{"id":18228,"date":"2024-02-12T12:13:54","date_gmt":"2024-02-12T12:13:54","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=18228"},"modified":"2026-04-30T12:22:27","modified_gmt":"2026-04-30T11:22:27","slug":"birth-reflections-clinic","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/mentalhealthadult\/perinatalmentalhealth\/maternity-and-neonatal-psychological-intervention-team\/birth-reflections-clinic\/","title":{"rendered":"Birth Reflections Clinic"},"content":{"rendered":"\n<p>The Birth Reflections Clinic is a single midwifery-led appointment offered alongside clinical psychology where women, birthing people and birth partners can engage with a therapeutic review of their birth experience.&nbsp;<\/p>\n\n\n\n<p>The clinic is for individuals with emotional difficulties related to their birth experience that have not attenuated over the first 4-6 weeks after the birth.&nbsp;<\/p>\n\n\n\n<p>The Birth Reflections Clinic offers a single appointment review clinic for women and birthing people who are:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>more than 4-6 weeks postnatal and<\/li>\n\n\n\n<li>have had a difficult birth experience and<\/li>\n\n\n\n<li>wish to engage in a single therapeutic appointment with a midwife and the Maternity and Neonatal Psychological Interventions (MNPI) clinical team.<\/li>\n<\/ul>\n\n\n\n<p>Due to waiting times, the Birth Reflections Clinic appointment should not be used as a primary referral option if there is an assessed need for specific trauma assessment\/treatment. These will be individuals seeking assessment and treatment of difficulties that include all of: &#8211; intrusive memories, hypervigilance, avoidance of triggers, persistent changes in mood and negative beliefs for more than 1 month that are affecting day-to-day functioning. In such cases, please refer to MNPI if within the first year post birth, or to sector adult mental health teams if&nbsp;out&nbsp;with the first postnatal year.<s><\/s><\/p>\n\n\n\n<p>If a birth has required obstetric intervention referrals are reviewed and redirected to the obstetric team who progress appointments independently of the Birth Reflections Clinic.<\/p>\n\n\n\n<p><em>Please note that due to likely waiting times this clinic is not suitable for people seeking review before the birth of a next baby if more than 18 weeks gestation on date of referral.<\/em><\/p>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p>Please discuss the <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Birth-Reflections-patient-information-leaflet-Jan-2024.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Birth Reflections Clinic patient information leaflet<\/a> with the family to collate questions for the appointment. With patient consent email a completed <a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Birth-Reflections-Clinic-Referral-Form-V9-April-2026.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Birth Reflections Clinic referral form<\/a> to <a href=\"mailto:loth.birthreflections@nhs.scot\" data-type=\"mailto\" data-id=\"mailto:loth.birthreflections@nhs.scot\" target=\"_blank\" rel=\"noreferrer noopener\">loth.birthreflections@nhs.scot<\/a><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Birth-Reflections-Clinic-Referral-Form-V9-April-2026.docx\" target=\"_blank\" rel=\"noreferrer noopener\">Birth-Reflections-Clinic-referral-form-V9-Apr-2026.docx<\/a><\/p>\n\n\n\n<p><a href=\"https:\/\/apps.nhslothian.scot\/files\/sites\/2\/Birth-Reflections-patient-information-leaflet-Jan-2024.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Birth-Reflections-patient-information-leaflet-Jan-2024.pdf<\/a><\/p>\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Birth Reflections Clinic is a single midwifery-led appointment offered alongside clinical psychology where women, birthing people and birth partners can engage with a therapeutic review of their birth experience.&nbsp; The clinic is for individuals with emotional difficulties related to their birth experience that have not attenuated over the first 4-6 weeks after the birth.&nbsp;<\/p>\n","protected":false},"author":6,"featured_media":0,"parent":14551,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"categories":[1082],"class_list":["post-18228","page","type-page","status-publish","hentry","category-https-apps-nhslothian-scot-refhelp-birth-reflections-clinic"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"heatherlevy","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/heatherlevy\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/mentalhealthadult\/perinatalmentalhealth\/https-apps-nhslothian-scot-refhelp-birth-reflections-clinic\/\" rel=\"tag\">Birth Reflections Clinic<\/a>","rttpg_excerpt":"The Birth Reflections Clinic is a single midwifery-led appointment offered alongside clinical psychology where women, birthing people and birth partners can engage with a therapeutic review of their birth experience.&nbsp; The clinic is for individuals with emotional difficulties related to their birth experience that have not attenuated over the first 4-6 weeks after the birth.&nbsp;","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/18228","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=18228"}],"version-history":[{"count":5,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/18228\/revisions"}],"predecessor-version":[{"id":27759,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/18228\/revisions\/27759"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/14551"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=18228"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=18228"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}