Nurse opinions on "Birth Rape"

Specialties Ob/Gyn

Published

I ran across this writing on a site called, "Birth Trauma Truths" and wonder what my fellow nurses think and/or feel about it. Me: Mother was Army Cadet RN, put me to work on the county hospital L & D when I was 13 years old. I have now been a Registered Nurse in all areas for over 42 years. Even with precips I always made a point to drape Mom and explain everything everybody was doing. I once solo delivered a babe in the floor of the hallway outside ICU, while a code was going on inside! I had never heard of Birth Rape but apparently it has been around on midwife's sites for quite some time. Weigh in and discuss, discuss.

FROM BIRTH TRAUMA TRUTHS -

A vulnerable woman, who is powerless to leave the situation, is at times held down against her will, has strangers looking & touching at private parts of her body, perhaps without appropriate measures being taken to acknowledge her ownership of her body or to preserve her comfort levels. Perhaps she has fingers or instruments inserted without her consent, and sometimes against her consent, invading and crossing decent boundaries. She is fearful of what is happening to her and perhaps for the wellbeing of her baby, and receives no reassurance that either she or her child are ok. That is a violation, no matter how you look at it. Even IF this treatment is given with no malice and the intent of attempting to assist her with birthing her child, there is NEVER a reason to forgo common decencies that will enable her to maintain a role in the birth, some autonomy over her body, to be involved in the decision-making, to be informed about what they want to do BEFORE they do it.

Specializes in Nephrology, Cardiology, ER, ICU.

Moved to OB/GYN nursing

Specializes in Psychiatry, Community, Nurse Manager, hospice.
To me this would only happen in an emergent situation to save the baby's life. A woman can say she doesn't want treatment for herself, bit for her unborn child? Hitting a murky area there. Especially if the fetus is viable.

The term rape is very misused here, and I find it offensive for women who have had to actually endure a rape.

A woman can, in fact, refuse treatment for her unborn child. That is her right.

I really, REALLY oppose the use of the term "rape" in this context. I'm not really sure how often this happens, and if it comes from a non-nursing midwife site, they often view anything medical related to birth as "unnatural" and wrong. This sounds like fear mongering to me by lay midwives who either do not understand birth in a hospital context, or they severely oppose it and want women to fear hospital births so they can increase their services. That is what I took out of it.

As others have said, battery is a more appropriate term for this. To be rape, the act has to be both forcible and sexual. So unless there was sexual gratification to the person delivering the baby, the word rape does not fit.

Specializes in Pediatrics, Pediatric Float, PICU, NICU.

I think I have a hard time forming an opinion about "birth rape" because I have a hard time getting past the, what I consider to be, gross misuse of the word rape in this scenario. It appears to be a shock word that is used to draw people in and thus takes away from the legitimacy of the issue, much like NETY and so many other buzzwords. Birth battery, as others have stated, seems more appropriate.

That being said, birth battery is absolutely unacceptable. Even in emergency situations, there is always always time to quickly, simply, briefly explain basic things and consent. Period.

For those suggesting that this isn't rape, the FBI's Uniform Crime Report (UCR) Summary Reporting System (SRS) defines forcible rape as The penetration, no matter how slight, of the lady parts or orifice with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.”

As someone who has been raped, I find this incredibly insensitive to women and men who have gone through the actual horrors of rape. I also assume this is a term coined by midwives in order to try and insinuate that they will give more care than an OB/GYN doc. I gave birth years after my rape, and never once did I connect a finger or hand inside me to check for dilation as an assault. Most mothers assume child birth will go as planned and want it according to their birth plan; but in reality, it is very different. It isn't like you are going to get your hair done or nails done and expect the same service every single time and know what comes next. Please stop using the term "rape" and minimizing what has happened to those who have been on the other end of a man forcing his member inside you for sexual gratification.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
As others have said, battery is a more appropriate term for this. To be rape, the act has to be both forcible and sexual. So unless there was sexual gratification to the person delivering the baby, the word rape does not fit.

Rape is usually not about sexual gratification.

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
For those suggesting that this isn't rape, the FBI's Uniform Crime Report (UCR) Summary Reporting System (SRS) defines forcible rape as The penetration, no matter how slight, of the lady parts or orifice with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.”

Thank you.

I find it interesting that if a woman was at a man's house and he forced his hand inside her lady parts after she told him to stop and tried to get away, nobody would give a second thought to calling it rape. But if it's in a hospital bed and a physician or midwife is doing it, it's not.

For those suggesting that this isn't rape, the FBI's Uniform Crime Report (UCR) Summary Reporting System (SRS) defines forcible rape as The penetration, no matter how slight, of the lady parts or orifice with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.”

Please find any example of the kind of medical violation in discussion here ever being prosecuted as rape. Anywhere. I'll wait.

Seems weird to appeal to authority for your definition when the same authority (the US government) has NEVER acted in accordance with your claim. Battery has long been the legal (and semantic) standard applied to these situations and I see zero reason to reframe this situation as rape.

Specializes in OB.

I am an L and D nurse. I do have those patients that crawl up the bed or clamp their legs. I never force an exam on them but calmly explain what I need to do.

I also dont agree with the birth rape phrase. And yes the woman is on display especially when pushing and about to deliver. I really dont know a way around this.

I am always very sensitive to a woman with past sexual abuse.

But I need to do what I need to do to ensure a safe delivery of baby and at the same time keeping momma healthy. I dont look at the lady parts as a sexual organ during this time, it is simply the passage way for the birth of a child.

I don't like the term rape for this because I think it has the potential to take away from actual rape victims but I know that this type of thing happens more than people may think.

I have had 3 kids but my first child at 21, I had no idea what to expect out of L&D. I picked a random OB who insisted I be induced at 39 weeks (no medical necessity) and out of ignorance I agreed because I was excited to see my baby. What unfolded was me going in at 0 cm, not at all ready to be induced, and having my Pitocin IV drip constantly titrated up in order to deliver in 12 hours. I remember my nurse talking quietly to another nurse about how she was concerned I would end up with a avoidable C section and the fact my baby kept having HR issues. At hour 12, I had only been pushing maybe 10-15 minutes? Nothing for a first time mom. My OB gave me a complete episiotomy, no warning, nothing. The look on my nurse's face when it happened was something else. I was told after by him it was because my BP was so high, it was emergent. I have no idea if that was true. Do I feel raped? Not in any way shape or form, at the time I didn't even really feel mad because the whole situation just had me perplexed. I wish more than anything that I would have prepared and educated myself on child birth before this because I didn't have the knowledge to even know episiotomies were a thing. I have scar tissue that has resulted in some minor numbness but other than a painful healing I didn't suffer any long term effects. This was in 2009 BTW.

I was prepared for my next 2 deliveries and discussed with my new OB group that I only wanted an episiotomy if 1) the alternative was a C section or 2) the baby's life was in danger (or mine). I never had one again after my first, even when my third baby's HR tanked so low and often they had the rapid response team in with me. I was only induced if it was warranted and I was given the time and space to actually labor and push on my own.

The best thing to prevent this is to empower mom's with the knowledge and advocate that they research their OBs before going blindly into a major medical event with them. I know when my friends get pregnant for the first time, I don't share my bloody episiotomy story, but just have a light discussion about seeking out reviews on their providers.

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