Thousands of UK women develop undiagnosed post-traumatic stress disorder (PTSD) after childbirth every year, research has found.
The frightening and dangerous condition is being missed in at least 15,000 women a year across England, Scotland, Wales and Northern Ireland, and the true toll could be double that or more, according to the authors of research in a leading medical journal.
The gap in maternal mental health care is revealed in an evidence review published on Friday by doctors at the University of East Anglia’s medical school who specialise in women’s health.
Many GPs mistake PTSD for postnatal depression, which means women who urgently need specialist help for the former receive treatment that is not appropriate, it found.
The NHS’s widespread failure to identify PTSD in women who recently had a child has prompted concern because undiagnosed mental ill health among them has been linked to relationship problems, long-term suffering and a high risk of suicide.
The research, published in the British Journal of General Practice, is the first attempt by experts to quantify how many cases of childbirth-related PTSD in the UK are diagnosed or not. The NHS does not collect such figures, despite the fact up to one in 16 mothers develop the serious mental health condition, often because they had a traumatic experience while giving birth.
The leader of the UK’s 50,000 GPs admitted that cases of PTSD were going unrecognised and untreated because of “an important gap” in family doctors’ ability to recognise the symptoms, which include nightmares, flashbacks, anxiety and persistent negative thoughts, including hopelessness.
Research has estimated that either 5% or 5.9% of women giving birth suffer PTSD and also that fewer than half of those who get it are diagnosed and receive NHS care. In some cases it can occur even when the woman has had a medically uncomplicated birth.
“The Office for National Statistics figure for the 2025 live birthrate in England and Wales, not including Scotland and Northern Ireland, was 585,396. This figure does not include stillbirths and miscarriages, which are significant risk factors for childbirth-related PTSD,” said Dr Megan Foreman, the lead author of the paper, who is also a GP.
“Therefore, at 5% of the 2025 ONS birthrate for England and Wales (29,269), combined with the evidence from Moran et al that less than 50% of women with PTSD symptoms postnatally are referred for specialist perinatal mental health support, a UK figure greater than 15,000 women, but potentially in the tens of thousands, would be justifiable based on the available evidence,” she added.
Many cases of PTSD are being missed when new mothers go to see their GP for the NHS-wide checkup of their own and their baby’s health six weeks after the birth, the six co-authors say. That is particularly because, although there is NHS guidance on what should happen in those consultations, there is no approved framework for assessing women’s risk of having PTSD.
The fact that six-week checks are meant to cover the health of newborns as well as their mothers, including immunisations the baby needs, means the child’s situation can “dominate the consultation … [which] can make assessing the mother’s mental health challenging, particularly if they attend alone with the child”, the study found.
“In addition, some women may not feel able to discuss a traumatic birth immediately as it may be retriggering,” the paper points out.
“A UK study demonstrated that, despite half of GPs recognising trauma-related features when reviewing case vignettes describing childbirth-related PTSD, their most common diagnosis was postnatal depression,” it adds.
Misdiagnosis can be detrimental to women with PTSD because they are then prescribed antidepressants, which are not as effective for treating it as psychological therapy, and also because the evidence shows that “treating depression alone may not improve coexisting childbirth-related PTSD”, the authors say.
Failure to correctly identify PTSD also matters because it and postnatal depression increase the risk of suicide, which is the commonest cause of death among women in the year after giving birth.
“Untreated childbirth-related PTSD can have profound effects on women and families”, including needing further NHS care, avoiding contact with doctors and hospitals or choosing to have an elective caesarean or home birth with future pregnancies, the paper adds.
Angela McConville, the chief executive of the NCT parenting charity, said the findings were worrying and showed that NHS postnatal care needed to focus more on mothers’ emotional wellbeing.
“The possibility that so many women could be living with undiagnosed PTSD after birth is deeply concerning. PTSD after birth is a serious and often overlooked condition that can have a profound impact on women and new mothers, as well as those around them. No one should have to reach crisis point before they are listened to and able to access support,” she said.
“These findings are a powerful reminder that birth trauma does not end when care in hospital ends. When trauma goes unrecognised or unsupported, the effects can be felt across relationships, family life and wellbeing for months or even years.
“A traumatic experience [of pregnancy or childbirth] can affect [mothers’] mental health, relationships and confidence at a time when people are adjusting to life with a new baby,” McConville added.
The authors based their conclusions on analysis of existing official data on the numbers of women giving birth, known prevalence of PTSD among them and six-week checkup GP appointments.
“This paper highlights an important gap in how we identify and support women experiencing PTSD following childbirth,” said Prof Victoria Tzortziou Brown, the president of the Royal College of GPs.
Recognition of the condition was vital, given the trauma involved, but the six-week check was not enough for a GP to adequately assess their mental health, she said.
Tzortziou Brown added: “The six-to-eight-week postnatal check is an important opportunity for GPs to discuss a woman’s physical and mental wellbeing, as well as the health of her baby. But childbirth-related PTSD can be complex to identify.
“Symptoms may overlap with depression, anxiety and other postnatal mental health problems, and may not become apparent until months after the birth.
“Recognition therefore cannot depend on a single consultation. Women need joined-up support throughout the postnatal period, across maternity services, health visiting, general practice and specialist mental health services.”
In the UK, the charity Mind is available on 0300 123 3393 and Childline on 0800 1111. In the US, call or text Mental Health America at 988 or chat 988lifeline.org. In Australia, support is available at Beyond Blue on 1300 22 4636, Lifeline on 13 11 14, and at MensLine on 1300 789 978
