This article is part of the Traumatic Birth Prevention & Resource Guide by PATTCh. Access the complete guide to learn more about traumatic birth and find resources for women and families.
By Heidi Koss, MA, LMHC
Health care providers aren't exactly sure why some people get post-traumatic stress disorder (PTSD) when exposed to a traumatic event while others do not. Post-traumatic stress disorder can develop when you go through, see or learn about an event that causes intense fear, helplessness or horror. Any trauma, including birth trauma, lies in the eye of the beholder. What one may perceive as traumatic might not be traumatic to others.
As with most mental health problems, PTSD is probably caused by a complex mix of:
Your inherited mental health risks, such as an increased risk of anxiety and depression
Your life experiences, including the amount and severity of trauma you've gone through since early childhood. PTSD can result from a cumulative effect of multiple traumas over a lifetime.
The inherited aspects of your personality often called your temperament
The way your brain regulates the chemicals and hormones your body releases in response to stress
General Risk factors for Post-Traumatic Stress Disorder People of all ages can have post-traumatic stress disorder. However, some factors increase risk of developing PTSD after a traumatic event, including:
Being female women may be at increased risk of PTSD because they are more likely to experience the kinds of trauma that can trigger the condition.
Experiencing intense or long-lasting trauma
Having experienced other trauma earlier in life
Having other mental health problems, such as anxiety or depression
Lacking a good support system of family and friends
Having first-degree relatives with mental health problems, including PTSD and depression
History of abuse (such as childhood abuse, sexual abuse, rape)
Being threatened with a weapon
Car accident, plane or train crash
Life threatening experience (such as natural disaster, critical injury, medical crisis, attack, mugging)
These symptoms should alert you to possible PTSD:
Flashbacks of the event vivid and sudden memories
Fears of recurrence
Inability to recall important aspects of the event psychogenic amnesia
Exaggerated startle response, hyper-arousal, always on guard
Hyper-vigilance, constantly looking around for trouble or stressors
Avoidance of reminders of the traumatic event
Intense psychological stress at exposure to events that resemble the traumatic event
How is PTSD different than other Pregnancy and Postpartum Mood Disorders?
Sometimes perinatal mood disorders overlap and it's hard to tell where one ends and the other begins. PTSD is caused by an event in which you feel threatened, violated, and feel as if you could die. By the way our brain has processed the memory of the event, is causes heightened anxiety, hypervigilance, flashbacks, nightmares, etc. Therefore PTSD is an anxiety or stress reaction and it is different from other postpartum mood disorders such as depression and anxiety. However, other postpartum mood disorders can occur at the same time PTSD.
Resources Recommended Books:
Postpartum Mood and Anxiety Disorders, A Clinician's Guide, by Cheryl Tatano Beck and Jeanne Watson Driscoll
Beyond the Birth, A Family's Guide to Postpartum Mood Disorders, by Juliana Nason, Patricia Spach and Anna Gruen. Published by Postpartum Support International of WA
When Survivors Give Birth: Understanding and Healing the Effects of Early Sexual Abuse on Childbearing Women, by Penny Simkin and Phyllis Klaus
Heidi Koss, MA, LMHCA is a psychotherapist in private practice in Redmond, WA specializing in pregnancy and postpartum mood disorders (PPMD), birth trauma, and parent adjustment issues. She has been the Executive Director of Postpartum Support International of Washington (PSI of WA), WA State Coordinator for Postpartum Support International as well as co-founder of the Northwest Association for Postpartum Support (NAPS). She offers consultant services and PPMD trainings. Heidi has also been a postpartum doula and certified lactation educator. Heidi is the proud mother of two beautiful daughters.
PATTCh is a not-for-profit, multidisciplinary organization dedicated to the prevention and treatment of traumatic childbirth. Our mission is to develop cross-disciplinary relationships, research, and programs that:
prevent PTSD following childbirth through education, interdisciplinary collaboration, and multidisciplinary research;
educate perinatal care providers and paraprofessionals in the prevention and treatment of birth and reproduction related trauma;
encourage the development of culturally appropriate therapeutic approaches to post-traumatic stress symptoms following childbirth;
promote healthy birth practices for all women and families;
promote evidence-based research regarding PTSD secondary to childbirth;
increase global awareness of the prevalence, risk factors, and effects of PTSD secondary to childbirth; and
support collaboration and understanding among all stake-holders, including: researchers, policy makers, medical and mental health care providers, educators, community members, volunteers, women, and families.