Until my son was born two months early, “prematurity” was a foreign concept to me. I knew friends of friends who had preemies and had heard stories over the years, sure, but did I think it would happen to us? With our first child? Not for a minute.

But who does?

When we took a childbirth class in late March at the hospital where we’d once planned to deliver, we were the couple with the furthest due date (June 5). Everyone else looked ready to pop. In reality, as I developed severe preeclampsia just weeks later, we probably delivered first. Oliver was born at 32 weeks gestation in April.

By the end of this month, Ollie will have been out in the world longer than I was ever pregnant. This milestone brings a bittersweet mix of joy and relief, sadness and longing. My pregnancy went so fast, ending so abruptly. I’m still working through my complicated feelings about that . . . but that’s a post for another day.

After our sweet 3 pound, 9 ounce baby boy came into the world, friends and family rallied around to offer support and strength. Though I wasn’t always in a good place to receive it, I did feel it — including from my friends here in the blogging community.

Many friends contributed to a GoFundMe started by sweet Trish and Lyndsey, and we were so thankful for your encouragement and donations. I don’t know if I ever issued a public thank you, but if I didn’t, please know how deeply we appreciated that incredible kindness. It came at the absolute best time, and we thank you so much.

November is Prematurity Awareness Month. We definitely know why I had a premature baby, though the exact cause of preeclampsia itself is unknown. Of the nearly 4 million babies born in the U.S. each year, preeclampsia affects approximately 200,000 expecting mothers. Less than 1 percent will have to deliver their baby before 34 weeks gestation . . . still, I was one of that group.

Preeclampsia is defined as a potentially life-threatening pregnancy complication characterized by high blood pressure and signs of damage to the kidneys or other organ system, according to the Mayo Clinic. Left untreated, it can lead to seizures, stroke and maternal and fetal death. The only “cure” is delivery of the baby and placenta.

In my case, my blood pressure began trending high around 30 weeks. I was monitored at home and admitted to two hospitals before doctors finally decided it was too risky to both my life and the baby’s to continue the pregnancy. The morning I was induced, my blood pressure was greater than 200/140. We needed to get the baby out immediately.

So we did. He’s here, he’s perfect, and we love him dearly. Never for a moment do I take for granted how fortunate we are to have such a sweet, healthy child, especially in light of his two-months-early arrival.

But I am still sifting through the emotional impact of that early, traumatic birth, as well as my own lingering hypertension issues. Much of my energy of late has gone toward getting a handle on the anxiety and PTSD I feel in the aftermath of Ollie’s birth. Every day is a process, a step forward.

Though we’re very clear on what caused my son’s prematurity, many women will never know for sure what caused their early labor.

An infant is considered premature if he or she is delivered at less than 37 weeks gestation. According to the March of Dimes, 500,000 babies are born prematurely in the U.S. each year — about 9.6 percent of births. More than 15 million are born too early globally.

Most preemies will spend time in the NICU, the specially-staffed and outfitted intensive care unit for infants requiring support after birth. Our son was in two NICUs for almost a month combined before he was ready to come home.

Since April, I’ve received messages seeking advice on helping other new preemie parents — and no matter what I’m doing when they come in, I drop everything to respond.

Being just six months into our parenthood journey, my memories of our preemie’s delivery and the NICU experience are fresh . . . and if I can lend support to a family faced with a premature birth, I absolutely will. I need to.

I can only speak to my own experience, of course, and do not speak for all preemie parents. What helped me may hinder someone else, and it’s always best to take your cue from the parents themselves. We all have different ways of coping with stressful experiences, and there is no right or wrong way to do so.

But in honor of Prematurity Awareness Month, I compiled my thoughts on helping the moms and dads you know who welcome their children much earlier than expected — and what you can do now to be the support that helps see them through.

Congratulate them

After a friend or loved one welcomes a premature baby, your first step is easy: send your good wishes. They just had a baby! That’s amazing!

Because many premature infants will face immediate medical issues and be admitted to the NICU, there may be a gut instinct to “tread carefully” when discussing their newborn. But don’t do that. The parents want to receive your congratulations and positivity.

Though he was, of course, fragile and different, I didn’t want our 32-weeker to be treated that way. Desperately did I want to feel normal: just a normal mother who had welcomed a normal baby. Sensing others’ sympathy absolutely broke me in half. There is definitely a time for soothing words and compassion — but for me, immediately after birth was not it.

