Teresa Palmer & Sarah Wright Olsen Write Book About Pregnancy Loss, Parenting

Teresa Palmer and Sarah Wright Olsen have supported each other through the joy and pain that comes with motherhood, including pregnancy loss.

Now, the actors and co-founders of the Your Zen Mama blog, are sharing their stories in a new book that encompasses motherhood — from infertility to postpartum — and advice so parents and little ones can be healthy and "zen(ish)."

"We want it to feel like we're giving you a big warm hug, and we are being encouraging and supportive and uplifting," Palmer, 35, says in a joint interview with Wright Olsen, 37, about The Zen Mama Guide to Finding Your Rhythm in Pregnancy, Birth, and Beyond, which published on Tuesday.

"We also really hope that women will take away from the book that they need to let their mama intuitive voice be the loudest voice they listen to," she continues. "Take what works for you, and leave the rest."

Between them, the women are raising seven children. Palmer, who stars alongside Matthew Goode in the hit show A Discovery of Witches, is mom to Bodhi, 7, Forest, 4, and Poet, 1, and stepmom to Isaac, 11. She and husband Mark Webber are currently expecting their fourth baby together.

Wright Olsen, who has starred in Mad Men and currently appears in Netflix's Spinning Out, shares Esmé, 4, Wyatt, 7, and Winter, 6 months, with her NCIS: Los Angeles star husband, Eric Christian Olsen.

While they both consider themselves "pretty relaxed" moms when it comes to their parenting style, they've also ridden out storms together. In 2015, Palmer says she suffered a pregnancy loss, which she shares in The Zen Mama Guide.

Years later, while writing the book together, Wright Olsen says she also experienced a pregnancy loss — and she turned to her friend and her words for comfort.

"I actually suffered a pregnancy loss while we were writing the book. Teresa had written the pregnancy loss chapter in her voice," says Wright Olsen. "I did a disclaimer at the beginning that said, 'This is how you can support someone and be a good friend.' And 'Don't shy away from them, it makes them feel even more isolated.' Then in the process of editing, I actually had a pregnancy loss."

The star continues: "I called Teresa, and went back and I read all the pages that she had written and all the different stories. It was something that really helped me to heal and made me feel so held."

For Wright Olsen, reading their draft after her pregnancy loss served as an "affirmation."

"It's so good that we [included a section on pregnancy loss] because it helped me in real time," she says. "So I knew that it would help someone else."

Keep reading for more from the candid joint interview in which the stars share about giving birth during the COVID-19 pandemic and their parenting styles.

PEOPLE: What kind of misunderstandings and misconceptions about pregnancy loss do you want to dismantle with your book?

PALMER: I had been through a pregnancy loss in 2015, and I remember that one of the saddest parts of it was that the pregnancy books that I had got out again for the second time and I was excitedly reading through, I suddenly felt kicked out of the club, because I lost my baby. In these pregnancy books, there was nothing about pregnancy loss. I just sheepishly put away all my pregnancy books again.

We want women to pick up this book and read it and feel so included in the process. If they're reading this book and they suffer pregnancy loss, they don't have to put this book away. They can continue reading this book. If they're struggling with infertility, they can continue reading this book. You hear pregnancy loss and you think of one particular thing, but there are so many specific types of loss. We just wanted to dedicate that time to writing about all of it.

PEOPLE: What helped you heal after you pregnancy loss?

PALMER: Probably just reaching out to my community, my sisterhood, who uplifted me and held my hand. I had told everyone at four weeks pregnant that I was pregnant. I had blabbed to the whole world, essentially. Then I had to go back and remember all the people I had told. But I felt really held by my friends.

