Can I Be Pregnant And Not Know? Welcome To The World Of Cryptic Pregnancies

Being pregnant and birthing a baby can be stressful enough, but getting pregnant and going into labour without even knowing about it? Well, that’s unlocked a new fear.

Some people are taking to TikTok to share their accounts of ‘cryptic’ or ‘invisible’ pregnancies.

Kayla Nicole Simpson (@kaylanicolesimpson) shared how she went to the emergency room with severe abdominal pain, thinking she had appendicitis. But at the hospital, an ultrasound revealed she was pregnant.

Doctors swiftly realised she was crowning and she was rushed to the labour ward where, in 15 minutes, she’d given birth to a baby girl.

“Throughout my so-called pregnancy I had lost 30lbs, was the flattest I had ever been and had my period every month,” Simpson recalled.

What is a cryptic pregnancy?

In short, it’s where you don’t realise you’re pregnant because your body doesn’t really give you any of the tell-tale signs.

While for a very small amount of people they might not realise they’re pregnant until labour, a cryptic pregnancy can also apply to people who don’t realise they’re pregnant until at least 20 weeks.

Some people might not experience any symptoms, or very mild symptoms of pregnancy; others might blame their pregnancy symptoms on issues, like stress; and some might not grow a baby bump at all.

Why do some women not get a baby bump?

TikTok creator Nikki Salazer shared a video of her story. While she knew she was pregnant, it didn’t take away from the fact that not getting a bump felt a bit strange.

“As the months went by, I still had nothing,” she explained. “But I still had all the symptoms and felt kicking regularly. At eight months, I started to feel very heavy – but still, no bump.

“No-one could believe I was pregnant – even at the hospital. Thankfully, I had a healthy birth and delivery.”

Dr Karan Raj stitched Salazer’s video with some commentary of his own to explain just why these hidden bump pregnancies occur. “There are a number of factors that could contribute to this,” he said.

Apparently, it’s all to do with the shape of your uterus – and if you have a retroverted uterus, it’s easier for your baby to hide.

“Most women have an ‘anteverted’ uterus where it’s slightly tilted forwards,” said Dr Raj.

“But one in five have a backwards tilt towards the spine. For some women, it may remain tilted backwards for the duration of the pregnancy. This backwards growth could hide any bump.”

He explained that previous surgery, endometriosis and other gynaecological conditions could scar what’s known as the uterosacral ligaments, which “keep the uterus fixed to the spine and inside the pelvic cavities”.

“If these are stiff because of scarring, these ligaments can literally hold the uterus back and stop it from protruding too far out,” he said, which will result in a tiny little bump, or no bump at all.

And bad news if you’re tall… “If you’re taller, you’ll have a longer torso, so there’ll be more space for the uterus to develop upwards rather than just outwards,” added Dr Raj.

Gym bunnies should be wary, too, as a super strong stomach could have the same effect. “If you have well-developed rectus abdominal muscles, the uterus may develop closer to your core, rather than protruding out,” he said.

Other causes can include:

  • Having recently given birth,
  • PCOS,
  • Peri-menopause.

How common are cryptic pregnancies?

The good news is cryptic pregnancies are relatively rare. Studies suggest that around one in 475 pregnancies aren’t noticed until about 20 weeks gestation, which is halfway into the pregnancy.

And around one in 2,500 pregnancies go completely unnoticed until delivery.

On the upside, not having a huge bump getting in the way of tying your shoes, picking things up and generally moving around can be super beneficial.

But the emotional trauma of suddenly going into labour must be… well, a lot.

Although as Kayla Simpson said: “Within those 15 minutes my life changed forever – and now I can say for the better … Obviously I was in shock but I do think that things happen for a reason.”

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After Years Of Infertility, I Got Pregnant At 46. I Had No Idea That Would Be The Easiest Part.

I turned 51 this year, and one of the many things I’ve learned over the course of five decades on this planet is that our dreams rarely manifest exactly as we envisioned them. We can spend years and years longing for something and then, when it finally arrives, we either don’t realise it or we’re disappointed because it doesn’t look quite the way we expected it to.

I never dreamed that a “normal” family was in the cards for me. It was something that happened to other people. People who were better at finding themselves in the right places at the right times. People who weren’t so guarded with their hearts. People who were unbroken. But a part of me yearned for it. I remember thinking that a loving family must feel like the safest place in the world.

I’d been told, my entire adult life, by a battery of soft-spoken doctors and specialists, that I would never conceive a child naturally. While there were times when I considered alternative avenues to motherhood, ultimately I felt content in my child-free life. I was a dog mom and an auntie, and I relished those roles. I was also a mountain girl: adventuring into the alpine each weekend in my Jeep or on foot to leap into remote crystalline lakes. I loved my adventurous single gal existence and my freedom. I had plans to travel, continue building my creative business so I could work from anywhere, and collect stories that I would one day, just maybe, compile into a book.

