Miscellaneous

Techniques to Improve the Accuracy of Measuring in the First Trimester

 

by Tammy Stearns, MS, RDMS, RVT, RT(R), FSDMS, FAIUM, LAS

Techniques to Improve the Accuracy of Measuring in the First Trimester

Caliper placement can be a daunting task when measuring something smaller than a coffee bean.  Sometimes, it appears that the calipers are bigger than the baby itself making it even more difficult. There is also the decision of if the caliper goes inside or outside with each miniscule change, making a difference in the data obtained.

There are a few techniques that can be utilized to help ensure that the measurements obtained are the most accurate possible.  These same techniques improve resolution, while decreasing the uncertainty of the caliper placement and by providing more distinct borders.

When beginning the scan, be sure that the correct exam type is selected along with the best frequency for the client being scanned.  Prior to placing the caliper, be sure that the images have the highest resolution possible by ensuring that the structure of interest is in the center of the screen.  This can be achieved by applying pressure to either side of the transducer to move the image from right to left.  The image can be centered vertically by either increasing or decreasing depth.  Once the structure is imaged in the center of the screen, depending on the size of the structure, the ZOOM or RES can be utilized to enlarge the image of the structure.  Also, be sure that the transmit or focal zone is level to the structure of interest or just below it to allow for the highest resolution.

Mean Sac Diameter

The Mean Sac Diameter (MSD) is one of the most important measurements in first-trimester obstetric ultrasound. It is used to estimate gestational age, assess early pregnancy development, and determine pregnancy viability when an embryo is not yet visible.  The Mean Sac Diameter (MSD) is the average of the three internal dimensions of the gestational sac: Length (Longitudinal orientation-taken right to left), Height (Anterior-Posterior) and Width (Transverse orientation-taken right to left). The machine will add these measurements and divide them by 3.  Measurements are made from the inner edge to the inner edge of the gestational sac (inside the echogenic trophoblastic ring).  Be sure to include the fluid-filled cavity without including the trophoblastic ring, the decidual reaction, or the chorion.

US2026Picture1aLongitudinal with AP and length measurements.

US2026Picture1bTransverse with width measurements.

  • MSD ≥25 mm with no embryo = pregnancy failure.
  • The yolk sac is usually visible when the MSD reaches 8–10 mm.
  • CRL is the most accurate measurement once an embryo is present.

Crown-Rump Length

Once the embryo is visible, Crown Rump Length (CRL) should be used instead of the mean sac diameter for estimating gestational age.  The CRL is the most accurate ultrasound measurement for determining gestational age during the first trimester. It measures the length of the baby from the top of the head (crown) to the bottom of the torso (rump), excluding the yolk sac, limbs, and umbilical cord.  It is considered the most accurate measurement for pregnancy dating between 6 weeks and 13 weeks 6 days, being accurate to approximately ±3–5 days when measured correctly in the first trimester. Past this time, the baby tends to curl up on itself making it difficult to obtain an accurate linear measurement.

The baby should be imaged in a true midsagittal (long-axis) plane of the baby, not the mother.  Measurements will be taken from the outer edge of the crown to the outer edge of the rump being sure not to include the yolk sac, limbs, and umbilical cord.  The CRL is the preferred method for establishing the estimated due date (EDD) in the first trimester.  Once an EDD is assigned from  the first CRL, it is generally not changed based on later ultrasounds unless there is a compelling clinical reason.

US2026Picture2

  • CRL is used together with cardiac activity.
  • CRL ≥7 mm with no cardiac activity is diagnostic of pregnancy failure.
  • CRL <7 mm with no heartbeat is suspicious but not diagnostic; repeat ultrasound is recommended in 7–10 days.

