Glossary

Term · Postpartum: Mind

trauma-informed care

Also: trauma-informed approach, trauma-informed maternity care

A way of caring for a person that assumes past trauma may shape how she feels in exams and birth, and plans for it. Also called a trauma-informed approach.

In plain words

Trauma-informed care is a set of habits that providers use to make care feel safer for someone who has been hurt before, including by a past birth. It means asking before touching, explaining each step, offering choices, and letting you pause or stop. Many mothers meet it in a birth plan, where they name what helps and what triggers them. Trauma-informed care is not therapy, and it does not mean a provider has diagnosed anything. It is a way of planning the care itself. Many mothers who had a hard birth ask for it in the next pregnancy.

The deeper version

The framework derives from SAMHSA's 2014 concept of a trauma-informed approach, built on four assumptions (realize, recognize, respond, resist re-traumatization) and six principles, including safety, trustworthiness, choice, collaboration, empowerment, and cultural humility. In obstetrics it is applied as individualized planning: identifying triggers such as pelvic examinations, loss of , unexplained procedures, pain-management gaps, and restraint. Evidence is mostly qualitative and observational, and trials of its effect on are lacking. ACOG Committee Opinion 825 (2021) describes trauma-informed care in obstetrics and gynecology.

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Sources

  • Substance Abuse and Mental Health Services Administration — SAMHSA's Concept of Trauma and Guidance for a Trauma-Informed Approach, 2014
  • American College of Obstetricians and Gynecologists — Committee Opinion 825: Caring for Patients Who Have Experienced Trauma, 2021

The Mothership Topic Wiki is general information for mothers and the people who care for them. It is not medical, legal, or mental-health advice and does not create a provider relationship. Experiences posted by members are their own. In an emergency call 911. If you are having thoughts of harming yourself, call or text 988.