Chidbirth experience and its impact on postnatal wellbeing
Votes: 20
Women's experiences in childbirth directly impact on their physical and mental health and will influence their ability to care for their baby. A more traumatic birth experience can have a huge impact on the whole family unit for a considerable time.
How could maternity care be enhanced to optimise the post natal experience?
marion
Oct 29, 2007 04:11pm
16It is well documented that women having a difficult or emergency delivery have a higher chance of developing postnatal dpression. Having worked in this field, what strikes me is that births that women perceive as traumatic for them can often be described as straightforward in their patient records. And once a live birth is achieved, the experience of the woman is quickly forgotten by everyone but the woman herself. There needs to be more recognition in the postnatal period for the enormity of what the women have been through - and for what it means for them individually.
RachelDoell
Nov 01, 2007 08:29am
17I remember after the birth of my first baby being asked by the midwife, who came to see me post natally, if it had been a "straight forward" birth. I replied no but when I explained why I thought it wasn't (long labour, lots of drugs needed, baby stopping breathing after birth and need to be suctioned, large post natal blood loss resulting in anaemia) the midwife laughed and said "yes, your birth experience was straight forward". If I had been listened to and empathised with and assured that these things were unfortunate "one offs" and didn't mean that subsequent births would be the same then I would have felt a lot happier and a lot more supported. I had post natal depression after this birth for the first 3 months which really affected mine and my husbands life and I am sure that it was related to the birth trauma.
marion
Nov 05, 2007 03:10pm
12I think many midwives in the hospital system are so used to medical interventions that they forget about the impact(physical and psychological)that they have on women and babies.
RachelDoell
Nov 01, 2007 08:38am
15A friend of mine recently had her first baby. She suffered a very long and traumatic labour/birth and although the outcome was a positive one (a healthy baby girl) she was left thoroughly traumatised by the whole experience and therefore adamant that she was never going to have another baby. However, 6 months later she was able to meet with one of the midwives and to go through exactly what had happened and why. My friend found this to be very therapeutic, for her it put closure to a bad experience and she is now confident enough to try for another baby as she understands that her next labour could be a much more positive experience.
marion
Nov 01, 2007 08:55am
12I know that a lot of hospitals in england run a 'birth afterthoughts' service for women to discuss their birth experience with midwives. I have not heard of such a service in Ausralia, but I think it would be a great idea. I have heard reports of 70 year old women making appointments to discuss what happened to them all those years ago. Some women suffer for a long time and a formal afterbirth support service would be easy for a lot of women to access.
sarahf
Dec 12, 2007 10:30pm
12i had a difficult first birth, long labour, foetal distress and subsequent emergency cesarean, however the public hospital i attended has a lovely midwife who visits mothers during their hospital stay and has a debriefing session on the birth. this is regardless of whether it is a "normal" delivery or not. This was a great tool for me because i had been feeling like i had failed in my most natural role as a woman. during this session everything that happened before, during and immediately after the cesarean was explained and i was left feeling more empowered and positive about the whole experience.
barb2
Nov 08, 2007 11:51am
14I tried to breastfeed my first baby but after the ceasarean it was really hard especially in the hospital. I put her on the bottle after two weeks because I didn't have enough milk. I felt bad about it and would have been happier if I could feed her.
dee
Nov 12, 2007 10:38pm
12Whilst breastfeeding is one of the most beautiful bonds you can share with your child, there are no medals for being brave and struggling on just after you've given birth.
I had my first baby only 7 months ago and I say hats off to mothers all over the world... Irrespective of whether your bubs are breast or bottle fed, as long as you love them that is all they need to grown into beautiful human beings.
jenny
Nov 13, 2007 09:12pm
12There are no medals at all when you are are mum, but I don't agree that you would stop being brave just when the job starts to get hard. Breastfeeding is the best way to feed all babies, and bottle feeding should be seen as a last resort. Babies need love but they also need breast milk.
marnie
Nov 13, 2007 09:50pm
3there is too much pressure on mothers to breastfeed and it only causes stress. If it works then great and if it doesnt then millions of babys have been bottle fed without any problems. babys need happy mums.
torana11
Dec 13, 2007 08:56pm
9I do agree that you feel you are incapable of looking after your baby you feel the baby is missing out on something if you do not breast feed but in the end I prefer to make sure the bub is getting enough and is happy and healthy, rather than you feeling good about yourself breastfeeding. You bond with your baby regardless if you breastfeed or not. I was happy knowing my baby was getting enough rather than stressing I could not breastfeed.
sonya c
Dec 17, 2007 11:57am
10Breastfeeding is dificult. I was told repeatedly that it should't hurt but after 24 hours I had cracked and blistered nipples. It was only determination and a lot of help from midwives that I was able to succesfully breastfeed my daugher
cal123
Nov 20, 2007 03:09pm
14I had trouble breastfeeding at first but the home visit midwives came every day to help. It was really good and next time I will come straight home after the birth, so I can get some sleep.