WRIGHT OLSEN: I would say the same: hearing other people's stories and just talking to my friends. I wasn't aware of how many people in my life had experienced pregnancy loss at that point. But I do remember, after this weekend where I took a lot of time for myself to process what was happening, I came home to flowers on my doorstep from one of my friends who had also suffered pregnancy loss. Another one of my friends sent chocolate and a bottle of wine to my house. Someone else showed up at my door, and Teresa FaceTimed me. I was just like, "Whoa!" I honestly had no idea that that was a way that people show up for you when something like that happens. I've suffered different kinds of loss in my life, but never that, and [the support] was just so beautiful.

PEOPLE: Sarah, what was it like to give birth during the pandemic?

WRIGHT OLSEN: I was nervous… I'd had a home birth before with my first child. I kept thinking, should I go back to do a home birth again? Because I had planned a hospital birth and I just really love my doctor. My gut kept telling me that I wanted to be with my doctor at the hospital, even though it was COVID, which was crazy because I'm like the most locked down person. For me, it definitely felt like more of a medical setting this time around….

But it was still a beautiful birth. I'm so glad that I did it there. At the end of the day, I was safe and I went home and nothing happened. I was so grateful that I had my baby and she was healthy.

PEOPLE: Teresa, how is this pregnancy experience different from the others?

PALMER: I went in for a scan and the whole experience was so different. The signs everywhere saying you cannot bring a guest in, one person at a time in the waiting room. It was actually a very well-oiled machine….

It was funny, I got to see my daughter, not for the first time, but I guess for the first time in her full form, really looking like a baby now, and seeing her face. I was like, "Oh, this is so interesting. I'm doing this on my own." I'm so used to my other three babies, having my husband there getting all giddy and excited with me. So I FaceTimed him and I took video, but that is just a different experience too. It's quite isolating.

Way It Saved Me'

PEOPLE: What advice do you give to new moms in your book? Especially as they navigate physical and emotional challenges after giving birth?

PALMER: We have a postpartum section of the book where we focus on how your mind is affected. When your lows feel too low, what do you do? Who do you turn to? Who can you call? We write out very distinct symptoms and signs so people can actually read them and say, "Oh, this does sound like me. I am feeling like it's getting worse, not getting better again."

We talk about postpartum anxiety with dads, which is something that's not really talked about that much. The statistics are quite high in terms of dads navigating anxiety after the birth of their baby. We talk about body image, we talk about newborn care, we try and cover the whole gamut of that postpartum experience because there's so many things that collide at once. You're also not sleeping, you have all these hormonal dips and shifts, your milk is coming in, you're trying to breastfeed. It's just a really challenging time for so many mothers.

WRIGHT OSLEN: I had postpartum anxiety and the craziest intrusive thoughts that would happen to me. I didn't really understand it with my first [baby], but then as I started talking to a postpartum therapist about it, I was like, "Oh, that's what this is." I'd been having these crazy, intrusive thoughts about something bad happening to my child in the middle of the night. She explained it to me and she's like, "It's totally normal." It really takes [the pressure] off your shoulders when you hear that you're not the only one that that happens to.

PEOPLE: How would you describe your parenting style?

PALMER: Sarah is my No. 1 go-to when there's something going on with the kids. I'm like, "Oh my goodness, it's crazy over here. How do I deal with this?" Because we're so like-minded in the way we parent … I like to say we're with both pretty relaxed. We're pretty chill. I try and keep things fun and light.

It's important to set boundaries with your kids, but we try and make things an adventure and be as understanding and compassionate to the children as possible. … Sarah and I don't practice traditional discipline with our kids. It's definitely more of a conscious-minded, gentle discipline and actually just talking to them, communicating with them, talking about their feelings.

WRIGHT OLSEN: For example, I told my daughter the other day, "I'm feeling really nervous, I have this meeting. I'm feeling it right here, like tension in my chest, and I'm feeling nervous. What do you think I should do about it?" And my daughter, who's now 4 years old, she was like, "Well, you have to do the meeting, right?" I was like, "Yeah." She goes, "So I think you need to take a deep breath into where you're feeling it." And she was like, "And then exhale." And she said, "And you got to tell yourself, we got to just keep moving forward." And I was like, "I love that, that's a great thing! Okay, I'm going to do it." [Then she said,] "And really? At the end of the day, it doesn't matter."

