of embodied trauma cannot be repressed or forgotten. As profoundly grateful as I am for Leah’s brother, and as hopeful as I am that he will come home to stay, each day my trauma ignites a chaotic clamor of thoughts and emotions that most people simply don’t want to confront.

And so these people tell the aliens not to worry, because they “just know” that everything will be okay. Never mind that the exact same thing was said to me repeatedly when I was anxious during my pregnancy with my daughter, and we all know how that turned out. They ask us if we understand that negative energy isn’t good for our babies, so shouldn’t we decide to choose peace over fear? Right, because what I need right now is a reason to have anxiety about my anxiety, reminding me of yet another thing that could harm my baby which I have no control over. They advise us that these new babies deserve to be loved and celebrated just as much as their deceased siblings, so don’t we owe it to them to excitedly plan for their arrivals? Of course, thank you for implying that the grief I carry for my daughter each day must mean that I am a terrible mother who doesn’t love my son as much as I should.   

I understand that this is not the sort of pregnancy after loss post that most people want to read. It contradicts the expectation that this time should be filled with optimism, excitement, and rainbows. Luckily, this post is not written for most people. Instead, it is written for the other aliens who are too sad, exhausted, and traumatized to feel all the things that other people believe we should be feeling. It is for those who become frustrated when people proclaim positive outcomes over our pregnancies, as if hope, faith, and the power of positive thinking will magically do for these new babies what they couldn’t do for our deceased children. It is for those who cannot bring themselves to decorate a nursery or stock up on baby clothes, remembering too well how harrowing it was to come home from the hospital with empty arms. It is for those who feel isolated while listening to people talk nonchalantly about “normal” pregnancy and birth stories, mistakenly assuming that we are “normal” too now that we are pregnant again.

To these other aliens, know that you aren’t alone. Pregnancy after loss is complicated, and there is no “correct” way to navigate its messy terrain. You have the right to feel every ounce of fear, joy, anger, hope, devastation, and love that grief and trauma throw your way during this bittersweet journey. Every morning you continue to rise from the ashes of despair and do the very best you can to get through the day. And, despite what other people may tell you, your best—whatever it happens to be at this particular moment—is more than enough.

Nine Months

Dear Leah,

It is March 21, 2017. Today you would be nine months old. Nine months have passed since the nine months that I carried you came to a devastating end. Some days the pain of missing you is as raw and crushing as it was last summer, while other days it all feels like a bad dream.

It is surreal to think that, for half of this time, the body you and I shared for nine months has been home to your brother. Just as I “knew” you were my daughter from the early weeks of our time together, I had been certain since the beginning of this pregnancy that the newest member of our family was a boy. This was confirmed at the second trimester anatomy scan several weeks ago. Seeing him on the ultrasound screen filled me with a tumultuous mixture of relief, hope, sadness, and longing. I love him as I love you, but any semblance of joy I feel now is simply different. It’s a joy that is, and will always be, invariably tethered by grief.

While the kicks that he generously gives me throughout the days fill me with reassurance, they also make me ache for you. As my belly swells and his movements grow stronger, I think of every birthday, Christmas morning, and family photo that he will be a part of—and that you will be absent from—if he makes it into the world unscathed. Each day I look at your photos and wonder if he will look like you, and I also wonder if I will be comforted or disconcerted if this is the case. It pains me to think that he will spend the first years of his life completely unaware of the sister who came before him. If he joins me in this life before he joins you in the next, I promise to tell him all about you and the unfillable space you hold in our family.

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People tell me that this new baby and pregnancy are completely distinct and separate from you, but this simply isn’t true. Every week I compare my changing body to the photos I took while I carried you. Because of you, I am far more likely to call my doctor or run to the hospital for reassurance if I fear something is amiss, rather than draw comfort from the generic wisdom that the female body’s natural capacities and the power of positive thinking can guarantee a baby’s safe arrival into the world. Simply put, it is easy to assume that things will always work out for the best if one has never experienced the worst. Because of you, I know that I and the people I love most are not immune to tragedy.

