Hailey Bieber says her pregnancy was a surprise and reveals she faced a scary condition

Hailey Bieber has always come across as calm and confident. So it is especially striking to hear her open up about something that could have made her first pregnancy much more complicated. On the SHE MD podcast, the Rhode founder shared that before she got pregnant with her son, Jack Blues, she found out she had a uterine septum.

It is a condition many people have never heard of, even though it can affect pregnancy in real ways.

Hailey Bieber says her pregnancy was a surprise

During the conversation, co-host Mary Alice Haney asked Hailey Bieber whether the pregnancy was planned or unexpected. Hailey said it was “a surprise” and clarified that she was referring to Dr. Thaïs Aliabadi, her OB-GYN and the podcast’s other co-host.

Dr. Aliabadi then jumped in and recalled warning her, “Don’t get pregnant!” before conception because Hailey had a uterine septum that needed monitoring and could have complicated a pregnancy. That reaction may have sounded dramatic, but Hailey explained there was a real medical reason her doctor wanted to watch the condition closely before she conceived.

The part of the story that caught her off guard

Hailey shared that there was something her doctor had been keeping an eye on, and at the time, she did not feel like it was urgent because having a baby was not on her immediate timeline. She explained it the way most people would when they are trying to stay practical and not spiral.

“Yeah. So I had a septum in my uterus, and Dr. A kept saying, ‘Well, we need to look at this and keep an eye on it before you get pregnant because it could potentially be an issue,’ ” recalled Hailey. “‘I don’t really know. We’ve got to see. I might have to give you a small surgery for it. Not sure.’ And I was like, ‘Okay. Well, I’m not thinking about getting pregnant right now, so we’ll just cross that bridge when we get there.’ And then I magically got pregnant.”

That is what makes her story feel so familiar. You can think you have everything mapped out, then life switches up the timeline without asking. Dr. Aliabadi’s reaction was instant. “And then she calls me, and she’s like, ‘I’m pregnant!’ And I’m like, ‘No!’ ”

The pregnancy risks they were watching closely

Dr. Aliabadi explained that a moderate uterine septum can raise the risk of miscarriage and preterm delivery. That is the part that tends to make people’s stomachs drop, because those risks feel so out of their control.

“Yours was moderate. It affects 1 to 3% of women, and with moderate, you have a higher risk of miscarriage during the pregnancy. And so the risk for her was about maybe 25 to 40% risk of miscarriage,” says Dr. Aliabadi. “And a 10 to 20% risk of preterm delivery.”

Hailey shared that preterm delivery was the bigger fear for them as the pregnancy progressed. “Which I think was our bigger scare,” added Hailey. “Because we realized as the baby was growing, the septum was, you know, expanding. Everything was opening and doing what it needed to do, luckily.”

That line says so much. It captures the weird mix of worry and hope that comes with pregnancy, especially when you know you have an added risk factor.

Fun fact: Hailey has her own YouTube interview series called “Who’s In My Bathroom?”

The mindset that helped her get through it

Dr. Aliabadi agreed that things worked out luckily, and she shared a moment that stuck with her. It sounds like the kind of conversation you remember forever when you are a patient, too.

“And I never forget, as I was telling her, ‘Well, these are the risks.’ And she looked at me, she’s like, ‘You know what? I believe that everything’s gonna work out fine.’ Remember this? And I looked at her, and I’m like, ‘I think so too,'” shared Dr. Aliabadi.

It is not a promise. It is not denial. It is just two people choosing to focus on steady care and a realistic kind of optimism.

Fun fact: Hailey and Justin Bieber officially got married in 2018, then had a bigger wedding celebration in 2019.

How the PreTRM Test fits into her care

Because of Hailey’s anatomy, family history, and medical background, Dr. Aliabadi administered the PreTRM Test.

The PreTRM Test is a validated, blood-based biomarker test that provides an early and individual risk prediction for spontaneous preterm birth (delivery before 37 weeks) in asymptomatic, singleton pregnancies. It is used to identify at-risk women between weeks 18 and 20 of pregnancy. 

Hailey tested low risk, and that mattered. Even when everything looks fine, reassurance can be a form of care. It can also help guide ongoing monitoring so you are not guessing the whole time.

Hailey also shared that her mom’s history shaped her expectations. “I was convinced I was going to go into labor early because of my mom’s history, but my body had its own plan.”

A quick takeaway if you are trying to conceive

Hailey Bieber’s story is personal, but it also highlights something bigger. A condition like a uterine septum can exist without obvious symptoms. You might not know about it until you are planning a pregnancy or are already pregnant. It is a reminder that asking questions and getting checked out can be empowering, not scary.

If you are thinking about pregnancy, it can help to talk with your OB-GYN about your history, any prior losses, or any concerns you have. And if your doctor recommends extra screening or testing, it is usually about getting clearer information so you can make calmer decisions.

Hailey’s experience shows how modern obstetrics can combine good monitoring, predictive testing, and a steady mindset. Sometimes that mix is exactly what people need to feel less afraid and more supported.

TL;DR

• Hailey Bieber shared on the SHE MD podcast that she was diagnosed with a uterine septum before getting pregnant with her son, Jack Blues.
• She said the pregnancy was a surprise, even though her OB-GYN, Dr. Thaïs Aliabadi, had warned her not to get pregnant yet.
• A uterine septum is a congenital uterine anomaly, a condition where a thin wall of tissue extends into the uterus, and it can be mild, moderate, or severe.
• Hailey’s uterine septum was moderate, which can increase the risk of miscarriage and preterm delivery.
• Dr. Aliabadi said a moderate septum can mean about a 25 to 40% risk of miscarriage and a 10 to 20% risk of preterm delivery.
• Hailey said preterm birth was the bigger fear, but her body adjusted as the baby grew and the pregnancy progressed well.
• Given Hailey’s medical and family background, her doctor used the PreTRM Test to estimate preterm birth risk.
• Hailey tested low risk, which helped provide reassurance and guide ongoing care.

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This article was made with AI assistance and human editing.

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