EP3: Hope, Advocacy, and Healing: Social Work in Fetal Care

Episode 03 · Now Streaming
The Fetal Frontline — The FTNN Podcast

Hope, Advocacy, and Healing.

Social Work in Fetal Care

When a pregnancy turns into a frightening diagnosis, fetal social workers are there — providing support, advocacy, and connection to critical resources. Beth Moorhouse — a social worker specializing in fetal and perinatal care — joins host Kris Rimbos to unpack the role: building trust in minutes, advocating for access, holding space for impossible decisions without judgment, and supporting families through grief, mental health, and the long road home. An inside look at this critical role — providing hope even with uncertainty, and helping families move forward while feeling seen, heard, and supported.

56 min Jun 2026 Topic: The social work role Featuring: Beth Moorhouse
Kris Rimbos
Host
Kris Rimbos
Beth Moorhouse
Guest
Beth Moorhouse
EP3 · Hope, Advocacy, and Healing
The Fetal Frontline — FTNN Podcast
Welcome: The Role of Social Work in Fetal Care
0:0055:57

The episode in five numbers

5
Forms of support
Counseling · advocacy · care coordination · grief support · connection to critical resources — the social worker's toolkit.
1 in 5
Mothers affected
About 1 in 5 mothers — and 1 in 10 partners — will face a perinatal mood concern in pregnancy or the first year postpartum.
1 team
One unified front
Social work, nursing, MFM, genetics, child life & chaplaincy huddle to give families one clear, consistent, compassionate message.
5 hrs
Of protected sleep
The mental-health optimum Beth urges families to guard — hard to get in pregnancy, but vital for coping under stress.

Meet the voices

Tap either card to flip for a full bio.

Kris Rimbos Host Tap to flip
The Fetal Frontline
Kris Rimbos, MS, RNC-OB, C-EFM, NE-BC, FAWHONN
Fetal Nurse Coordinator · FTNN Board
Host · FTNN Conference Committee

Kris Rimbos, MS, RNC-OB, C-EFM, NE-BC, FAWHONN

Fetal Nurse Coordinator · Board member, FTNN

Host of The Fetal Frontline and a long-standing FTNN board member. Kris helped build FTNN's web presence and social channels, served as Membership and Publications Chair, and spent her career in women and infant services, including at a major US fetal center.

Across this season of The Fetal Frontline, she sits down with the clinicians behind fetal care — nurses, social workers, and the wider team — drawing out the day-to-day realities of a specialty most listeners have never seen up close.

Beth Moorhouse Guest · Perinatal Social Worker Tap to flip
Perinatal Social Worker
Beth Moorhouse, MSW, LCSW, PMH-C
Fetal & perinatal care · maternal mental health
Guest · The Fetal Frontline

Beth Moorhouse, MSW, LCSW, PMH-C

Social worker · fetal & perinatal care

Since earning her graduate degree in social work, Beth has worked in hospital social work and private clinical practice, with a career-long focus on maternal-child health — the NICU, PICU, maternal-fetal medicine, labor & delivery, and postpartum care.

What she loves about fetal care is that it joins the two paths she's most passionate about: the medical care a family receives in the perinatal period and perinatal mental health. She helped launch a fetal-diagnosis support group with Postpartum Support International — an online community where parents from any state, even internationally, can share coping strategies with people who truly understand.


What makes social work in fetal care unlike any other role

Some grounding before the day-to-day. Four truths about the role that shape everything Beth describes.

Rapport, built in minutes
Most social work builds trust over time. In fetal care, families arrive at a very acute moment — and sometimes never return — so trust has to be earned quickly and genuinely, often in a single visit.
Two paths, one role
Fetal care joins the medical care a family receives in the perinatal period with perinatal mental health — the exact intersection Beth is most passionate about.
Voluntary & family-led
Services are offered to any family who wants them. How involved social work becomes is driven entirely by the family's unique needs — and their choices.
Impossible decisions, zero judgment
Families are put in a position to make some of the hardest choices a parent can face. Beth's job is neutrality, support, and self-determination — meeting them where they are, never steering.

Hope, even in the uncertainty.

Beth's first move with a frightened family is to be genuine — curious about their hopes, their family, their perspective — and to meet them where they are. Even without all the answers, she tells them: "we'll walk with them through this path… and give them that hope that even with the uncertainty, we'll move forward and support them."

Two concentric rings connected by a luminous thread

Chapter guide

Fourteen chapters, each with a pull-quote and the three things worth walking away with. Tap "Open deep dive" to unpack the context — what perinatal mood disorders are, what TFMR means, how Postpartum Support International fits in.


