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Losing a pregnancy hurts on many levels. It can be physically uncomfortable to downright painful, but the emotional aspects of a miscarriage are far more profound, multifaceted, and often require more time for resolution. Whether a woman is newly pregnant or farther along at the time of miscarriage is irrelevant—loss is loss. And with any loss, comes grief.

Once the OB provides a due date, we naturally construct a mental image of what life with a baby will look like, and thoughts about a new family flood our minds. Then when the pregnancy ends prematurely, a woman is left to grieve the actual loss along with this theoretical future family that will never be. It's a double whammy.

Grief after miscarriage is similar to any other form of loss, and it conforms to the well-known Kubler-Ross Grief steps, with a few alterations. Women often progress forwards and then take steps back before moving forward again and eventually feeling relatively comfortable with the past and the new normal. It can be difficult to process feelings about miscarriage because partners often experience grief at different speeds and may express their feelings in different ways.

Furthermore, it can be hard to talk about a loss with friends and family, many of whom will likely be unsure what to say and, with good intentions at heart, will end up saying something that feels disingenuous or preachy that inadvertently can be irritating or even hurtful to a woman who recently miscarried.

As a result, women often report feeling highly isolated and alone in their grief, which is unfortunate and unnecessary considering that one in two women have miscarried. Finding other women who have similarly suffered a miscarriage and can be there for you to empathize and provide a shoulder to cry on is incredibly helpful. Grief-based support groups in person and online often function to provide a safe place for women to open up about their feelings and begin to process and heal.

If you or someone you know have recently gone through a miscarriage, it's important to understand the chain of reactions that may follow in order for the healing to begin.

1. Shock and denial

Being told there is no heartbeat on ultrasound or that miscarriage is inevitable often feels like a punch in the gut, followed by a sense of disbelief. How is it possible? Just a moment ago this pregnancy was real, and now my world is crashing down. Why? This can't be right.

Feeling as though one's head is spinning or that you're in a cloud is normal, as is the desire to confirm the doctor's finding once or twice or more times because of disbelief. Many women continue to experience transient nausea until hormone levels drop, making it hard to believe the pregnancy has ended. If a pregnancy is far enough along, women may misattribute gas or cramping to phantom kicks, which also reinforce this sense of denial.

2. Anger

Why my pregnancy? Why my baby? Some women externalize anger: 'I did everything right, I took my prenatal vitamins and I ate well. This isn't fair…' Others may be angry at themselves, wishing they had done things differently, despite being told and knowing on some level that miscarriage is not her fault.

Women may be irritable and angry with their partners for not understanding their experience or for not having the same degree of reaction or response as they are. They may also be angry at her friends who have had babies despite realizing this is not logical.

Even the most rational woman may be very easily angered and hostile at those around her, seemingly without cause because she is angry at the situation. Miscarriage is not fair, it doesn't make sense, and it is a good reason to be angry—so when a woman is mad, it's okay. Don't try to stifle the anger, just understand that it's because a wanted pregnancy is gone and not really directed at the people who are trying to be supportive and loving and are grieving also.

3. Bargaining

'If I eat only organic foods, remove all chemicals from my makeup and skin care products, and keep all toxins out of my house, then my next pregnancy will be okay, right?' This period is notable for looking for ways to right the wrong, to find a reason and to remedy it. The notion that a miscarriage can occur without cause or that one cannot prevent it is highly upsetting, and this stage is focused on fixing things.

This is a time where women search for answers and try to make it all better. In fact, it's not uncommon to try to conceive right away during this time while all is seemingly perfect, and then to be incredibly frustrated if things don't go as planned.

4. Depression or deep sadness

This time is characterized by awareness of the magnitude of the loss and that nothing can change the past or can inherently ensure the future. Women frequently isolate themselves, even from those who want to help, and feel as if they are the only ones who have ever experienced such grief. They often have low energy and little motivation during that time.

The severity of the depression depends on a woman's experience and likely on if she is otherwise prone to depression and other psychiatric illnesses. If this stage is severe enough to negatively impact daily life for more than several days or if there's any thought of self-harm, please reach out for help from a trained mental professional.

Ask your OBGYN for a referral or go to postpartum.net to connect with a local coordinator who can help you find a perinatal and reproductive psychiatry trained clinician in your area.

5. Acceptance

The magnitude of the grief begins to lessen over time. Eventually, days will pass without thinking of the miscarriage, which can cause guilt. This sometimes throws a woman back to a lower step such as anger or depression. But, that's okay—the idea is to move forwards along the process at your own pace.

Eventually, this loss will be a part of your story without defining your life or being the focus of your thoughts, day in and day out. The memory never goes away, but the sharp pain fades with time.

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The temperatures are dropping and that can only mean one thing. Whether we like it or not, winter's cold chilly months are upon us. As a born-and-raised Alaskan, and mama of three, I've got a lot of cold weather experience under my belt, and staying inside half the year just isn't an option for us. As my husband likes to say, "There's no bad weather, just bad gear."

Here are some of my favorite picks to keep your family toasty warm this winter.


