EP5: The Weight We Carry: Secondary Traumatic Stress in Fetal Care

Episode 05 · Now Streaming
The Fetal Frontline — The FTNN Podcast

The Weight We Carry.

Secondary Traumatic Stress in Fetal Care

In fetal care, nurses walk families through life-changing diagnoses, impossible decisions, and sometimes unimaginable loss — and the weight of witnessing all of it can leave lasting marks on the caregivers themselves. In this episode, fetal care nurse Jen Anderson sits down with host Kris Rimbos and speaks with remarkable honesty about her own experience of secondary traumatic stress: the scream she'll never unhear, the breaking point, the single text message that became this podcast, and the slow work of learning to heal. An open, human conversation — and a call to action for real support inside healthcare.

46 min Jul 2026 Topic: Secondary traumatic stress Featuring: Jen Anderson, RN
Kris Rimbos
Host
Kris Rimbos
Jen Anderson, RN
Guest
Jen Anderson, RN
EP5 · The Weight We Carry
The Fetal Frontline — FTNN Podcast
Welcome: The weight we carry
0:0045:52

The episode in five numbers

~20
Years a nurse
"I've worked in women's healthcare my entire career." Nearly two decades, from a rural labor & delivery floor to fetal surgery. "It's taken me 20 years to get here — but I'm here now."
5%
The other five percent
"Ninety-five percent of the time it really is a happy job. But that other five percent is the complete opposite." That share is where the weight lives.
13–14
Years in fetal care
The majority of her career in maternal-fetal medicine and fetal intervention — "such extraordinary, life-altering diagnoses for families on a regular basis."
1
Cabin up north
Every summer, a work-girls' weekend at her northern Minnesota cabin — floating in the lake, acting ridiculous, always a theme. "That's therapy for all of us."

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
Host · FTNN Conference Committee

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

Host of The Fetal Frontline and a long-standing member of the Fetal Therapy Nurse Network. 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.

Jen Anderson, RN Guest · Fetal Care Nurse Tap to flip
Fetal Care Nurse
Jen Anderson, RN
Nurse Coordinator · Fetal Surgery & Interventions
Guest · The Fetal Frontline

Jen Anderson, RN

Nurse coordinator · maternal-fetal medicine

Jen has been a nurse for nearly 20 years, all of it in women's healthcare. She started on a labor & delivery floor in a small rural area, then moved into the ambulatory side and maternal-fetal medicine — high-risk OB. Today she's a nurse coordinator for a fetal surgery and fetal intervention program, walking families through some of the most difficult diagnoses in medicine.

A self-described empath, Jen speaks openly in this episode about her own secondary traumatic stress — and how reaching out to the Fetal Therapy Nurse Network at her breaking point became the spark for this very podcast. Her message: caregivers have to learn to advocate for themselves the way they advocate for their patients.


What secondary traumatic stress is — and why fetal care carries it differently

Some grounding before the story. Four ideas that make this weight real — and different from the burnout it's so often mistaken for.

It isn't your trauma — but it stays
"A trauma that happens not specifically to a person, but something you witness — you walk the journey with somebody." You absorb it secondhand, and it can become deeply emotional and draining.
It is not burnout
Burnout is job stress and frustration. Secondary trauma is emotional and internal — "constantly wondering how I can help these families more." Treat it like burnout and you miss it entirely. "A pizza party is not gonna solve it."
You watch the diagnosis land
In fetal care, nurses are often in the room as devastating news arrives in real time — "the look in the eyes, the tears, the why-us questions." Then, immediately: now what do we do?
And you walk it longitudinally
Labor & delivery is episodic. Fetal care is a long road — months alongside a family through a life-limiting diagnosis, sometimes meeting the baby after birth. The trauma is drawn out over time.

The weight we carry.

It rarely announces itself. It's the scream from the end of the hall you never unhear; the drive home when a bubbly, outspoken person goes quiet; the nights you can't turn your brain off. "We can really hold on to some of the really devastating things that we bear witness to." This episode is about naming that weight — and learning to set some of it down.