Last week I had a dream about you—the first and only dream I have had about you since the nine months that I carried you. Some time had passed since your birth, and you were still alive, still in the hospital, and still on life support. I was at home when I received a call from the doctor saying that they were going to remove your ventilator, and I should come say goodbye. My family drove me to the hospital, and I was desperate to get to you as quickly as I could. When we arrived, they became distracted in the lobby, and couldn’t hear me begging them to take me to the NICU. I finally started sobbing and screaming: “I have to see Leah! There’s so much I need to tell her before I say goodbye!” When I awoke, my face was drenched in tears. I have thought about this dream every day since—about all the things I wanted to tell you and show you, but never got the chance to.

Contrary to the platitude that time heals all wounds, each day I feel my loss wound swell larger as I continue to navigate life without the vital piece of my heart that died with you. It has been nine months of a lifetime in which my soul will continue to ache for you—the much-loved, much-missed girl who first made me a mother.

All my love and a kiss,

Your Mama

Fear

After Leah’s death, the crippling agony of my grief was immediately accompanied by another all-consuming emotion: Fear. It is difficult to imagine that any parent who has lost their first and only child will not be plagued by worrisome questions as they peer ahead into the uncertain future: What if subsequent pregnancies end the same way? What if I never have a living child to bring home and care for? And, in my case specifically: Will I ever be able to conceive again?

You see, throughout the entire nine months that I carried Leah, I had been quietly wondering if this pregnancy was a complete biological fluke. This is because, months before she was conceived, I had become attuned to the fact that my menstrual cycles seemed to show the classic signs of a luteal phase defect. In a nutshell, the luteal phase is the time between ovulation and the beginning of menstruation. Most medical professionals seem to agree that a 12-16 day luteal phase is “normal,” with anything less than that potentially inhibiting fertility since it may not provide enough time for a fertilized egg to properly implant in the uterus.

I am not sure why it took me so long to notice that my monthly luteal phases were disconcertingly short at 10 days—and sometimes less. As mentioned previously, I had been using the Fertility Awareness Method as natural birth control for about three years. While most women who have read Toni Weschler’s classic text, Taking Charge of Your Fertility, do so in their quest for pregnancy achievement, I had been diligently charting my basal body temperatures and cervical mucus each day in my efforts to delay motherhood. In any case, as soon as I noticed this anomaly in my monthly cycles, I began to wonder what complications it might pose when I did eventually want to conceive. While I didn’t see myself becoming a mother for a few more years, I did some research on the issue and decided to start taking a Vitamin B6 supplement each day for good measure.

This is likely why I had grown relaxed in my charting habits shortly before Leah was conceived, believing that I couldn’t become pregnant even if I did have intercourse during my fertile window. This is also why I was equally relieved as I was surprised when I discovered I was pregnant. This relief would continue throughout the next nine months as my pregnancy progressed perfectly, all the while wondering if this would be my only shot at motherhood without the aid of costly fertility medications and procedures. I had never envisioned myself with a house full of children, so if Leah ended up being the only child I was able to conceive without medical intervention, I would have proceeded through life content with my family of three. Needless to say, when she died unexpectedly at the tail end of my complication-free pregnancy, my anxiety wasted no time before shouting its concerns from the depths of my mind, reminding me that I might never fall pregnant again so easily, if at all.

Admittedly, this anxiety was more consuming at the beginning of my grief journey, when my chaotic postpartum hormones, unable to make sense of my baby’s absence, were urging me to become pregnant again as soon as possible. But this instinctive urge faded as the weeks and months wore on, and I finally accepted that having another baby would not be a magical cure for my grief. Throughout this time, my husband and I devised a plan: We would wait until December, six months after Leah’s birth, before trying to conceive again, with the understanding that it was unlikely to happen right away. If six months of trying bore no fruit, I would speak to my OBGYN about possible next steps. In the meantime, I continued to take my vitamins and chart my cycles so that I would have tangible proof of my short luteal phases to present to my doctor when the time came. I also tried my best not to fall apart each time my period showed up ten days after my ovulatory temperature spike.