Teresa and I both follow this philosophy with our kids: Meet the needs as the needs arise.

The Zen Mama Guide to Finding Your Rhythm in Pregnancy, Birth, and Beyond is on sale now.


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Victoria’s Secret Model Georgia Fowler Announces She’s Pregnant: ‘The Best Is Yet to Come’

Victoria's Secret model Georgia Fowler is pregnant!

The 28-year-old model posted several photos of her maternity photo shoot on her blog.

"It's been hard to keep this one quiet, but now it's pretty hard to hide," she wrote alongside one photo on Instagram where she posed nude on the beach showing off her baby bump.

Fowler continued, "Nathan and I couldn't be happier to share our exciting news with you."

"We cannot wait to meet you little one and begin our next adventure together," the first time mom-to-be wrote. "The best is yet to come."

RELATED: Model Elsa Hosk Shows Off Her Baby Bump As She Says She's 'a Few Weeks from Giving Birth'

In another photo, she shared on Instagram, the Victoria's Secret model joked, "There's more than hot cross buns in here!"

Fowler is expecting with her boyfriend Nathan Dalah. The pair went public with their relationship in Feb. 2020. 

Dalah posted about the pregnancy news on his Instagram account, revealing the couple is expecting a girl.

"Beyond excited to welcome a little princess into the world with my superwoman," he wrote, per Daily Mail

Last month, Fowler opened up about her fear of having a daughter based on how social media is today.

"Instagram can be a really positive thing for creatives' there are downsides too," she told Stellar Magazine, according to the The New Zealand Herald. "It does worry me on the flipside if there are very young girls posting images of themselves, that may be a bit too provocative for their age."

Fowler added, "That part … oh, God, that scares the s— out of me if I ever have girls."

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Prior to dating Dalah, the New Zealand model was romantically linked to Nick Jonas and Leonardo DiCaprio. 

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Bachelor in Paradise's Krystal Nielson and Boyfriend Miles Bowles Welcome Baby Girl: 'Our Little Angel'

Krystal Nielson is officially a mom!

The Bachelor in Paradise alum, 33, and her boyfriend Miles Bowles welcomed their first baby together, a daughter, on March 31 in La Jolla, California, at 10:17 p.m. PT. The newborn weighed 6 lbs. 3.5 oz and was 18 inches long.

"She is a happy and calm baby and everything we dreamt she would be. We are still in awe of our little angel," the new parents tell PEOPLE.

Ahead of the baby's arrival, the Total Body Guide fitness entrepreneur updated her Instagram followers about her mindset before heading to the hospital to be induced. "Feeling less anxious about labor and delivery than I did yesterday! If you saw my stories, you know those emotions were getting REAL!!" she wrote on Sunday.

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Celebrity Babies Born in 2021 (So Far!)

Nielson first announced her pregnancy in November with an emotional video, sharing that her baby was due in April.

Back in December, Nielson opened up on the Scheananigans with Scheana Shay podcast about what it was like to learn her pregnancy news in the middle of her split from ex Chris Randone. Nielson announced her separation from Randone in February 2020 after nearly eight months of marriage. Over the summer, she went on to confirm that they were still moving forward with their divorce.

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Who's Due Next? Celebs Who Are Expecting

"It was scary finding out we were pregnant," Nielson explained of the pregnancy, which she learned of in August, about four months after she began dating Bowles. "Especially me still being legally tied in this marriage and having this whole public thing around it."

Although Nielson said she initially had a "lot of anxiety and worry" about her pregnancy, it ended up strengthening her faith "in myself and Myles."

"This can be an incredible story that I'll be able to share one day to inspire a lot of women in my position," she continued. "We're so excited about the future."


