Understanding trauma triggers during the perinatal period

A history of sexual trauma, child sexual abuse or a prior birth trauma can make pregnancy particularly challenging, often due to physical reminders and triggers.  Internal examinations or ultrasounds, breast examinations and the birth itself can be especially difficult and can raise some uncomfortable feelings. More general experiences of medical intervention, lack of control or physical touch may also cause distress. If this is the case, it can be very helpful to have a support person attend medical appointments and the birth.

Even when the person has received counselling or support for past trauma, it is common for some women to disclose historical sexual abuse or assault for the first time while they are pregnant or after the birth. It is important that services and other support people react in a way that empowers the individual at this time of heightened vulnerability.

Some triggers can be better managed when coping strategies are applied during times of distress. Strategies can include grounding, breathing and mindfulness exercises. Support people or healthcare providers can also help manage any challenging or triggering experiences if they are aware of the past trauma.  

Psychologists or other health professionals can help to talk through any concerns, and assist in developing coping strategies, including a flexible birth plan that feels comfortable and safe.

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Other resources

The Royal Women’s Hospital‍

Domestic Violence Resource Centre Victoria

Women’s Legal Aid NSW

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For disclosure, support, and information during pregnancy, please contact:

• 1800 Respect – National Sexual Assault, Family Domestic Violence Counselling on 1800 737 732 ‍
• PANDA – National Perinatal Anxiety and Depression Helpline on 1330 726 306‍

For health professionals: South Australian Perinatal Practice Guideline