Femur Length

After 13 weeks, the Femur Length (FL) can be utilized to give an estimate of gestational age.  It should be noted that the scans performed in Pregnancy Help Medical Clinics are Limited Obstetrical Ultrasound scans. Therefore, femur length will give a general estimate of gestational age with the pregnancy to receive a referral for a follow-up complete obstetrical scan to include abdominal circumference, head circumference, and biparietal diameter if the mother decides to continue with the pregnancy.  The FL is the measurement of the ossified diaphysis (shaft) of the fetal femur. The femoral head, greater trochanter, distal femoral epiphysis (if present), or cartilaginous ends of the bone are not included in the measurement.

The femur length is obtained in a view in which the femur is horizontal on the ultrasound screen and perpendicular to the ultrasound beam to minimize foreshortening.  Be sure to visualize the entire diaphysis measuring from the outer edge of one ossified end to the outer edge of the other ossified end. The bone should appear as bright (echogenic) and as close to 90° to the ultrasound beam as possible to minimize foreshortening.

US2026Picture3Femur Length- Only include the shaft of the femur.

  • Femur should be perpendicular to the sound beam.
  • Calipers should extend from the outer edge to the outer edge of the ossified ends.

Measurement accuracy can be improved by following a few specific techniques to increase image resolution and allowing calipers to be placed appropriately. Image quality along with correct structure and caliper placement play significant parts in accurate measurements. Part of the purpose of the Limited Obstetrical Scan is to provide the mother with the information that she needs to make an informed decision.  Estimated fetal age is one of those pieces of information. 

 

Who Can We Trust? Looking at Our California Lawsuit through a Lens of “Trust”

By Jessica Prol Smith, Director of Government Relations for Heartbeat International 

Who can we trust? The question weaves itself into our lives in a million different ways. Trust matters for advertising. For better or worse, 89% of people most trust recommendations from people they know. Trust matters for the pregnancy help organizations opening their doors and arms to women facing the most profound opportunities and challenges of their lives. While clients give us a 98% approval rating after they’ve gotten to know us, what about those who haven’t crossed the threshold?

And “trust” certainly matters when it comes to the bench trial unfolding in our ongoing lawsuit: The People of the State of California v. Heartbeat International & RealOptions. When it comes to the conversations surrounding Abortion Pill Reversal (APR), who do we trust? 

We know that American trust in institutions has generally plummeted over recent years. Gallup polling suggests that certain industries like education and healthcare enjoy a trust rating often exceeding 73%. Conversely, industries with low trust–garnering ratings below 25%-30%–include government, legal, news media, and tobacco companies. 

But what happens when the government uses a medical doctor as an expert witness to buttress their legal arguments? Can we and should we trust the expert? We’ll let you decide: 

As affiliates and supporters of Heartbeat International will know, California Attorney General Rob Bonta filed a lawsuit against Heartbeat International (HBI) and RealOptions Obria Medical Clinics in California state court. After years of litigation and discovery, the bench trial began on June 24, in Alameda County Superior Court. It is currently expected to continue throughout most of July. 

Early in the trial, the California Attorney General called Dr. Mitchell Creinin as its lead expert to provide testimony supporting California’s claim that APR is dangerous and unproven. Creinin is an OB-GYN at UC Davis who acknowledged he no longer delivers babies and has advocated for family planning (including abortion) as “the most humane and viable strategy for human survival.” Dr. Creinin has admitted in court to performing more than 5,000 abortions over the course of his career. He also serves as a paid consultant for Danco Laboratories–the pharmaceutical company responsible for manufacturing and distributing the brand-name version of mifepristone. 

Should Dr. Creinin be trusted? 

Joe Barnas, Director of Marketing at Thomas More Society (representing Heartbeat in court) put it this way: “California hoped Dr. Mitchell Creinin would dismantle the science behind APR. Under cross-examination, the cracks in their case showed.” 

Barnas’s entire review of the Creinin testimony is an edifying read for anyone remotely interested in APR, the public perception of its efficacy, and the ethics of offering this protocol to a woman who no longer wishes to complete a chemical abortion she has started. (It’s good enough that we’ve reprinted it over at Pregnancy Help News. Seriously, read it.) 

