Ninety-five percent of the time, Jen Anderson says, hers is a happy job — bringing new lives into the world. It's the other five percent that stays. In this episode of The Fetal Frontline, host Kris Rimbos sits down with Jen, a nurse of nearly 20 years and a coordinator for a fetal surgery and fetal intervention program, for an open conversation about secondary traumatic stress — the trauma caregivers absorb by witnessing and walking alongside families through the worst days of their lives. Jen traces her whole arc: the scream from the end of the hall, early in her career, that she has never unheard; the move into fetal care, where devastating, life-altering diagnoses are delivered in real time and then walked longitudinally for months; and the slow build-up of a weight that, in the last year, brought her to a breaking point. She's candid about how it shows up — a bubbly, outspoken person going quiet at home, unable to turn her brain off — and clear-eyed about why it's so often mistaken for burnout. ("A pizza party is not gonna solve what you're feeling.") The heart of the episode is the moment she broke, and what she did next: she texted the FTNN board of directors — "I'm struggling. What's helped you?" — and was met with a flood of texts, calls, and emails saying I've been there, you're not alone. That, she says, is how this podcast came to be. From there she opens up about what actually helps: quick debriefs and covering for each other; naming it at home; the little bright spots (massage chairs, relaxation rooms, therapy dogs, a morale grant); reaching out to your people; and the hard work of letting some of it go. She closes with a call to action for leaders and a belief at the center of it all — that patients trust nurses, and the way a family is cared for can change the trajectory of a diagnosis. In this episode: - What secondary traumatic stress is — and how it differs from burnout - Why fetal care carries it differently: diagnosis in real time, and the long road after - The breaking point, and the text message to the FTNN board that started this podcast - What actually helps — debriefs, peer support, self-talk, and filling your own cup - How to spot a struggling coworker, and how to advocate for yourself - Why caring isn't selfish, and why nurses are the bridge Chapters: - 0:00 — Welcome: the weight we carry - 1:29 — Meet Jen Anderson - 2:39 — What secondary traumatic stress is - 3:17 — The scream she'll never unhear - 5:29 — How it shows up - 7:09 — Burnout is not the same thing - 9:28 — Why fetal care is different - 14:10 — After a hard day - 17:38 — When the team carries it together - 19:20 — Support that actually helps - 22:38 — Patients are therapy, too - 24:48 — The breaking point — the text that started this podcast - 26:41 — We're not the only ones - 27:22 — Friends, joy, and showing up - 30:12 — Wellness that works - 32:00 — The turning point: "I kind of just broke" - 33:41 — What helps her heal - 35:18 — Start talking: be your own advocate - 38:11 — Spotting a struggling coworker - 39:41 — Hope, and one message: patients trust nurses Guest: Jen Anderson, RN, CLC — fetal care nurse; nurse coordinator for a fetal surgery and fetal intervention program. Host: Kris Rimbos — host of The Fetal Frontline and an FTNN board member. If this conversation resonated, share it with a colleague, your care team, or a healthcare leader. Together we can build a culture where seeking support is viewed as a sign of strength — and where no caregiver has to carry the weight of secondary traumatic stress alone. Learn more about the Fetal Therapy Nurse Network at fetaltherapynursenetwork.org, and subscribe to The Fetal Frontline wherever you listen.