Woman refuses CS, charged with murder

Specialties Ob/Gyn

Published

--------------------------------------------------------------------------------

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 5 yrs OR, ASU Pre-Op 2 yr. ER.
Oh god, I just saw her picture. And she was vain? I think she was affraid of being tested for drugs, and going to jail any way.

Im surprised she didn't just squat in some alley to have her kids.

:nono:

________________

Specializes in LTC,Hospice/palliative care,acute care.
I'm Sorry I just dont get it. I would take a bullet for my kids, would step infront of an oncoming car to save them. Never even considering what it would do to me. Scar my face, scar my body, I do not care. I would choose my childrens lives before anything, even vanity. I have had one child I lost prematurely. I would have taken any scar to have him alive. I did have an emergency C/S, and have had 2 more since. (although, when I got cancer of the cervix I was vain but in the end chose to have the new scar to LIVE for my kids.) Would she not breast feed because her breasts might get smaller? Would she not worry about getting hemmroids, episiotomy, or having stretch marks?

I'm sick about her decision. This is not the same as abortion, this appears to have been a child who could have been born alive, and had a chance at life. And her selfishness/vanity cost him his life. Sorry but she should not be a mother.

What if her child falls into a pool and she just had her hair done, will she leave him fighting for life to go get someone else to rescue him/her?

You are mis-informed. I have not seen any statement attributed to her that she refused the section because she did not want a scar

-in fact she has

had previous sections....She stated (and this has been quoted in many sources) "I don't want to be cut like that from breast to pubic bone" because "it will ruin my life" She was first hospitalized at the age of TWELVE...she had a mentally handicapped mother and was raised in the foster care system.Wether or not she was legally insane at the time if the babies birth remains to be seen but it is obvious she was not rational.And she did test postive for cocaine and etoh...i can't believe some of the judgemental attitudes on this thread....What kind of nurses are we?

Because the woman said she did not want to be cut from breastbone to pelvic bone, it makes me wonder what teaching she had. The scars for C-section are actually very small aren't they?

And because the woman presented herself to the health care system when she did not feel her babies move shows some responsibility and concern.

There is much more to this story.

It's really sad that poor baby.. The baby girl was already adopted..

Someone said it earlier and it is true, hindsight is 20/20.

Unfortunately, while this pt chose to seek care, she also made the choice to leave 2 hospitals AMA. She had a history of 2 prior c sections, so it could have very well been she had a bad experience with one and didn't want to be subjected to it again.

We may never know the whole story. I just pray for the baby who survived.

I am shocked at some of the comments on this thread as well. You are right, what kind of nurses are we???? It has been made clear time and again that this woman suffers from mental illness and yet some of these comments are really horrible....making fun of her looks, etc. I'm beginning to wonder if any of these nurses responding in this manner have ever actually worked with a mentally ill person. From the sound of these comments, I doubt it...you certainly can not expect someone who is mentally ill to think and act in a rational manner!

The whole situation is very sad....sad for her, sad for those babies, thank goodness the surviving twin is safe.

You are mis-informed. I have not seen any statement attributed to her that she refused the section because she did not want a scar

-in fact she has

had previous sections....She stated (and this has been quoted in many sources) "I don't want to be cut like that from breast to pubic bone" because "it will ruin my life" She was first hospitalized at the age of TWELVE...she had a mentally handicapped mother and was raised in the foster care system.Wether or not she was legally insane at the time if the babies birth remains to be seen but it is obvious she was not rational.And she did test postive for cocaine and etoh...i can't believe some of the judgemental attitudes on this thread....What kind of nurses are we?

I am shocked at some of the comments on this thread as well. You are right, what kind of nurses are we???? It has been made clear time and again that this woman suffers from mental illness and yet some of these comments are really horrible....making fun of her looks, etc. I'm beginning to wonder if any of these nurses responding in this manner have ever actually worked with a mentally ill person. From the sound of these comments, I doubt it...you certainly can not expect someone who is mentally ill to think and act in a rational manner!

The whole situation is very sad....sad for her, sad for those babies, thank goodness the surviving twin is safe.

You are mis-informed. I have not seen any statement attributed to her that she refused the section because she did not want a scar

-in fact she has

had previous sections....She stated (and this has been quoted in many sources) "I don't want to be cut like that from breast to pubic bone" because "it will ruin my life" She was first hospitalized at the age of TWELVE...she had a mentally handicapped mother and was raised in the foster care system.Wether or not she was legally insane at the time if the babies birth remains to be seen but it is obvious she was not rational.And she did test postive for cocaine and etoh...i can't believe some of the judgemental attitudes on this thread....What kind of nurses are we?

I think we need to be careful of what we all read into the story. It wouldn't be the first time a prosecutor embellished.

I still don't see how she can be charges with anything, but social services can still investigate and determine if she can keep the other child.

This is EXACTLY what I thought...but not only about the prosecutor but also about the MEDIA in general.

How often do you turn on the news and hear a story then flip channels and hear the same story but w/ different, embellished, or flat out DIFFERENT details.

Unfortunately we live in a society that allows the media to put their own little spin on any story they report...accurate or not.

That being said....I hadn't heard about this til now...don't know her...or of her... and agree that if an MD who refuses to do a CS or take a woman's concern even the "something isn't RIGHT!" complaint seriously and there is a bad outcome isn't punnished then I don't know how I can stand by and judge a woman who says she doesn't want a CS.... ?

It's a gray one for me.... I can't imagine refusing knowing one of my babies would die...but then again...the fact that she REPEATEDLY seeked other opininions and got additional medical care shows me that she wasn't so blase' about it as it sounds in the article....had she not given a rats' butt she wouldn't have bothered to seek other care.

Many people have a deep seated fear of surgery...she wouldn't be the first...and perhaps her fear isnt' about cosmetic damage ....it must be hard to have made that choice and live w/ the consequences regardless to the reasoning behind her choice.

It's gppd tp hear people say that we don't know the whole story -- we cnan't make sound, informed decisions or judgements without having all the info. I know my heart just breaks to think of what things this gal may have endured in her life... not an excuse, but I am sure ther are tings in all of our experiences that have made us do loopy things once in a while and that they may seem totally unintellegent , immoral or stupid to others looking in... I have heard so many different theories on this case -- so many subtle differences in the fact.... I am glad that I have never been in her shoes!!

It sounds to me like a doctor got mad because his God-sent medical opinion wasnt heeded and now hes trying to prove his point.

Specializes in 5 yrs OR, ASU Pre-Op 2 yr. ER.

Over CROUTONS????

Definitly fits the bill for depraved indifference. BUT...throw in the Hx of mental illness & you have a very twisted and sorrowful case. Jail is not the place for her, psych hospital yes. Perhaps she was off her meds r/t the pregnancy..or on less effective ones for the same reason. Who knows?

Were there indicators? Yes. We can't change the past though just use it as a lesson learned albeit an expensive one morally speaking. I hope that the healthcare PROFESSIONALS are taking an active stance on her tx, not a judgemental one.

God Bless the little children of the world. Give those involved in her care the strength to do so.

+ Add a Comment