If you’re not able to read the whole thing, here’s Barnas’s list of the ten moments that raised serious questions about Dr. Creinin’s testimony and the case built around it.

  1. He privately called his 2020 study “pseudo-blinded”- Then told the public and the court it was double-blind. 
  2. His private estimates on mifepristone-only efficacy undermine his theory - So he left them out. 
  3. His published study wrongly characterized APR recipient as suffering “severe hemorrhage”
  4. He admitted no component of APR is known to cause birth defects
  5. He can’t say APR doesn’t work - and he can’t say it’s unsafe
  6. He can’t back up the AG’s “safer than Tylenol” claim
  7. His published study incorrectly reports a patient arrived by ambulance - and he’s never corrected it
  8. The attorney general had access to the largest APR safety dataset - and their expert never reviewed it
  9. He’s been cited by the federal government for research violations
  10. He believes the world needs more abortions to survive

Barnas closes with these words, “These are not the views of a disinterested scientist—they place the AG’s expert squarely within an ideological tradition that has long advocated population control in developing nations through expanded abortion access.”

As the trial continues, the judge will decide how much he trusts Dr. Creinin. Our legal team continues to provide their own experts with their own testimony–competing for the judge’s trust.

As we watch, from outside the courtroom, we are grateful for the thousands of women who have trusted our messages about APR–and have welcomed their children because of that well-placed trust. We’re grateful for the hundreds of women speaking out. We’re grateful for the trustworthy healthcare professionals who are willing to stand with us. And all others who trust the APRN to continue to provide hope and information to women who ask. If you support this effort, please consider adding your name to An Open Letter in Support of the Abortion Pill Rescue Network

Most fundamentally, we trust that our heavenly Father–the divine Judge and Creator of life–will work good things through this ongoing legal battle. 

 

How Did They Hear About You?

by Liliana Grace

When evaluating marketing, it always seems to start with, “How did they hear about you?”   

The reality?  That worked 50 years ago. Today? Our world is so over marketed and “influencered." There are so many ways they could have seen or heard about you.  If you have the right marketing mix, then the answer isn’t as simple as the final ad that pushed them over the edge to make the call, text, or hit submit on the form fill. 

Every call, text, or form fill is a result of a process that started several times before they ever completed   the call, text or form.   

So, what makes them finally contact you?

The need, or curiosity around the product or services, combined with enough trust to believe that reaching out to the organization won’t be a complete waste of time. 

Once they have developed that level of trust, we know for certain it was rarely just one ad that did that. Yes, this means that even as good as your “bottom of funnel” might be, it likely took multiple interactions to get there.  Simply put, it isn’t just one ad that made them initiate a connection to you. 

What helped them move forward was the comprehensive marketing mix combined with the strength of your brand. 

Screenshot 2026 06 23 at 11.22.12 AMSo, for this article, let’s talk about branding in allegory form. 

Have you used a Band-Aid lately or an adhesive brand?  Have you used a Kleenex or a tissue? A Tylenol or an acetaminophen?  When a brand is so strong that it becomes the name for the industry… you have created category dominance.  When your brand is invisible, you need lots of bottom of funnel marketing to keep traffic coming in. But isn’t branding “so expensive?"

It may feel “expensive,” however, what is the value of category dominance?

Advertising without branding is the most expensive marketing you will ever do.

The reality is most organizations will overspend on their marketing over the lifetime of their organization because they are addicted to how bottom of funnel feels. Without branding and community awareness, you will always be competing to be the one at the “top” of the “bottom of funnel” strategies. 

Not only is that race to the top of the bottom exhausting, but it is also an obscenely expensive growth strategy with almost no shelf life. 