Even with the uncertainty, we'll move forward and support them — in the days, weeks, months, even years ahead.
Beth Moorhouse — on meeting families where they are

A family's journey alongside social work

From the acute first visit to care that continues long after — the seven points where Beth and the team walk beside a family.

Step 1
The acute first visit
Families often arrive having just heard something is wrong, seeing multiple specialists in a single day. Where social work meets them depends on where they are in that day — and what they've already been told.
Step 2
Meeting them where they are
Beth introduces her role and begins an assessment — genuinely curious about their hopes, their family dynamics, their perspective. Services are voluntary; how involved she becomes is led by the family's needs.
Step 3
Processing the news
She names the shock and disbelief, reassures them it's hard to absorb everything at once, and promises the team will make a plan — step by step, on a timeline that fits them.
Step 4
The huddle
Before counseling the family, the whole team gathers — "we call it huddle" — to align on findings, barriers and one clear, consistent, compassionate message.
Step 5
Advocacy & removing barriers
Transportation, lodging, an FMLA claim, a Ronald McDonald House, financial or insurance counseling — whatever stands between a family and the care they need.
Step 6
Grief & gathering mementos
A heartbeat bear, ultrasound pictures, a Caring Bridge page, a playlist from loved ones — tangible ways to celebrate and remember a baby's time, however brief.
Step 7
Care that continues
Warm handoffs to receiving hospitals, the Compass mental-health program, child life or a chaplain — plus support groups through Postpartum Support International. Care that continues beyond the appointment.
Step 1 of 7
Drag, swipe, or tap arrows

The team around the family

Beth names a wide circle of colleagues — and social work sits among them, holding the family's whole story and connecting them to the right person at the right moment.

Nursing
"Excellent advocates." Nurses lay the foundation of anticipatory guidance; social work and nursing partner closely, especially on time-sensitive options.
Physicians & MFM
Maternal-fetal medicine and the specialists who deliver the diagnosis, the counseling, and the medical plan of care.
Genetic counselors
Translating diagnoses and what they mean — for this pregnancy and for a family's understanding of what comes next.
Sonographers
The imaging team whose careful work shapes the day — and whose time with families is part of how trust is built.
Child life therapy
Helping parents prepare siblings, hold hard conversations, and include their other children in what's coming.
Chaplaincy & Compass
Spiritual care and the Compass maternal mental-health program — handoffs social work makes in the moment, when a family needs them.

Four pillars of the social work role

Straight from the episode's title — hope, advocacy, and healing. Tap through the four things Beth carries for every family.

Where social work begins — a genuine, curious assessment, built fast at a very acute moment in a family's care.

Meet them where they are
Beth starts by being genuine — curious about a family's hopes, their family dynamics, what's meaningful in their culture or faith. She lets patients, "the best experts in their own lives," teach her what they need, conveying availability, flexibility, and hope even when the answers aren't all there yet.

Giving families a voice — and clearing the practical barriers between them and the care they need.

Advocacy means a voice
"Advocacy means letting them have a voice in their care." Beth helps with the concrete barriers — transportation, lodging, a document for an employer, an FMLA claim — and refers families to financial counseling to weigh an in-network switch or a state health insurance plan, so everyone can reach this care.

Keeping a dozen specialties — and one message — aligned, even when the day doesn't go to plan.

The huddle
Schedules shift all day — traffic, long imaging, a family that needs a break. Before counseling a family, the team gathers — "we call it huddle" — to align on findings, barriers and feelings, then delivers one clear, compassionate message. Soft handoffs from member to member spare families from retelling their story.

The long arc of the work — grief, mental health, and the memories that endure.

Healing that continues
From naming grief and gathering mementos — a heartbeat bear, ultrasound pictures, a Caring Bridge page — to perinatal mental-health education and support groups through Postpartum Support International. Universally, Beth says, the goal is that families "feel they're getting the best care they deserve — and that care continues beyond their appointment."

The social worker's playbook

Illustration of hands releasing a thread into a constellation of nodes

"Meet them where they are."

The principle under everything Beth does. When a serious diagnosis lands, her first move isn't clinical — it's to be genuine, stay curious about the family's hopes and dynamics, and walk alongside them in that space.