One month after my 46th birthday, I missed a period. Though I’d been casually dating someone, I assumed, considering my history, that this was menopause rearing its head at last. A couple more weeks passed and I started to have some other symptoms that were unusual for me. I figured these were further indications that my hormones were changing. But — maybe on a whim, maybe at the urging of my best friend, maybe in a burst of intuition — I bought a pregnancy test at my local drugstore and went into the bathroom at the adjacent Whole Foods to take it.

I sat there in the stall staring in disbelief at a very crisp, clear blue line in the little window on the test stick. Surely this was an error — yet another artefact of my hormones gone awry. I immediately consulted Dr. Google and learned there is a kind of ovarian cyst that can release hormones that mimic the signs of pregnancy. That was it. I was certain I had one of those cysts. I just needed to get the confirmation from my doctor.

That confirmation wouldn’t come. What would arrive was a phone call from a jovial nurse, the announcement that my HCG levels were so high it was in fact possible I was pregnant with twins, and a referral for an ultrasound that would reveal what was now undeniable: I was pregnant. PREGNANT. Impossibly. At 46. With a man who was certain about few things in life save for the fact that he didn’t want to be a father.

The author and her partner, unwitting parents at midlife, in 2023.

Courtesy of Natasha Dworkin

The author and her partner, unwitting parents at midlife, in 2023.

He was a performing circus artist — an aerial acrobat seven years my junior. We’d dated briefly several years prior and had at this point been rekindled for a few months. Our connection was mostly physical and it was far from serious. On our first date, I texted my best friend, “I’m not gonna spend the rest of my life with him, but he sure is cute.” He told me on many occasions that he didn’t want to have kids, and I thought I couldn’t conceive, so we were well-matched, in that regard at least.

Now I had to bestow on him a piece of news that could forever alter the course of his life. I remember driving to his apartment the evening I planned to tell him, half in a daze, almost numb with uncertainty. We had already made plans for that particular night — get pho and hang out at his place listening to podcasts — so I remember him opening the door with a smile, then ducking back inside to grab his coat. I recall that, as usual, he was warm when he hugged me, warm and strong. And he seemed happy to see me. My heart was leaden in my chest as I asked him if we could sit down for a minute before we left. As soon as we did, I began to cry. He put his hand on my knee and looked at me in a way that said, “Hey, whatever it is, I’m here.” You have no idea, I thought.

I managed to utter the words, and he managed to receive them, setting in motion a period that was both miraculous and fraught. I felt stunned, terrified, sad, thrilled, hopeful and humbled all at once. He felt disempowered, grieving for a future he’d envisioned that might not come to fruition in the ways he’d hoped. I think back on that time as both a whirring blur and a slow-motion free-fall.

We attended therapy together, spent hours and hours talking about all the possible scenarios. He promised he’d be there for me no matter what I decided to do, but he also begged me not to have our baby. I came close so many times to assuring him that I wouldn’t, but I always, inexplicably, stopped short. I wondered: If I chose to have an abortion, would I have regrets? And would that experience, and those regrets, leave me forever heartbroken? I also thought about how I’d be in my mid-60s when this child graduated high school, and about the end of those solo summer days high in the mountains, the travels, and the book.

While I’ve always vehemently supported a woman’s right to determine what she does with her own body — and while I was very clear about the choice in front of me — the gravity of that choice, now that it was mine to make, was almost too much to bear. I felt crushed under the weight of making it for the both of us. For the three of us. Crushed and paralysed. In my state, in-clinic abortion is legal into the second trimester, and other options are available until a foetus is viable. I would need every single minute, hour, day, week and month I could get to process my own conflicting emotions, to be counselled, to get clear with myself, to gain some level of certainty that I was making a decision that was truly right for me, that was pure of heart, that was mine.

Ultimately, my choice was to meet my child.

The author and her family.

Courtesy of Natasha Dworkin

The author and her family.

When I finally knew what I was going to do, and when I eventually began telling my friends and family about the decision I’d made, what stood out to them was the unlikeliness of my story. I got pregnant naturally at midlife, after decades of infertility. Their faces lit up with the news that perennially single me would now, along with my soon-to-arrive babe and his inadvertent father, have a family. Congratulatory texts arrived from people I hadn’t spoken to in years, cards came in the mail, packages appeared containing hand-knitted baby blankets and wise, loving notes. People used words like “miracle,” “wonder,” “blessing,” “full circle.” And so much of that was true. It was a wonder. My son was a tiny miracle.

But the journey of the midlife mother is rarely so black and white. No matter which road leads us to motherhood, we each end up in a place where we have to reconcile the woman we spent half our lifetimes becoming with the mother we’ll spend the rest of our lives being. Even after my son was born, big and healthy after an uneventful pregnancy, I found that my identity was still firmly rooted in the soil — for lack of a better word — of childlessness. I still felt like the woman at the party who couldn’t relate to the moms in the corner swapping milestones, like the auntie whose nieces confide in her things they’d never tell their moms, like the single gal sneaking peeks at the handsome dad in the grocery store wearing his baby, wondering about the partner waiting at home, and if it would ever be me.