Branding is something you can, and should do, every day and every month. It is how you approach clients when they come in the door and in all aspects of your interactions.  Branding is also about being seen at Chamber of Commerce events and other community events where people can get to know you. It is about cool keepable swag. It is also about advertising that is visible every day, not just in bottom of funnel placements alone. 

True long term sustainable growth is created with solid branding strategies that combine top and middle of funnel. Optimized digital campaigns that focus on branding and click options are often the most powerful to help grow all other aspects of your advertising. Optimized digital campaigns are the oil that grease the wheels so to speak. 

Investing a portion of your advertising and outreach into branding is an investment in the long-term sustainability of your organization. To brand or not to brand can be a “make it or break it” reality for your organization. Branding creates a long-term healthy organization with sustainable results. 

Need help diversifying your budget to include branding along with your bottom of funnel? Reach out!  Finding a marketing coach and strategist is your first step. They will help you identify your persona, develop the brand, core messaging, and then design a comprehensive marketing strategy that blends all aspects of your marketing funnel to help establish your brand for the long term.

To your continued success,

Screenshot 2026 04 27 135555

Liliana Grace
Founder, L Grace Brands
This email address is being protected from spambots. You need JavaScript enabled to view it.

 

 

Speaking Engagements: An Overlooked Tool for Long-Term Fundraising

by Bryan Gonzalez

Sometimes we don't have a fundraising problem – we have an awareness problem.

Many pregnancy help organizations work hard to raise funds through baby bottle campaigns, banquets, walks, and church presentations. These efforts are valuable, but they often reach the same audiences repeatedly. If our goal is to expand support, we must also find ways to connect with people who have never heard of our ministry.

Church partnerships remain important, but they should not be our only avenue for community engagement. In many churches, multiple ministries and nonprofits compete for limited attention. When congregations hear a different presentation every week, even the most compelling message can become background noise.

AdobeStock 1510291309So where else can we go?

Consider this question: Does your organization provide a meaningful service to the community? If the answer is yes – and for pregnancy help organizations it certainly is – then the broader community should know about it.

Speaking engagements provide an opportunity to share your mission, educate the public, and build relationships beyond your existing supporters.  Civic organizations, business groups, schools, healthcare networks, women's organizations, and community associations are often looking for knowledgeable speakers who can address issues affecting families and communities. Not every executive director has the time to pursue these opportunities. Smaller organizations may benefit from identifying a board member, volunteer, or staff member with strong public speaking skills who can serve as an ambassador for the ministry. Larger organizations may designate a development professional, community engagement specialist, or executive leader to fill this role.

These presentations should not be viewed primarily as fundraising events. Instead, they are a form of indirect development – planting seeds that can bear fruit over time.

When people learn about your mission, several things can happen. They may refer clients, volunteer, share your message with others, or make a first-time gift. More importantly, they enter your organization's sphere of influence. As relationships deepen, some of these individuals may become recurring donors, major donors, advocates, or strategic partners.

Fundraising is ultimately built on trust, and trust begins with awareness. By proactively seeking speaking opportunities throughout the community, organizations can expand their reach, strengthen their reputation, and create a broader base of support for years to come.

Speaking engagements may not produce an immediate return, but they can become one of the most effective long-term investments in your development strategy.

Practical Tip: Make a list of 5-10 partners in your community who might welcome a presentation of 30-minutes or less. Then, commit to reaching out to them within the next 30-60 days. Invite board members and staff to join you in the brainstorming exercise.



**Do you have topics you’d like me to write on or have comments/feedback on my articles?  Send me an email:  This email address is being protected from spambots. You need JavaScript enabled to view it.**

 

Thank You Letter July 2026

July ATLC TY2

July 2026

Dear ___________,

Thank you for your recent financial gift to [PHO].

As we celebrate our nation’s independence this month, we’re reminded that freedom is more than a cherished American ideal – it is a gift that can transform lives.  

Jesus said, “And you will know the truth, and the truth will set you free” (John 8:32).

