Ask Midwife Laura: Birth Trauma

Can birth trauma impact on bonding with your baby?

Firstly, let’s define what birth trauma is.

Birth trauma refers to a distressing or overwhelming experience during childbirth, which can have physical, emotional, and psychological effects on both the parent and the infant. It can lead to feelings of anxiety, stress, or post-traumatic stress disorder (PTSD) in the parent, affecting their ability to bond with and care for their baby.

The effects of birth trauma on the relationship between a parent and their infant can be profound. The emotional distress and unresolved trauma can hinder bonding and caregiving, making it crucial to seek support and assistance. If you suspect you or someone you know is experiencing birth trauma, reaching out to healthcare professionals and mental health experts can provide the guidance and resources needed to navigate this challenging journey. Remember, you are not alone, and help is available to support you in healing and strengthening your relationship with your child.

So yes, birth trauma can potentially impact the relationship between a parent and their infant. However - it’s super important to highlight that most people who experience trauma, and the strong emotions associated with it, process it themselves, gradually over time.

What are the signs of birth trauma? Is it PTSD or depression?

It’s important to note that birth trauma doesn’t always result in post-traumatic stress disorder (PTSD) and is distinct from postnatal depression. In the UK alone, approximately 200,000 women find certain aspects of their birth traumatic, with many experiencing some but not all of the symptoms associated with PTSD:

1. Re-experiencing traumatic events

2. Engaging in avoidance behaviours

3. Feeling a heightened sense of threat

4. Having negative thoughts or feelings

The experience of birth trauma encompasses a wide range of emotions, from fear and overwhelm to frustration, sadness, guilt, and more. It’s common to have intrusive thoughts, flashbacks, and nightmares, constantly reliving the birth in your mind.


2. Should I have C-section this time after a physically traumatic forceps birth last time?

It’s important to consult with your healthcare provider about your specific situation. They will be able to evaluate your medical history, assess any risks or complications, and provide personalised advice. They can consider factors such as the reason for your previous complications and your overall health to help you make an informed decision about whether a C-section is the best option for you. A lot of healthcare providers offer a debriefing service- so you could check this out to see if it’s an option. It’s important to get unbiased information to make sure your chosen method of birthing is right for you. Take a look at our online C-Section Prep, Birth and Recovery Courses to educate yourself on what it might be like to have a C-section.

Experiencing trauma from a previous birth can be challenging, and it’s important to prioritize your emotional well-being. Here are a few suggestions that may help:

1. Seek support: Consider talking to a mental health professional, such as a therapist or counsellor, who can provide guidance and support as you process your emotions and fears surrounding the previous birth experience.

2. Think about which elements of birth are triggers for you- explore ways you could work through these. Chat to you Midwife or explore having a debrief with the hospital you birthed at. Sometimes these can be helpful to understand the fuller picture about what happened in your previous birth. But your feelings are valid and it’s important to acknowledge how scary birthing can be.

3. Education and empowerment: Educate yourself about C-sections and the process involved. Understanding the procedure and what to expect can help alleviate anxiety.

4. Discuss your concerns and questions with your healthcare provider to ensure you have accurate information. They can address your concerns, explain the steps they will take to mitigate risks, and provide reassurance about an upcoming C-section.

5. Build a support network. Surround yourself with loved ones who can offer emotional support throughout the process. Sharing your feelings and fears with those close to you can help alleviate anxiety. Consider birth affirmations and relaxation techniques: Explore relaxation techniques, breathing exercises, and positive birth affirmations to help reduce stress and anxiety leading up to the C-section. Remember, each birth experience is unique, and it’s important to prioritise your well-being and make decisions that feel right for you. Working closely with your healthcare provider and seeking emotional support can help you navigate the process more effectively.


Should I tell my Midwife about previous birth trauma?

Absolutely - yes, yes, yes. It is important to inform your Midwife about any previous birth trauma you have experienced. Sharing this information will allow your Midwife to provide you with appropriate care and support during your current pregnancy and childbirth. They can take your previous experiences into consideration and help you develop a birth plan that addresses your specific needs and concerns. Open communication with your healthcare provider is crucial for ensuring a safe and positive birthing experience.


Does anyone actually have the time to work through their birth trauma?!

Taking care of your mental health during pregnancy and postnatally is crucial for your overall well-being and the well-being of your baby. Pregnancy, birth and the postpartum period can bring about various emotional and psychological challenges, and prioritising your mental health can help you navigate these experiences more effectively. Here’s why it is important:

1. Emotional well-being: Pregnancy and childbirth can trigger a range of emotions, including joy, anxiety, and sadness. Taking care of your mental health allows you to manage these emotions and maintain a positive outlook.

2. Bonding with your baby: Your mental health can impact your ability to bond with your baby. By addressing any emotional challenges or trauma, you can foster a stronger connection with your child.

3. Postpartum depression and anxiety: Pregnancy and the postpartum period can increase the risk of developing conditions like postpartum depression and anxiety. Prioritising your mental health can help identify and address these conditions early on. Finding time to process birth trauma when you have a baby or other children to care for can be challenging, but it is essential.

Birth Trauma Resources & Support

You can visit these websites to access more information, resources, and support provided by each organisation.

Birth Trauma Association (BTA)

Website: https://www.birthtraumaassociation.org.uk/

The Birth Trauma Association is a UK-based charity that offers support, information, and resources for individuals who have experienced birth trauma. They provide a helpline, online forums, and a wealth of information on their website.

Make Birth Better

Website: https://www.makebirthbetter.org/

Make Birth Better is a UK-based organisation that aims to improve the experiences of birth through support, education, and advocacy. They offer resources and support for individuals who have experienced birth trauma, as well as campaigns for better maternity care.

PANDAS Foundation

Website: https://pandasfoundation.org.uk/

The PANDAS Foundation supports individuals experiencing perinatal mental health issues, including birth trauma. They offer a helpline, online support groups, and information on their website.

Maternal Mental Health Alliance (MMHA)

Website: https://www.maternalmentalhealthalliance.org/

MMHA is coalition of organisations in the UK working to improve maternal mental health. They provide resources and information on perinatal mental health, including birth trauma.

We’ve also written a handy little guide with practical tips to help make your c-section better.


Written By: Midwife Laura