I still felt like her because I still was her. But I was a mom now, too. This clumsy dance of identities is one of the more profound grapplings of later-in-life motherhood: straddling adjacent chapters, one just beginning, the other not yet closed, attempting in real time to bridge the two. It’s disorienting to lose access to things we’ve always known. But we also get the thrill and delight of peeking into new places in our hearts that we didn’t know were there before and of discovering new pieces of ourselves in the process.

Four years later, I’m a mother and partner, fully immersed in a family of my own. It doesn’t look like the family I imagined. My son’s father and I stumbled from non-exclusive dating into sudden partnership and parenting in a matter of months. Our road to becoming parents together, and eventually a family, has been a winding one, but we are a family nonetheless. We rallied to bring our child into an environment of love and laughter and kindness and mutual respect. Along the way we had to get to know ourselves, each other, and a new vision for what the rest of our lives would look like. We are still growing and fumbling and learning every day but we are among the most devoted parents you’ll ever meet.

And now, I find myself planning different travels, collecting different stories, working on a different book.

One recent weekend, my partner packed me up and sent me off to my cabin in the country on my own so I could write, refresh and connect with the land where I grew up. While I was there, a neighbour invited me to pick apples from her tree. I picked a huge bag full and then brought them back to the city, to my boys, and made a lovely apple tart. It was an offering of thanks for these two magical souls who have become my accidental dream come true.

The author and her son in 2023.

Courtesy of Natasha Dworkin

The author and her son in 2023.

Natasha Dworkin is an agency founder, strategic storyteller, and midlife mama. For more than 20 years, she has helped her purpose-driven clients tell their stories, amplify their impact, and change the world. She now leverages her professional expertise with her personal experience becoming a first-time mom at the age of 46, to help other midlife women make transformative change in their own lives and communities. Connect with her through her website, natasha-dworkin.com, on Substack at natashadworkin.substack.com, and on Instagram at @midlife.mama.

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Serena Williams Telling Her Daughter She’s Pregnant Is Unfiltered Family Fun

Tennis great Serena Williams can still serve up entertainment – and now she’s doing it at home.

The 23-time Grand Slam singles champion shared a video this week of her telling daughter Olympia that she’s pregnant.

The five-year-old, whom Williams was carrying when she won the Australian Open in 2017, had been worrying about Serena’s weight gain, the athlete explains in the video.

“Remember how you’ve been praying/planning for a little sister or brother?” Williams says to her daughter. “Well, we went to the doctor, and it turns out I’m not getting fat, but I have a baby in my belly.”

“Are you kidding me?” Olympia replies.

“You’re gonna be a big sister,” confirms Alexis Ohanian, Williams’ husband and Olympia’s father.

Olympia shrieks and hugs her mum.

“Oh, my god! I’m so excited!” she says.

She screams again as she sprints out of the room ― where she apparently falls.

“I’m OK!” Olympia yells off-camera.

Williams, 41, has ostensibly been retired since last year’s U.S. Open, and one of the reasons she cited was to grow her family.

But the new video shows the funny exchange in full:

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Rihanna Drops Sensual ‘Rub On Ya T*tties’ Pregnancy Pics Wearing A Thong And Heels

Rihanna is sharing some of the most intimate moments from pregnancy with her son.

The Umbrella singer posted a series of maternity photos Thursday to celebrate her son, RZA Athelston Mayers, who has since celebrated his first birthday. Dressed in nothing but high heels, underwear and jewelry, Rihanna didn’t need an umbrella — and was shaded by palm trees.

The seven-photo Instagram carousel showed Rihanna posing with a mysterious book while cupping her breasts; she stood on a balcony near an unspecified ocean — and captioned the series “Rub on ya titties”.

“In honour of my first pregnancy, embracing motherhood like a g, and the magic that this body made!” Rihanna captioned the Instagram post. “Baby RZA… he in there not having a clue how nuts his mama is, or how obsessed he was bout to make me”.

Social media sleuths have surely noticed the post contained only seven images — and that Instagram allows for up to 10 photos in their carousels. Currently pregnant with her second child, Rihanna notably concluded Thursday’s caption with “#tobecontinued”.

Many of her whopping 150 million followers commented on the post, with Pharoahe Monch perhaps most notable. The rapper practically coined the phrase “rub on ya titties” with the chorus of his 1999 song Simon Says — and wrote it out in the comments for her.

Rihanna famously announced her second pregnancy during the Super Bowl this year.
Rihanna famously announced her second pregnancy during the Super Bowl this year.

Evan Agostini/Invision/Associated Press

Rihanna received further praise from Wu-Tang Clan rapper GZA, whose fellow group member RZA inspired the name of Rihanna’s son. Kathy Hilton, the mother of socialite Paris Hilton, left red heart emojis behind — while rapper Bia called Rihanna “the most beautiful”.

