Condition : Birth trauma
What is birth trauma?
Birth trauma is a mental health condition you might develop after a traumatic experience relating to giving birth, experiencing a miscarriage, or having a termination for medical reasons.
Also known as postnatal PTSD (post-traumatic stress disorder) or perinatal PTSD, birth trauma shares the same symptoms as PTSD, but they link back to the birth experience.
Your symptoms may include:
- fear of getting pregnant again or childbirth (tokophobia)
- flashbacks or nightmares about the experience
- avoiding places, people, or things that remind you of the experience
- intense feelings of fear, frustration, guilt, or shame about what happened
- emotional detachment (feeling numb) or pushing away emotions about the experience
- finding it difficult to trust others involved in the care of you or your baby
- relationship problems or social isolation (avoiding people or activities that used to be important to you)
- feeling ‘on edge’, being overly cautious or easily startled
- finding it difficult to concentrate or sleep
- feeling hopeless about the future or sadness about the experience (depression)
- unhelpful coping strategies, such as drinking too much alcohol
What causes birth trauma?
PTSD is your mind’s response to an experience that was very dangerous, shocking, or frightening, and that has hurt your sense of safety or confidence.
Example scenarios that could cause birth trauma include:
- miscarriage (losing the baby within the first 23 weeks of pregnancy) or multiple miscarriages
- stillbirth (death of a baby before birth, from week 24 of pregnancy)
- neonatal death (death of a baby within 28 days of being born alive)
- termination for medical reasons (TFMR) (ending a wanted pregnancy due to results from antenatal testing)
- injury caused during the birth to yourself (for example, perineal tears, pelvic fractures, or an injury causing incontinence)
- injury caused during the birth to your baby (such as fractures or damage to the brain, spine, or nerves)
- psychological distress during the birth because of complications, pain, or the actions or behaviours of people involved
Next steps
Browse our recommended external support resources to learn more about your condition and ways to manage it.
If you need further support or have concerns, a Healthcare Professional is here to help. Reach out for professional medical advice tailored to you.
Discover services and support options available to help you with your health and wellbeing.
Managing your health
There are a number of national and local organisations who can support you and help you manage health conditions at home.
Related services
Birth in Mind Service
- Adults
Help for birth trauma, a form of post-traumatic stress disorder (PTSD), or severe fear of birth in the third trimester of pregnancy.
Birth in Mind Service: Go to serviceSpecialist Perinatal Mental Health Service
- Adults
Support for women aged over 18 with past or present moderate to severe mental health difficulties during and after pregnancy.
Specialist Perinatal Mental Health Service: Go to serviceTraumatic Stress Service
- Adults
Psychological support for people with complex post-traumatic stress disorder (CPTSD), including re-experiencing symptoms.
Traumatic Stress Service: Go to serviceForget-Me-Not Service (East Berkshire)
- Adults
Psychological therapy support for mental health difficulties due to early pregnancy loss or fertility difficulties.
Forget-Me-Not Service (East Berkshire): Go to serviceExternal support
Further information on the NHS UK website
Birth Trauma Association
Support for parents who have experienced birth trauma
Cruse Bereavement Support
Support and information to help people experiencing grief
Make Birth Better
Support for parents and professionals impacted by birth trauma
Maternal Mental Health Alliance (MMHA)
Support for mental health conditions before, during, and after pregnancy
Rethink Mental Illness
Advice and information about living with a mental health problem