A nurse's silhouette in a darkened hospital corridor, a warm light glowing ahead

Chapter guide

Twenty chapters, each with a pull-quote and the three things worth walking away with. Tap "Open deep dive" to unpack the context — what secondary traumatic stress is, how it differs from burnout, and the single text message that became this podcast.


I will never unhear that scream. And she was not even my patient.
Jen Anderson — on the moment she understood what this work can leave behind

One nurse's journey to naming it

From a rural delivery floor to a breaking point and back — eight turning points in the story Jen tells.

The start
A happy job, mostly
Jen begins in labor & delivery in a small rural area. "Ninety-five percent of the time it really is that happy job — bringing new lives into the world." It's the other five percent that stays.
The scream
The night at the end of the hall
A full-term mother arrives; her baby has no heartbeat, with no warning. The guttural, emotional scream isn't one she ever forgets — and the patient wasn't even hers.
The move
Into fetal care
She moves to maternal-fetal medicine and fetal intervention — 13 to 14 years of "extraordinary, life-altering diagnoses," delivered to families in real time.
The build-up
Going quiet
Over the last year the weight grows heavier. A chatty, bubbly person comes home and goes silent — turning inward, unable to talk, doing anything to shut her brain off.
The break
"I kind of just broke"
A run of hard diagnoses in a short stretch brings her to a breaking point. "I couldn't stop thinking about work. I finally recognized: I cannot live my life like this."
The text
Reaching out to FTNN
A light bulb: "I've got all these people who know what I'm talking about." She messages the FTNN board — "I'm struggling. What's helped you get through these hard times?"
The answer
"You're not alone"
Texts, emails, phone calls pour in — "I know exactly how you feel. I've been there." Real advice, real relief. And, she says, "that is how we came up with doing this podcast."
The work
Learning to let go
She's still learning the balance: the trauma is okay and normal, "but I can't live there forever." Now she advocates for herself — and for anyone else carrying it.
Step 1 of 8
Drag, swipe, or tap arrows

Where the support comes from

Jen never carries this alone. Across the conversation, six sources of support come up again and again — the people and places that make the weight bearable.

Coworkers who get it
Because of HIPAA, you can't process these stories with just anyone. Coworkers who do the same work — a quick debrief at the nurses' station — are uniquely able to walk you through it.
The provider in the room
"You did a really great job when you said that." Mutual acknowledgment right after a hard visit — naming what worked, and that it was awful — helps everyone reset.
Family at home
She's learned to say "I had a bad day" — and they know it isn't about a broken printer. When they know, they're "much more tender with me when I need it."
Friends & joy
A book club, a wine group, a work-girls' weekend at the cabin. A healthy mix of friends in and out of healthcare — and a shared rule: show up for each other, however that looks.
Leadership & institution
Massage chairs, whole-body "relaxation rooms," therapy dogs, a treat trolley, a morale grant funding cooking and watercolor classes — the little bright spots that add up.
The FTNN network
Nurses across the country — now joined by social workers. "I've got all these people who know what I'm talking about." The group she leaned on for patients, and finally for herself.

What actually helps

Four things Jen comes back to again and again — the coping that works when the weight lands. Tap through each.

In a packed clinic you keep moving — but even a few seconds of acknowledgment changes everything.

Even a 20-second debrief
"Even if it's a 20-second, 'That was really hard. I'm on the struggle bus.'" A quick word at the nurses' station, and coworkers covering each other's patients — "can you see my next one? I just need to regroup" — carry the team through the day until there's time to dive deeper.

The weight follows you across the threshold — so say so.

"I had a bad day today"
Jen's learned to name it at home. Her family knows a bad day for her isn't a small thing — and they're more tender when they know. "Tears are therapy for me," she says. Letting the people who live with you see it is part of how she comes down.

