|This layout shows a nice clear picture of the birthmother (blurred to protect privacy), with the explanation on how she was pregnant at the time she married the birthfather. The page also includes copies of the original birth certificate and consent to adoption. It provides a nice segue to the next page, one that show a photo from the wedding day of her dad and adoptive mom, along with revised birth certificate and final adoption papers.
In this example, because the birthmother (pregnant) is already shown, it would not be necessary to use it, but perhaps a cute accent to use the pregnant woman die cut. The smaller one could be used to journal on, or the larger one as a background accent on which photos could be mounted.