“At Least You Have a Healthy Baby” – The Hidden Shame of Birth Trauma
When you look at the probability of trauma in the course of a woman’s life, the statistics are high. One in three women will experience sexual abuse in her lifetime. One in four women will perceive her birth as traumatic. So, if you’re a childbirth or postpartum professional, you are regularly working with women who have experienced trauma. And keep in mind: a woman who has previous trauma or a history of abuse has a much higher chance of being triggered in birth and experiencing trauma again.
What is birth trauma?
It’s all about perception. When a woman perceives her birth as traumatic, she has felt one or more of the following in an intense and damaging way:
- Complete loss of control
- Totally helpless in the face of defending herself or her baby
- Victimized by an authority figure; emotionally and/or physically
Birth trauma will have immediate effects on a woman and change her experience of birth, postpartum and motherhood. As birth professionals, our goals are to prevent birth trauma by providing support, information and guidance for laboring Mamas. Some of the things you can do during your time together are build trust, tune in to Mom’s behaviors to establish safety in the labor room, and speak to her in a calm, affirming voice. But unfortunately, we can’t always prevent birth trauma.
Women who have experienced a traumatic birth can develop PTSD (posttraumatic stress disorder).
It can be misdiagnosed as postpartum depression or anxiety but the symptoms are actually different. Some signs of PTSD in a new mother are:
- Lack of a strong bond to baby, not holding or responding to her baby
- Extreme irritability, anger and blame
- Obsessing over the events of the birth; may include flashbacks or nightmares
- Uncontrollable crying, intrusive thoughts and fear
- Avoiding doctor’s appointments, seeing family or scheduling to see you for follow up
There are some important things to keep in mind when dealing with a Mom who has birth trauma. Your support will be critical to establishing safety, support and eventually healing from this difficult time.
Here are some things you can do to support a Mom with trauma:
- Create a calm environment and speak in a calm, steady voice. Use her name when speaking to her as it will bring her attention to your voice. Give positive, truthful and affirming statements.
- Normalize her response to her birth. Confirm that her response is normal for someone experiencing an overwhelming amount of stress. Say things like, “That would be upsetting to anyone.” “You’re crying because that’s how people react when they feel angry or frightened.” Don’t place blame or contribute to her feelings by becoming angry yourself.
- Be a witness for her. This is the true gift of a doula. The human brain translates acknowledgement, support and connection as SAFETY. Help her establish safety in these important weeks after birth.
- Affirm that something bad has happened. In a loving way say things like, “I’m sorry this happened.” “You didn’t deserve that.” “It’s not your fault.” “You’re safe now.” Again, don’t fuel her anger or powerlessness by engaging in blaming, criticizing or attacking other parties who were involved.
- Restore a sense of control, power and self-efficacy. Continue to respect her choices, assure her that she is “in the driver’s seat” and she gets to determine her next steps. Let her make decisions and don’t tell her what she should do.
The exciting and encouraging thing to hope for is what’s called post traumatic growth. With proper self-care, nutrition, sleep, and exercise she will begin to feel better. Suggest to her that some women find healing through yoga, body work, trauma therapy and groups. Post traumatic growth provides women the opportunity to heal from trauma and become stronger, wiser and more compassionate because of it. With adequate support, education and care new Moms can fall in love with their babies and leave the shame and pain of trauma behind.
CLD, CPD, CLE®, ICCE, Labor Doula Faculty
Abby Bordner started her career in Women’s Health. She began at Planned Parenthood in Portland, OR where she was trained as a health counselor for contraception and HIV/AIDS. She had her first child in 1999, when she began her interest in birth work. She pursued her doula certification, shortly after became a childbirth educator and eventually a lactation educator, as well. She teaches many educational workshops related to birth and parenting. She started an online parent education and personal support coaching business called Relationship Based Parenting. Her passion is working with families as a health and wellness educator to build skills that support compassionate families and all the important dynamics within it. She has two children and lives in Santa Fe, NM.
Copyright CAPPA 2016