You are not the only one carrying this — so don't carry it alone.

Send the message
At her breaking point, Jen texted the FTNN board: "I'm struggling. What's helped you?" The replies — "I've been there, you're not alone" — changed everything. Peer support beyond your own walls, she says, is one of the most powerful resources caregivers have.

Feel it fully — and then set some of it down.

Let it go — a little
"This is not my body. This is not my child." Self-talk helps her release what isn't hers to carry. So does focusing on the beauty — the wall of fame, the kids who had in-utero repairs now "running and jumping and doing karate." The trauma is normal, "but I can't live there forever."

A caregiver's playbook

Open hands releasing small points of warm light into a dark sky

"You get to be emotional — and you can't live there forever."

The balance Jen is still learning. Care deeply, feel it fully, then set some of it down. Seven principles that run through her story — for anyone carrying the weight of this work.

"People don't know that you need help if you don't tell them. Start talking. Communication is the biggest thing."
Be open with the people in your house, your friends, your coworkers, and your leaders. If you know what will help you, tell them.
"As nurses, our job is to be advocates for our patients — but we need to start learning how to be advocates for ourselves as well."
It's not as easy as advocating for someone else. But you can't pour from an empty cup — caring for yourself is part of the job.
"Everybody needs something different to move past and heal themselves. You really need to have boots on the ground, asking what they need."
A massage chair that works for one person may do nothing for another. Leaders who aren't on the floor can't know what their people actually need — so ask.
"A pizza party is not gonna solve what you're feeling. It's more the mental-health aspect of things."
Burnout is job stress; secondary trauma is emotional and internal. Aim a burnout fix at secondary trauma and it misses entirely — name the right thing first.
"If you've had a lot of really heavy things, I'm gonna give the heavier things for the next couple of days to other people."
Jen's group builds their schedules to spread the hard cases, so no single nurse gets bombarded. Give a struggling coworker a break — even if they seem fine.
"This secondary traumatic stress is okay and it's normal. But I can't live there forever — I have to learn to let it go a little bit."
One of the harder lessons. Self-talk — "this is not my body, not my child" — and focusing on the families who thrive help her set the weight down.
"If you have nothing in your cup, you can't give. Caring is not selfish — it's how you continue to give your compassion."
"It's just like being a parent — I'm not going to be great if I'm burning the candle at both ends. Let's get ourselves good so we can be the best for our patients."

The people who catch you

"I've got all these people who know what I'm talking about." When Jen finally reached out, the network caught her — texts, calls, emails, all saying I've been there, you're not alone. No one heals this alone, and now the circle is widening: nurses across the country, joined by social workers, holding each other up.

Faint human silhouettes and points of light connected into a supportive web

Looking forward

Four threads from the close of the conversation — what gives Jen hope, and the belief at the center of it all. Tap through each.

On why she's optimistic. Asked what gives her hope that we can do better for nurses, Jen doesn't hesitate.

"Because we're nurses, and we can do anything"

  • The mental-health side of this work is finally being talked about
  • It's becoming more the norm — and that's the right track
  • Caregivers are learning to care for each other and themselves
  • "We still got a ways to go" — but the direction is finally right

The lesson that took her 20 years to learn.

You can't pour from an empty cup
"If you have nothing in your cup, you can't give." Caring for yourself, Jen and Kris agree, isn't selfish — it's how you keep giving compassion. "It's just like being a parent. Let's get ourselves good so we can be the best for our patients."

Why this work matters so much — and why leaders can't forget it.

Patients trust nurses
"Nursing is the layer between the provider and the patient." Down-to-earth, the person families open up to — nine times out of ten they save their real questions for the nurse. "The way a patient is cared for by their nurses can exponentially change the trajectory of their diagnosis."

If listeners carry one thing forward.

Start talking
"People don't know that you need help if you don't tell them." Be open — with your family, your friends, your coworkers, your leaders. And offer it back: "I'd love to help anybody else think through it." At conference this fall? "Free hugs for everyone."

