Postnatal Care: Standards

The Department recognises the significant physical and psychological consequences of birth trauma and the devastating impact this can have on some women. We are fully committed to improving the quality and consistency of care for women throughout pregnancy, birth, and the critical months that follow, and to ensuring that when a woman experiences a traumatic birth, there is a broad range of support available

In relation to the psychological impact, bespoke mental health pathways support women who experience mental health difficulties as a result of labour. These services are provided through specialist perinatal mental health services, maternal mental health services, and mother and baby units. Mother and baby units are specialist, in-patient units for some women with mental health problems, designed to keep mothers and their babies together. Specialist staff nurture and support the mother infant relationship on the ward, while at the same time the mother receives treatment and care. 165 mother and baby unit beds have now been commissioned, and maternal mental health services have been set up in 41 out of the 42 local areas across England to provide care for women with moderate to severe or complex mental health difficulties, arising from birth trauma or loss in the maternity/neonatal context.

With regards to physical health, NHS England’s national service specification for perinatal pelvic health services sets out the expected standards of care to improve the prevention and identification of pelvic health issues, and to increase access to physiotherapy for pelvic health issues during pregnancy and for at least one year after birth. These services work with maternity services across England to implement the Royal College of Obstetricians and Gynaecologists’ Obstetric Anal Sphincter Injuries care bundle, to reduce rates of anal sphincter, or perineal, injuries resulting from labour and vaginal birth.

All women are now offered a general practitioner (GP) check six to eight weeks after birth that should focus on the mothers physical and mental health needs. This is an opportunity for GPs to listen to women in a discrete, supportive environment, in order to provide personalised postnatal care for their physical and mental health, and includes an explicit reference to birth trauma for the first time.