Saying you want to have a child and starting the process to have one seems simple and straightforward. For those who get pregnant fairly easily and then have a child that is healthy enough to come home, they probably never think again about the pathway. But, for those of us who struggled through various forms of loss—infertility, miscarriage, stillbirth, and infant loss—the pathway is not direct and so the end goal of having a child that goes home becomes a fantasy that seems unattainable.