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My first charted post-pregnancy cycle, with a crushingly short luteal phase of eight days

With nowhere to go but forward, I trudged ahead on emotional autopilot, adapting to a new routine, a new job, and a new life as a bereaved mother. During this time I settled into a strangely comfortable state of apathy, not feeling much of anything beyond the ever-present ache for my daughter. At least, that was the case—until two pregnancy announcements and one birth announcement, all unleashed within the course of a week, reignited my raw grieving emotions with the force of a thousand suns.

Maybe a stronger loss mama could have handled it. I wanted to believe that I could handle it. After all, I did not want these babies, nor was I even sure if I was emotionally ready to be pregnant again. Nevertheless, it all crashed over me with the devastating impact of a tidal wave—the visceral reminders of what I had, what I lost, and what I may never have again. Not since June had my hormones and emotions run so hopelessly amok: For an entire week I hurled pillows against walls, surrendered to uncontrollable sob fests in the washroom at work, and launched more f-bombs into the atmosphere than I had in the previous 30 years of my life combined.

In short, I was a mess. And I was so consumed by this tornado of emotions that I hadn’t even noticed day eleven of my luteal phase come and go, with no sign of my period in sight.

When this realization finally hit me, the fog lifted and I immediately snapped out of my funk. Eleven days! No, it wasn’t perfect, but it was something. It was hope. Maybe next month I could make it to twelve days, which would finally bring my cycle lengths to the lower end of “normal.”

And then day twelve passed me by, still with no indication that my period was on its way.

On day thirteen, I tried my best to stay grounded and suppress the flicker of wonder that had ignited within me: Was it possible? My husband and I were not actively trying to conceive yet, but we hadn’t been actively preventing it, either. I told myself to wait at least a week before jumping to any conclusions. After all, a twelve day luteal phase was nothing to sneeze at, and I would likely subject myself to unnecessary disappointment by taking a home pregnancy test so soon.

Yet I couldn’t shake the deep, consuming question that continued to echo in my brain all day at work: What if? After much internal debate, my curiosity ultimately trumped my caution. I stopped at a drugstore on my way home and didn’t tell my husband about my excursion. I was even able to wait until after dinner before retreating to the washroom to carry out my covert plan.

So many thoughts and emotions flashed through my mind while I waited for the results. I could vividly see myself, fourteen months prior, smiling as two pink lines confirmed my pregnancy with Leah. And then, almost as if I had stepped back in time, they slowly appeared once again.

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December 2, 2016

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I wish I could say that this reassuring result filled me with joy and excitement, but this simply wasn’t the case. Instead, I shed silent tears for the daughter whom I seemed to miss more than ever in that moment. I instantly thought about all the things that this new baby would get to see and experience if it managed to beat the odds and make it home—all the things I dreamed of doing with Leah, but never got the chance to. However, I also shed tears for myself, thinking about the nine months of emotional turmoil I was about to experience if this pregnancy progressed normally (which would be the best case scenario), as well as the utter devastation that I would feel if it were to result in another loss.

Was I thankful to see that my fears about secondary infertility were apparently unfounded? Yes, profoundly so. At this point I had interacted with too many loss mamas who had faced (and were still facing) fertility struggles to dismiss this glimmer of hope completely. But the brutal truth is that my grief and fear trumped my ability to feel the same joy and excitement that I did when I first discovered I was pregnant just over a year ago.

As I write this, I am 18 weeks pregnant with Leah’s sibling. To say that the past four months have been an emotional roller coaster would be an understatement. First, there are the flashbacks. Goodness, the flashbacks. Within the first eight weeks I made two visits to the emergency room for reassurance scans, and each time I felt like I had been transported back to June. I was bombarded with visions of myself wandering into the same lobby and telling the triage nurse that I had noticed a reduction in my baby’s movements; being directed to the Labour and Delivery unit, where I broke down crying at the intake desk, trying to explain that I had come to the hospital in a moment of panic, and no I had not called my midwife yet; watching a team of doctors remove my daughter from my body and whisk her away, not knowing what was going on or where they were taking her; holding my beautiful girl to my chest while her body seized and convulsed against my skin, and crying out in agony as she breathed her last laboured breath in my arms. I continue to experience these intrusive flashbacks on a daily basis, and I imagine their frequency and intensity will only increase as I move closer to my due date.

