Silent Cry: the Unseen Toll of Infant Loss on Black Families in California
BAKERSFIELD NEWS OBSERVER — Kimisha Gill and André Hill Sr. of Bakersfield, California, keep their daughter Kairis Aurae Hill’s nursery largely untouched more than a year after her death. Kairis died five weeks after her birth due to complications related to Down syndrome and pulmonary hypertension.
The post Silent Cry: the Unseen Toll of Infant Loss on Black Families in California appeared first on BlackPressUSA.
More than a year after Kairis Aurae Hill died, the nursery her parents prepared in their Bakersfield home remains largely untouched. A white crib sits beneath a hanging mobile. Mickey and Minnie Mouse lean against the rails beside a teddy bear. Tiny clothes fill the drawers.
“We thought we’d be bringing her home to this room,” Kairis’ mother, Kimisha Gill, said quietly.
Grief By the Numbers
Across the United States, Black parents experience infant loss at rates twice as high as their white counterparts. In California, Black infants die at nearly three times the rate of white babies, a disparity that persists in Kern County, where socioeconomic challenges leave infants dying at triple the rate of white babies as well.
California’s grieving parents are often left in isolation. In Kern County, the Public Policy Institute of California found there were fewer than half as many mental health providers as coastal counties, leaving local families with nowhere to turn.
The loss extends far beyond the immediate tragedy. Research links stillbirth and infant loss to elevated risk for depression, anxiety, post-traumatic stress disorder, and complicated grief in bereaved parents, prompting mental health professionals to call for long-term support rather than short-term crisis intervention.
Bakersfield perinatal mental health therapist Mesha Muwanga sees the lasting effects of that grief firsthand.
“A lot of people grieving will shut down,” Muwanga said. “Let’s say you said something to me like, ‘You’re young, you can have another baby. Pray about it.’ I might not ever bring it up to you again. It just forces them to be quiet about their pain.”
Born on May 15, 2025, Kairis died five weeks later in the NICU after complications related to Down syndrome and pulmonary hypertension, shattering the future that Gill, 39, and her husband, André Hill Sr., 39, had imagined for their daughter.
“The longest amount of time I was able to hold her was the 10 hours after she died,” Gill recalled. I think I lost myself a bit when Kairis passed,” Gill said. “I definitely felt like a part of me died with her. The loss affected nearly every part of daily life.”
In the months that followed, Gill found herself returning to the nursery, where she recreated small rituals of the life she and Kairis never got to share.
“For some reason I felt called to look at her baby clothes,” Gill said. “I would pull out a onesie and think, ‘This is what I would put on her today.’”
Grief took different forms within the family. While Gill returned to the nursery, Hill focused on caring for his wife. “I wanted to make sure that I showed up for her in every way I possibly could,” he said. “I cried privately.”
One morning, shortly after returning home, Gill said that in the space between sleep and wakefulness she heard a little girl’s voice whisper a single word into her ear: “Mom.”
“There is no one else in the world who would have reason to call me Mom,” she said.
Then came the butterflies.
A yellow butterfly began appearing in the family’s backyard, lingering nearby in ways that felt unusual.
The family had chosen butterflies as the theme for Kairis’ baby shower and had nicknamed her their “Little Butterfly” before she was born. Now, the butterfly has a new meaning—a quiet reminder that Kairis is still near.
Kimisha Gill holds a butterfly necklace that will carry the remains of Kairis. Photo Credit: Cecil Egbele
Experts say experiences like these are common among grieving parents. Memories, sensory reminders and symbolic connections often become part of how families maintain continuing bonds with children who have died.
“Seeing or hearing the person you’ve lost can actually be a normal part of grief,” said Muwanga. “It’s not psychosis. It’s one way the mind protects itself.”
Grassroots Healing Services for the Bereaved
California has invested significantly in Black maternal health through programs such as the Black Infant Health Program and the Perinatal Equity Initiative. However, those programs are designed to support pregnant people and new parents, not families navigating bereavement after pregnancy or infant loss.
The California Department of Public Health (CDPH) offers the bereaved peer support groups addressing Sudden Infant Death Syndrome and Sudden Unidentified Infant Death, focusing on prevention, surveillance, and connecting families with local resources; Kern County offers a local SIDS Safe Sleep program.
For families seeking additional support, Medi-Cal covers full-spectrum doula services — when recommended by a healthcare provider — which may include doula care that specializes in pregnancy and infant loss. However, doulas are not mental health professionals and do not replace grief counseling or clinical care for those in the throes of loss.
