life-limiting diagnosis
WHEN SOMEONE YOU LOVE HAS RECEIVED A
for their baby
Hi, friend. I am so sorry.
I am so sorry that you’re here.
You being here means that someone you love has received an impossible diagnosis for their baby. They may have heard words that they never expected (and possibly never heard). They - and you - have probably looked up definitions to medical terminology you were previously unaware of. They’re probably in shock. Lonely. And you both have so many questions. Questions like: What do I do now? How do we continue to go forward? What’s going to happen?
Anticipatory grief is deep, powerful, and confusing at times. God says his grace is sufficient even in this (2 Corinthians 12:9), and even in the sorrow, we trust that you’ll also experience joy.
While I’m so, so sorry she’s facing this, I’m also so thankful you’re here. Thank you for showing up. For wanting to support her. For showing her you care and helping her practically along the way. We hope that this is a helpful starting place for you as you walk this road with her.
xo,
Ashlee
P.S. Did your friend already say goodbye to her baby? Click here for our infant loss resources.
common questions
about Life-limiting diagnoses
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Every story and every loss is unique. Not all aspects of life-limiting diagnoses are listed here. But these are a good starting point if you want to understand more.
A life-limiting diagnosis is the term given for a diagnosis received for a baby where it would impact his or her life. While some professionals consider some diagnoses life-limiting even when the child lives beyond infancy, the resources on our website are for those who received life-limiting diagnoses that will ultimately lead to the death of a baby.
Some examples of life-limiting diagnoses included (but are not limited to): Anencephaly and other neural tube defects, some Congenital Heart Defects, Limb-Body Wall Complex, Renal Agenesis, Renal Tract Abnormalities, Skeletal Dysplasias, Trisomy 13, Trisomy 18, and more.
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Your friend is hurting. She needs people to love her, no matter how her grief looks. One of the most common phrases we hear from grieving moms is this: “I feel so alone.” People often avoid saying something to her out of fear that they’ll cause more pain. The grieving moms in our community often feel like people are tip-toeing around them or like they’re rushing, judging, or simply… forgetting her pain. Continuing to show up without judgment and with patience and care will be so important for the long haul.
For now, here are some ideas for you. Meet a practical need - offering something specific like setting up a meal train or dropping off a bag of groceries and toilet paper on her door step. Say something. Text her or send her a card saying, “I’m so sorry. I’m praying for you and I’m here to talk about it - or not talk about it - when you’re ready.” (It doesn’t have to be complicated!) Then pray for her. You can learn more about how to help with this free download, Part 1 of our Guide: How to Help a Grieving Friend by clicking here.
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Every woman in this position is different. So let’s start with what grief is - as she’s in the midst of anticipatory grief (the loss or grief you experience while the baby is still living) while she awaits her baby’s death.
March of Dimes gives this really helpful definition: "Grief is all the feelings you have when someone close to you dies. You may find it hard to believe that your baby died. You may want to shout or scream or cry. You may want to blame someone. Or you may want to hide under the covers and never come out. At times, your feelings may seem more than you can handle. You may feel sad, depressed, angry or guilty. You may get sick easily with colds and stomach aches and have trouble concentrating. All of these are part of grief."
When you’re grieving, you don't have to be afraid of grieving a certain way or not grieving a certain way. No feeling is “too much” or “not enough.” Everyone grieves differently, and that’s okay. It’s important that the grieving mom allows herself to feel as she’s feeling and know that those feelings may ebb and flow over time.
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I’m so sorry you’re having to ask this question. It’s not how it should be, wondering how to prepare not only for birth but also for death at the same time. We have a few recommendations for your friend as she faces this time. First, she may want to connect with a perinatal hospice and palliative care center and/or a birth & bereavement doula. Second, with their help or on her own she can create a birth plan for your baby. These two things will help her feel prepared as she advocates for herself and her baby. Third, she can plan to make memories with her baby, no matter how much time you will have with him or her. Follow her lead as you offer help.
If your loved one is planning a funeral, consider how you can help or be a point of contact for the funeral home or church. Our funeral planning resources can help her (and you) through this tender process. You could also bless her by offering to provide food, flowers, decorations, or funeral programs.
Remember - not everyone wants this kind of help. But if your relationship is close enough, you may be able to step into this sacred time.
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This is such a tender question for moms whose baby has received a life limiting diagnosis. As always, there’s no right or wrong answer. For some moms, having a non-traditional shower is a welcome celebration and for others it’s too painful. You need to follow her lead.
If this is something she think might be helpful, and she’d like you to host one, here are some ways to make a non-traditional shower meaningful for her: Encourage her to only invite those she feels most comfortable with. She doesn’t have to include everyone she normally would, especially those who may not understand why she wants to have a celebration for her baby. Ask everyone to bring items to donate - examples could be books with a sticker inside saying “this book is donated in memory of (baby’s name)” or diapers to go to a local pregnancy center.