Rihanna, who celebrated RZA’s first birthday with partner A$AP Rocky on Instagram last week, famously became the first artist to perform at the Super Bowl halftime show while pregnant — in a historic reveal that served as an announcement of her second pregnancy.

The ambitious fashion magnate, who became the richest woman in music in 2021 and the youngest self-made female billionaire in 2022, is mainly focused on her family these days. In March, she told British Vogue that motherhood is “everything”.

“You really don’t remember life before, that’s the craziest thing ever,” she told the outlet. “You literally try to remember it — and there are photos of my life before — but the feeling, the desires…everything, you just don’t identify with it because…it doesn’t matter.”

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The Term ‘Geriatric Pregnancy’ Isn’t Just Offensive, It’s Also BS

Despite the fact that more and more people are waiting longer to get pregnant, having a baby later on in life still comes with a great deal of stigma.

The phrase “geriatric pregnancy” was once commonly used to categorise pregnancies in people over the age 35 before it was eventually replaced by the term “advanced maternal age.” Describing one’s pregnancy as geriatric or elderly was and is not only harmful, causing many people to feel high levels of anxiety about their so-called ticking body clock, it’s flat-out inaccurate.

While it’s true that the risk of experiencing pregnancy complications or infertility increases with age relative to those who are younger, the vast majority of people 35 and up have smooth and successful pregnancies. Not to mention, even if there is an issue, there are many tests and treatments available to help people over 35 go on to have healthy pregnancies in most cases.

“The most likely thing in these pregnancies is that absolutely everything will be fine,” Melissa Rosenstein, a maternal-fetal medicine specialist, and obstetrician and gynaecologist with the University of California, San Francisco, tells HuffPost.

Where the phrase ‘geriatric pregnancy’ came from

Advanced maternal age pregnancies occur when the mother is going to give birth after the age of 35. The risk of any issues goes up as you get older, according to Rosenstein.

But there isn’t anything special about age 35 when it comes to pregnancy risks and complications. It’s not like the risk of your baby having a chromosome abnormality is lower at 34 and suddenly sky rockets the next year. “It’s a gradual progression,” Rosenstein says.

The age 35 was selected decades ago when doctors needed a way to inform which pregnant patients received genetic testing. Back then, studies had indicated that people over 35 had a greater risk of pregnancy loss from amniocentesis – a procedure that evaluates the foetus’s genetics — and doctors decided that only people 35 and up would qualify for this type of genetic testing.

Now, amniocentesis is a much safer procedure, offered to all pregnant people, but there is some remaining stigma about being pregnant after 35.

These days, it’s much more common to get pregnant after 35 as more people delay parenthood and marriage in order to prioritise their careers and education, or because of other personal circumstances.

“Many to most of my patients are over 35 — it’s not really a big deal,” Rosenstein says.

While it’s true that the risk of experiencing pregnancy complications or infertility increases with age relative to those who are younger, the vast majority of people 35 and up have smooth and successful pregnancies.

Adene Sanchez via Getty Images

While it’s true that the risk of experiencing pregnancy complications or infertility increases with age relative to those who are younger, the vast majority of people 35 and up have smooth and successful pregnancies.

The actual risks of being pregnant after age 35

Women and people with uteruses are born with all of the eggs they will have in their lifetime, and as they age, their egg supply – and quality – diminishes. With that, the chances that something will go wrong with the chromosomes during ovulation – the release of the egg from the ovary – also increases.

Research has shown that pregnant people of advanced maternal age are more likely to experience ectopic pregnancy, chromosomal abnormalities, gestational diabetes, preeclampsia and need to undergo caesarean delivery.

The risk of infertility also increases as you get older — it may take you longer to get pregnant and you may have a higher chance of having a miscarriage if you get pregnant, according to Rosenstein. But if you have regular periods every month, there is a good chance that you will be fine.

This doesn’t mean that all people who get pregnant over the age of 35 are doomed. In fact, in the vast majority of advanced maternal age pregnancies, everything is completely fine.

“When you do studies, you see that the risk of complications is higher in the older women, but the absolute risk is still very low,” Rosenstein says.

According to Jill Purdie, obstetrician and gynaecologist, and medical director at Northside Women’s Specialists of Pediatrix Medical Group, we now have more accurate tests that can be done early in pregnancy to assess if the mother or foetus have any health issues.

“With early and routine prenatal care, many pregnancy complications can be caught and treated early before they cause a significant issue,” Purdie says. Certain lifestyle choices – like maintaining a healthy body weight and exercising – may help mitigate some of these risks as well.

That said, it’s really hard to predict who is going to have trouble getting pregnant, and being pregnant, in the future. If you are concerned, it’s worth talking to your doctor about how regular, or irregular, your menstrual cycles are and when your mother went through menopause.

Having a baby is a big decision, and Rosenstein says it’s important to do it when you’re ready, at whatever age that may be.