1. Bear bunting

This sherpa bear bunting wins winter wear MVP for being a comfy snowsuit for your littlest babe, or base-layer under another snowsuit for the chilliest of winter outings. Bonus: your baby bear will never look cuter!

Sherpa Hooded Bunting, Carter's, $15.20

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2. Patagonia Capilene base-layers

Speaking of base-layers, for any prolonged winter activity outside in the cold, it's best to layer up to create air pockets of warmth. These moisture wicking base-layers are a family favorite.

Baby Capilene Bottoms, Back Country, $29.00

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3. Arctix Kids limitless overall bib

These adjustable snow pants keep kids warm and the bib style keeps snow from going down the back of their pants. Bonus: the price is excellent for the quality and they can grow with your child. The Velcro strap also makes bathroom breaks for kids so much easier.

Arctix Kids Limitless Overall Bib, Amazon, $14.99-$49.99

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4. Hooded frost-free long jacket

Keep your little one warm and stylish in this long puffer jacket. Great for everyday outings.

Hooded Frost-Free Long Jacket, Old Navy, $35.00

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5. Patagonia reversible jacket

This jacket is windproof, waterproof and the built-in hood means one less piece of gear to worry about (or one more layer for your little one's head). It's a best buy if you live with cold winter temperatures for many months of the year and still love to get outside to play. It also stays in great condition for hand-me-downs to your next kid.

Reversible Down Sweater Hoodie, Nordstrom, $119.00

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6. Under Armour Decatur water repellent jacket

Made of waterproof fabric and lined with great insulation, kids will no doubt stay warm—and dry—in this. It features plenty of pockets, too, so mama doesn't always have to hold onto their items. We love that the UGrow system allows sleeves to grow a couple inches.

UA Decatur Water Repellent Jacket, Nordstrom, $155.00

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7. Stonz mittens

Ever tried to keep gloves on a 1-year-old? It's a tough task, but these gloves make it a breeze with a wide opening and two adjustable toggles for a snug fit they can't pull off! Warm and waterproof, and come in sizes from infant to big kids.

Stonz Mittz, Amazon, $39.99

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8. Sorel toot pack boot

Keep their little toes warm with these cozy boots from Sorel. With insulated uppers and waterproof bottoms their feet are sure to stay warm. They're well constructed and hold up over time, making them a great hand-me-down option for your family.

Sorel Kids' Yoot Boot, Amazon, $48.73-$175.63

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9. Stonz baby boots

These Stonz stay-on-baby booties do just as their name says and stay on their feet. No more searching for one boot in the grocery store parking lot!

Stonz Three Season Stay-On Baby Booties, Amazon, $29.99-$50.29

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Motherly is your daily #momlife manual; we are here to help you easily find the best, most beautiful products for your life that actually work. We share what we love—and we may receive a commission if you choose to buy. You've got this.

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We make a lot of things this time of year. Gingerbread houses. Christmas cards. New traditions. Babies.

Yes, December is peak baby making season. It's a month filled with togetherness and all the love felt in December is what makes September the most statistically popular month for American birthdays.

According to data journalist Matt Stiles, mid-September is the most popular time to give birth in America. He did a deep dive into the birth stats from the U.S. National Center for Health Statistics and the U.S. Social Security Administration collected between 1994 and 2014 and found that the most common American birthdays fall on September 9, 19 and 12. In fact, 9 of the 10 most popular days to give birth fall in September.

If we turn the calendar back, we're looking at Christmas time conceptions. Stiles illustrated his findings via a heat map, which presents the data in a visual form. The darker the square, the more common the birthday.

The square for August 30 is pretty dark as it is the 34th most common birthday in America. It's also 40 weeks after November 23, and the unofficial beginning of the United States' seasonal baby boom.


And while the Christmas holidays are common times to conceive, they're not common days to give birth, for obvious reasons. Christmas Eve, Christmas Day, New Year's Day and the fourth of July are all represented by light squares on Stiles's data map, meaning they're among the least popular days to welcome a little one into the world (Boxing Day is just a smidge darker, still a pretty rare birthday).

OB-GYNs are not likely to schedule C-sections on major holidays, so that might point to the low birth rates on these special days.

As for the September baby boom, it probably has less to do with the magic of the holiday season and more to do with the fact that many Americans take time off work during the holiday season. It's not that mistletoe is some magic aphrodisiac, but just that making babies takes time, and at this time of year we have some to spare.

This Christmas be thankful for the time you have with your loved ones and your partner. That time could give you a gift come September.

[A version of this article was originally posted November 21, 2018]

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When I gave birth the first time, I had two doulas—one for me, and one for my husband. (I wasn't messing around!) They worked hard to support me in what ended up being a long labor. About 20 hours in, I remember hearing my doulas whisper to my exhausted, hard-working husband, “Go lie down. We can take care of her."

This was absolutely true. They were more than capable of helping me through contractions, which up to this point I'd been handling really well. So upon their urging, my husband walked about three feet away and lay down on the daybed in the labor and delivery room. And then the strangest thing happened—

I completely lost my rhythm and my ability to breathe through contractions. It was as though I'd lost my way. The next handful of contractions were unbearable and caused me to cry out in anguish. My husband hurried to my side and held my hand once more.

