"The Least Terrible Option" — Jane Armstrong on TFMR and Why Compassion Comes First

 
 
 
 

Jane Armstrong is a licensed clinical social worker certified in perinatal mental health, a TFMR and miscarriage mom, and the founder of Both/And Therapy, where she supports TFMR parents through therapy and support groups. In January 2021, at her 18-week anatomy scan, Jane learned that her son Frankie had the most severe form of spina bifida. Facing a ticking clock and no good options, Jane and her husband Will made the decision to end the pregnancy, and Frankie died in February 2021 at 21 weeks and 3 days. Since then, Jane has welcomed her living son Nolan, experienced two early miscarriages, and built a career supporting the TFMR parents who so often go unseen.

We talk about:

  • The anatomy scan that Jane calls the continental divide of her life

  • Making a decision for Frankie under a ticking clock, and what care looked like in Texas

  • The guilt, shame, and second-guessing so many TFMR parents carry

  • How care differs between TFMR, miscarriage, and from state to state

  • Why TFMR parents are so often left outside pregnancy and infant loss spaces

  • Pregnancy after loss, deciding to stop trying, and the family the world doesn't see

  • What TFMR parents need from the people who love them

This episode is a reminder that TFMR is baby loss, and that the parents who live it deserve compassion, support, and healing, not judgment.

Get to Know Jane:

Jane Armstrong, LCSW-S, QCSW, PMH-C, IPPE-C, is a native Texan now living in Colorado with her husband Will and their son Nolan. She is the founder of Both/And Therapy, PLLC, offering therapy and a virtual support group for TFMR parents, and the creator of @tfmrsocialworker on Instagram, where she works to raise awareness, reduce stigma, and help TFMR parents know they are not alone.

Website: bothandtherapy.com
Resources for TFMR families: bothandtherapy.com/resources
Virtual TFMR Support Group: bothandtherapy.com/virtual-tfmr-support-group
Instagram: @tfmrsocialworker

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