“Although there is some increased risk as outlined above for women of advanced maternal age in pregnancy, the majority of women are able to have a successful and healthy pregnancy at a later age,” Purdie says.

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Pregnant And Worrying Loads? Clinical Psychologists Want You To Know This

When you’re pregnant, levels of worry can ramp up to never-before-seen levels.

Much of those nine months can be spent worrying obsessively about miscarriage, whether you’re eating or doing the right things to keep your baby healthy, whether your baby is moving enough, and the impending birth.

It’s a lot. So it’s perhaps no surprise then that one in 10 women will struggle with pregnancy anxiety, which can begin to rule their lives.

It’s the subject of Break Free From Maternal Anxiety, a new book penned by three NHS clinical psychologists: Dr Fiona Challacombe, Dr Catherine Green and Dr Victoria Bream.

The trio use cognitive behaviour therapy (CBT) techniques to explore how women can cope with persistent and distressing worries about pregnancy and becoming a mother. Here are some of the things we learned from it.

1. Pretty much every mum-to-be will feel anxious at some point during their pregnancy

If you’re pregnant and feeling anxious, know you’re not alone.

From worries about whether your baby is moving enough to how you’ll cope with the birth (and all of the uncertainty that surrounds that), pretty much every mum-to-be on the planet will experience anxious thoughts at some point.

“They aren’t pleasant or comfortable and they certainly aren’t spoken about enough,” write the authors, “but they are a near universal part of pregnancy and parenthood.”

In fact, research has shown that 100% of new mothers experience intrusive, unwanted thoughts about something bad happening to their newborn in the first weeks after birth.

If you have the odd worry here and there, you probably don’t need to read a book on pregnancy anxiety. But if worries seem to crop up daily and they’re stopping you from doing things, read on.

2. ‘Problematic worry’ is something to watch out for

There’s a difference between the odd anxious thought and problematic worry, where you get stuck in repeated loops of negative anxious thinking that feel hard to stop, control or turn away from.

It’s one of the most common problems in pregnancy and postnatally, according to the book, with about 8% of women experiencing it.

The authors share the story of one mum, Hestia, who was 32 weeks pregnant and constantly worrying about every decision she made about her baby. Some worries she had included: ‘What if I haven’t included everything on my birth plan?’ and ‘What if lose my job when I am on maternity leave?’.

While some people might have these kinds of thoughts and move on, she would find it difficult to move her attention to other things and would become irritable, unable to concentrate on work or reading books and then she became reluctant to leave her house.

When anxiety starts to impact your day-to-day life, it’s time to seek help. As Dr Fiona Challacombe explains: “The perinatal period is a time of big changes, emotionally, physically and socially, so it’s often assumed that anxiety is a normal part of this.

“However, when anxiety persists and is having an impact on your daily life and functioning then it is likely to be an anxiety problem.”

3. Tackling worry isn’t about what you worry about, but the way you think about it.

One of the things the book is keen to convey is that rather than trying to tackle the worry itself, you need to focus on solutions which tackle the way that worry works.

A strategy the authors advise is to ask yourself whether the worry you are having is actually important – ie. will anyone else care about this tomorrow? Or will you care it about it on your deathbed?

If it isn’t important – and you firmly believe that – they recommend trying to continue with what you are doing, and if your worries come back, to treat them as white noise in the background.

If it is an important worry, then they recommend defining what the problem is that underlies the worry – and then generating as many solutions as possible for that problem.

4. Setting a ‘worry-free zone’ or planning a time to worry could help

Another way to tackle worry is to set a worry zone, say the authors. This is basically where you make a conscious decision to put your worries to one side for a set time in the day.

One idea they suggest is that whenever you have a snack, you can “try to focus away from worry and enjoy every second of your crisps or chocolate”.

It’s a well-used technique in CBT for worry problems, they add, and as you get more practice, you can try to increase the worry-free zones and take control.

It sounds weird but the clinical psychologists also suggest planning a time when you will worry, and deliberately postponing worrying until that specific time.

“This is a useful strategy to free yourself from the relentless worrying, by setting a particular time when you can come back to worries you have noted in the day,” they say.

There are tonnes of strategies like this in the book, as well as advice on coping with intrusive thoughts and phobias.

Dr Fiona Challacombe says: “CBT is a very effective treatment for persistent anxiety and our own research trials show that it can be effective for maternal anxiety in various forms.

“We have seen many parents use the techniques described in the book to get control of and overcome their anxiety, with benefits to them and their families.”

Break Free from Maternal Anxiety: A Self-Help Guide for Pregnancy, Birth and the First Postnatal Year will be published October 27 by Cambridge University Press (£12.99).