Because of your generosity, individuals who come through our doors receive compassionate, life-affirming care, practical support, and the hope they need to move forward with confidence.  Your partnership helps make it possible for women, men, and families to encounter truth, choose life, and experience the freedom that comes from being cared for and valued.

[Insert client/patient/resident story here.]

Stories like this are possible because faithful supporters like you choose to invest in this ministry.  Your gift is making a tangible difference in the lives of those we serve every day.

On behalf of everyone at [PHO], and especially the [clients/patients/residents] whose lives are being impacted, thank you for standing with us.  We are grateful for your partnership and the lasting hope it brings to our community.

With gratitude,

 

Engaging with Donors Before, During and After Fall Events

by Haley Limo

We are now halfway through the year! As the summer heats up, many pregnancy centers are shifting their focus toward planning for the busy gala season. As you prepare for your upcoming events, keep this short list of key strategies to help you get the most from your fundraising efforts when it comes to your most generous supporters!

AdobeStock 927225570Before the Event:

1. Personally Invite Your Top Supporters

Both general mail and emails can easily get lost in the mailbox or your inbox! Don’t just send a general email or invitation and expect to receive responses from your top supporters. Follow up with a personal email, text, or phone call, however you know they like to best communicate. Don’t be afraid to follow up more than once, twice, or even three times. They will give you an answer eventually - either yes or no!

2. Assigned Seating and Table Heads

With your top supporters, you never want to leave anything to chance. ALWAYS have assigned seating at your events. Not just “tables” but individual place cards at every seat. This will ensure that each major donor will be placed strategically by a staff member, board member, or client. This takes time, but it pays off!!! Getting to be in-person with your major donors is a huge win - don’t let it go to waste - or chance!

3. Research and Strategize

Prepare a document of research for each top supporter and share it with the staff, board, or volunteers who will be sitting next to your top donors. Make sure key information is shared, such as how they got involved, their favorite program in your center, or if there is a recent gift. Make sure that all key event staff are briefed thoroughly on who they will be sitting with and work to strategize a goal for each top donor. Does Mr. Jones have an outstanding pledge that needs to be fulfilled? Has Mrs. Smith been by to see the center yet? Are you about to ask Tom for a gift? Use the manpower in your staff to help you with your development goals for the year! You have all your major donors in one place for one night - use the time wisely.

During the Event:

1. Thank!

Outside of whether or not you are making an ask at the event, make sure that all your major donors are thanked in person for attending and for their support of the center. Make sure every donor (not just the major ones) has a conversation with a staff, board, or volunteer.

2. Listen

During the event, besides paying attention to the program, you should be paying attention to the donors! Make sure your staff knows that it's more important for you to listen to what they have to say than for them to talk! They are getting information on how the center is doing from the event program - make sure when the audience isn’t engaged with the program, someone is engaged with and listening to every donor. Find out how they got involved in the center, why they are pro-life, their daughter’s name, anything and everything!

After the Event

1. Write It Down

Immediately after the event, make sure that the staff that was assigned to sit with and engage with the supporters write down and share with you everything they learned about the supporter. This will be crucial information for you to use in filling out their “profile” and helping you build that relationship with them and craft their next ask. Make sure it is done soon - people forget very quickly! I always wrote down my notes immediately after my interactions!!

2. Thank! Again!

Make sure the donors are thanked for their attendance at the event after the fact. Don’t just do a generic email. For your major donors, give them a call, send them a text, or shoot them a personal email. The best is a handwritten note if you can!

3. Follow-up

This is probably one of the most important things you could do after an event. If you promised a donor you would do something, send them something, etc. do it!! Any action items you received from a supporter at an event should be followed up on as quickly as possible. Don’t delay getting Suzie those updated numbers she asked for, or Robert that book he asked to borrow. Not following up on something you promised is a fast way to tank a relationship!

If you follow all of these key strategies, you will be using the in-person event time with each donor as wisely as you can!