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Ellie Goulding: Princess Eugenie, Katy Perry Are 'Great' Pals Amid Pregnancy

Getting by with the help of her friends! Ellie Goulding revealed that Princess Eugenie and Katy Perry have been two of her biggest supporters amid her first pregnancy.

Celebs’ 2021 Pregnancy Announcements

“I’ve been so surprised about how happy everyone has been for me, it’s been incredible to have all this positivity,” Goulding, 34, told The Telegraph on Saturday, March 27, about announcing her pregnancy last month. “I do feel part of a bigger community and over the past few months I’ve realized why pregnant women want to talk to other pregnant women, because it’s all the little tips, worries and stages you want to hear about.”

The “Love Me Like You Do” singer has turned to Eugenie, 31, who welcomed her first child, son August, with husband Jack Brooksbank, last month, for guidance on pregnancy ups and downs.

“She’s been a great friend throughout this,” Goulding said of the princess. “We’ve talked a lot about pregnancy, and she’s been inspirational because she just takes everything in her stride.”

The British singer noted that Perry, 36, who shares 7-month-old daughter Daisy with Orlando Bloom, has “been great too” throughout the whole process.

Celebs Who Hid Baby Bumps Amid Quarantine: Halsey and More

“And my manager has gone through her pregnancy with me, along with both our families and friends from home who have had babies,” Goulding, who is married to art dealer Caspar Jopling, added. “It just brings everyone closer together.”

The “Hate Me” singer revealed that she plans to bring her baby on tour with her in October, saying, “Women make it work, I’m sure I can make it work. The team around me is all female which massively helps.”

Goulding also explained her reasoning behind announcing her pregnancy last month, at the 30-week mark, saying, “I needed time to get my head around it. I needed that space to process what was happening.”

The “Close to Me” singer, who learned she is expecting baby No. 1 with Jopling, 29, in August 2020, admitted she was able to keep the news under wraps amid the coronavirus pandemic lockdown by wearing her husband’s big coats.

Cutest Celebrity Gender Reveal Announcements

Once the couple moved into a new house, she said, “It felt like we had these proper roots, and it was the right moment to say something.”

Goulding announced that she was having her first child on February 23, telling Vogue, “The thought of getting pregnant didn’t seem like it could be a reality. Becoming pregnant kind of made me feel human. I want a better word than womanly, [but] I have curves I’ve never had before. I’m enjoying it. My husband’s enjoying it.”

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Meet Newborn Grace! Bindi Irwin's Pregnancy Chronicled in Discovery+ Special Crikey! It's a Baby

https://www.youtube.com/embed/lKPWtLVOIWQ

Bindi Irwin's road to motherhood is set to be showcased in a new television special.

Streaming Sunday, April 25, only on discovery+, Crikey! It's a Baby will chronicle Bindi, 22, and husband Chandler Powell throughout her pregnancy leading up to baby girl Grace Warrior Irwin's arrival on March 25 (which was also the couple's one-year wedding anniversary).

In an exclusive first look at the special, viewers also see how Bindi's mom Terri Irwin and little brother Robert reacted to the baby news, as well as how they supported her through the journey.

The special features poignant and intimate moments leading up to the birth of Bindi and Chandler's daughter, whom discovery+ audiences will also meet in the special.

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Robert Irwin Looks Almost Identical to Late Dad Steve Irwin in Photo with Baby Niece Grace

Bindi first announced her pregnancy news on Instagram back in August and kept fans up to date on her experiences on the road to becoming a parent. On Friday morning, Bindi shared details about welcoming her baby girl in a loving Instagram post, featuring a photo of her and Chandler holding little Grace.

"March 25, 2021. Celebrating the two loves of my life. Happy first wedding anniversary to my sweetheart husband and day of birth to our beautiful daughter. ❤️ Grace Warrior Irwin Powell. Our graceful warrior is the most beautiful light. Grace is named after my great-grandmother, and relatives in Chandler's family dating back to the 1700s," she explained in her heartfelt caption.

