What is an appropriate initial response when a pregnant woman expresses fears about labor and shares past abuse?

• A. Focus on breathing
• B. You are not alone and it was not your fault, and provide resources
• C. You're overreacting
• D. Dismiss feelings

Answer: (B)

When someone shares fears about labor and a past history of abuse, respond in a way that validates their experience, reinforces safety, and connects them with support. The strongest initial response is to acknowledge that their feelings are real and understandable, affirm that they are not alone, and remind them that abuse is never their fault. This kind of reaction helps counter self-blame, builds trust, and signals that you will support them with concrete help and resources.

Focusing only on techniques like breathing doesn’t address the emotional impact of trauma and can leave the person feeling unseen or unsupported. Comments that minimize or dismiss their feelings can retraumatize and erode the trust essential for ongoing care. Providing resources and offering to connect them with trauma-informed support lays the groundwork for a sense of safety and empowerment during what can be a vulnerable time.