Birth Trauma

Debate between Theo Clarke and Andrea Leadsom

Thursday 19th October 2023 Commons Chamber

[Theo Clarke (Stafford) (Con)]

I beg to move,

That this House notes that many women across the UK experience birth trauma; and calls on the Government to take steps to support women experiencing birth trauma.

I am honoured to lead the first debate in the history of the UK Parliament on birth trauma, which coincides with Baby Loss Awareness Week. Today, I am calling on the Government to do more to help mothers who have suffered birth trauma.

I start by thanking the many brave women from across the UK who contacted me, after I shared my own story, to share their personal experiences of birth trauma ahead of today’s debate. I have been overwhelmed by the response to my new campaign on this issue. I am taking the time to read and respond to every single one of you, and reviewing them has been a harrowing experience. Thank you for being so courageous in sharing your stories with me. You are the reason I am here today, to be your advocate in Parliament. I know that a number of mums are here to watch the debate today, and I welcome them to the House.

I thank a number of organisations, including the Birth Trauma Association and MASIC, for all their support. My campaign began several months ago, when, following my return from maternity leave, I decided to share my own story of birth trauma. This is the first time I have ever spoken about it in Parliament, and it is probably the most personal speech I will ever give as an MP.

Last year, I had a very traumatic birth at my local hospital in Staffordshire. I had expected to have that first hour with my beautiful daughter, and imagined her magically crawling up my chest to start breastfeeding. Instead, after 40 difficult hours of labour, I began bleeding very heavily after delivery. I was separated from my baby and rushed into the emergency room for surgery. I remember the trolley bumping into the walls, the medical staff taking me into theatre, and being slid on to the operating table. I spent over two hours awake, without a general anaesthetic. I could hear them talking about me, and obviously it was not looking good. It was the most terrifying experience of my life.

[Dame Andrea Leadsom (South Northamptonshire) (Con)]

I thank my hon. Friend for addressing what is just about the most difficult subject for any woman to have to cover. I absolutely and heartily applaud her determination to raise the issue so that other mums who have had such a terrible experience can also take some comfort from it. She is doing an immensely brave thing and has the support of Members right across the House. I thank her.

[Theo Clarke]

I thank my right hon. Friend for her intervention and for her excellent work on the start for life programme to ensure that children under five get the help that they need.

It was the most terrifying experience of my life— I genuinely thought that I was going to die—so I put on the record my immense thanks to the fantastic NHS team at Royal Stoke University Hospital, who carried out my surgery, and to the midwives who were with me during labour. I thank in particular my surgeon Nitish, my midwives Michelle and Stacey, my health visitor Chris, my mental health advocate Judith, and Nicole at the perineal clinic. However, the entire experience has also completely opened my eyes to challenges in post-natal care in this country.

I remember being wheeled into the recovery ward after surgery, where I encountered a nurse who had not read her notes and assumed that I had had a C-section. I was then moved to a side room, where I was hooked up to a catheter and a drip, and was lying in bed next to my baby, who was screaming in her cot. I could not pick her up. I pressed the call button for help, and a lady came in and said, “Not my baby; not my problem,” and left me there. That is unacceptable behaviour, especially when you are extremely vulnerable. I have subsequently met the hospital trust chief executive and the chief nurse, and I appreciate their apology and commitment to providing quality, safe care to women in Stafford going forward.

I spent nearly a week in hospital. One of my main reflections was the lack of aftercare for mothers. There is so much focus on the baby that we sometimes seem to forget that the mum has had a traumatic experience and needs care, too. I had never heard of birth injuries before. I later discovered that during childbirth I had suffered from what is known as a third-degree tear, when the baby stretches the vagina and rips the muscle in the back passage called the anal sphincter, which it is vital to repair. It is important to say that, although many women will have no issues in childbirth, some will, like me, be unlucky and have a third or fourth-degree tear, which occurs in about three in 100 vaginal births. I now know that around 20,000 women a year in the UK suffer from birth injuries. The consequences of an untreated obstetric tear can include urinary and faecal incontinence, as well as ongoing pain, so it is clear that we must do more to help those women.

On my return from maternity leave, I contacted those at the Birth Trauma Association, who are here with us today, and asked them to bring some mums to visit me in Parliament. I discovered that there is huge disparity across the UK in care for mothers who have experienced birth trauma. I was genuinely shocked at some of the stories those mums shared with me. For example, Gill Castle suffered from a fourth-degree tear and now has a stoma bag, and she had to give up her job as a police officer. She has since become an amazing campaigner on birth injuries, and I congratulate her on just becoming the first person with a stoma bag to solo swim the English channel.

It was so upsetting to hear their stories following that meeting, including sad examples of babies who had died and examples of medical negligence. That is why I decided to launch a new all-party parliamentary group on birth trauma with my Labour co-chair, the hon. Member for Canterbury (Rosie Duffield), who I am delighted is here today supporting the debate. Our APPG is cross-party, and we are so pleased that many colleagues from across the House have joined us to provide support. I welcome NHS England’s commitment to addressing these issues and the fact that it has now set out a three-year delivery plan for maternity and neonatal services, published in March, but it is clear that we still need to do more to improve post-natal care.

Birth trauma is caused by traumatic events or complications in birth. It is a term that can apply to those who experience symptoms of psychological distress after childbirth or physical injuries sustained during delivery. Those can include surgical procedures such as a sudden emergency requiring a caesarean section or a long and very painful labour in a severe state of pain for many hours.