PREGNANCY
The Truth About Your Top Pregnancy Fears
These science-backed facts will help you breathe easier.
Written by
Happiest Baby Staff
SHARE THIS ARTICLE
PARENT PICKS
Bestsellers
PREGNANCY
Written by
Happiest Baby Staff
SHARE THIS ARTICLE
Bestsellers
Content warning: This article discusses pregnancy loss and stillbirth.
Pregnancy is a time of profound joy and profound worry in near equal measure. Whether you're a first-time parent or a seasoned pro, it's normal for your mind to race through dozens of “what-ifs.” A 2021 study published in the Journal of Affective Disorders found that nearly 80% of pregnant people reported at least one major fear related to their pregnancy, with worries ranging from miscarriage and birth defects to labour complications and the postnatal period.
But here’s the truth: Most pregnancy worries are either very unlikely to happen or totally manageable with the right care. We’re here to walk you through the most common pregnancy fears and offer reassuring facts—backed by science—to help you breathe a little easier.
The worry: “What if I lose the baby early on?”
The facts: This is one of the most common fears in early pregnancy. While miscarriages are sadly a part of the reproductive journey for many (an estimated 10% of known pregnancies end in miscarriage(, the vast majority happen in the first trimester—often before a person even realizes they’re pregnant.
Once a heartbeat is detected (usually by 6 to 8 weeks), the risk of miscarriage drops significantly, especially in low-risk pregnancies. And after the first trimester the risk drops to 1-5%.
Though nothing can replace a long hoped-for pregnancy, you may also take heart knowing that most people who experience pregnancy loss go on to have healthy pregnancies later.
The worry: “What if something is wrong with my baby?”
The facts: About 3% of babies are born with a birth defect, but what that means varies wildly—and keep in mind that “birth defect” is a medical term that refers to a range of health conditions that start before birth. It does not mean a person is “defective!”
Most birth defects are mild and treatable, and many don’t impact long-term health. Preventive steps—like taking folic acid, avoiding alcohol and harmful substances, and managing diabetes—can significantly reduce risk.
The worry: “What if my baby dies before birth?”
The facts: Stillbirth (the loss of a baby at 20 weeks or later) is absolutely heartbreaking—but rare. In the U.S., it affects about 1 in 175 births.
Most pregnancies progress without issue, especially with regular prenatal care. Staying on top of prenatal appointments helps providers monitor for conditions that may increase risk, such as high blood pressure, gestational diabetes, or foetal growth restriction. Tracking your baby's movements in the third trimester (often referred to as “kick counts”) is another way to monitor wellbeing. If you notice a decrease in foetal movement, don’t wait—contact your provider right away.
The worry: “What if I go into labour too early?”
The facts: About 10% of babies in the U.S. are born preterm (before 37 weeks). Risk factors include carrying multiples, previous preterm birth, and certain infections.
Though preterm labour can come with some serious risks, most preemies—especially those born after 34 weeks—thrive with modern neonatal care. If you're at increased risk, your provider may offer progesterone therapy, cervical monitoring, or other interventions.
The worry: “What if I can’t handle the pain of childbirth?”
The facts: Labour is intense—no sugar-coating it. But you’re not without support…or options!
Pain relief methods during labour include epidurals, IV medications, nitrous oxide, and non-medical approaches like massage and breathing techniques. If you want an epidural, you can likely have one. If you’d prefer an unmedicated birth, your provider can support you with non-pharmaceutical tools. Either way, the care team is there to ensure you’re as comfortable and supported as possible. You get to choose the path that’s right for you!
The worry: “What if things don’t go as planned and I need a C-section (caesarean)?”
The facts: About 1 in 3 U.S. births are by caesarean.
A c-section (caesarean) might not be what you envisioned, but it’s a safe and often life-saving procedure. Thanks to modern surgical techniques and infection control, the risks are low and recovery is well supported. Discussing your birth plan with your provider can help prepare you emotionally and physically for all possibilities.
The worry: “What if I don’t feel like myself after giving birth?”
The facts: An estimated 1 in 5 moms and 1 in 10 dads struggle with mental health and about 80% of parents suffer from baby blues. But in addition to being prevalent, mental health issues are treatable.
Screening during and after pregnancy helps identify those at risk. Therapy, medication, and community support can make a huge difference. And being vigilant about your mental health can serve you.
The worry: “What if I accidentally eat the wrong food?”
The facts: Certain foods, like raw fish, deli meats, and unpasteurized cheeses, can increase the risk of listeria or other foodborne illnesses, which can be dangerous during pregnancy.
That said, it’s rare to get sick from a one-time slip, especially if the food was fresh and properly stored. Staying mindful of food safety guidelines and washing produce can go a long way. If you’re ever unsure, call your provider—they’re there to help, not judge.
The worry: “I can’t keep anything down—how is my baby getting nutrients?”
The facts: Nausea and vomiting in early pregnancy (aka morning sickness) are common and often a sign of rising pregnancy hormones. Most babies still grow and develop normally despite these symptoms.
Even if you’re only keeping down crackers and water, your body prioritizes nutrients for your baby. If symptoms become severe (e.g., if you can’t keep fluids down for 24+ hours), it could be hyperemesis gravidarum—a condition that needs medical care but is treatable.
The worry: “What if I poop on the table?”
The facts: Okay, unlike a lot of fears on this list, this one is super common. In fact, pooping during delivery is so run-of-the-mill that your provider or nurse won’t bat an eye!
Pushing a baby out often means pushing with the same muscles used during a bowel movement. Your care team expects this and handles it discreetly. You’ll be far too focused on birthing your babe to worry about modesty, and that’s exactly how it should be!
The worry: “What if I tear badly—or need stitches?”
The facts: Around 9 out of 10 women experience some kind of perineal trauma post-birth, and about 60 to 70% of these require stitches. However, most are minor (first- or second-degree) and heal quickly!
Your provider will coach you on how to push slowly and safely. Warm compresses, perineal massage, and upright labour positions can help reduce tearing risk. Episiotomies (surgical cuts) are less common now and only used when absolutely necessary.
The worry: “I’m going to mess everything up.”
The facts: Parenthood doesn’t come with an instruction manual—and that’s okay. The learning curve is real, but it’s one you’re more than capable of navigating.
Nobody starts out knowing it all. Your instincts will kick in, and support systems (partner, paediatrician, friends, apps!) can guide you.
Pregnancy is full of unknowns—but that doesn’t mean you’re powerless. Seeking answers from trustworthy sources and surrounding yourself with reliable care can help calm those swirling thoughts. Take a deep breath...and remember: Fear may visit, but it doesn’t have to move in.
***
REFERENCESDisclaimer: The information on our site is NOT medical advice for any specific person or condition. It is only meant as general information. If you have any medical questions and concerns about your child or yourself, please contact your health provider. Breastmilk is the best source of nutrition for babies. It is important that, in preparation for and during breastfeeding, mothers eat a healthy, balanced diet. Combined breast- and bottle-feeding in the first weeks of life may reduce the supply of a mother's breastmilk and reversing the decision not to breastfeed is difficult. If you do decide to use infant formula, you should follow instructions carefully.
