Birth Trauma

Kirsten Oswald Excerpts

Thursday 19th October 2023 Commons Chamber

[Kirsten Oswald (East Renfrewshire) (SNP)]

It is a real privilege to follow such a powerful speech by the hon. Member for Truro and Falmouth (Cherilyn Mackrory). I put on the record my gratitude to the hon. Member for Stafford (Theo Clarke), who opened the debate. She has my utter admiration for her bravery in coming here and sharing her experience. It must have been extremely difficult, but she got her important points across none the less. All the speeches today have been powerful.

It is important that we discuss the significant trauma that too many women experience. It can be caused by a whole range of things, as has come through powerfully. There is no one-size-fits-all formula, as the hon. Member for Truro and Falmouth pointed out, but that is all the more reason for us to take seriously the shocks and trauma that can follow birth.

Let me also record my great admiration for the tireless, immense and important work of my hon. Friend the Member for North Ayrshire and Arran (Patricia Gibson), who has just made an unscripted arrival in the Chamber, to support women affected by the terrible trauma of stillbirth and baby loss.

Research shows that 4% to 5% of women who give birth develop post-traumatic stress disorder. We have heard about the Birth Trauma Association’s vital work to convey the difficulties for women and, indeed, fathers—partners. I was glad that the Royal College of Obstetricians and Gynaecologists provided a briefing for the debate, in which it talks in detail about some of the challenges that people face. Up to 9 in 10 first-time mothers who have a vaginal birth will experience some sort of tear. We have heard in detail about some of the significant injuries and traumas that can happen. We must not underestimate the impact of those and other traumas. The hon. Member for Stafford set out clearly the broad range of trauma with respect to both the physical and the mental wellbeing of mothers, as well as the long-term impact of lots of the traumas that women experience.

Like other speakers, I have been contacted by a number of women who wanted to share their story. I will concentrate on one particular story, which dates back to 2006. The woman who was in touch with me described her experience as “horrendous”. As far as she and her partner could see, things had been going along smoothly, everything was planned, and they were not made aware of any risk factors, but things started to go wrong. She experienced an unconsented “stetch and sweep” of the cervix—“while I’m in there anyway” was how it was put to them. She correctly asks how many patients in any other circumstance would feel that it was okay for a medical professional to perform an additional unconsented procedure just because they were in that area of the anatomy anyway.

Of course, such utter lack of care is not the norm—all the great NHS staff who work in this area have my admiration—but in the small number of situations in which it occurs it can have a big impact on women. The lady who was in touch with me said that the pain she experienced during the birth was

“visceral, white-hot soul destroying misery.”

She was unable to return to work because of the impact and she needed further time off for surgeries. She eventually received a diagnosis of PTSD. She pointed out that women are not listened to, a point that others have made and one that I will come back to, but she also pointed out the long-lasting impact of her experience. As well as looking forward to the children who were delivered going forward into adulthood, she and her partner are still looking back on that trauma, which continues to have an effect on their lives.

I have not experienced what that lady did. I am fortunate that the emergency caesarean section that I had was one of the calmest experiences of my life—that is my good luck, I think—but I remember how acutely vulnerable I felt giving birth and being in hospital. I do not know how I would have coped with the additional challenges that we have heard about today.

I am glad that we have heard about the particular challenges faced by black and Asian women. Statistically, they face significantly more challenges, including the greater number of women who die during pregnancy or shortly thereafter. Significant work is needed on that. We cannot just shake our heads at the statistics; we need to make sure that they lead to action.

It is probably timely also to mention the worry that I am sure we all feel for mums and expectant mums in places in the world where things are much more challenging. I have no doubt that we are thinking of the mums in Israel and Gaza who are dealing with the most challenging of situations.

The hon. Member for North Shropshire (Helen Morgan) spoke about how we are expected to grin and bear it in the situations that we have been discussing. That is absolutely unreasonable, but there is a narrative in some quarters that this is just what women have to put up with and they should just take it. I do not think that that is acceptable at all. As a number of Members said, we need to listen. The hon. Members for Moray (Douglas Ross) and for Truro and Falmouth made that point eloquently.

I spent yesterday at the Women and Equalities Committee talking about women’s experience of not being listened to in the context of their reproductive health. The impact of that on women’s lives can be profound and last many years. We are dealing with the very same situation here. Most of the time, women give birth in an uncomplicated and unchallenging way, and things go well. We are grateful for that. But often enough, things do not go the way that they should. One key way that we can make that better is by actively listening to women and taking their opinions into account, given that the care for them and their children will be impacted.

[Madam Deputy Speaker]

I call the shadow Minister.