Pregnant After a Loss? You Don’t Have to Hold Your Breath Alone

If you’re pregnant again after a miscarriage, stillbirth, or any kind of pregnancy loss, it’s okay if this doesn’t feel like the “joyful” experience people expect it to be.

You might be holding your breath. Guarding your heart. Counting down every day and every appointment until you can exhale.

You are not broken. You are not doing this wrong.
And you do not have to go through it alone.

What Counseling Looks Like in Pregnancy After Loss

Pregnancy after loss is full of complicated, layered feelings. Relief. Guilt. Fear. Hope. Dread. Excitement. Grief.
Often all in the same day—or same hour.

Counseling gives you a space to be honest about what this experience is really like. We don’t rush to “stay positive.” We don’t try to fix emotions that are deeply human. Instead, we hold space to talk, to breathe, and to make room for you—as you are right now.

You don’t have to pretend it’s okay if it’s not.

In sessions, we might:

  • Talk through your past losses and how they’re showing up in your body and mind now

  • Work with anxiety around ultrasounds, doctor visits, or “bad news” thoughts

  • Find ways to connect (or gently reconnect) with the pregnancy

  • Help you feel more like yourself—less consumed by fear

  • Set boundaries with people who don't get it (including doctors or family)

Guarding Your Heart: It’s Okay If You Feel Disconnected

It’s incredibly common to feel shut down or distant from the pregnancy, especially early on. Some people feel like they can’t connect until a certain week. Others say they’re afraid to love this baby “too much”—because they know what it’s like to lose.

There is no right way to feel.
There is no wrong timeline for bonding.
We can talk through all of it.

What About My Partner?

Couples often grieve differently—and handle this next pregnancy differently too.

Maybe your partner is excited and you’re terrified. Maybe you’re feeling alone because they’re trying to “look on the bright side” while you're just trying to make it through the next heartbeat check.

I offer couples counseling to help both of you:

  • Communicate more gently, even if you’re coping in opposite ways

  • Understand what each of you needs to feel supported

  • Feel more connected emotionally, physically, and as a team

  • Grieve and hope together—even when it’s complicated

I Get It—This Isn’t Just About This Pregnancy

Pregnancy after loss is never just about this pregnancy. It brings up everything you’ve been through: what happened before, what you hoped for, what you’re still healing from. That’s why therapy helps—not just to lower anxiety, but to feel more whole in the process.

As a reproductive mental health therapist, my training is rooted in looking at the whole person—not just symptoms, not just diagnoses. We explore your body, your mind, your relationships, your story. I bring a holistic approach to reproductive mental health, and I work with clients going through pregnancy loss, IVF, fertility challenges, and new pregnancies after trauma.

I’m also pro-choice, and I believe deeply that reproductive healthcare—including miscarriage care, pregnancy support, and access to safe and legal treatment—should be available to all people, no matter what stage they’re in.

You Don’t Have to Do This Alone

If you're in Providence, Boston, Tacoma, or anywhere in Massachusetts, Rhode Island, Connecticut or Washington, I offer virtual miscarriage counseling.

If you're:

  • Newly pregnant and scared

  • Grieving a past loss and unsure how to feel about this one

  • Holding your breath and feeling like no one understands

I’m here to help you carry this—and make space for your grief and your hope.

👉 Click here to schedule an appointment

Read More:

Feeling Stranded: A Personal Reflection on the IVF Journey

How to Handle Unsolicited Family Questions About Family Building

Coping with Miscarriage: Creating a Grieving Ritual for Perinatal Loss


Availability in Connecticut: Fairfield, Hartford, Litchfield, Middlesex, New Haven, New London, Tolland, and Windham

Availability in Massachusetts: Barnstable, Berkshire, Bristol, Dukes, Essex, Franklin, Hampden, Hampshire, Middlesex, Nantucket, Norfolk, Plymouth, Suffolk, and Worcester

Availability in Washington: King County, Pierce County, Snohomish County, Spokane County, and Clark County

Jessica Katz, LICSW, PMH-C, CCFP

Jessica Katz, LICSW, PMH-C, CCFP is a licensed clinical social worker with over a decade of experience in reproductive mental health.  As the founder of Empress Counseling, she supports individuals and families facing infertility, pregnancy loss, perinatal mood disorders, and third-party reproduction.

http://empresscounseling.com
Next
Next

When You’re Grieving After a Miscarriage: What Miscarriage Counseling Can Do for You