Help and support:

  • Mind, open Monday to Friday, 9am-6pm on 0300 123 3393.
  • Samaritans offers a listening service which is open 24 hours a day, on 116 123 (UK and ROI – this number is FREE to call and will not appear on your phone bill).
  • CALM (the Campaign Against Living Miserably) offer a helpline open 5pm-midnight, 365 days a year, on 0800 58 58 58, and a webchat service.
  • The Mix is a free support service for people under 25. Call 0808 808 4994 or email help@themix.org.uk
  • Rethink Mental Illness offers practical help through its advice line which can be reached on 0808 801 0525 (Monday to Friday 10am-4pm). More info can be found on rethink.org.
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Concern Over Covid Boosters And Baby Scans Cancelled For Queen’s Funeral

Patients are expressing concern that some Covid booster jabs, flu vaccinations, as well as key hospital appointments, are being cancelled ahead of the Queen’s funeral on September 19 since it was made a last-minute Bank Holiday.

Kate Brodie, 62, a retired NHS GP who is about to start a second round of chemotherapy for breast cancer, had specifically timed the date of her Covid booster so it fell before her hospital treatment started.

The vaccine was booked for September 19. However Brodie, who lives in south Devon, says she received a text message on September 12 saying the appointment had been cancelled due to the unexpected bank holiday.

“Having cancer is a huge stress with all the worry about survival, the process of going through gruesome treatment and hoping to continue to avoid Covid 19 while my immune system is down,” she tells HuffPost UK.

“The death of the Queen is very sad, but the reaction by NHSE [NHS England] to cancel delivery of much-needed services at short notice will cause harm and hardship to many.”

Many GP practices across England will be closed for the Bank Holiday, which has been given to allow individuals, businesses and other organisations to pay their respects to the Queen on the day of her state funeral.

A letter from Dr Ursula Montgomery, director of primary care at NHS England, said that out-of-hours services will be in place during the day to meet patients’ urgent primary medical care needs.

The funeral has come at a busy time for the NHS, as it implements its Covid booster and flu vaccination programmes ahead of the winter.

A text message from one GP surgery on the outskirts of London, seen by HuffPost UK, said flu vaccine appointments scheduled for this week would need to be rescheduled by a few days because of “the unfortunate news the nation is facing at the moment”.

Dr Helen Salisbury, a GP and medical educator from Oxford, explained on Twitter how a last minute bank holiday can be a “nightmare” for those trying to run health services, especially with lots of patients already booked in.

“What to do?” she tweeted. “Implore staff to work and pay extra? Reschedule and delay all the appointments?”

Other staff working in general practice responded to say that even when they do open on Bank Holidays, they often aren’t busy. Some added that they suspect lots of patients won’t turn up because they’ll be watching the funeral.

Scheduled Covid boosters are still going ahead in care homes, said NHS England, which has also issued guidance urging clinics to stay open to deliver the boosters “where there is a high population need”.

But a report by openDemocracy found thousands of non-urgent hospital appointments – for issues such as hip and knee replacements, cataract surgery, maternity checks and some cancer treatments – are being postponed.

One pregnant woman revealed how her foetal scan had been cancelled, leaving her anxious about her baby’s health.

“I’m really disappointed,” she told openDemocracy. “Yes, it’s a routine scan, but that’s another week or two until I’m seen and wondering whether my baby is healthy – which means quite a lot of anxiety, sitting and waiting.”

Kate Brodie has since tried to rebook her Covid booster for the next cycle, but was told there were no dates free near to where she lives.

“Thankfully I have found a centre 15 miles away that I can attend on Sunday instead,” she says. “I am lucky I am mobile and have transport to reach the further venue.”

Meanwhile, Greg Hadfield, 66, from Brighton, also found out his Covid booster vaccine appointment on September 19 has been cancelled and is now having to travel nearly 40 minutes by car to get another one.

The 66-year-old was originally invited to have the booster at his local Waitrose. However because the store will now be closed for the Bank Holiday – as many supermarkets will be – his appointment won’t go ahead.

“When I tried to re-book for another day at the same centre, the system offered only dates that were 14 days-plus ahead, by which time I will be abroad for a month,” he tells HuffPost UK.

He has managed to book an appointment 40 minutes away for the same date, September 19, which hasn’t been cancelled – so far.

“I am just relieved to get the booster before leaving for Turkey and Greece later this month,” he says.

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Stillbirths Increased Last Year. Why Is Nobody Talking About It?

After years of progress, the number of stillbirths increased across England and Wales in 2021 – but it’s not the story you’ll read about elsewhere.

When the new ONS data was released this week, most newspapers focused on a jolly little fact: last year, more babies were born out of wedlock than among married couples for the first time since records began.

But the figures also show there were 2,597 stillbirths in 2021, an increase of 226 from 2020.

These statistics were barely a footnote in most national newspapers, something the baby loss charity, Tommy’s, was disappointed by.

Kath Abrahams, chief executive at the charity says the latest figures are “unacceptable”. She believes they reflect the “direct and indirect” impact Covid-19 had on pregnant women and people in 2021.