Second, there’s the anxiety. I held out okay until week 6 arrived, at which point the dreaded brown spotting started. Now, brown spotting can be totally normal if it is merely old blood being shed from the uterus during the early weeks of pregnancy—but of course, sometimes it can also be an early sign of miscarriage. I count myself fortunate that it was harmless in this case, but I was still overcome by a wave of panic each time it re-surfaced over the course of the next two weeks. I was also fortunate enough to have far more pronounced first trimester symptoms than I did with Leah, including debilitating fatigue and nausea. I was thankful for these corporeal reminders that my body was seemingly reacting to this pregnancy as it should—until I experienced the occasional day where these symptoms seemed to disappear completely. Of course, this can also be a totally normal response to fluctuating pregnancy hormones—but sometimes it can signify that a missed miscarriage has occurred.

I did not experience a reprieve from my anxiety until I reached week 10. Against the recommendations of the medical community at large, I decided to rent a medical grade Doppler so I could listen to the baby’s heartbeat at home. I can honestly say it is the best decision I have made for myself and my self-care during this pregnancy. It arrived by week 11, and after two practice runs I became quite proficient at finding the baby’s heartbeat during each subsequent use. I now use it twice a day: In the morning before I leave for work, and in the evening when I return home. Not only do these daily sessions allow me to feel connected to the life that is growing inside me, but they also give me reason to pause, smile, and find assurance in knowing that, at least for the present moment, my baby is alive and well.

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Leah’s sibling at 12 weeks gestation

Even so, I cannot speak or think about my future with this child in definitive terms. While I wish I could say that this pregnancy marks a happy ending of sorts for me and my family, the reality of being a loss mama is far more complicated than that. However, this does not mean that I do not love this baby tremendously. To the contrary—rather than plan ahead for things that may or may not happen, I spend each day acutely aware that this could be the only time I get to spend with this child, and I do not take a single heartbeat, flutter, or kick for granted.

As grateful as I am for this pregnancy, and despite being well into the mythical “safe zone” that comes after 14 weeks gestation, there are no guarantees that I will get to bring this baby home. As much as I am hoping for the best, I also know how suddenly and unexpectedly a complication-free pregnancy can careen towards the worst. Moreover, even if I do get to bring this baby home, doing so cannot suture the loss wound that Leah has left on my heart. Don’t get me wrong: Having a living child will certainly restore some of the joy and hope that disappeared from my life when Leah died. But I will continue to ache for my firstborn daughter each and every day, just as I do now.

I also understand that this development will inevitably change the nature of this blog. As a friend and fellow loss mama said to me not too long ago, the only thing harder than being pregnant after loss is not being pregnant after loss (assuming that the woman in question desires to have another child). I know firsthand the difference between being a pregnant loss mama and being a childless mother, and I can say without a doubt that the latter experience is far more difficult. While this pregnancy—like all pregnancies—may result in a heartbreaking loss, the imminent possibility that I may bring a living child home makes all the difference in the world. I thus recognize that sharing my pregnancy experience means this blog may become one more trauma trigger for loss mamas without living children, and especially for readers who know the pain of infertility and secondary infertility. For this reason, I cannot say that I am blessed to have fallen pregnant again so soon, when so many women struggle for years to conceive, and many others never do so at all. There is no way around the fact that this is devastatingly and infuriatingly unfair, yet it is the reality that many loss mamas are forced to live day in and day out.

In the meantime, all I can do is continue to write about what I am living, which for now is a chaotic mixture of grief, anxiety, fear, and—dare I say it—hope. Despite my aching loss wound and my trepidation about the uncertain future, I do count myself fortunate to awake each day with a heart that is filled to the brim with love for my two children—the one whose hand I hope to hold throughout the years to come, and the one whose hand I hope to hold again someday.

Trying Again

During the earliest days of my grief journey there were moments when I had all but convinced myself that life would be okay again as soon as I had another baby in my arms. I had visions of myself surrounded by family and friends in the same hospital room where I stayed with Leah, only this time there was a purely celebratory atmosphere as we passed the new baby from one pair of loving arms to the next with no thought of saying “goodbye” in sight. I was quite taken aback by how quickly the urge to conceive again overcame me. I physically yearned to feel soft newborn skin against my chest, and my arms literally ached from their crushing emptiness.

