Misconceptions, Episode 7: Silence around the first trimester
The "12-week rule" is the custom that pregnancies should be kept secret until they reach three months. But adhering to this rule can have unintended consequences.
"It's always seemed a little bit crazy to me that there's this line in the sand that before 12 weeks somehow you're not supposed to share the news with anyone, and after 12 weeks it's somehow absolutely safe to tell the whole world," says GP Cathy Stephenson. "I think historically that came from the fact that the first scan was around 12 weeks, so that's the time you got confirmation that the pregnancy was okay, and things were going to proceed. Actually, I would say that the first trimester before the 12-week mark is when women need the most support."
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People may choose to keep their pregnancies secret during the first trimester for a variety of reasons. They may not wish to be judged about the choices they're making, they may fear career retaliation, or they may simply consider it to be a private matter. But perinatal midwife specialist Debbie Davies says there can be drawbacks to not sharing the news. "If you do end up in a situation where you lose this pregnancy, it does mean if you've kept it silent that actually you get very little support, and people don't really understand what you're going through," Davies says.
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People often keep quiet about their miscarriages, too. They may fear being shamed or judged, they may sense that their feelings will be diminished by others, or they may feel that the joy of the pregnant people around them takes priority over their grief. "I discovered that there's a sense you're not allowed to talk about your pain and your grief and your loss," says journalist Miriama Kamo. "There's a sense that if you experience those things you are being a bit dramatic, that you need to get over it."
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Bereaved parent Kathryn Stothers agrees. "We don't talk about subjects that are scary, or emotionally challenging or uncomfortable, and pregnancy loss is uncomfortable for many people," she says. "We kept very quiet about it because that was the cultural norm."
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Although choosing when to disclose a pregnancy is a personal decision, people should not feel as though they are required to keep first trimester pregnancies under wraps.
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Broadcaster Stacey Morrison says the silence around first trimester pregnancy and pregnancy loss can lead to isolation. "That's what we can change and should change."
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Need support?
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If you think you may be having a miscarriage, contact your lead maternity carer - this may be a midwife or your GP. Alternatively, call Healthline free on 0800 611 116, or visit your local Urgent Medical Centre or hospital
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Visit the Miscarriage Support website or join the Facebook group.
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Visit the Sands website. Sands supports parents and families who have experienced the death of a baby.
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Free call or text 1737 to talk to a trained counsellor.