Birth trauma is not defined by how dramatic the delivery was medically but by how it felt. You may have had a medically uncomplicated birth and still experience trauma if you felt fear, loss of control, or that your voice wasn’t heard. Trauma is tied to the perception of threat or helplessness — not the clinical storyline.

Symptoms can appear immediately or weeks later. Common signs include intrusive memories, anxiety, sleep problems, avoiding reminders of the birth, emotional numbness, irritability, difficulty bonding, or feeling overwhelmed when thinking about the delivery. Some parents don’t realize how affected they are until others assume everything should be “fine.”

Birth trauma can arise from many factors: urgent medical decisions, unmanaged pain, lack of communication, feeling dismissed, fear for the baby’s or your own safety, or earlier vulnerabilities. Partners can also experience trauma.

You do not need to carry this alone. A birth debrief with a midwife can help you piece together what happened, provide clarity, and reduce confusion. Trauma-focused therapy can be highly effective. Many parents feel relief once they share their story and are met with understanding.

Seek help if anxiety interferes with daily life, if you avoid discussions about the birth, if bonding feels difficult, or if you experience nightmares or physical stress responses.

Talking about it is the first step toward healing.

Alma’s tips

• You are entitled to a birth debrief — ask for one.

• Write down questions or memories you want to understand.

• Share your experience with someone you trust.

• Reach out for professional help if symptoms persist.