Terri Irwin Says Late Husband Steve Would Be 'Beyond Proud' of New Mom Bindi in Emotional Message

"Her middle names, Warrior Irwin, are a tribute to my dad and his legacy as the most incredible Wildlife Warrior. Her last name is Powell and she already has such a kind soul just like her dad. There are no words to describe the infinite amount of love in our hearts for our sweet baby girl. She chose the perfect day to be born and we feel tremendously blessed," the new mom added.

Robert, 17, also shared a snapshot of himself holding his newborn niece, writing: "Let the uncle adventures begin! Love you so much, Grace ❤️ This little one picked the two best parents in the entire world. The most incredible, caring and strong Mum… and the funnest, coolest and kindest Dad. Love you three so much – I can't wait for this exciting journey ahead!"


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Researchers show how stem cell depletion leads to recurring pregnancy loss

pregnancy

Depletion of a certain type of stem cell in the womb lining during pregnancy could be a significant factor behind miscarriage, according to a study released today in STEM CELLS. The study, by researchers at Warwick Medical School, University of Warwick, Coventry, England, reports on how recurrent pregnancy loss is a result of the loss of decidual precursor cells prior to conception.

“This raises the possibility that they can be harnessed to prevent pregnancy disorders,” said corresponding author Jan J. Brosens, M.D., Ph.D., professor of obstetrics and gynecology at Warwick Medical School (WMS).

The womb lining—or endometrium—is a highly regenerative tissue capable of adopting different physiological states during the reproductive years. In the second half of the menstrual cycle when progesterone levels are high, the endometrium starts remodeling intensively, heralding the start of a short window during which an embryo can implant. Pregnancy depends on this transformation, a process called decidua, as it is driven by the differentiation of endometrial stromal cells into specialized decidual cells. These cells impart the plasticity needed for tissue to accommodate an embryo’s rapid growth.

“While the magnitude of tissue remodeling required for pregnancy makes it likely that poised progenitor and highly proliferative decidual precursor cells are critical for the formation of a robust maternal-fetal interface, the underlying mechanisms behind this are unclear,” Dr. Brosens said.

The same team had recently described the presence of a discrete population of highly proliferative mesenchymal cells (hPMC) during the window of implantation. Mesenchymal stem/stromal cells can be isolated from bone marrow, adipose and other tissue sources, and can differentiate into a variety of cell types depending on the conditions of the culture they are grown in. In this latest study, the research team set out to characterize these hPMCs.

“Our findings indicate that hPMC are derived from circulating bone marrow-derived stem cells and recruited into the lining of the womb at the time of embryo implantation. These cells appear critical in pregnancy to accommodate the rapidly growing placenta.” Dr. Brosens said. “We also found that these rare but highly specialist cells are depleted in the womb lining of women with recurrent pregnancy.”

Siobhan Quenby, M.D., FRCOG, professor of obstetrics and Honorary Consultant at University Hospitals Coventry and Warwickshire and the University of Warwick, was part of the research team. “These are very exciting findings,” she said. “We have already demonstrated that we can increase these highly proliferative cells in the lining of womb before pregnancy. These new findings explain why these highly proliferative cells are so important for the prevention of miscarriage and possibly spontaneous preterm labor, two devasting pregnancy disorders that affect many women and couples all over the world.”

Dr. Jan Nolta, Editor-in-Chief of STEM CELLS, said, “this key study begins to find answers to a very concerning problem in pregnancy disorders and gives insight into understanding factors that could contribute to pregnancy loss. We are very excited to be able to publish these important results.”

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More burnout among pregnancy, newborn care providers during pandemic, study finds

More burnout among pregnancy, newborn care providers during pandemic, study finds

Medical professionals who care for pregnant women and newborns experienced greatly increased rates of burnout during the early days of the COVID-19 pandemic, according to a small study led by Stanford University School of Medicine researchers.

The results was published online March 16 in the Journal of Perinatology.

