Birth trauma

^{_{Click above for a video from Best Beginnings about post-traumatic stress disorder (PTSD) and birth trauma.}}

Contact information for your local maternity service

East and North Hertfordshire (The Lister Hospital): 01438 284 124

West Essex (The Princess Alexandra Hospital): 01279 827 286

South and West Hertfordshire (Watford General Hospital): 01923 217 343

Birth Trauma and PTSD

You may develop post-traumatic stress disorder (PTSD) if you experience:

a difficult labour with a long and painful delivery
an unplanned caesarean section
emergency treatment
other shocking, unexpected and traumatic experiences during birth.

This is also called birth trauma. The impact of these experiences is often underestimated, as people may feel that the baby is adequate compensation for the trauma and that, as a new mother, you will soon forget it in the joy of motherhood.

However, a traumatic childbirth and developing PTSD can impair your relationship with both your baby and your partner. You may feel acute disappointment that childbirth was not the experience you were hoping for, and feel angry with the medical staff if you felt that the delivery wasn't handled well. If you develop PTSD, you're likely to also experience flashbacks or unwanted memories of the traumatic birth. This might mean that you feel anxious about having another baby. Here is what one mother said:

"I had a traumatic birth. I was so petrified that my son would die that in my head it was easier not to love him just in case."

Birth reflections/after thoughts/debrief service:

If you have unanswered questions about your birth experience, you can contact your maternity service to discuss and understand what happened. The confidential service is run by midwives, and can help resolve any unanswered questions, discuss implications for future pregnancies and births, and give an opportunity to provide feedback both positive and negative of your experience.

Princess Alexandra Hospital - self-referral by emailing tpa-tr.antenatalclinicpah@nhs.net. Please include your name, date of birth and NHS number.
Lister Hospital: self-referral by emailing maternitybat.enh-tr@nhs.net. Please include your contact details.
Watford General Hospital - self-refer by emailing westherts.birthdebriefservice@nhs.net. Please include your contact details.

re-living aspects of the trauma
vivid flashbacks (feeling that the trauma is happening all over again)
intrusive thoughts and images
nightmares
intense distress at real or symbolic reminders of the trauma
physical sensations such as pain, sweating nausea or trembling, alertness or feeling on edge
panicking when reminded of the trauma
being easily upset or angry
extreme alertness
disturbed sleep or a lack of sleep
irritability and aggressive behaviour
lack of concentration
being easily startled
self-destructive behaviour or recklessness - this could include drinking alcohol or using drugs
avoiding feelings or memories
keeping uneccessarily busy
avoiding situations that remind you of the trauma
repressing memories (being unable to remember aspects of the event)

The treatments for PTSD are primarily talking therapies:

Trauma-focused cognitive behavioural therapy (CBT) which is specifically designed to to treat PTSD (see MIND's resources on 'CBT' for more information).
Eye movement desensitisation and reprocessing (EMDR). In this treatment you are guided by a therapist to make rhythmic eye movements while recalling the traumatic event. The eye movements are designed to stimulate the information-processing system in the brain. The aim of the treatment is to help you process the traumatic events, and speed up re-adjustment and recovery.

Medication is not normally offered to treat PTSD but, as it is common to also experience anxiety and depression to alongside PTSD, your doctor might offer you medication to treat this. Your doctor might also offer you medication to support you to feel more stable and able to care for your baby, or if there's a long wait for talking treatments in your area. See MIND's resources on 'Treatments for PTSD' for more information.

Coping with the after effects of a traumatic birth can feel very challenging, but there are some things you can do to help yourself cope:

Learn to manage difficult emotions. If you find yourself struggling with strong feelings of anger or anxiety, it can be helpful to think about ways to manage these emotions. See MIND's resources on 'How to cope with anger' and 'Understanding anxiety and panic attacks' for ideas.
Learn some relaxation techniques. You might want to try meditation, breathing exercises or mindfulness to stay calm and manage your triggers.
Giver yourself time. It can feel frustrating to be struggling with PTSD symptoms, and it's easy to get angry with yourself for not 'getting over' it. But recovering from a trauma takes time, and its important to allow yourself space to do so. Putting pressure on yourself to get better can end up making you feel worse. Make a note reminding yourself to take time to recover, or asked loved ones to remind you whenever you're struggling that recovery takes time.
Contact specialist organisations. The Birth Trauma Association has more information about birth trauma and PTSD, including support for fathers and partners.