“Indirectly, the pandemic had a significant impact on maternity services, putting them under greater pressure,” she tells HuffPost UK. “There were higher rates of stillbirth in January 2021, which coincided with the peak of the second wave of Covid-19.”

Throughout the pandemic, HuffPost UK reported on the disproportionate impact on maternity services, with pregnant women saying they felt “forgotten” as lockdown restrictions eased. While pubs reopened, mums-to-be reported having routine antenatal appointments cancelled or conducted over the phone.

Though there’s no research to link these practices directly to stillbirth rates, the individual stories paint a picture of incomplete care, at a time of high-anxiety for pregnant women.

Pregnant women also faced misinformation regarding vaccine safety, with some even mistakingly told not to take the jab at vaccine centres. Data from October 2021 found just 15% of pregnant women were fully vaccinated amidst the fear and confusion.

Because of this, Tommy’s says Covid-19 infection is likely to have had a direct impact on the 2021 stillbirth rate.

“Our research has shown that getting Covid-19 during pregnancy could cause problems in the placenta, increasing the risk of pregnancy complications, which is why it’s important pregnant women and people get vaccinated if they can,” Abrahams says.

“Rates of stillbirth had been following a consistent decline over recent years, and we believe 2021’s increase is unacceptable. It highlights exactly why we need to increase efforts to meet NHS England’s aim of reducing stillbirth rates by 50% by 2025.”

The data also uncovered that stillbirth rates differed across the country last year, with more deprived areas, including the North East and Yorkshire, experiencing higher rates than the most affluent regions.

“It is unacceptable that who you are and where you live continues to have an impact on whether your baby is born healthy – and it’s vital that our government and health services continue to focus on tackling these inequalities,” Abrahams adds.

“Action to reduce stillbirth must be a national priority as health services recover following the Covid-19 pandemic, and more work must be done to understand the reasons for the increase in stillbirths and help improve care for pregnant women and people at risk.”

Commenting on the latest figures, Professor Asma Khalil, spokesperson for the Royal College of Obstetricians and Gynaecologists, said every stillbirth “is a tragedy for the families affected as well as the maternity staff involved”.

“Stillbirth rates are still higher in the UK than many other high-income countries and vary widely across the UK,” she said. “We continue to advise women who have concerns or worries about their or their baby’s health – including the baby’s movements – to seek medical advice from their midwife or hospital as soon as possible. We also advise pregnant women to ensure they are fully vaccinated against Covid as this can increase the risk of stillbirth.”

HuffPost UK contacted the Department of Health and Social Care about the increased stillbirth rates, sharing the concerns raised by Tommy’s about stretched maternity services.

In response, a DHSC spokesperson told us: “We are committed to making the NHS the best place in the world to give birth through personalised, high-quality support.

“Since 2010, the rate of stillbirths has reduced by 20.9%, the rate of neonatal mortality for babies born over 24 weeks has reduced by 36% and maternal mortality has reduced by 17%.

“The NHS is investing £127m into the maternity system in the next year to support the workforce and improve neonatal care – which is on top of £95m to recruit 1,200 more midwives and 100 more consultant obstetricians.”

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This Picture Of A Black Foetus Went Viral. We Spoke To The Illustrator

During medical training, in health textbooks, in posters or at the doctor’s office, we often see health conditions or body parts represented with white figures.

Many of these images seem outdated or inaccessible to large parts of the population. Now, one medical student has taken matters into his own hands.

Chidiebere Sunday Ibe, 25, from Ebonyi State, Nigeria, began illustrating Black patients, children and babies. Recently, his drawing of a Black foetus and mother has gone viral on Twitter and TikTok, amassing hundreds of thousand views and likes.

The image has clearly struct a real chord with people, especially those not accustomed to seeing their skin tones reflected in standard medical imagery.

The aspiring neurosurgeon wanted to show people what certain conditions look like for Black people – and also normalise the diversity of our bodies.

For some people, it was the first time they’d seen a Black foetus and many called for more representation like this.

When we spoke to Ibe about his illustrations, he told HuffPost UK: “This image was created like every other image, I never expected it to be viral. The whole purpose was to keep talking about what I’m passionate about – equity in healthcare – and also to show the beauty of Black people.

“I feel great seeing it going viral, I never expected it and it feels good that the message is out and it will challenge current systems.”

Ibe points out that we need to see more images like this, and more people behind the scenes creating them.

“We don’t only need more representation like this, we need more people willing to create representation like this, this would help make such images more accepted,” he says.

Chidiebere Ibe is an aspiring neurosurgeon.

Chidiebere Ibe

Chidiebere Ibe is an aspiring neurosurgeon.

For Black people working in healthcare, seeing Ibe’s images has meant a lot – it’s not often they see their race reflected in the industry. Rebekah Agboola, a 27-year old nurse from London, says the picture made her do a double-take.