Among the 288 people, mostly nurses and physicians, from across the United States who responded to a June 2020 survey, 66% reported symptoms of burnout. In addition, 73% felt that their co-workers were showing more burnout. The findings raise concerns for patient safety, according to the study’s authors.

“The levels of burnout are about 2.5 times the rates we observed in pre-pandemic samples,” said Jochen Profit, MD, the study’s senior author and an associate professor of pediatrics at Stanford. The extent of caregiver burnout his team documented was equivalent to implementing new electronic medical records systems—an event widely recognized as stressful—twice in a row, Profit said. The study’s lead author is Eman Haidari, MD, medical fellow in pediatrics at Stanford.

Caregivers in the survey did not encounter high rates of COVID-19 infection among the pregnant women and newborns they cared for. However, they had to adjust to a large number of quickly changing medical protocols, to the general stressors of the pandemic and to greater levels of worry among their patients.

“In maternal and neonatal medicine, we’re on the front line, but we haven’t been hit by the hardest part of this pandemic,” Profit said. “It tells you what must be going on with the folks out there who are in other areas of medicine, such as those working in adult intensive care units.” Helping health care providers deal with burnout from the pandemic will require a large national response, he added.

Burnout linked to emotional exhaustion

Burnout among health care providers is characterized by feelings of emotional exhaustion and depersonalization. Individuals experiencing burnout also have increased rates of depression, alcoholism and suicidal ideation, as well as worse relationships with people in their lives. Prior studies have shown that health care workplaces with higher burnout levels have more problems with patient safety.

The study was conducted via an online survey offered to 673 health care workers who had participated in a webinar about mental health during the COVID-19 pandemic. The survey consisted of 13 questions about participants’ well-being and about patient safety in their workplaces. Participants’ level of emotional exhaustion was assessed using a previously validated five-question scale. The participants provided demographic information, including job title.

In total, 288 participants completed the survey. About one-third were from California. The rest were from other parts of the United States. The majority of responses (58.7%) came from nurses, with the rest from physicians (11.8%) and other health care professionals (29.5%).

Many elements of the responses indicated the toll of the pandemic: Besides the 66% of respondents who were emotionally exhausted and the 73% who felt their co-workers were increasingly burned out, 58% saw co-workers struggling to focus on work, 59% were themselves struggling to meet work and home responsibilities, 33% reported more unprofessional behavior, and 12% reported more medical errors. However, 70% were hopeful about the future, and 83% felt lifted up by their colleagues. In general, nurses reported more struggles than physicians.

Readying a response

More research is needed to understand how recent stages of the pandemic are affecting the well-being of health care providers, Profit said. Larger studies and data collected at multiple time points would help, he added. Neonatal intensive care units in California already have efforts underway to improve workplace culture. Such efforts previously have been shown to reduce burnout. But more will be needed to deal with the effects of the pandemic, Profit said.

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Hypertension disorders of pregnancy increase risk of premature maternal mortality

pregnant

Women who experienced hypertensive disorders of pregnancy (HDPs) but did not develop chronic hypertension have a greater risk of premature mortality, specifically cardiovascular disease (CVD)-related deaths, according to a study published in the Journal of the American College of Cardiology (JACC). A separate JACC study examined the cardiovascular health risks associated with pregnancy in obese women with heart disease.

HDPs, which occur in approximately 10% of all pregnancies worldwide, are among the most common health issues during pregnancy. There are four types of HDPs: chronic hypertension, gestational hypertension (GHTN), preeclampsia and chronic hypertension with superimposed preeclampsia. GHTN and preeclampsia, which occur at or after 20 weeks’ gestation, are leading causes of maternal and perinatal morbidity and mortality. While women with a history of HDPs have a three to five times higher risk of developing chronic hypertension, it is unclear whether the association between HDPs and premature mortality (death before age 70) can be attributed to women developing chronic hypertension. The authors of this study sought to examine the links between GHTN and preeclampsia, the subsequent development of hypertension, and all-cause and cause-specific premature mortality.