I wish you all luck, loads of support, and endless amounts of caffeine during the fall event season! You got this!

Practical Tip: Personally contact one person a day until your event about their attendance.

 

The Shaping of a Father

by Kelly McCallister, BSN, RN, LAS 

“Dysfunction begets dysfunction.” This is what my father shared with me as I sat across from him during a very difficult time in my life. In some ways, I think it was him taking ownership of his own failures as a parent. Being a parent, we quickly learn that no parent is perfect.

My father’s sentiment has stayed with me and fueled a desire to stop the dysfunction with my own family. I did not want to see dysfunction in the lives of my children or grandchildren. We all make our own decisions, but how we make them is often influenced by those around us.

AdobeStock 144860523Our fathers shape our life.

Whether they intend it or not, how we see everything and experience relationships is filtered through our fathers. It is no surprise that they are actually a strong voice in whether or not we have life. Many women choose life based on what the father of their baby encourages. Dads have a loud voice, even in the quietest of moments.

According to HealthChildren.org, mothers are 50% more likely to get the care they need during pregnancy when the baby’s father is involved. The health and well-being of both mom and baby can be improved by a father that remains present and engaged. Research supports that fathers affect a child’s development, vocabulary, social confidence, and even cardiometabolic health. Interestingly enough, it is also mentioned that having a relationship with a child can make a positive difference in the life of a Dad. This mutually beneficial relationship is a gift from God.

We serve in a unique setting that can foster the involvement of Dads. Affording him the opportunity to see his child for the very first time is an honor and a privilege. Witnessing and intentionally encouraging the beginning of a bond that will last a lifetime is sacred.

The courage of fathers to stand up and stop generational dysfunction is extraordinary. This should be applauded and celebrated. Fathers can influence life or death for future generations. The spoken word is powerful. In fact, scripture teaches that death and life are in the power of the tongue.

"Death and life are in the power of the tongue, and those who love it will eat its fruit." Proverbs 18:21

Our fathers shape our view of God.

Our Heavenly Father is a good, good Father. When our earthly fathers show us a chasm that is so far from Who God really is, it is hard for us to come to terms with the simple fact that the Father of all creation actually cares and wants to spend time with us. The notion that He wants to fix what is broken is often an astonishing contrast to the earthly father that may have broken it - and frankly, hard to believe at times. Yet, we are called to honor our fathers.

Children, obey your parents in the Lord, for this is right. Honor your father and mother" (this is the first commandment with a promise), that it may go well with you and that you may live long in the land.” Ephesians 6:1-3

Our Heavenly Father reshapes us.

Our Heavenly Father allowed Jesus to suffer so much torment. And, Jesus? He took it all, willingly. Why? Because a relationship with YOU was at the forefront for our Heavenly Father and our Savior. You made the sacrifice worth it.

But God demonstrates his own love for us in this: While we were still sinners, Christ died for us. Romans 5:8

In turn, we honor our fathers not because they are always deserving, but because we serve a God that is. One with a huge heart and outspread arms. We do it for Him. As we are obedient and faithful to God, He is using that for His, sometimes unseen, purpose.

We honor those fathers who have stepped up and made the brave decision to be there. To be present. To say that this child is worth it. To come alongside the mother of his child and protect her. To shepherd his family. We honor the fathers who have desperately reached out to the Abortion Pill Reversal Hotline, seeking a second chance for their children. To those who have supported her decision to change her mind and continue her pregnancy. To those who have found fatherhood to be the greatest blessing of their lives.

Most fathers are still a work in progress and in need of much mercy and grace.

Therefore, we also honor, oftentimes with some boundaries in place, those fathers who have let us down, walked away, or given us every reason to doubt. Not because they deserve the honor, but because God is good and because of His goodness we are here and He deserves our honor.

Helping shape the fathers we serve.