“The image was shocking,” she tells HuffPost UK. “I’ve never seen a Black baby in an image like this before – it makes you take a second look. It shouldn’t be shocking as it’s a simple medical illustration. However, having started my journey into this world as a sixth form student looking at medical images, I didn’t commonly see illustrations of Black and brown people unless it was something to do with skin conditions and even then it was rare.”

Agboola says such illustrations go beyond representation to having a positive impact on people’s health and wellbeing.

“I think that it is important to make sure that there is more representation because it will greatly improve the treatment of our patients,” she says.

In August 2020, as part of Black Ballad’s weeklong takeover of HuffPost UK, Black women spoke out about the discrimination, microaggressions and substandard care they received during pregnancy, shining fresh light on the findings of a major motherhood survey, also conducted by Black Ballad.

“Routinely, Black and other minority patients do not receive the same care due to initial symptom presentation and if it is made clearer that our symptoms can sometimes look different and that clinicians need to give their examinations more thought we can help reduce this issue,” Agboola says.

“This picture shocked me but I was so glad to see it and want to see more.”

Rebekah, a nurse, has never seen an image like this before

Rebekah Agboola

Rebekah, a nurse, has never seen an image like this before

Since the release of Ibe’s pics, the Royal College of Midwives (RCM0, has also said it will be amping up efforts to diversify.

Jane Bekoe, the RCM lead on its Race Matters programme, told us: “Positive representation of race is important in all aspects of our lives and society, because the world should reflect accurately all the people living in it. This applies just as much to portrayals of Black and minority ethnic people within healthcare, so illustrations such as this are a positive and necessary step forward towards real equality for us all.”

The RCM is working to ensure changes happens, Bekoe added, following its first celebration of Black History and Culture Month this year. In January 2022, it will hold a webinar on decolonising the midwifery curriculum, which will be led by the RCM’s student midwife forum.

Here’s hoping things do actually change.

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5 Myths Debunked About How The Covid Vaccine Affects Pregnancy And Fertility

There is no pattern from any reports so far which suggest any of the vaccines used in the UK, or reactions to them, increase the risk of miscarriage or stillbirth, the Medicines and Healthcare products Regulatory Agency (MHRA) said.

It said the numbers of reports of miscarriages and stillbirth are “low in relation to the number of pregnant women who have received Covid-19 vaccines to date and how commonly these events occur in the UK outside of the pandemic”.

Myth 2: The jab will affect your fertility

There is no evidence to indicate the Covid-19 vaccine will affect fertility or the ability to have children, according to the UK’s medical regulator.

The rigorous evaluation completed to date did not show a link between changes to menstrual periods and related symptoms and Covid-19 vaccines.

The number of reports of menstrual disorders and vaginal bleeding is low in relation to both the number of people who have received vaccines to date and how common menstrual disorders are generally.

The menstrual changes reported are mostly transient in nature. There is no evidence to suggest that Covid-19 vaccines will affect fertility and the ability to have children.

Myth 3: The vaccine will affect birth outcomes

There is no evidence that having the coronavirus vaccine when pregnant is altering birth outcomes, a UK study concluded.

The research – which was the first from the UK focusing on safety outcomes for pregnant women – found similar birth outcomes for those who have had a Covid-19 vaccine and those who have not. Similar studies have been conducted abroad.

There were no statistically significant differences in the data, with no increase in stillbirths or premature births, no abnormalities with development and no evidence of babies being smaller or bigger, the research team at St George’s, University of London said.

Thousands of pregnant women in England have been vaccinated against coronavirus, with no safety concerns reported.

Myth 4: The vaccine is riskier than Covid

Some parents-to-be are worried about what the vaccine will mean for their unborn child. However, several studies have shown that the vaccine is safe for pregnant mums and their babies, especially as the vaccine does not include a live strain of the virus.

In fact, if mums choose not to get vaccinated but catch Covid, this is more likely to affect the baby.

Pregnant women who do get symptomatic Covid-19, particularly in the third trimester, are two to three times more likely to give birth to their baby prematurely, according to data from the UK Obstetric Surveillance System. Premature birth remains the leading cause of death, illness and disability in babies.

Myth 5: There are too many ‘mixed messages’ about the vaccine

Over half of pregnant women (58%) have declined the Covid-19 vaccination, according to the Royal College of Obstetricians and Gynaecologists (RCOG) and the Royal College of Midwives (RCM). The groups blame “mixed messages” about the vaccine and pregnancy earlier in the pandemic.

However, both the NHS and CDC (US Centres for Disease Control), plus the UK’s Medicines and Healthcare products Regulatory Agency (MHRA), all recommend vaccinations for pregnant people.

Earlier in the pandemic, when the vaccine was newer and research only emerging, healthcare officials did warn against vaccinations for expectant mums. However, we now know far more about the virus and the vaccines, and earlier on in the year, healthcare officials said it was safe for this cohort to get the jab and actively encouraged them to do so.

So, there are plenty of reasons to go for the jab. If you have any other concerns about the jab while pregnant or trying for a baby, chat to your doctor or midwife.

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