Trauma-Informed Care in Obstetrics: A Conversation with Dr. Devon Rupley

Centering Patients Through Trauma-Informed Care in Obstetrics

Giving birth is one of the most powerful and life-changing experiences a person can have. But it can also be stressful, vulnerable, and shaped by past or present trauma. At Physician Affiliate Group of New York, P.C. (PAGNY), our providers are dedicated to ensuring patients feel safe, supported, and heard during every step of their care.

We sat down with Devon M. Rupley, MD, OB/GYN Hospitalist at NYC Health + Hospitals/Jacobi to discuss her approach to trauma-informed care in obstetrics and why it matters for patients and providers alike.

PAGNY: What does trauma-informed care mean?

Dr. Rupley: Trauma-informed care (TIC) is when providers practice in a way that helps patients feel safe and empowered in healthcare settings. It requires providers to recognize that trauma is very common and has real impacts on patients’ health. TIC means empowering patients by creating environments of trust, safety, and collaboration.

PAGNY: What inspired your focus on trauma-informed care in obstetrics?

Dr. Rupley: Giving birth can be one of the most magical moments of a person's life, but it also is intensely stressful and requires that a patient put so much trust in providers they might just be meeting.

PAGNY: Why do you believe trauma-informed care is so important in the delivery setting?

Dr. Rupley: Because so many patients carry trauma histories, whether from prior medical encounters, personal experiences, or systemic inequities, it’s essential that providers create an environment where patients feel respected and in control. Trauma-informed care allows us to support people more holistically and ensure their birth experience is not only safe but also empowering.

PAGNY: How do you apply trauma-informed practices in your daily work with patients?

Dr. Rupley: For me, it’s about communication and partnership. I make sure patients know what to expect, invite them to share their preferences, and check in often to ensure they’re comfortable. Simple things like asking permission before touching, explaining every step, and giving patients space to make choices can make a huge difference in their sense of safety and trust.

PAGNY: What do you hope patients feel when they leave your care?

Dr. Rupley: My hope is that every patient feels they were treated with dignity and compassion. Even in challenging or unexpected situations, I want them to leave knowing they were listened to, valued, and cared for as a whole person, not just as a patient giving birth.

Through the dedication of providers like Dr. Rupley, PAGNY continues to champion patient-centered, trauma-informed care. By honoring each individual’s experience and fostering trust, PAGNY providers are helping to shape safer, more supportive birth experiences for patients and families across New York City.