In this powerful and personal essay, trauma therapist Philippa shares her experience of witnessing her neurodivergent daughter's silent struggle in a medical setting. She unveils the pervasive myth of "Absence of No Is Not Yes" in maternity care, highlighting the importance of affirmative consent and the need to honour individual communication styles. Through her own story and expertise, Philippa calls for a transformation in how we approach childbirth, empowering women to advocate for themselves and find healing through specialised therapy.