Researchers of this paper looked at 88,395 ever pregnant female nurses 25-42 years old who participated in the Nurses’ Health Study II, focusing on GHTN and preeclampsia within the term HDPs. Using questionnaires from 1989-2017, the nurses’ health study collected information on reproductive characteristics and lifestyle and health-related conditions over three decades. To determine whether the association between HDPs and premature mortality was explained by the subsequent development of chronic hypertension and whether this link exists among women who didn’t develop chronic hypertension, the authors classified women as the following: No HDPs and chronic hypertension, HDPs only, chronic hypertension only or both HDPs and subsequent chronic hypertension.

Results of the study showed 12,405 women, or 14%, experienced HDPs in at least one of their pregnancies. Compared to women without HDPs, women who experienced GHTN and/or preeclampsia had a greater baseline BMI, gestational diabetes, parental history of diabetes and MI/stroke and chronic hypertension. During 28 years of follow-up, there were 2,387 premature deaths, including 212 CVD deaths. A history of GHTN or preeclampsia was associated with a 42% increase in premature mortality. This association remained significant after adjusting for confounders as well as for post-pregnancy dietary, lifestyle and reproductive characteristics over time. Women with a history of HDP had over a twofold higher risk of premature CVD mortality. When authors examined the subsequent development of chronic hypertension, they found an elevated risk of all-cause premature CVD mortality in women with HDPs only, chronic hypertension only and both HDPs and subsequent chronic hypertension.

“Our results suggest that HDPs, either GHTN or preeclampsia, was associated with a greater risk of premature mortality, especially CVD-related deaths, even in the absence of chronic hypertension,” said Jorge E. Chavarro, MD, ScD, associate professor of nutrition and epidemiology at the Harvard T.H. Chan School of Public Health and of medicine at Brigham and Women’s Hospital and Harvard Medical School in Boston, and corresponding author of the study. “Our results highlight the need for clinicians to screen for the history of HDPs when evaluating CVD morbidity and mortality risk of their patients.”

There are some limitations of this study, including the diagnosis of HDPs and chronic hypertension were self-reported, which can result in misclassification of disease status and biased risk estimates, and the study’s population mainly consisted of non-Hispanic white women, so its findings may not be generalized to ethnic and racial minority groups. However, authors of an accompanying editorial comment praise the significance of the study’s findings.

“The authors should be applauded on raising a biologic plausibility of HDP’s independent association with premature all-cause mortality,” said Garima Sharma, MD, assistant professor of medicine in the division of cardiology and department of medicine at the Johns Hopkins University School of Medicine, and corresponding author of the editorial comment. “Contemporary management of women with HDPs will need better risk assessment tools informed by precision medicine to appropriately identify those women who are at greatest risk of premature CVD and to develop algorithms for early intervention in order to change the trajectory of these women.”

This study was supported by grants U01-HL145386, U01-CA176726, R01-HL034594, and R01-HL088521 from the National Institutes of Health.

While this paper adds to the growing evidence that health conditions pregnant women experience can influence their health later in life, the effect of already having heart disease while pregnant is also a huge health concern. Another study in JACC focused on the impact of maternal obesity on pregnancy complications in women with heart disease. Authors of that paper found women with heart disease and obesity had higher rates of cardiac complications during pregnancy compared to women with normal weight.

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He's Here! Mandy Moore and Husband Taylor Goldsmith Welcome Son August Harrison: 'Our Sweet Boy'

Mandy Moore is a mom!

The This Is Us actress, 36, and her husband Taylor Goldsmith have welcomed their first child together, son August Harrison Goldsmith, she announced on Instagram Tuesday.

"Gus is here 💙💙💙💙. Our sweet boy, August Harrison Goldsmith. He was punctual and arrived right on his due date, much to the delight of his parents," she wrote in her caption. "We were prepared to fall in love in all sorts of brand new ways, but it goes beyond anything we could have ever imagined."

