Too scared to push: big rise reported in birth trauma
Too scared to push: big rise reported in birth trauma | Life and style | The Guardian
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The NHS is responding to a surge in cases of birth trauma by setting up specialist support services to reduce the rising demand for a caesarean delivery from those who, after a bad experience, are scared to undergo labour again.
Midwives say increasing numbers of women are so badly affected by their first experience of birth that they are postponing for years, or abandoning, plans to have any more children.
There are no NHS-wide statistics on the problem. But maternity staff at many hospitals report a rise in such cases over the past two or three years.
At Liverpool Women's hospital, for example, the number of mothers who have asked for an elective caesarean with their forthcoming child, because they suffered trauma the last time, has risen 40%.
"Tocophobia [fear of childbirth] is a distressing psychological disorder that is growing at an alarming rate," said Simon Mehigan, a consultant midwife at the hospital. Most of the women with birth trauma he works with "are so fearful about giving birth for the second or third time that they are making themselves unwell". Typically, this fear is a result of experiences during the first pregnancy or delivery and can often be traced back to a lack of information or explanation about what was happening, he added.
Other hospitals, including St Mary's in Manchester and Stepping Hill in Stockport, have seen the same trend and are also introducing counselling services.
In January Stepping Hill will launch a specialist birth trauma support clinic run by a consultant midwife, Debbie Garrod. "Last year I saw 21 women who were troubled by something that happened during their birth, usually a first birth. Before 2009 it was a handful. This year so far I've seen 48 women," said Garrod.
Many other hospitals across the country are also introducing similar counselling services run by specially trained midwives to help women work through their fears and discuss the pros and cons of natural and surgical births. The apparent growth of tocophobia has prompted fresh debate over the variable quality of NHS maternity care as well as prompting some to claim that it is due to women being less prepared than previous generations to endure pain during childbirth.
Dr Tracey Johnstone, a consultant in foetal maternal medicine at Birmingham Women's hospital, said a more confessional culture, soap operas' portrayal of birth as painful and dramatic, and women's reluctance to withstand labour pain lie behind the increase.
"Women are more frightened of labour and delivery now. Among women there almost seems to be a competition about who has suffered the most during childbirth, talking about 18-hour labours and the like, and that scares other women before they have their babies," said Johnstone.
"A lot of women are less tolerant of pain now. They should realise that childbirth is painful," she said. The greater medicalisation of birth – with more women having pain relief, or a caesarean or being induced – is also making women unsatisfied, Johnstone added.
But Cathy Warwick, general secretary of the Royal College of Midwives, said: "There is a worry that, with the increasing birthrate, there are just not enough midwives. If women don't have support throughout their labours, then they are more likely to feel they have been let down and left alone, and had too little information and explanation, so are more likely to end up feeling traumatised."
She added that the NHS would need another 3,000 midwives in order to help women properly during labour.
More and more women are contacting the Birth Trauma Association by email or Facebook or through its helpline. "An awful lot of women in Britain suffer birth trauma and lack of care explains the high prevalence," said a spokeswoman, Maureen Treadwell. "Some women have a quite horrific experience of childbirth and often feel they weren't listened to because they had a baby who was well. Given the lack of care it's no wonder 30% find it traumatic."
The increase in numbers of traumatised women is being studied by researchers at the Better Births Centre at Liverpool University. "It's the individual traumatic experiences of these women that have led to them suffering tocophobia", said the lead researcher, Professor Susan Wray.
"We're looking into why some births become complicated and traumatic. That could be because the foetus became distressed due to lack of oxygen, or because the baby couldn't be delivered because the uterus seemed to run out of energy, or women not always having the support they need during long labours," said Wray.
"It's vital for the NHS to understand why so many new mothers are left traumatised because this affects so many women, their future fertility and their psychological wellbeing."
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Just a shot in the dark here, but maybe it's because THEY JUST YANKED A PERSON OUT OF THEIR COOCHES.
Christ on a bike. Can you imagine, say a naval surgeon in the 18th century writing in his notes that "Over the course of many years I have had the occasion to remark that many sailors, having had a leg or an arm amputated without anaesthesia and then cauterised with hot pitch seem curiously reluctant to go through the procedure a second time. Further investigation into the sources of this antipathy would no doubt be a fruitful area of study."
Natural childbirth is such horseshit. Appendicitis is natural but you you wouldn't want to go through that wide awake sitting in a pool of tepid water in your conservatory.
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