Woman refuses CS, charged with murder

Specialties Ob/Gyn

Published

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http://sfgate.com/cgi-bin/article.cgi?f=/news/a/2004/03/11/national1649EST0799.DTL

(03-11) 13:49 PST SALT LAKE CITY (AP) --

A pregnant woman who allegedly ignored medical warnings to have a Caesarean section to save her twins was charged Thursday with murder after one of the babies was stillborn.

Prosecutors said Melissa Ann Rowland, 28, didn't want the scars that accompany the surgery.

An autopsy found that the baby died two days before its Jan. 13 delivery and that it would have survived if Rowland had had a C-section when her doctors urged her to, between Christmas and Jan. 9. The other baby is alive, but authorities had no further information.

The doctors had warned that without a C-section, the twins would probably die, authorities said. A nurse told police that Rowland said a Caesarean would "ruin her life" and she would rather "lose one of the babies than be cut like that."

"We are unable to find any reason other than the cosmetic motivations by the mother" for her decision, said Kent Morgan, spokesman for the district attorney.

Court documents give no address for Rowland, and she isn't listed in area telephone books.

The charges carry five years to life in prison. She was jailed on $250,000 bail.

It was not immediately clear whether she had an attorney.

According to the documents, Rowland went to LDS Hospital in Salt Lake City in December to seek advice after she hadn't felt her babies move. A nurse, Regina Davis, told police she instructed Rowland to go immediately to one of two other hospitals, but that Rowland said she would rather have both babies die before going to either place.

On Jan. 2, a doctor at LDS Hospital examined Rowland and recommended an immediate C-section based on an ultrasound and the babies' slowing heart rates. Rowland left, the doctor told police.

The same day, Rowland allegedly saw a nurse at another hospital, saying she had left LDS Hospital because the doctor wanted to cut her "from breast bone to pubic bone," a procedure that would "ruin her life." The nurse also told investigators that Rowland said she would rather "lose one of her babies than be cut like that."

A week later, Rowland allegedly went to a third hospital to verify whether her babies were alive. A nurse there told police she could not detect a heartbeat from one twin and advised Rowland to remain in the hospital, but Rowland ignored the advice.

Specializes in Gerontological Nursing, Acute Rehab.

Personally, I think our society has sooo many mis-placed values....and then we wonder when we hear stories like this. Why should we be surprised? Our society is what we have created.

I'll agree with you 100% there, moondancer. But just as we can't "force" sterilization, we can't force treatment for mental illness, either. Why do we have to wait for something to happen before we start to act? The children are the ones that get the short end over and over again. I realize we don't have enough willing and capable foster parents. I don't know the answer, either, as to what we as a society can do for these children. But it seems that the very old and the very young get forgotten in this society, and it makes me so mad to see that happen.

I'll tell you what, if a Presidential candidate came along and vowed to distribute more money to the care of the neglected and/or abused young and old, I'd vote for him.

Jennifer

Specializes in Case Mgmt; Mat/Child, Critical Care.

I totally agree with you jkaee. I wish I knew the answer, also. I really believe if our (as in societies) priorities were a little straighter, then the elderly, the young and the incompetent/vulnerable of our world would be valued and card for. I would love to see a candidate come along and pledge funding for these issues. As it is now, funding to these vital areas has been drastically cut.

Has anyone seen a picture of this woman? I saw a picture of her on AOL and she did not have to worry about a possible scar to make her look bad, she already did. She looked horrible. I think her prior child endangerment charge for an older child should have been a warning of things to come.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
I saw a picture of her on AOL and she did not have to worry about a possible scar to make her look bad, she already did.

Maybe she didn't think she did. (beside the point though)

What I don't understand is why did she go to three different hospitals for decreased fetal movement if she didn't want anything done about it? If you are going to refuse medical attention then don't go to the hospital! :(

This is the part that's hard for me also. Why do people seek care when they are going to refuse it or be noncompliant? I think in this case, she probably is too ill to be competent enough to understand what she was refusing, or perhaps I'm just being optimistic.

We had a similar case a few years back, only this woman had no mental illness that I know of. She had severe pre-ecclampsia and was hospitalized but refused Mag. I don't remember her reasoning exactly. She also refused to be transported to a bigger center with a NICU, though she really was sick enough that she needed to be delivered. She did accept some apresoline (I think), since it was PO, and agreed to transport herself to the other city where there was a big hospital (think really tiny remote town). She left AMA and was going to get on a commercial flight the next day or so. Sadly, she abrupted at home and came in to us with a dead baby. Just about put all of us over the edge, becasue it shouldn't have happened, I think wouldn't have happened had she followed medical advice.