As we serve men in our Pregnancy Help Medical Clinics, let us speak life over him. Let us affirm his presence. Empower him to step into the fatherly role that he has been gifted, breaking down any generational strongholds that may have previously existed. Provide resources geared towards him being a positive leader in the life of his child.

Dysfunction does not always have to beget dysfunction. There can be an exception and a change in the trajectory for generations to come. What legacy do we want to leave our children?

See what great love the Father has lavished on us, that we should be called children of God! 1 John 3:1a

Professional Growth and Support

 The following excerpt is taken from Governing Essentials. To learn more about this valuable resource, click here.

The Board is responsible for setting an atmosphere in which the Board itself and the Executive Director have what they need to do their jobs in the best possible way. This means (1) a good working environment, including space and equipment; (2) a good salary and benefits for the Executive Director (and staff), and (3) budget support and encouragement for continuing education and training for the Executive Director (and staff).

For new organizations, and those that have been “getting by” with very small budgets for a long period of time, this may sound impossible. However, it is the Board’s moral responsibility to see that those under their care, especially the Executive Director, are treated with dignity and respect, and that their gifts are developed. If the Board models this with the Executive Director, that treatment will hopefully be modeled with the rest of the staff and with volunteers. When this happens, you will see the fruits – in the “blossoming” of staff and the greater growth and effectiveness of the organization.

AdobeStock 403783557Stepping out in faith may be the way that a new or small organization moves from small salary and benefits to providing a better compensation package for the Executive Director. A committed donor might be convinced to fund a “capacity-building” plan that allows the organization to upgrade office space and equipment and raise the salary of the Executive Director. As with all growth, what is needed is turning it over to the Lord, taking one small step forward, and following with one more step at a time as the Lord blesses.
 
Growth opportunities can be provided in many ways: mentoring of the Executive Director by an executive on the Board or perhaps a donor, community workshops provided by local foundations or United Way, a line item in the annual budget to send the Executive Director and key staff (plus two or more Board members!) to a major Heartbeat International training event (International Conference, Executive Roundtable, or Leadership Institute). Some of the Annual Conference training is available in a format that can be accessed by a group of staff members on-site at your organization. Training courses are also available through Heartbeat Academy.

A commitment to on-site training of Board and/or staff every few years is a tremendous way to nurture your center. Heartbeat International Consultants can come to you! Strategic Planning, organizational assessment, LOVE ApproachTM, and other opportunities are provided by Heartbeat International on site.

A prayer retreat for Board and Executive Director (and perhaps include other staff leaders) is a blessing that can be provided by a local pastor or priest (or both!). Use your creativity to provide a variety of training and support opportunities for your leadership team and for your staff.

Local training events also provide an excellent networking opportunity for Board members and Executive Director (and staff) with other nonprofits in the local community and, in the case of Heartbeat International events, with similar ministries all over the world.

The new relationships, plus renewed enthusiasm and the spiritual renewal that result from such events, make these very wise investments in your organizational growth and Mission. 

Nurturing is key to fulfilling your Mission and working toward your Vision for a culture of Life in your own community. It is also a major responsibility of your Board to feed this ministry of the Lord.
 
Board Activity
At a Board meeting, discuss how your organization is doing at present with professional development and support for your own leadership team (Board and Executive Director) and for the rest of your staff. What do you have currently in place? Do all of you have the training and support to grow and develop more knowledge and skills, and become even better laborers in the vineyard of the Lord? If more attention is due to this aspect of Nurturing, how will you move forward? (Who does what, and when?)

 

Mid-Year Check-In: Are You Ready for Your Year-End Story?

by Andrea Trudden, Vice President of Communications & Marketing

It's hard to believe we're already halfway through the year.

For many Pregnancy Help Organizations, January feels like it was yesterday. Yet before we know it, fall events, year-end appeals, annual reports, and budgeting conversations will be upon us. The organizations that navigate those conversations with confidence are rarely the ones scrambling in November to gather numbers, locate photos, or remember client stories. These are the organizations that have intentionally collected and reviewed key information throughout the year.