Because we're nurses. And we can do anything.
Jen Anderson — on what gives her hope

From surviving to thriving

What keeps Jen going is the other side of the story. The families who come back to visit. The thank-you cards on the worst day of their lives. The kids who had in-utero repairs, "not using any devices — running and jumping and doing karate and gymnastics." A wall of fame of little friends doing well. "This is incredible. You are doing so many great things."

A child leaping joyfully across calm water toward a warm sunrise

Share these moments

Three short clips from the conversation — tap to play, or download to post on Instagram, Facebook, or wherever you share. Passing one along might help another caregiver feel a little less alone.

“I'm at a breaking point”
The text that started this podcast · 0:46
Post caption
Fetal care nurse Jen Anderson on the text she sent the FTNN board at her lowest point — and the flood of replies that became this podcast.
#FetalTherapy #SecondaryTraumaticStress #NurseSupport #NursingCommunity #FetalTherapyNurseNetwork #TheFetalFrontline
Download clip
“A pizza party won't fix this”
Burnout vs. secondary trauma · 0:44
Post caption
Burnout and secondary traumatic stress aren't the same thing — Jen Anderson explains the difference, and why perks don't touch it.
#SecondaryTraumaticStress #NurseBurnout #HealthcareWorkers #FetalTherapy #NursingLeadership #TheFetalFrontline #FetalTherapyNurseNetwork
Download clip
“Because we're nurses”
What gives her hope · 0:33
Post caption
What gives Jen Anderson hope: patients trust nurses — and nurses are the ones who change things.
#FetalTherapy #FetalCareNursing #PatientAdvocacy #NursesOfInstagram #NursingCommunity #TheFetalFrontline #FetalTherapyNurseNetwork
Download clip
Stylized microphone with pink accent

Thanks for listening.

If Jen's story resonated with you, share it with a colleague, your care team, or a healthcare leader. Together we can build a culture where seeking support is a sign of strength — and where no caregiver feels they have to carry the weight of secondary traumatic stress alone. Subscribe so you don't miss the next conversation on The Fetal Frontline.

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Shortcuts

Quick Glossary

Terms Kris and Jen use in the episode
Secondary traumatic stress
The emotional trauma a caregiver absorbs by witnessing or walking alongside someone else's traumatic experience — the subject of this episode.
Burnout
Job stress, frustration, and exhaustion from the work itself — related to, but distinct from, secondary traumatic stress.
Compassion fatigue
The gradual emotional and physical exhaustion that can build in people who care for others in distress.
Maternal-fetal medicine (MFM)
The OB subspecialty for high-risk pregnancies — where Jen coordinates fetal surgery and interventions.
Fetal intervention
Treatment or surgery performed on a baby before birth to address a diagnosed condition.
Life-limiting diagnosis
A condition expected to shorten a child's life — often meaning the care team walks a family through months of an emotional journey.
Spina bifida
A spinal-cord defect that can be repaired in utero — Jen's example of kids who now "run and jump and do karate."
In-utero repair
Surgery to correct a condition before birth, while the baby is still in the womb.
Debrief
A quick, honest check-in after a hard case — even 20 seconds — to acknowledge what happened before moving on.
Peer support
Trained colleagues who show up for one another; also a formal program at Jen's institution open to any staff member.
EAP
Employee Assistance Program — free, confidential counseling and support offered through an employer.
HIPAA
The privacy law that means caregivers can't process patient stories with just anyone — only coworkers who were there.
Relaxation room
A quiet space (some call it a "Zen den") with massage chairs, music, or aromatherapy for a few minutes away from patient care.
FTNN
The Fetal Therapy Nurse Network — the community of nurses (and now social workers) Jen reached out to at her breaking point.
EP5: The Weight We Carry: Secondary Traumatic Stress in Fetal Care
Jen Anderson, RN & host Kris Rimbos