In the beginning? Try to be upbeat. Hopeful. Enthusiastic. They need it.

Make them a meal

Our son was delivered at an urban hospital almost two hours from our home. After I was discharged, we began the arduous task of commuting — in D.C.-area traffic — to see him each day.

The most frustrating part of daily life involved having to feed ourselves. I got angry — actually angry — at having to constantly stop to eat. I didn’t want to eat; I didn’t want to do anything but sit next to Ollie’s isolette, watching his chest rise and fall, and pump what little breast milk I could at his bedside. That was it.

My husband was amazing, taking care of all logistics . . . but we couldn’t bring ourselves to go grocery shopping until right before Oliver actually came home. There was something too “normal” about going for groceries — something that threatened to break my heart. How could I do anything “normal” after what we’d been through?

I couldn’t. So we didn’t.

We needed to eat, though. Eating became a daily chore — and we spent a small fortune on take-out and hospital meals in the month Oliver was in Baltimore. I would have loved a home-cooked meal, but we were barely home to eat one.

If you want to help a preemie parent, offer to bring them food. Make a casserole, lasagna, a Crock Pot full of soup — something they can eat and reheat, if needed, to feed themselves again.

When babies are born, friends and family often gather to form a “meal chain” for the exhausted new parents. Even if their baby isn’t home, they still need that love and support . . . trust me.

Food is about more than nourishment. For a preemie parent, it tastes of comfort and compassion and warmth. Make muffins they can eat on the drive to the hospital, or protein-rich cookies to tuck into bags for snacks.

If you’re not a cook, offer to meet them at the hospital for a meal or to take them to a local restaurant. As time wore on, Spencer and I craved companionship and support at the hospital. We needed a distraction. Company provided that.

Reach out, but give them grace

If your texts, calls and emails go unanswered, understand the maelstrom of highs and lows they are experiencing. Don’t take offense if you don’t hear back quickly . . . and don’t take that as a sign that you should stay away, either.

Though I didn’t always have the emotional energy to respond to messages, I read every single one (and usually cried — but that’s not a bad thing). Knowing people were thinking about and praying for us was a great source of comfort. It helped us feel less alone at the hardest time in our lives.

If your preemie parent friend is anything like me, they might be uncomfortable asking for help. Though I eventually accepted — and welcomed — any and all assistance, it can be hard to reach out.

Statements like “I’m here if you need anything” are well-meaning, but they’re not always helpful. Be specific. Say, “I’m thinking about you and want to help. Can I give you a ride to the hospital this week? What night can I bring you dinner? Do you need help with laundry or dishes?” If they have other children, offer to come spend time with them, help with homework, etc.

Don’t let “not knowing what to say” keep you from saying anything. Just say something, even if it’s “I’m thinking of you” and “I’m here.”

Ask for a delegate

My sister became a point-of-contact immediately after Oliver’s birth. She contacted my friends, work, etc., and became the go-between for family and friends seeking updates.

Understand that preemie parents might not always have the energy to give updates about their baby, especially if they’ve already issued many that day. If you know another family member or friend who might have news, reach out to them instead.

It’s still totally OK (and very welcome!) to send a “thinking of you” text to the parent, but that will save them from having to go into the nitty-gritty — especially if they’ve had a tough day.

Make them a care package

One of the kindest things done for us after Ollie’s birth came in the form of a care package — one from a virtual stranger. Jessie, a friend of my sister’s, had a premature child years earlier. After learning of Oliver’s birth, she arrived at our house one morning with a bag of presents.

I cry just thinking about this woman’s kindness. I actually can’t think about it much, because it almost hurts — in a good way. Preemie parents are truly a tribe.

In this bag were goodies for our new baby, yes — but just as many for us. She was the first person we talked to who really understood we were going through something uniquely hard and painful . . . which made sense, of course. She’d been exactly where we were, and came out the other side with a beautiful child.

To put together a collection of support-related goodies for a preemie parent with a child in the NICU, you could include . . .

