When Birth Doesn’t Feel Like a Beginning – The Impact of Birth Trauma and PTSD on Breastfeeding

For many new mothers, childbirth is an event filled with anticipation, hope, and perhaps some anxiety. But for others, birth doesn't end in relief or joy—it marks the beginning of a quiet struggle. Post-Traumatic Stress Disorder (PTSD) following a traumatic birth is a very real experience for many women, and its effects can directly impact their ability to breastfeed. As lactation consultants, we are in a unique position to support these mothers and positively influence their breastfeeding journey.

What Is Birth-Related PTSD?

PTSD is a mental health condition that can develop after exposure to a traumatic event. In the context of childbirth, trauma may arise from:

• Emergency C-sections or medical crises

• Feeling unheard, disrespected, or out of control

• Physical pain or perceived abuse

• The loss of a baby, NICU admission, or post-birth separation

• A reactivation of past trauma, such as sexual assault

Studies estimate that up to 9% of mothers experience PTSD after childbirth, with many more showing symptoms without a formal diagnosis.

How Does PTSD Affect Breastfeeding?

Reduced Bonding

PTSD can disrupt a mother's ability to emotionally connect with her baby, making breastfeeding—which depends on close physical and emotional interaction—much more difficult.

Increased Anxiety and Flashbacks

Breastfeeding involves intimate contact. For mothers with trauma histories, this can trigger flashbacks or anxiety, particularly if the trauma involved a loss of bodily autonomy or prior abuse. This may lead to stress during feeding, painful let-down reflexes, or even avoidance of breastfeeding.

Hormonal Disruption

Breastfeeding relies on oxytocin, the so-called “love hormone,” which is essential for milk let-down. High stress and anxiety interfere with oxytocin release, making milk flow more difficult and compounding the challenge.

Early Weaning or Avoidance

Mothers with birth-related PTSD are more likely to wean early or avoid breastfeeding altogether. They may feel betrayed by their bodies or lack confidence in their ability to provide for their baby.

How Can We Help as Lactation Consultants?

As lactation consultants, our role extends far beyond technique. We are also witnesses to stories of pain, healing, and resilience. Trauma-informed care is not optional—it’s essential.

1. Trauma-Informed Support

• Avoid judgment or pressure.

• Always ask for consent before touching or intervening.

• Validate her experience gently (“That sounds like it was incredibly hard. How can I support you right now?”).

2. Restore a Sense of Control

Let the mother take the lead—whether that’s choosing when and how to breastfeed, selecting positions that feel safe, or setting boundaries. Regaining a sense of agency is deeply healing.

3. Collaborate with Mental Health Professionals

Refer mothers to trauma-informed therapists, psychologists, or support groups as needed. PTSD is treatable, and a multidisciplinary approach is often most effective.

4. Rebuild Confidence

Celebrate every small success—whether it's a first latch, expressed drops of milk, or simply holding the baby skin-to-skin. These moments matter.

Breastfeeding after a traumatic birth is not just a physical task—it’s an emotional journey. By offering trauma-informed care and staying alert to the subtle signs of PTSD, we can play a critical role in transforming pain into healing. Every drop of support counts—even when the milk doesn't flow right away.