What Is Birth Trauma?

Birth trauma is psychological distress that some people experience after a difficult or frightening childbirth. It can affect the person who gave birth and, sometimes, a partner who witnessed the birth.

What causes birth trauma?

Birth trauma usually follows a birth that felt frightening, painful or out of control. Common triggers include an emergency cesarean section, a long or very painful labor, an assisted birth, heavy bleeding, or fear for the baby's health. A birth that looked routine to staff can still feel traumatic.

What are the signs of birth trauma?

Signs of birth trauma can include flashbacks, nightmares, intrusive memories of the birth and strong anxiety when something brings it back. Some people avoid places or conversations linked to the birth, feel numb, or struggle to sleep and concentrate. In some cases the symptoms meet the criteria for post-traumatic stress disorder (PTSD), and they can occur alongside postnatal depression.

Where can you get help for birth trauma?

A GP, midwife or health visitor is a good first contact. They can talk through what happened and refer to talking therapies or specialist perinatal mental health services. Many charities also offer peer support. Asking for help is not a sign of weakness, and many people find their symptoms ease with the right support.

How can birth trauma affect returning to work?

Returning to work after a traumatic birth can feel harder than expected. Poor sleep, low concentration and anxiety may affect the working day. Practical steps can help, such as a phased return, flexible hours, time off for therapy appointments and a private space for breaks.

Sources: NHS, MedlinePlus, ACOG.

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