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Breaking the Taboo series 2, episode 8

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Thursday, 17 July, 2025
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This week is Birth Trauma Awareness Week so our host, Theo Clarke is joined by Ailsa Adams, an affected mother, and Leena Savjani, a Partner at Irwin Mitchell, to discuss life after birth trauma. Topics that we discuss on the show include: requesting a birth debrief or reflections; the importance of peer support; access to perinatal health services; repair surgery and the realities; how to request your medical records and navigating the complaints process.

Ailsa Adams is a mother of three—first a singleton, followed by twins—who experienced a severe birth injury (Obstetric Anal Sphincter Injury, OASI) during her second delivery in 2020 whilst living in London. The repair surgery she underwent immediately after birth was later found to have been inadequately performed, leaving her with physical and mental challenges that have impacted every aspect of her life. In 2024, she underwent colostomy surgery as part of her ongoing recovery. Navigating life post-OASI has been complex, with limited guidance or healthcare pathways following such an injury. While still managing the effects of her experience, Ailsa is determined to support others facing similar challenges and advocate for improvements in maternity care and post-birth recovery resources. Ailsa works as a physiotherapist for the NHS and now lives in Scotland with her husband and three children.


Leena Savjani is a Partner at national law firm Irwin Mitchell and a specialist in medical negligence law with over 19 years of experience in the field. She has acted on some of the most complex and sensitive cases in the field, often involving serious injury and systemic failings in healthcare. Leena has a particular expertise in maternal injury cases, including those involving obstetric anal sphincter injuries (OASI) where she is recognized for her compassionate client care and deep understanding of the long-term impact on women’s lives. Known for her rigorous legal mind, empathy, and unwavering commitment to her clients, she is a trusted advocate for driving accountability and improving maternity safety.

Birth Trauma Association: https://www.birthtraumaassociation.org/

MASIC: https://masic.org.uk/downloadable-guides/

PALS (Patient Advice and Liaison Service): https://www.nhs.uk/nhs-services/hospitals/what-is-pals-patient-advice-and-liaison-service/

AvMA (Action Against Medical Accidents): https://www.avma.org.uk/

Instagram: @colostorymum @IrwinMitchell

This podcast is sponsored by the law firm Irwin Mitchell.

DISCLAIMER: This show is not intended to be medical advice please seek advice from a GP or Doctor.

Website: http://www.theo-clarke.org.uk/podcast

Instagram: @theoclarkemp

Breaking The Taboo production team:

Producer: Natasha Feroze

Researcher: Max Austin and Elliott Malik

Designer: Emily Ryder

Social media: Bella Carter

Studio manager: Adam Woodward

Studio: Studio 55 part of Wolfe Power Club  

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