"I try to start with being genuine with the family, genuinely curious about their perspective, their hopes, their family dynamics."
Before any plan, Beth matches the family's pace and conveys availability. The support lands better once they feel genuinely seen.
"They may want all the answers today. We may not have all the answers today… but there's going to be time to figure things out."
In shock and disbelief, families can't hold every detail. Some decisions are urgent; many can wait — and Beth promises the team will take it step by step.
"We want them to feel non-judged in whatever decisions they make for themselves and their family."
The team reacts with neutrality so families keep their self-determination. "The right decision is the one that's best for you and your family."
"Let patients, who are the best experts in their own lives, teach us what's important to them."
Cultural sensitivity by asking, not assuming — open-ended questions about what's meaningful, and an impartial interpreter whenever language is a barrier.
"A clear message, a compassionate message from the entire team… is very helpful to a family."
The huddle exists so families hear one consistent voice — a conduit of good information — instead of one specialty saying this and another saying that.
"When I am not a content expert on something, I want to connect them with a person who is — to give them sound guidance and concrete information."
Advocacy includes knowing the limits of your own expertise, and bridging the family to the person who can help them plan.
"I'm very protective of my sleep. I'm very protective of fun time away from work… I walk into my work so full of gratitude."
Self-care isn't optional. Beth guards her rest and joy, leads with gratitude, and gives grace to herself and colleagues on the hard days.

Making space for what restores her

Beth's self-care is deliberate. Time with friends and family, good meals, reading, being outside and on the water, and travel — she guards her sleep and her fun fiercely, so she can return ready to listen with as much compassion and energy as she can offer the next family.

Silhouettes connected by glowing threads

Reflections from the field

Four threads from the close of the conversation — what's misunderstood, what's at stake, and what Beth hopes you carry forward.

What people — even other professionals — misunderstand about social work in fetal care. The role is different setting to setting, and that preconception can follow Beth into the room.

Setting the record straight

  • In hospitals, social work is often tied to child abuse and neglect cases
  • So some families arrive wary of meeting a social worker at all
  • Here, the role is support, advocacy and non-judgment — full stop
  • She'd love colleagues to help convey that to the families they share

Perinatal mood disorders can affect anyone — with a history or without — which is exactly why Beth educates every family.

One in five, one in ten
About 1 in 5 mothers and 1 in 10 partners will face a mood concern in pregnancy or the first postpartum year — before any added stressors. Beth tells families: this is not your fault, intrusive thoughts are thoughts, and there's a clear path to help if something ever comes up.

The moments that remind Beth why this work matters.

When families come back
A family who lost their child and gave back by donating a plethora of books that had helped them. Parents who return later to share their joy, their photos, their success. "Wherever they find their peace, their resolution, helps me feel at peace."

If listeners take away one thing about social work in fetal care.

Care that continues
"The role of social work is complementing all the other roles here." Universally, the goal is that families feel they're getting the best care they deserve — and that that care continues beyond their appointment.

Because they are parents, they are already parenting their child and making loving decisions.
Beth Moorhouse — on families facing impossible choices

Walking beside them, the whole way

Social work's thread runs from the first acute visit through advocacy, grief, mental health, and the long arc of healing. Beth's throughline is presence — a steady, non-judgmental companion, so no family has to walk the hardest stretch of their pregnancy alone.

A dawn horizon with a luminous constellation
Stylized microphone with pink accent

Thanks for listening.

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Shortcuts

Quick Glossary

Terms Kris and Beth use in the episode
Perinatal period
Pregnancy through roughly the first year after birth — the window of perinatal mental-health risk and care.
PMAD
Perinatal mood & anxiety disorder. About 1 in 5 mothers and 1 in 10 partners experience one — with a history or without.
PSI
Postpartum Support International — the organization whose platform hosts the new fetal-diagnosis support group Beth helped launch.
Anticipatory guidance
Preparing families ahead of time for what to expect — clinically and emotionally — so news is less of a shock.
Self-determination
A core social-work value: the family's right to make their own decisions, met with neutrality and no judgment.
SDoH
Social determinants of health — transportation, housing, insurance, food insecurity and more that shape access and outcomes.
FMLA
Family and Medical Leave Act. Job-protected leave Beth helps families document during complex pregnancies.
TFMR
Termination for medical reasons — a uniquely isolating loss that calls for very specific, shared-experience support.
Heartbeat bear
A keepsake bear holding an audible recording of the baby's heartbeat — one tangible way families gather mementos.
Caring Bridge
A private online journal where families can post updates and receive messages — more sheltered than social media.
Warm line
A non-emergency, often 24-hour line that connects a person to a mental-health clinician for immediate support.
Child life
A child life therapy team that helps parents prepare siblings and include children in what's coming.
MFM
Maternal Fetal Medicine. The OB sub-specialty managing high-risk pregnancies; fetal care lives inside it.
Ep3: Hope, Advocacy, and Healing: Social Work in Fetal Care
Beth Moorhouse and host Kris Rimbos
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EP2: Where Compassion Meets Innovation: Inside Fetal Care Nursing