Raising awareness of birth trauma. Birth trauma has only been recognised in research since the 2000s and was only added to NICE guidance as a possible traumatic event in 2014. And yet, up to 40% of women and birthing people in the UK feel in some way traumatised by their birth. Research also suggested that over 30% of midwives are living with the clinical symptoms of PTSD. Influencing change at policy, government and NHS leadership levels so that we can drive lasting change around improved resources and services for maternity and postnatal care Breaking taboos and stigma around mental and physical birth trauma by illustrating the devastating impact trauma can have on people’s daily life and relationships The National Maternity and Neonatal Collective This has helped as we are supporting shaping improvements for maternity and neonatal care with a focus on marginalised communities like the Black and Brown communities, to reduce harm and death. Best Study This study and the work from it complemented the Birth Trauma inquiry but meant we had definitive data on the impact of birth trauma across 13 countries giving a wide breadth of experience to ensure the most marginalised of communities are heard, and we have data to support the impact birth trauma has- this in turn supports our training of staff, what they need to know and how wide the impact of birth trauma is. This work continued into 2526. City Birth trauma Scale Early Identification: Helps healthcare professionals spot trauma early, as shown by its use in UK health visiting services. Opens Dialogue: Encourages parents to discuss their experiences, as seen with the "Did you find any element of your birth traumatic?" question used in some services. Resource: Free to download and use in clinical practice and research. Changemaker Conference We brought together a multitude of professionals into the room to learn how they could support and impact communities who are marginalised, resulting in learning what to consider and how to unpack bias, and hear those experiences. Sending out the letters to health visitors and GP’s meant that they are able to identify birth trauma better in patients and make specialist referrals so that people heal and are supported. And the posters for staff in maternity settings mean staff could easily identify trauma in patients and provide further compassionate and personalised care so they had a positive experience. CPD Certification This has meant that it is a certified course which means that it is evidence based, clinically assured and action focused, meaning professionals are getting a high quality and certified level of training. GPCPC This partnership means that we will be able to improve the understanding of perinatal mental health so GPs can identify birth trauma and poor perinatal mental health in women and people during and after they have had a baby. This will improve outcomes and further develop data available to understand the need of patients and GPS. This also means that it could save lives, not resulting in self harm, suicide and poor mental health. GP and Health Visitor Survey The GP and Health Visitor Survey then lead to us having information about the gaps in knowledge around birth trauma, which helps inform our training of healthcare professionals and the needs of families. Social reach it has meant more parents and professionals have been able to seek support, access guidance and be trained by us as an organisation, to reduce birth trauma, but also see it in themselves or patients, so that help can be sought. It has also meant that families who have experienced birth trauma themselves have access to our free resources, partner organisations and information to ensure they are informed, and can seek help where needed. Champions This has meant we have a diverse range of people, experiences and voices supporting our work which has fed ito our Strategy, conferences and the work we do to support professionals and parents. They directly have fed back what they want the organisation to work on, gaps and this has ensured we engage with the most marginalised of communities who have the poorest of outcomes. DIA It has meant the team have a deep understanding of providing inclusive and safe support, unpacking unconscious or conscious bias and dismantling stereotypes to ensure our work is free from harm, inclusive and representative of those communities that need the most support. It has also meant that our staff have an even deeper understanding and compassion to the barriers people face, and how we can ensure our work is inclusive of all those who need to access training and support. Peer Support The support we are providing makes people feel safe, supported and heard in small psychologically safe groups where they can discuss their experiences and geal. This can support with their wellbeing, employment, retention of healthcare professionals in the service and mean they can move forward. Training Our training programmes benefits our community of parents and professionals by: Our training has provided a unique service to enhance knowledge of birth trauma and provide tools to improve practice within maternity services and other organisations that support Trusts. Outside of our work, birth trauma specific training is rarely provided. Our research shows that 73% of birth professionals have never had any specific training on birth trauma. Our aim is to significantly change that statistic. In our evaluation we measure: Confidence in supporting those affected by birth trauma Level of skill in supporting those affected by birth trauma Level of knowledge about how to treat birth trauma Level of knowledge about to recognise the signs of birth trauma Level of knowledge about how to prevent birth trauma Our analysis from trainees shows a very significant positive change across all of these measures after our training sessions. For example: Before training only 22% of participants felt knowledgeable or very knowledgeable about the signs of birth trauma, after the training this increased to 94%. Testimonials indicate that this is very important training: Authentic, practical, easily accessible, well researched and put together with compassion yet keeping it real to honour to all trauma experiences

The Make Birth Better Core Team The core team met for weekly meetings. The CIC Directors met monthly Make Birth Better Champions 200+ onboarded champions. Heavily included in all activities including lived experience, blog and campaigns. Organisational Partners Worked extensively together with many including RCM, RCOG, Birthrights, Abuela Doulas, Pregnancy Sickness Support, PANDAS, Birth Companions and more. Hurting / healing parents and professionals seeking support Over 7000signed up to our e-newsletter. Over 300have chosen to become champions. In Jan-Dec 2025, thousands people have visited our “support for parents” page and 2k visited our blog. Professionals seeking evidence-based information and skills As above. AND btw Jan-Dec 2025 510 took part in bespoke training. Over 4000 engaged with our website training resources and over 225o took part in our online training (BTTP, summit, free training, BT 101) General population / wider online community YTD we have over 29,000 followers across Instagram, Facebook and Twitter. Over 10,000+ click throughs from Linktree (Instagram) to our website. We regularly take polls and ask questions of this wider group via Instagram stories and other social media functions. This provides invaluable direction to our work.

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