In the past, we shared an article on crafting a comprehensive and impactful annual report. While annual reports may feel far away, the middle of the year is actually the perfect time to evaluate whether you're gathering the information you'll need to tell your story well when December arrives.

Consider this your mid-year leadership check-in.

Are You Tracking the Right Numbers?

Take a few moments to review your goals and reporting systems.

Do you know:

  • How many clients have you served so far this year?
  • How do your service numbers compare to the same time last year?
  • What mid-year insights are you seeing in the analytics?
  • Which programs are growing?
  • Which services may need additional attention or promotion?
  • Are your fundraising goals on pace?

Many organizations discover late in the year that they wish they had been tracking a particular metric more consistently. A mid-year review gives you the opportunity to make adjustments now while there is still time to gather meaningful data.

Supporters, just as much as board members, are increasingly interested in measurable outcomes. They want to connect the number of people served with how lives were impacted through those services.

AdobeStock 555068302Are You Capturing Stories Along the Way?

One of the most common challenges organizations face when preparing year-end communications is finding compelling client stories.

The reality is that powerful stories rarely appear on demand.

Now is the time to ask your team:

  • Have we documented top-level client success stories?
  • Do we have proper permissions where needed?
  • Have we collected related photos, quotes, or testimonials?
  • Are there families, volunteers, or donors whose stories illustrate our mission?

The stories that resonate most deeply at year-end are often the ones that have been carefully gathered throughout the year. Every pregnancy test, parenting class, ultrasound appointment, and material assistance visit represents a person whose life may help demonstrate your organization's impact.

Pro Tip: Make storytelling a regular part of your internal team/staff meetings. Encourage sharing recent client interactions and moments of impact. This helps create a culture that values storytelling and helps staff identify stories worth documenting before they're forgotten. Over time, you'll build a library of authentic stories that can be used in donor communications, annual reports, fundraising appeals, and community outreach. The organizations that consistently capture stories throughout the year are often the most effective at demonstrating impact and inspiring support. Always have a release form if you use the client’s name or use an alias.

How Are Your Fundraising Goals Progressing?

Mid-year is also an ideal time to evaluate fundraising performance.

Review your annual budget and compare current giving against projections. Ask questions such as:

  • Are we on pace to meet our fundraising goals?
  • Have donor retention rates remained strong?
  • Are there major donors who need personal follow-up?
  • Do we have a plan for our fall and year-end appeals?
  • Are there opportunities to strengthen donor stewardship now?

Year-end giving often determines whether organizations meet their annual goals, but successful year-end campaigns are rarely created in December. They are built through consistent communication and relationship-building throughout the year.

Does The Board Have the Information They Need to Communicate Your Mission Well?

Board members play a critical role in advancing your mission, but they can only champion your work if they understand it and can communicate it to others.

Take time to evaluate the information being shared with your board. Along with financials and canned reports, are you regularly providing:

  • Missional program updates?
  • Meaningful impact data?
  • Shareable client stories?
  • Strategic progress updates?

A well-informed board is better equipped to advocate, fundraise, and provide governance for the organization.

Looking Ahead Starts Today

The strongest annual reports, fundraising appeals, and donor conversations don't begin at year-end. They begin with intentional preparation throughout the year.

As you move into the second half of the year, consider scheduling a leadership review with your staff and include the findings for discussion at a board meeting. Revisit your goals. Evaluate your data collection processes. Gather stories. Review fundraising progress. Celebrate wins. Identify challenges.

Most importantly, make sure you're documenting the evidence of the life-changing work happening every day through your organization. When year-end arrives, you'll be grateful you took the time to prepare now rather than trying to piece together your story after the fact.

Your mission deserves to be told well. The best time to start preparing for that story is today.

For a full list of year-end resources, click here.

 

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