kate
Dec 10, 2007 11:56am
17i dont know where to start! as i have mentioned in a previous post, cats that are giving birth to their litters have more respect and are treated more decently than myself and my baby postnatally. after my stay at the hospital (one day! i just wanted to get out of there as quick as possible) i wrote a letter of complaint naming some nurses who were abusive to me mentally emotionally and physically. i received many calls of concern from the manager of nursing and midwifry at the hospital and at the end a letter of apology. i had a healthy and happy pregnancy but postnatally i did not. i have since been scared mentally and physically and do not even want to think of adding to my family in the future. i think nurses/midwives on the wards need to be a bit more compassionate to their patients regardless of whether theyre a new parent or not, their method of childbirth, their views on childbirth, raising children and breastfeeding.
catt
Dec 11, 2007 01:46pm
14I thought it was interesting to hear you relate your experiences to the way animals are treated. I felt so insignificant after my baby was born. The care on the ward was really bad and I started to think that everyone else seems to be coping there must be something wrong with me. I was in so much pain I found it so hard to do anything even sit up and feed my baby. The nurses acted as though I was being precious wanting help.
kate
Dec 11, 2007 02:46pm
14exactly. its amazing how many times you can press the emergency button besides your bed and be ignored. i was in a room with another older lady who had been in for a week due to her baby having jaundice and she had postnatal depression and here i am comforting this woman in the middle of the night because the nurses were ignoring her and telling her there was nothing wrong with her. many times i walked down to the nurses station (with a third degree tear) pushing my baby in her cradle thing only to stand at the counter and be ignored whilst the nurses sat and drank coffee and ate biscuits.i wasnt asking to be treated like a princess at the public hospital but i was after some common understanding from the nurses about simple things like 'when can i go home?' or 'whats that purple/red stuff coming out of my daughters mouth'
Hennii
Jun 24, 2008 02:48pm
5I think there are much more selfish reasons for women electing ceasrean, to maintain the integrity of their vagina for vanity and sexual reasons.
After my second daughter's unexpected birth via ceasarean section, it took nearly 3 1/2 hrs for us to finally meet, I had unexplained bleeding, they had to find it before they stitched me up. So they knocked me out to do this as it was so painful. The poor kid had to wait and wait for her mum to give her the first feed and feel reasured. I was so groggy and sore, the pain so much worse than the vaginal birth of my 1st daughter. Why would anyone want to go through that willingly?
sami
Jun 26, 2008 12:12pm
4I saw a tv report on women electing caesarean to protect their vaginas and they all said that the safety of the baby was their main priority. Everything I have ever read shows that there are increased risks to the baby when it is born by caesarean. These women obviously aren't making informed decisions and their doctors seem happy to put them at risk by operating unnecessarily.
sharonann
Sep 08, 2008 08:58pm
0Hi
I have PTSD following a bad emergency c-section birth experience in a South East Melbourne Public Hospital - It was Terrible including having hallucinations to the medication that they gave me- It is now 3 years later I am Only 80% better, my marriage is ruined as I can't have any kind of sexual relationship with my husband. I have lost all confidence in myself and stay close to home. My beautiful daughter suffers due to my mood swings and I feel that I cant be the mother that I wanted to be, she has also been robbed of having a sibling as I am too terrified to go have another. I Have found that there is NO HELP OR SUPPORT in Melbourne at all and feel that someone should be accountable for the treatment or non treatment that I was given as it has change me as a person. I was a teacher prior to having my daughter,I had a perfect blissful pregnancy - no morning sickness - After 4 days of what they called "spirius Labour with contractions every 3 minutes I went to my GP who wrote a letter to the hospital asking them to induce -They would NOT "I DON'T WANT A LAW SUIT is what the DR. Said To Me, finally a midwife appeared and got things started, my daughters heart rate dropped and she had merconium (emergency C-Section) and was recussitated at birth then kept in a special care nursery. The nurses asked me if I was a drug addict as I was hallucinating on the drugs they were giving me for pain OXO Contin I think. I told them I was not coping with the medication and could not take their instructions but they continued to give me the drugs. i did receive an apology for that once they checked that I was NOT A Drug Addict..... I have tried therapy, anti depressants and walking - It is still there - there seems to be no one who specialises in this area. I asked for the birth notes to give to a therapist and under existing illnesses it stated that I had a MENTAL ILLNESS I don't know where that came from as the only illness I had was Asthma....
Sharon
marion
Sep 09, 2008 08:02pm
0Sharon it sounds like you have had such a hard time. It is a real shame that you haven't been able to find any support where you live. I think so many women need follow up support after having babies and you have described how much it can effect your whole life.Maternity services concentrate on achieving a live birth (this is obviously the most important outcome) but it is just not right that women should feel abandoned when they need help and support. After a traumatic birth women can feel violated and this needs to be recognised.I am wondering if there are any independent midwives in your area who you can talk to? They would be able to go through your birth notes with you and explain everything that happened. It might not help, but sometimes women find this helpful. I have to say that hallucinations are a possible side effect of oxycontin, and are very distressing. It is a shame this wasn't picked up by your nurses. Good luck Sharon I hope things get better for you.




