SHE MD

Hailey Bieber on Postpartum Recovery, PMDD, and Hormone Changes After Birth

Mar 3, 2026
Guest
Hailey Bieber
Hailey Bieber, model and entrepreneur who survived a TIA at 25, shares her pregnancy, labor, postpartum recovery, PMDD, and skincare business journey. She talks about the TIA and finding a PFO. She recalls a surprise pregnancy with uterine septum concerns, induction and rapid delivery, heavy postpartum bleeding and the Jada device, and postpartum rehab, pumping, and PMDD.
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ADVICE

Treat PFO With Percutaneous Closure When Indicated

  • Close large PFOs percutaneously using a closure device delivered through the groin to reduce recurrent stroke risk.
  • Operators may choose a larger device than pre-procedure estimates when the defect is bigger than expected.
INSIGHT

Uterine Septum Raises Miscarriage And Preterm Risk

  • A uterine septum is a congenital intrauterine wall affecting 1–3% of women and increases miscarriage and preterm birth risk depending on size.
  • Moderate septums (1–2 cm) can raise miscarriage risk to ~25–40% and preterm risk to 10–20%.
ADVICE

Use Preterm Blood Test Then Give Progesterone And Aspirin If High Risk

  • Offer the Preterm blood test at 18–20+6 weeks to stratify preterm delivery risk by measuring two placental proteins.
  • For those who test higher risk, give vaginal progesterone 200 mg nightly until 36 weeks and add low-dose aspirin and closer cervical surveillance.
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