Founded in 2018 by Black Bakersfield resident Trinity Brown after the stillbirth of her own daughter, the Noel Alexandria Foundation (NAF) steps into this gap of bereavement care for Kern County families. “We built the support we wished existed.”
Trinity Brown, CEO and Founder of the Noel Alexandria Foundation. Photo Credit: Cecil Egbele
In October 2017, at 36 weeks and five days pregnant, Brown woke to find she could no longer feel her daughter moving. At the hospital, doctors confirmed there was no heartbeat. She still had to deliver her daughter, but left the hospital without her child.
“Leaving the hospital without your baby, leaving your baby in the hospital, knowing you’re going to go home with empty arms,” Brown recalled.
Her body healed from childbirth, and life around her moved on. Her grief did not. Nine months later, she founded the Noelle Alexandria Foundation, named after her daughter.
“You still feel alone and isolated when other people haven’t gone through that experience,” Brown said. “You will hear people say, ‘You can always have another baby. Everything happens for a reason. At least you know you can get pregnant.’” But those words, Brown said, often deepen the wound.
The Noel Alexandria Foundation, is one of a handful of organizations focused on perinatal loss and maternal mental health. NAF provides a range of grief support for families navigating pregnancy and infant loss: from its support group Silent Cry and community behavioral health services to educational scholarships for students affected by pregnancy or infant loss. They also offer bereavement trainings for medical health professionals. For families, they offer funeral assistance and their signature Comfort Kits that include a teddy bear the size and weight of a newborn.
A sample of the Comfort Kit given by NAF to hospitals for families experiencing the loss of an infant. Photo Credit: Trinity Brown
To date, the organization has connected with the bereaved through hospitals and birthing facilities in Texas, Alabama, Wisconsin, and California, including more than 6,500 Kern County families.
Kimisha Gill did not find the Noel Alexandria Foundation through a hospital referral. She found it while scrolling through social media. As it turned out, Gill and NAF’s founder, Brown, had crossed paths in high school, decades before grief brought them back together.
Through NAF, the Hills received help with cremation urns and memorial jewelry. Gill began attending the bimonthly Silent Cry meetings. And in October 2025, the Hills walked in the Running with the Angels 5K Run/Walk, where their daughter’s name was called aloud, and a butterfly was placed in their hands. “I didn’t know I was going to need this type of sisterhood,” said Gill.
Brown said families are welcome at NAF at any point in their grief journey.
Kimisha Gill and André Hill hold the footprint and fist mold in remembrance of their late daughter Kairis Hill. Photo Credit: Cecil Egbele
“We don’t tell the family that they’re no longer able to attend because they’ve done six weeks,” said Brown. “We’re here with open arms all the time. We’re a family. We are here to support each other. It’s a lifelong journey.”
Brown aims to expand further nationwide so more grieving families can find community. Grief Lives Alongside Joy
For many bereaved parents, another pregnancy marks the beginning of a new chapter, not the end of grief. The Hill family still keeps Kairis close through her footprints, hand molds, and a recording of her heartbeat tucked inside a stuffed giraffe. Her nursery remains much as they left it.
This July, Kimisha Gill and her husband welcomed their daughter, Kienna Aurielle Hill. For the Hills, her arrival has been both a celebration and a reminder of the daughter they lost.
Kimisha Gill and André Hill give their new daughter Kienna Aurielle Hill a warm welcome to the world. Photo Credit: André Hill
“It’s a bittersweet feeling,” said Hill. “On one hand, we still miss our angel baby, Kairis, dearly, while simultaneously being thankful for her sister Kienna’s arrival.”
“We’re just doing our best to stay present and embrace the joy that comes with our new addition to the family, and still honor the feelings of grief when they arise.”
This story was produced for the USC Center for Health Journalism’s Ethnic Media Collaborative.
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Here is what you need to know about finding unique white elephant gift ideas that everyone wants to steal
The best white elephant gift ideas are funny enough to get a reaction but useful enough that people actually want to steal them. Look for gifts with a surprise factor, broad appeal, an inside joke, and just enough personality to spark some friendly competition. The wrapping paper comes off, the room goes quiet for half […]
The best white elephant gift ideas are funny enough to get a reaction but useful enough that people actually want to steal them. Look for gifts with a surprise factor, broad appeal, an inside joke, and just enough personality to spark some friendly competition.
