The Birth Debrief: Reflecting on pregnancy, Reframing birth, Redefining post-partum

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NCCWCH. 2011. Caesarean section. National Collaborating Centre for Women’s and Children’s Health, NICE Clinical guideline. London: RCOG Press. www.nice.org.uk Opens a new window [pdf file, accessed July 2015] Bonding is the positive emotional and psychological connection that the parent develops with the baby. This service is available to you from about six weeks after the birth. By then, you will have had time to process what's happened. But don't worry if you don't feel ready to go over your birth experience for months, or even years. Choose the time that's right for you. This may be when you are thinking about having another baby. If you have tried all these options and are still not happy with the standard of care you had, you may wish to consult a solicitor. Though this will cost money and is usually a last resort. What will happen next time?If you are having another baby, make sure you get the care that you need.

The Birth DeBrief | a podcast by thebirthdebrief The Birth DeBrief | a podcast by thebirthdebrief

In this episode I interview Shahnti, a young mum living in Byron Bay, NSW, Australia. We talk about Shahnti's 3 pregnancies, her 2 baby boys and how she felt forced into an unwanted abortion with her first pregnancy at 16 years old. persistent or severe headache, which could indicate hypertension, pre‑eclampsia, postdural-puncture headache, migraine, intracranial pathology or infection People have the right to be involved in discussions and make informed decisions about their care, as described in NICE's information on making decisions about your care. Parents and carers have the right to be involved in planning and making decisions about their baby's health and care, and to be given information and support to enable them to do this, as set out in the NHS Constitution and summarised in NICE's information on making decisions about your care.Often women feel they shouldn’t talk about their positive birth stories, in case they make others feel bad about their own experiences. Most hospitals and trusts offer a birth debrief service either through PALS (patient advisory liaison services), an obstetrician or a midwife who has undergone specialist training to become a Professional Midwifery Advocate. The overall idea of birth debriefing is to give women a supportive space where they can fill in any gaps.

Postnatal care | Guidance | NICE Recommendations | Postnatal care | Guidance | NICE

Thomson G, Garrett C. Afterbirth support provision for women following a traumatic/distressing birth: Survey of NHS hospital trusts in England. Midwifery. 2019;71: 63-70. Ayers S, Bond R, Bertullies S, Wijma K. The aetiology of post-traumatic stress following childbirth: A meta-analysis and theoretical framework. Psychological Medicine 2016;46(6): 1121–1134. expressing breast milk (by hand or with a breast pump) as part of breastfeeding and how it can be useful; safe storage and preparation of expressed breast milk; and the dangers of 'prop' feeding It is important to reflect, however, that not all women’s accounts of after-birth support have been positive. For instance, there are reports of women not being aware that the after-birth service existed, not being able to access it when needed, women feeling blamed or judged, and the support not meeting their needs. A recent survey of after-birth provision in England found that most services were under-funded, not well promoted, there were variations in when and how often women could access them, and while just over half were provided by midwifery professionals who had received no specific training, amongst those who had received training, the level and content varied widely ( 11).carry out an assessment including the points in recommendations 1.2.1 to 1.2.5 and taking into account the time since the birth Some women find that they cannot do, say, or experience things that remind them of the birth trauma. This might mean that they do not want to revisit the place the birth trauma occurred and try not to think about or talk about the birth.