 
                                                                                                    10/17/2025
                                            Trauma can significantly shape how a person experiences pregnancy, birth, and the postpartum period.  During birth, these trauma responses often manifest through the lens of the nervous system’s survival modes: fight, flight, freeze, and fawn.
Here’s how each might show up in a birth context:
🔥FIGHT RESPONSE
What it looks like during birth:
A strong need to control the environment or people around them.
Arguing with or pushing back against medical providers or birth partners.
Anger, irritation, or aggression (verbal or physical).
Resistance to being touched or directed.
Hyper-vigilance perceiving threats even in neutral situations.
🔥Underlying feelings:
Feeling trapped or unsafe
Past trauma being reactivated by loss of control or perceived authority.
🏃♀️ FLIGHT RESPONSE
What it looks like during birth:
A desire to leave the birthing space, hospital, or situation entirely.
Panic attacks, restlessness, pacing.
Mental “checking out”ruminating on escape, wanting the birth to be over.
Urging for unnecessary interventions as a means of escaping the experience.
🏃♀️Underlying feelings:
Fear of being harmed, retraumatized, or overwhelmed.
Birth reminding them of a previous trauma (e.g., assault, medical procedures).
❄️ FREEZE RESPONSE
What it looks like during birth:
Going silent, shutting down, or becoming unresponsive.
Difficulty making decisions or advocating for themselves.
Numbness, dissociation, or detachment from the body or surroundings.
A “foggy” or dreamlike feeling; disconnect from the birth experience.
❄️Underlying feelings:
Overwhelm to the point of collapse.
Nervous system goes offline to survive what feels unbearable.
🤝 FAWN RESPONSE
What it looks like during birth:
Agreeing to things they don’t want (consent without true consent).
Appeasing providers or partners to avoid conflict.
Smiling or being overly accommodating despite discomfort or fear.
Suppressing their needs or pain to not be a “burden.”
Underlying feelings:
❄️Fear of rejection, punishment, or abandonment.
Learned survival from past abuse stay safe by keeping others happy.
                                             
 
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                                                                                     
                                         
   
   
   
   
     
   
   
  