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Trauma-sensitive obstetrics: Potential for optimization from the providers' perspectives.

Louisa Horvath¹, Silke Pawils¹

¹University Medical Center Hamburg-Eppendorf (UKE), Hamburg, Germany.

European Journal of Midwifery

|June 25, 2026

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Obstetric providers identify poor communication and lack of emotional support as key factors in traumatic births. Improving these areas, alongside addressing time constraints and staff shortages, is crucial for trauma-sensitive maternity care.

Area of Science:

Obstetrics and Gynecology
Mental Health
Healthcare Provider Perspectives

Background:

Traumatic birth experiences are a growing concern in maternity care.
Research often overlooks healthcare providers' views on traumatic births.
This study addresses this gap by exploring provider perceptions and prevention strategies.

Purpose of the Study:

To investigate obstetric care providers' perceptions of factors contributing to traumatic birth experiences.
To identify provider-suggested strategies for enhancing trauma-sensitive obstetric care.

Main Methods:

Convergent parallel mixed methods design utilized.
Online survey (n=102) and expert interviews (n=4) conducted with German obstetric care providers.
Quantitative data analyzed descriptively and via logistic regression; qualitative data analyzed using content analysis.

Keywords:

inpatient maternity care midwifery care obstetric care quality provider perspective trauma-sensitive obstetrics

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Main Results:

Respondents defined traumatic births by loss of control (85.3%) and negative emotions (75.5%).
Lack of communication (97.1%) and emotional support (89.2%) were primary contributing factors.
Emotional support was the top-rated preventive measure; lack of time (4.52) and staff shortages (4.35) were key barriers.

Conclusions:

Strengthening trauma-sensitive care requires enhanced communication, emotional support, and shared decision-making.
Structural improvements, adequate staffing, regular training, and reflective practice are essential to reduce traumatic birth experiences.