Hailey Bieber Reveals Doctor Advised Against Pregnancy Due to Uterine Septum Raising Miscarriage Risk
Hailey Bieber opened up in a candid podcast appearance about a congenital uterine condition that prompted her doctor to advise against pregnancy, citing elevated risks of miscarriage and preterm delivery. The 29-year-old model, entrepreneur and Rhode Beauty founder discussed the diagnosis on the March 3, 2026, episode of the *SHE MD* podcast, co-hosted by her obstetrician-gynecologist Dr. Thaïs Aliabadi and women's health advocate Mary Alice Haney.

Bieber, who welcomed son Jack Blues Bieber with husband Justin Bieber in August 2024, described the pregnancy as a "surprise" given prior medical warnings. Dr. Aliabadi diagnosed her with a moderate uterine septum — a thin wall of tissue partially dividing the uterine cavity — before conception. "I told her, 'Don't get pregnant,'" Aliabadi recalled on the episode, explaining the septum's potential to complicate implantation and fetal development.
The condition, affecting 1 to 3 percent of women, varies in severity. Bieber's moderate case carried an estimated 25 to 40 percent risk of miscarriage and 10 to 20 percent chance of preterm birth, according to Aliabadi. Doctors recommended monitoring and possibly a minor surgical procedure to remove or resect the septum before attempting pregnancy, but Bieber conceived unexpectedly. "It was a surprise," she said, adding she initially responded, "I'm not thinking about getting pregnant right now, so we'll cross that bridge when we get there."
Despite the risks, Bieber expressed optimism throughout. "I believed everything was gonna work out fine," she shared, crediting close medical oversight and her faith in the process. The pregnancy proceeded under heightened monitoring, including specialized ultrasounds — often 3D imaging — to track the septum's impact, as standard scans can miss the abnormality. Bieber noted preterm delivery emerged as a primary concern over miscarriage as the pregnancy advanced.
Postpartum, she faced additional challenges, including hemorrhage requiring intervention, but emphasized recovery's full timeline — up to a year for hormonal balance, hair regrowth, weight stabilization and more. The episode also touched on her earlier health history, including a transient ischemic attack (mini-stroke) at age 25 linked to a patent foramen ovale (PFO) heart defect, which was later closed.
Bieber's transparency aligns with her advocacy through Rhode and public platforms, where she has discussed mental health, PMDD and postpartum anxiety. The podcast appearance drew praise for destigmatizing reproductive challenges, with fans and commentators highlighting the importance of advocating for advanced diagnostics like 3D ultrasounds.
Medical experts note uterine septa are congenital, often discovered during fertility evaluations or miscarriages. Resection via hysteroscopy can improve outcomes in many cases, reducing miscarriage risk significantly for moderate to severe septa. Bieber's successful pregnancy underscores variability — some women carry to term without intervention — but underscores personalized risk assessment.
As of March 6, 2026, no new developments on additional pregnancies have emerged, with Bieber focusing on motherhood, Rhode's growth and family life. Justin Bieber has shared occasional glimpses of Jack, now approaching 19 months, describing fatherhood as transformative.
The revelation adds depth to Bieber's public narrative, blending vulnerability with resilience. By sharing her story, she joins a growing wave of celebrities normalizing discussions around infertility risks, high-risk pregnancies and postpartum realities, encouraging women to seek thorough evaluations and second opinions.
Fans reacted warmly on social media, with many expressing solidarity and gratitude for the openness. The episode, available on major platforms, continues to spark conversations about reproductive health equity and the need for better awareness of conditions like septate uterus.
Bieber's journey — from doctor's caution to "magical" motherhood — serves as a reminder that medical advice guides but does not always dictate outcomes, especially with attentive care and optimism.
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