Through the Looking Glass: Complexities of Trauma in Mothers and their Babies Born Very Preterm

The delivery of a very preterm infant (VP, gestation less than 32 weeks) is a crisis for both mother and her baby. This chapter presents a relational framework for assisting the psychological adjustment of mothers to very term birth. Trauma and grief are layered through every level of adjustment, and are evolving alongside critical transitions in the development of the mother-infant attachment relationship. The incidence of acute situational stress, adjustment disorder, depression, anxiety and post-traumatic stress disorder is much greater than in other perinatal contexts. Complex trauma presentations are also discussed in the context of consultation-liaison psychiatric models of care.