But, the thing is, that is their right. Don't you guys all have to talk about this with every admit? You have the right to help plan your care...You have the right to refuse care...You have the right to an advanced directive...

A free country and all... Can't tie people down and do surgery on them.

I agree; I cannot see how murder charges can stick. That makes no sense. The consequences of her decision were grave, but it's not murder to me. Nope. Just pure and simple stupidity and vanity, and sadly not offenses for which we can convict her.

Murder charges probably wont stick but the woman deserves to get her name on all of the local papers and tv. She may never be punished but she will never live it down after being officially charged and brought out like this.

The hospital could have contacted a judge and got a court order for the C section to be preformed. It would have been carried out before there could have been any appeal. At least the baby would still be alive.

It seems like there is much more to the story than is being told. This woman obviously did not have the real care or concern of the medical staff. The laws are quick now to interfere into peoples personal lives and if she has a history of mental illness, then she just does and she has special needs that need to be taken care of by her doctor and nurses and others involved in her care. It sounds like she was on the right foot to be involved with the father of the children. In a state like Utah, such persons who cohabitate may be unpopular with the status quo. So they would be more likely to be picked on and will stand out even more. She is not a good looking woman, which is all the more reason why she would be singled out.

People live with mental illness every day and raise children with the disease, like it or not and it's the reality and it's a high percentage now of our population. Mental illness strikes the ugly and the beautiful alike. I don't think that they should charge her with murder as this seems totally unfair. This talk of a scar does not make any sense to me. Maybe she was just fearful of another surgery and could not express herself in any other way to say that she didn't want to have a surgery here, so she made up this excuse involving the issue of the scar. That is quite possible as people often do not like to admit that they are afraid. Things are not always as they appear.

There are uncounted numbers of situations where C-sections were requested or required and were not done for one reason or another, only to find that the baby died or was still born. There are multiple cases where the doctor was busy with someone else. Doctors car broke down in traffic, doctor did not make it on time because of this or that, rounds took priority, or he was out shopping and didn't make it on time. Mother did not get to the hospital in time, mother was left alone at home, did not feel well and just thought to lay down for a little while, mother at the last minute changed her mind and opted for a lady partsl delivery against her doctors advice, etc. In the end, the story was the SAME, baby was stillborn.

In cases like this, do we prosecute everyone involved all the time? Our prison population will then sure grow fast. Are we becoming a police state and do we want to live in such a society that is policing people in their personal lives to such a hard core extent? Is it a situation that involves policing? She did not commit murder as she did not give this child pills or drugs to intentionally kill it. She may have been fogged from her mental illness and prehaps past experiences and needed extra time and concern from the medical staff plus maybe a psych referral or consult and maybe some spiritual care too and help with getting over her fears of having a C section.

She should have been dealt with more compassionately from the start to the finish and the situation might have not been so grievious. She is right now grieving for having lost her 2 children. She languishes in prison in a society that was unfair to her and in a system that did not have any real concern for her.

kristytx - you took the words right out of my mouth!!

i am certainly no beauty queen, but the scars probably would have onlyimproved her looks!

One thing I was thinking about regarding this story was... What if her religon had something to do with her decision, would they still charge her with murder? I dont know if that was the case at all, but just a thought.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.
kristytx - you took the words right out of my mouth!!

i am certainly no beauty queen, but the scars probably would have onlyimproved her looks!

oh, come on! :rolleyes: is that really necessary?? :stone

the only thing that her looks have to do with this (aside from what may or may not have been her mentality about the scar) is that it might show evidence of self-care deficit, which can be a sign of a mental illness (or more than one).

Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
kristytx - you took the words right out of my mouth!!

i am certainly no beauty queen, but the scars probably would have onlyimproved her looks!

wow that's mature! :nono:

Specializes in NICU.

I read in the newspaper that this woman's baby girl had already been adopted out, and had a positve UDS at birth, for cocaine and alcohol. We don't test for alcohol, so that seemed strange to me.

Also, the baby was adopted very quickly, which means to me that she gave it up, or lost parental rights immediately. That means a long term hx with CPS.

The other oddball thing reported was a previous hx of 2 c/s.

Strange woman. strange story. As my son (the detective) told me, don't believe everything you read in the newspapers!

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