The wrapping paper comes off, the room goes quiet for half a second, and suddenly everyone wants the same gift. That is the sweet spot. A great white elephant pick should make people laugh, lean in, and start plotting their next steal before the turn is even over.
Should a White Elephant Gift Be Funny or Useful?
A white elephant gift can be funny or useful, but the strongest choices usually give people a reason to laugh and a reason to keep the item. A practical gift with an odd design, unexpected feature, or playful theme can get a reaction without becoming something the recipient immediately wants to give away.
The right balance depends on the group. Close friends and family members may enjoy a ridiculous gag gift because they already understand one another’s sense of humor.
A workplace exchange, neighborhood party, or mixed-age gathering usually calls for something with broader appeal. In those settings, humor works better when it is built into an item people could still use afterward.
It also helps to think about how quickly the gift will make sense once it is opened. A strangely shaped kitchen tool, oversized mug, quirky desk accessory, or unexpectedly fancy everyday item can create an immediate reaction. Guests understand the joke right away, while the item still has enough practical value to attract a steal.
Pure gag gifts can be harder to pull off. Something that exists only for the punchline may get a big laugh during the reveal and then sit untouched for the rest of the game. If the goal is to bring one of the gifts everyone keeps fighting over, usefulness gives the joke staying power.
Inside joke gifts can make a white elephant exchange feel much more personal, especially when most of the group shares the same stories. The trick is choosing a reference that people will recognize quickly instead of building the entire joke around something only two guests understand.
You can turn a memorable vacation mishap, office catchphrase, family story, or long-running group joke into the theme of the gift. A personalized comic book can work especially well when it turns familiar people or a ridiculous shared moment into part of the story.
Think carefully about who the joke involves before ordering anything permanent. The gift should make the person feel included in the fun, not singled out for the wrong reason.
Can You Bring Something You Already Own?
Holiday gift exchanges can be a good place to re-gift something you never used, especially if it is unopened and clean.
The following can all work if they still look presentable:
The goal is to give the item a second chance, not use the exchange as an excuse to clear out damaged or unwanted clutter.
Take a close look at the packaging before wrapping it. Faded boxes, missing pieces, visible wear, or anything that looks obviously used can make the gift feel careless.
Wrapping Budget-Friendly Gifts
Wrapping can make gifts more entertaining before anyone even knows what’s inside.
Misdirection works especially well for fun party games. Put a small gift inside a much larger box. Use packaging from an unrelated household item.
Add harmless weight so guests cannot guess what they are holding. The reveal becomes part of the joke without changing the gift itself.
You can also lean into the theme of the exchange. Bright paper, oversized bows, reusable bags, or deliberately over-the-top wrapping can make an ordinary item feel more memorable. If the gift itself is already funny, simple wrapping may work better so the surprise stays hidden until the last second.
Frequently Asked Questions
Is Picking Last an Advantage in White Elephant?
Picking last can be an advantage because you get to see almost every gift before making your move. Instead of choosing blindly from the remaining wrapped presents, you can steal something that has already caught your attention if the rules still allow it.
That advantage depends on the house rules. Some games limit how many times a gift can be stolen.
Others lock an item once it reaches a certain number of steals. If the most popular gifts are already unavailable, the final player may have fewer strong options than expected.
The first player can also get another turn at the end in some versions of the game. That rule can balance things out, since the person who started with the least information may get one final chance to steal.
How Do You Plan White Elephant for a Large Group?
For a large white elephant exchange, set a firm spending limit and establish the stealing rules in advance.
Create a clear turn order before the game begins. Drawing numbers as guests arrive can save time once everyone is ready to start.
Keep the number of steals per gift limited so the game does not drag on. It also helps to have one person track which creative holiday presents have been stolen and when they are locked, especially if dozens of people are participating.
Can You Play White Elephant Virtually?
A virtual white elephant exchange can work over a video call, with one person keeping track of the turn order and each steal. Guests can either mail physical gifts ahead of time or use digital gifts that can be delivered once the game ends.
Set the spending limit and stealing rules before everyone joins. It also helps to decide how gifts will be revealed and who is responsible for sending each one afterward so the exchange does not become confusing.
Choose a Perfect White Elephant Gift in a Snap
Look for a white elephant gift that fits some of these criteria, and everyone will be trying to grab it at your next celebration.
Do you need more gift-giving tips and tricks? Make sure you read some of our other posts.