• Portable snacks like trail mix, Rice Krispie bars and peanut butter crackers. We threw them into a diaper bag for our journey each day, and frequently snacked on those when we didn’t have the time or energy for a hospital meal.
• Bottled water
• Hand sanitizer and/or hand wipes
• Unscented hand lotion. Your hands dry out quick from all that scrubbing in, trust me!
• Magazines. Everyone needs a little mindless entertainment and distraction now and then.
• Preemie clothing. As it’s unlikely your friend planned on having their baby early, they probably don’t have clothes for him or her. One or two onesies is enough; babies aren’t initially able to be dressed in the NICU and, with any luck, their child will be close to wearing newborn-sized clothing at discharge. Preemie clothes can be tough to find, but we had luck at Walmart and Target.
• A blank journal or notepad. Mine came in handy for jotting down notes from doctors and random thoughts when I needed a private outlet.
• Gift cards for gas, food or the movies/Netflix. Though your parent friends won’t initially want to take time for themselves, this may help remind them they’re allowed to get a real meal or decompress with a film.

These are just suggestions, of course. You know your friend best. If she loves to knit or crochet, include skeins of colorful yarn she can bring to the hospital. If he loves chocolate, bake homemade brownies and pack them in individual plastic bags.

And if you want to really surprise a new mom, bring her a new top. Chances are her pre-pregnancy clothing will not fit, and no preemie mom wants to even look at her maternity clothes . . . let alone wear them.

Six months after birth, maternity clothing is still a painful trigger for me — and one of the first things I had to do after getting out of the hospital was buy new shirts and pants.

I felt completely broken, inside and out, but a few tops that actually fit my swollen body — and weren’t maternity wear, reserved for the lucky women who were still pregnant — gave my spirits a boost.

Encourage them to find support

Though the initial weeks after birth were too chaotic and consumed with Oliver’s needs to worry about our own, there came a time when I was ready to reach out. And not only was I ready, but I was desperate for support.

A quick Google search for “preemie parents” yields half a million results — but I’ve found the most support on Facebook. If your preemie parent friend seems open to it, send them a note with links to Life After NICU and Parents of Preemies Day. Great resources are also available at March of Dimes, Preemie Babies 101 and Graham’s Foundation.

On Facebook, not only do other parents ask questions (many of which I’ve had myself!), get real responses and find camaraderie, but both groups frequently post stories of little ones who have gone on to do great things — and share photos of preemies hitting all sorts of milestones. The atmosphere is one of celebration, and I look for updates daily. Those “happy stories” were crucial to getting me through the early weeks of Oliver’s hospitalization.

Everyone is different, of course. Some parents want to talk about their prematurity experience (I do, clearly!), and others don’t. For some parents, it will be too soon to reach out in the aftermath of their early delivery and NICU experience . . . but don’t let that stop you from trying.

Continue to be there

Remember their journey doesn’t end when their child comes home. He or she may face continued health issues — apnea, oxygen support, etc. — and will likely be isolated at home, especially for the first few months. That means your friend may be isolated, too.

Being a parent to a newborn is incredibly hard. It is frequently overwhelming with moments of the purest joy, but can also be lonely. Being a parent to a preemie newborn? It’s all of those things wrapped into a package tied with a ribbon of anxiety, plus physical and emotional exhaustion. Your friend will need love and support.

Don’t take it personally if you’re not immediately invited to see the baby. At the hospital, NICU rules are strict and often family-only with no children permitted; only two people were ever allowed in Ollie’s NICU at a time, and one always had to be a parent.

When their baby is finally discharged, parents face dueling emotions: excitement and joy that their child is finally coming home, and fear at the thought of caring for them away from the calm guidance and experience of the NICU staff.

The risk of infection — especially during cold, flu and RSV season — is especially worrying for preemie parents. They will likely plan to sequester their child, letting him or her get acclimated to the outside world with limited exposure to others for weeks or even months.

If your friend is able to take a break from the needs at home (and oh, how they will need a break), offer to meet them out for a quick lunch, coffee or just to help run errands. Tell them you’re dropping off a meal (remember, food is important!), but emphasize that you know they’re concerned about the risk of infection and will stay outside.

If you don’t live nearby or can’t come in person, continue to send messages of support. After Ollie came home and my husband had to return to work, I was often overwhelmed by loneliness and worry. My early entrance into motherhood was a shock to my system, physically and emotionally, and I was unprepared. Each note of encouragement really bolstered my spirits.

More than anything . . .

Just be there, and let them know you’re there. Reach out as much as you can with the understanding that it could be hours, days or even weeks before you hear back — but your words still matter.

The fervent prayer of the preemie parent is that, with time, love and patience, their babies will grow from vulnerable infants we can hold in our hands to healthy, happy, curious and loving children.

Be a trusted friend to us on that journey. We need you.