And then, just as quickly, I found my rhythm, my breathing returned, and I was able to to handle my contractions until I gave birth several hours later.

In a recent study published in Nature, it was discovered that when a partner held the hand of a woman during labor, the couple would begin to synchronize their breathing and heart rate patterns, otherwise known as physiological coupling.

In addition, the women reported that their pain lessened while holding hands with their partners. If they were just sitting next to one another, but not holding hands, their pain levels weren't affected.

This study has obvious implications for the families I teach in my Childbirth Preparation classes, and it's important to share this news far and wide:

Everything you do for your partner while she's in labor makes a difference. Even if all you do is hold her hand.

Labor is not just something that a birthing woman experiences. Her partner experiences labor too, just in a very different way. For far too long, we've either diminished or ignored the partner's experience of labor—to everyone's detriment.

I realize that it makes sense to pay close attention to how a woman moves through her pregnancy, labor and birth. But if we're not paying equal attention to her partner's experience, we're not setting this new family up for success. In fact, we might be doing the exact opposite.

If partners don't realize the importance their words, actions and touch can have on the laboring woman's experience, many may freeze up and feel helpless as they witness the power and intensity of labor and birth. They may end up feeling as though all of their efforts and suggestions for comfort measures are without any effect. But this couldn't be further from the truth!

Every little thing a partner does to make the laboring woman more comfortable matters immensely. Every sip of water offered, every new position suggested, every word of encouragement, every reminder to breathe, every single touch, provides comfort to the laboring woman. And partners need to know this and believe in the power that their undivided attention and connection can bring to the laboring woman.

Here's why I think the findings from this latest study are so important—it's that feeling of shared empathy between the laboring woman and her partner that causes the physiological coupling and pain relieving effects that help a woman when she's experiencing pain.

That's why I've always told the partners in my classes that even if they hired an army of the world's greatest labor doulas, their unwavering, focused and empathetic attention during birth, is the reason why she'll tell everyone that she couldn't have made it through labor without her partner! Even if all they did was hold her hand.

It's a conundrum many parents wrestle with: We don't want to lie to our kids, but when it comes to Santa, sometimes we're not exactly giving them the full truth either.

For Kristen Bell and Dax Shepard, lying to daughters Lincoln, 5, and Delta, 3 just isn't an option, so everyone in the Bell-Shepard household knows the truth about Santa.

"This is going to be very controversial," Shepard told Us Weekly earlier this month. "I have a fundamental rule that I will never lie to them, which is challenging at times. Our 5-year-old started asking questions like, 'Well, this doesn't make sense, and that doesn't make sense.' I'm like, 'You know what? This is just a fun thing we pretend while it's Christmas.'"

According to Shepard, this has not diminished the magic of Christmas in their home. "They love watching movies about Santa, they love talking about Santa," Shepard told Us. "They don't think he exists, but they're super happy and everything's fine."

Research indicates that Shepard is right—kids can be totally happy and into Christmas even after figuring out the truth and that most kids do start to untangle the Santa myth on their own, as Lincoln did.

Studies suggest that for many kids, the myth fades around age seven, but for some kids, it's sooner, and that's okay.


Writing for The Conversation, Kristen Dunfield, an Assistant Professor of Psychology at Concordia University, suggests that when kids come to parents with the hard questions about Santa, parents may feel a bit sad, but can take some comfort in "recognizing these challenging questions for what they are—cognitive development in action."

Kids aren't usually the ones who are upset when they figure it out, researchers note. Typically, kids are kind of proud of themselves for being such great detectives. It's the parents who feel sadness.

Some parents may not choose to be as blunt as Shepard, and that's okay, too. According to Dunfield, if you don't want to answer questions about Santa with 100% truth, you can answer a question with a question.

"If instead you want to let your child take the lead, you can simply direct the question back to them, allowing your child to come up with explanations for themselves: "I don't know, how do you think the sleigh flies?" Dunfield writes.

While Dax Shepard acknowledges that telling a 3-year-old that Santa is pretend might be controversial, he's hardly the first parent to present Santa this way. There are plenty of healthy, happy adults whose parents told them the truth.

LeAnne Shepard is one of them. Now a mother herself, LeAnne's parents clued her into the Santa myth early, for religious reasons that were common in her community.

"In the small Texas town where I grew up, I wasn't alone in my disbelief. Many parents, including mine, presented Santa Claus as a game that other families played," she previously wrote. "That approach allowed us to get a picture on Santa's lap, watch the Christmas classics, and enjoy all the holiday festivities so long as we remembered the actual reason for the season. It was much like when I visited Disney World and met Minnie Mouse; I was both over the moon excited and somewhat aware that she was not actually real."

No matter why you want to tell your children the truth about Santa, know that it's okay to let the kids know that he's pretend. Kristen Bell's kids prove that knowing the truth about Santa doesn't have to make Christmas any less exciting. Pretending can be magical, too.

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