I believe this irrepressible urge is biologically instinctive in the most profound sense. I had given birth to Leah and bonded with her. For 33 hours I held her, smelled her, fed her, and took care of her after carrying her for nine months. Suddenly I found myself at home with no baby, and it seemed like my body was not able to comprehend or accept her sudden, unnatural absence. During those early days my need for her was deep and primal; I spent countless hours curled into the fetal position on by bed, clutching my soft postpartum belly and whimpering her name like the wounded animal that I was.

On another level, this urge is also likely motivated by the fact that I am a borderline-obsessive planner, which is common among anxious types like myself. Even though my pregnancy with Leah was a surprise, I maintained my locus of control by planning around her unexpected presence in my life. For the next nine months each decision, whether it be about work and finances or simply what to eat for dinner that day, was made with her in mind. My life was still moving forward with the understanding that Leah would be a fundamental part of my present and my future.

But when she exited my life just as abruptly as she had entered it, my world came to a screeching halt. Despite my anxious propensity to hope for the best but expect the worst during my pregnancy, I could not possibly prepare myself for my daughter’s death. Suddenly I was stagnant; I could not turn back the hands of time and get her back, but I also could not move forward. I had planned for a baby. I had a baby. I had a bedroom full of baby gear and an entire summer ahead of me during which I had no plans beyond caring for my daughter. It didn’t take long for my anxiety to begin shouting its directives from the depths of my mind, desperate to regain some semblance of control:

“Have another baby!

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Image credit via Keep Calm And Posters

Of course! It was a brilliant plan. My OBGYN had given me the go-ahead to conceive as soon as my postpartum bleeding ended. This meant that if my menstrual cycles resumed by the end of the summer, I could theoretically be pregnant again in the fall and be holding Leah’s brother or sister this time next year. Certainly I could hold out for one more year and everything would be back on track. I clung to this assurance for a brief period of time before my anxiety intervened (again) and began generously offering numerous “what if” scenarios to consider:

What if you cannot conceive now that you will be actively trying? What if you experience Unexplained Secondary Infertility? What if you get pregnant but you have a miscarriage? And then another miscarriage? And then another? What if you experience another Fetomaternal Hemorrhage in the second or third trimester? What if your baby is stillborn? What if the baby is born with unanticipated complications and dies in the hospital? What if your baby seems okay in the hospital but dies of SIDS or illness at home?

And on and on it goes. Yet every now and then I am able to put my fear of future losses aside and imagine a positive outcome. I consider the absolute best case scenario that could unfold from here: I get pregnant soon after I start trying. I have a healthy, complication-free pregnancy. I hear a strong cry from Leah’s brother or sister after they are birthed by repeat cesarean section. I find myself at home a year from now, doing everything I imagined I would be doing with Leah, but with a new baby instead.

I allow myself to imagine these positive outcomes from time to time, but inevitably the tears still flow. A more nuanced clarity has emerged since my first days of grieving and I now understand that having another baby will not mend the loss wound that Leah has left in my life. Yes, perhaps I could get pregnant again quickly, but Leah won’t be the one performing acrobatics on the ultrasound screen during my prenatal appointments. Maybe I could have a healthy baby that makes it to the second trimester, but it won’t be Leah’s kicks that I feel against my ribs each day. Perhaps another baby could make it to the end without experiencing FMH or a different complication at the eleventh hour, but it won’t be Leah who is passed from one family member to the next in a hospital room where joy is not mitigated by sadness.

With each passing day I become more painfully aware that there is no simple way forward from here. I know that having another baby will complicate my ongoing grief journey, rather than alleviate it. Having another baby will not give Leah back the life she never got to live, nor will it erase the struggles she endured. Still, these days the most comforting thing I can imagine is sitting with another wee daughter or son and telling them all about their beautiful, strong big sister. It allows me to smile every now and again when I am tempted to shrink away from the bittersweet road that lies before me. It does not take the pain away, but it does allow me to hope.

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