Diagnostic and statistical manual of mental disorders.Washington: American Psychiatric Assocation; 1980

Diagnostic and statistical manual of mental disorders.Washington: American Psychiatric Assocation; 2013

Ayers S, Ford E. PTSD following childbirth. In: Martin CR (ed). Keswick: M&K Update Ltd; 2012

Ayers S, McKenzie-McHarg K, Eagle A. Cognitive behaviour therapy for postnatal post-traumatic stress disorder: case studies. Journal of Psychosomatic Obstetrics & Gynaecology. 2007; 28:(3)177-184

McKenzie-McHarg K, Ayers S, Ford E Post-traumatic stress disorder following childbirth: an update of current issues and recommendations for future research. Journal of Reproductive and Infant Psychology. 2015; 33:(3)

Moore R. What is birth trauma anyway?. AIMS Journal. 2019; 30:(4)

National Institute of Health and Care Excellence. Post-traumatic stress disorder. [NG116]. 2018. (accessed 14 December 2020)

Nicholls K, Ayers S. Childbirth-related post-traumatic stress disorder in couples: a qualitative study. British Journal of Health Psychology. 2007; 491-509

Reynolds JL. Post-traumatic stress disorder after childbirth: the phenomenon of traumatic birth. Canadian Medical Association Journal. 1997; 156:831-5

Rodríguez-Almagro J, Hernández-Martínez A, Rodríguez-Almagro D, Quirós-García JM, Martínez-Galiano JM, Gómez-Salgado J. Women's Perceptions of Living a Traumatic Childbirth Experience and Factors Related to a Birth Experience. Int J Environ Res Public Health. 2019; 16:(9)

Yildiz PD, Ayers S, Phillips L. The prevalence of posttraumatic stress disorder in pregnancy and after birth: A systematic review and meta-analysis. Journal of Affective Disorders. 2017; 208:634-645

Supporting mothers with post-traumatic stress disorder

02 January 2021
Volume 29 · Issue 1


The Birth Trauma Association discusses its work to support families and inform policy. 

It is 40 years since post-traumatic stress disorder (PTSD) received official recognition as a mental health condition in the third edition of the Diagnostic and Statistical Manual of Mental Disorders (American Psychiatric Association, 1980). That recognition came about only through the efforts of a group of Vietnam veterans, who had fought to have the symptoms they were experiencing – flashbacks, anxiety, a sense of constantly being on alert – recognised as a medical condition.

By the time the manual was published, psychologists had begun to realise that PTSD could be triggered by other kinds of trauma, such as rape or violent assault. Even so, it was well into the 1990s before the possibility was raised that birth, too, could lead to PTSD (Reynolds, 1997). There is now widespread recognition that postnatal PTSD is relatively common: a recent review of research suggests that approximately 1 in 25 women experience the condition after giving birth, roughly 29 000 women every year in the UK (Yildiz et al, 2017).

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