After your baby arrives

A birth debrief, at your own pace

Going back through what happened, with someone who understands the clinical language and has all the time you need. There is no deadline on this, and no version of it you are supposed to want.

A woman sitting alone with a cup of tea, thinking, rain falling outside the window

What it is

Filling in the parts you missed

Birth happens quickly, and often to someone who is exhausted, in pain or medicated. It is extremely common to come out the other side with gaps: a decision you do not remember agreeing to, a stretch of an hour you cannot account for, a word someone used that you have been turning over ever since. A birth debrief with an endorsed midwife is a chance to go back through it at your own pace.

It is a conversation that puts the sequence back together. What happened, in what order, and why each thing was suggested at the point it was suggested.

For a lot of people that is enough on its own. Understanding why something was done stops it feeling like something that was done to you.

A debrief is not counselling or therapy. If what surfaces needs more than a conversation, your midwife will say so and help you find the right person.

Who asks for one

Not only people whose birth went badly

The assumption is that a birth debrief is for traumatic births. Often it is not.

Common reasons

  • A birth that moved faster than you could follow
  • An emergency caesarean or assisted birth you had not prepared for
  • Plans that changed, and never being told why
  • Reading your own notes and not understanding them
  • Thinking about a next pregnancy and wanting to know what it means

How it usually goes

You talk, she listens, and she explains the parts you ask about. There is no form to complete and no structure you have to follow. Some people bring their hospital notes, some bring a list of questions, and some arrive with one thing they have been unable to stop thinking about.

Partners often want to be there, and often have their own gaps. A birth is hard to witness as well as to have.

Whenever you are ready, including much later

Some families want it within the first fortnight, while it is fresh. Others cannot face it for months, and then find it surfacing at the point they start thinking about another baby.

Both are ordinary. There is no window in which this stops being worth doing, and it is one of the quieter kinds of postpartum support.

Where a birth debrief stops

If you are having flashbacks, avoiding reminders of the birth, or finding it hard to function, that is worth more than a birth debrief. Your GP can refer you, PANDA runs a free national helpline on 1300 726 306, and Gidget Foundation Australia offers free perinatal mental health services.

Usually inside a postnatal visit

Many families cover a birth debrief as part of a home visit rather than booking it on its own. Fees are set practice by practice and a Medicare rebate may apply for eligible families, so ask the midwife you contact what she would suggest and what it would cost.

Arrange a debrief

Talk it through with a midwife

Each midwife takes her own bookings and can tell you how she runs a debrief and when she is free.