One mom in our community invited friends to bring a charm that was meaningful to them to build a special charm bracelet she could wear in honor of baby. You could make an art piece together that would be a keepsake for her in honor of her baby such as a mosaic. You could ask each guest to bring a written prayer or note to baby for a special keepsake guest book. You can spend time at the shower sharing a meal together, praying over you and/or baby, or doing anything else that feels meaningful to you.
It doesn’t have to be elaborate or complicated, and remember, no matter what she chooses to do regarding a shower, it does not dictate how much her baby’s life matters.
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We asked hundreds of woman who have been where she is what they would recommend a mom bringing to the hospital for labor and delivery – we used their answers to create a comprehensive Hospital Bag Checklist to bring with you that will help to make you more comfortable and to give space for treasuring the moments you will have with your baby.
Making memories with her baby can be so beautiful and a special time of showing her baby love and care. Even if she’s not able to do as much with her baby while her baby is alive, making memories after her baby dies can still be incredibly meaningful. We have a comprehensive list included in our Ultimate Resource Bundle for a Life-Limiting Diagnosis. She can download that for free here.
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Everyone is different, but here are some practical ideas for how to help her right now: Bring her a meal or set up a meal train, set up a prayer chain, offer to do yard work or house work, give her gift cards for date nights with her husband, offer babysitting for doctor’s appointments if she has other children, ask her if there are any memories that she’d like to make with her baby now that you can join in on (and then treat her to that!), sit and listen, go on a walk with her, or give her something meaningful that reminds you of her baby.
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Perinatal hospice & palliative care programs offer families who have received life-limiting diagnoses an multidisciplinary approach to caring for the and their babies with dignity and honor. We highly recommend connecting with a local group if available. Click here to find a directory of care teams.
If no perinatal hospice or palliative care groups exist in your area, you can still create your own experience. Click here for more help in this.
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This is such a kind question and, like we’ve said before, every grieving mom is different. But there are some generalizations that most grieving moms would agree with. We hear from so many women that silence is worse than someone fumbling over their words, so a simple, “I’m so sorry,” will go a long way. To learn more, click here!
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Yes, of course you are. You love her and you love her baby, too. While you can share with her that you’re feeling the sadness with her, we would encourage you to offer comfort to those closest to the loss (the grieving mom, dad, and living children if applicable) and seek personal comfort from those who are as removed as you are or further removed. This episode about grief may be helpful for you, too, as you navigate your own grief!
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It’s hard to know exactly how your friend will respond to this. Some grieving moms want space from those who have the things they’ve now lost. Other grieving moms want to still be included in normal conversations and updates about others’ families. Sometimes things hit unexpectedly.
Please know that you don’t need to feel ashamed, embarrassed, or guilty for having a healthy pregnancy or living children. Of course she wants you and your babies to be healthy. For many, it’s. just a reminder of what she’s lost.
It’s helpful to be sensitive in this time. If you’re unsure how she feels, ask her. It’s okay to say something like, “I know this may be hard, but I want you to know that I love you and I care about you. How can I continue to be your friend in this season?” Sometimes asking via text where she can respond in private first can be helpful.
If she says needs space, I know that’s hard. But it likely won’t be like this forever. You can always check back in at a later date.
We’re praying for you as you navigate this tension with your friend.
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Thank you for wanting to share our resources filled with hope, support, and community with her! It’s important to remember that she may not want extra support right now, and that’s okay. We would recommend gently sharing about us without pressuring her to get connected.
When she’s ready, she may find our Resource Bundle the most helpful, which she can download on our website. You can send her a text, email, or a card saying something like, “I just wanted to let you know of a ministry for grieving women that I’ve found helpful, in case you’d like to check it out. The website is www.themorning.com in case you’d like to see what they have to offer. I love you, and I’m praying for you.”

“It’s a community I didn’t know existed or that I ever knew I’d need. I’ve come to rely on these women for support to “get” me, pray with me, or even be a safe space to just get my thoughts out of my head. I love the resources, especially the podcast, where I feel like I’m listening to friends who understand. Overall, The Morning helps me feel less alone in my grief.”
— Amanda, Life-Limiting Diagnosis/Infant Loss Mom
top resources
FOR A LIFE-LIMITING DIAGNOSIS
Advice from Real Women: Loving a Friend Through a Life-Limiting Diagnosis
01
How To Love a Grieving Friend Amidst a Life-Limiting Diagnosis
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Help her find a free Photographer
03
Help her find a Birth & Bereavement Doula
04
Gift Guide for Grieving Moms
05
on the morning blog
How to Love a Grieving Friend
06
in the morning shop
Give the gift of comfort, hope, and support for the long haul with
curated care package for women anticipating their baby’s birth day after a life-limiting diagnosis
the birthday box for grieving moms

“The Joyful Mourning Community is like a light shining into the hard, lonely thoughts, feelings, and experiences that accompany baby loss. It's not just about one incident but the ongoing processing and living with a new reality.”
— Shanae, Life-Limiting Diagnosis/Infant Loss Mom