Therapy Center for Pregnancy Loss

Postpartum Support After Loss & Infertility

The Transition to ParenthoodAfter Pregnancy Loss & Infertility

Becoming a parent doesn't always mean the emotional journey is over.

Care modes
In-person in Maryland & Telehealth in PSYPACT States
Specialties
Postpartum anxiety, pregnancy loss, infertility, reproductive trauma
Clients
Individuals & Couples
Focus
Pregnancy after loss, postpartum adjustment, attachment
Certified
IPPE-C

Many people believe that once they finally bring home their baby, the grief, anxiety, and uncertainty of pregnancy loss or infertility will disappear. For many parents, however, the transition to parenthood brings tremendous joy alongside unexpected fear, sadness, guilt, emotional exhaustion, or a lingering sense that something could still go wrong. You may love your baby deeply while finding yourself constantly worried about their safety. You may struggle to sleep because you’re repeatedly checking on them. You may feel guilty for experiencing happiness while still grieving babies who are no longer here. Or you may simply wonder why becoming a parent doesn’t feel the way you expected after everything you’ve been through. These reactions are far more common than many parents realize, and they make sense in light of your experiences.

Parenthood Can Hold Both Joy and Grief. One of the most challenging aspects of becoming a parent after pregnancy loss or infertility is discovering that joy and grief often exist together. You may celebrate your baby’s milestones while mourning the child who is missing. You may experience tremendous gratitude while still carrying fear. You may feel hopeful about the future while remembering years of infertility or previous pregnancies that ended far too soon. These emotions are not contradictory. They are a reflection of loving deeply after profound loss.

Therapy for Individuals and Couples. Pregnancy loss and infertility affect entire families. Partners often enter parenthood carrying different emotional experiences. One partner may become increasingly anxious while the other copes by focusing on daily responsibilities. Couples frequently find themselves grieving differently, communicating less effectively, or struggling to understand each other’s reactions. I provide therapy for both individuals and couples navigating: Parenthood after pregnancy loss, Parenthood after infertility or IVF, Pregnancy after loss, Postpartum anxiety, Relationship changes after becoming parents, Communication and intimacy, Strengthening attachment and connection within the family

You May be Experiencing

You Don't Have To Navigate This Alone

  • postpartum anxiety after pregnancy loss
  • Anxiety after infertility or IVF
  • Intrusive thoughts about your baby's safety
  • Difficulty sleeping because you constantly check on your baby
  • Feeling emotionally overwhelmed after bringing your baby home
  • Grieving previous pregnancies while caring for your baby
  • Difficulty trusting your body after reproductive trauma
  • feeling disconnected from yourself or your emotions
  • Changes in your relationship after becoming parents
  • Balancing gratitude with lingering fear or sadness
  • Difficulty adjusting to the transition to parenthood
  • Questions about bonding or attachment with your baby
  • These are not signs that something is wrong with you. Often, they reflect a nervous system that learned through painful experience that pregnancy and parenthood can feel uncertain and unsafe.

My Approach

Healing Through a Safe, Compassionate Relationship

My approach is grounded in attachment theory, relational psychotherapy, emotion-focused therapy, and trauma-informed care. Rather than focusing only on symptom reduction, therapy offers a place where your emotions can be understood with curiosity and compassion rather than fear or judgment. Together we work to: process unresolved grief and reproductive trauma, better understand and tolerate difficult emotions, rebuild trust in yourself and your body, strengthen your relationship with your baby, deepen emotional connection with your partner, restore a healthier sense of identity and self-esteem, and develop a more secure relationship with yourself and those you love. Healing does not mean forgetting your losses. It means integrating those experiences into your life in a way that allows them to become part of your story without continuing to define every moment of your present.

Area of focus

Pregnancy Loss and Infertility Continue to Shape Parenthood

Pregnancy loss, infertility, IVF, and other reproductive traumas do not simply end once a healthy baby is born. These experiences often continue to shape how parents experience pregnancy, childbirth, the postpartum period, early parenting, and even their relationships with themselves, their partners, and their children. Many of the parents I work with describe feeling caught between profound gratitude for their child and persistent fear that something terrible could still happen. Others expected the birth of their baby to bring emotional closure, only to discover that grief, anxiety, or trauma remained very much alive. The transition to parenthood after reproductive trauma is often far more emotionally complex than people expect. You Don’t Have to Carry This Alone. Many parents tell me they feel they should simply be grateful now that their baby is here. Instead, therapy offers something different. A place where every part of your experience is welcomed. A place where grief and joy, fear and hope, gratitude and sadness can all exist together without judgment. My goal is not simply to reduce anxiety. It is to help you better understand your emotional experiences, strengthen your relationships, restore a more secure sense of self, and move into parenthood feeling more connected—to yourself, your partner, and your child. For parents with a history of loss, this often means helping parents feel connected to their living baby while also transforming their connection to the baby that has died.

FAQ

Frequently asked questions

Is it normal to experience postpartum anxiety after pregnancy loss or infertility?

Yes. Parents who have experienced miscarriage, stillbirth, infertility, IVF, or other reproductive trauma often continue to experience significant anxiety after their baby is born. These reactions are understandable and treatable.

Can pregnancy loss affect the postpartum period?

Absolutely. Pregnancy loss often continues to influence emotional well-being, attachment, identity, relationships, and parenting long after delivery.

Why am I still struggling now that my baby is finally here?

Many parents expect the birth of a healthy baby to erase previous grief or trauma. Instead, becoming a parent often brings those experiences into sharper focus. Therapy can help you make sense of these complex emotions.

Do you work with both mothers and partners?

Yes. I provide psychotherapy for individuals and couples navigating the transition to parenthood after pregnancy loss, infertility, pregnancy after loss, and reproductive trauma.

Do you provide telehealth?

Yes. I offer in-person therapy in Maryland and telehealth throughout participating PSYPACT states.

See all questions

Dr. Rayna D. Markin, PhD

Written by

Rayna D. Markin, PhD

Licensed psychologist · IPPE-C credentialed · Associate Professor in Counseling · President-Elect, Society for the Advancement of Psychotherapy (Division 29, APA) · Associate editor, APA journal Psychotherapy: Theory, Research, Practice, and Training · Author of Psychotherapy for Pregnancy Loss

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Telehealth available throughout PSYPACT participating states.

Get in touch

Support is available — you don't have to navigate this alone.

rayna.markin@therapycenterpregnancyloss.org