Moore's baby announcement comes weeks after she revealed that her birth plan had to be altered. "My platelets have dropped exponentially during pregnancy and it's sadly altered my birth 'plan,' " she wrote on Instagram in early February.

Moore, who announced she was expecting back in September, has been open about her difficult first trimester and fertility struggles. In a Janurary interview with Romper, the singer said she was "very hesitant" to believe she was pregnant because of past issues with her uterus.

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 See Pregnant Mandy Moore's Sweetest Baby Bump Photos

"I sort of was holding my breath until 12 weeks," she said at the time, adding that in her third trimester, she had an "it's real" moment: "The little things kind of get me. Like, I was online buying pacifiers yesterday and I just turned to my husband and I was like, It's real. There's going to be a little human that needs a pacifier."

During her pregnancy, Moore opened up to her fans about suffering a loss: her pet dog Joni. On Dec. 1, she shared the heartbreaking news on Instagram, writing that her "heart is utterly shattered" in the wake of the canine's death. "She was my first love and best friend. Through every twist and turn of life of this past decade and change, she was right there."

"She was the boss and a total mama's girl," she added of Joni. "I'm so sad she won't get the chance to meet her human brother soon but maybe she wasn't ready to share 😉."

Celebrity Babies Born in 2021 (So Far!)

Then, in January, Goldsmith surprised her with a sentimental gift as they grieved the pet's death. She shared photos on Instagram of a toy dog from Cuddle Clones that is a near-perfect replica of her late pup. "This was by far my fav gift over the holidays- something that @taylordawesgoldsmith had made. It's a little stuffed animal version of my beloved Joni so that our son will still know her, even though they never got to meet."

In a recent episode of Informed Pregnancy Podcast, Moore told host Dr. Elliot Berlin that she is open to having more children soon.

"I have such a deeper appreciation for my body and the fact that us pregnant folks have the capability to do this. It's the coolest thing," she said. "I mean, I know that I joke with my husband already. We're not at the end of the rollercoaster ride yet, and like, I'll do this again. I'm so ready to do this again. Even if I was as sick as I was during the first trimester, there is something I think in the third trimester that is so profoundly magical and beautiful."

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First COVID-19 Vaccine Trial for Pregnant Women Is Underway

Pfizer and BioNTech have officially begun a large-scale clinical trial of their COVID-19 vaccine in pregnant women, who had been excluded from the first round of trials.

According to a statement from the companies, they enrolled approximately 4,000 pregnant women who are 18 years of age or older and between 24 and 34 weeks of gestation in the trial.

The trial will include participants from the United States, as well as those from Argentina, Brazil, Canada, Chile, Mozambique, South Africa, Spain and the United Kingdom, ABC News reported.

Participants in the study will receive two doses at 21 days apart, and each individual will be followed for a minimum of 7 to 10 months so that the health of the mother and child can be assessed.

Half of the women in the study will get the vaccine, will the other half will get a placebo, Pfizer said. Participants who got a placebo shot in the trial will later be given the opportunity to get the actual vaccine.

"We are proud to start this study in pregnant women and continue to gather the evidence on safety and efficacy to potentially support the use of the vaccine by important subpopulations," said William Gruber M.D., senior vice president of Vaccine Clinical Research and Development for Pfizer. "Pregnant women have an increased risk of complications and developing severe COVID-19, which is why it is critical that we develop a vaccine that is safe and effective for this population."

"We are deeply thankful to the volunteers who are enrolling in the trial, and site investigators who are leading this work," Gruber added.

The announcement from Pfizer and BioNTech comes shortly after scientists at the National Institutes of Health said that vaccine developers needed to strengthen research efforts on how the COVID-19 vaccine affects pregnant women, per CBS News.

The outlet added that pregnant women have a higher risk of severe illness from COVID-19.

"Pregnant and lactating persons should not be protected from participating in research, but rather should be protected through research," the group said in an article, which was published by the Journal of the American Medical Association.

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