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 Cardicac Neuro Telemetry.

I'm not sure I'd describe situations like these as "birth rape" but definitely assault and battery.

Specializes in retired from healthcare.
There is already a term for when medical professionals override a patient's autonomy and wishes in treating them without adequate justification. That term is 'battery,' not 'rape.'

Technically, this sounds right. Just one problem though, when someone is in labor, they can be irrational and not know what they need. There are some mothers who if they had not had an episiotomy, would have ended up with a dead or severely compromised baby. A midwife or doctor saving the life of a baby and drastically cutting the mothers labor time might get screamed at by the laboring mother and thanked by her later.

Rape is usually not about sexual gratification.

You are correct it's about control, but raoe is still not appropriate in this situation. If you have never been raped, you have absolutely no idea.

A woman not having appropriate expectations in childbirth and ending up with an episiotomy when she says oh I don't want one, is not rape. It's not, no matter the semantics people want to use to spin it.

Women all the time come up with these wonderful birth plans they think are supposed to happen exactly the way the want. They don't recognize things can change and they hear how awful medical intervention is. They want to hear accolades from other people about how much of a warrior princess they are. Then things happen not the way they want and they get mad and upset even though I'm sure it's in their best interest and I now I'm hearing the term rape being thrown around. Really?

I'm sure somewhere there is a shady doctor or so taking advantage of a low income, uneducated, women. It's still not rape although it is traumatic. And I don't believe it's common place.

What i I do believe is common is a bunch of self centered women trying to use a term for shock value. And no, if we can charge a murderer in the deaths of two people when a pregnant woman gets murdered, a woman cannot refuse treatment in labor when the baby is now a person. You can't. We charge people all the time with child neglect for not seeking medical care. Same goes here.

I'm off my soapbox now, but it angers me that people would equate this to rape and compare a flipping unwanted episiotomy to it!!!

Specializes in OB-Gyn/Primary Care/Ambulatory Leadership.
You are correct it's about control, but raoe is still not appropriate in this situation. If you have never been raped, you have absolutely no idea.

A woman not having appropriate expectations in childbirth and ending up with an episiotomy when she says oh I don't want one, is not rape. It's not, no matter the semantics people want to use to spin it.

Women all the time come up with these wonderful birth plans they think are supposed to happen exactly the way the want. They don't recognize things can change and they hear how awful medical intervention is. They want to hear accolades from other people about how much of a warrior princess they are. Then things happen not the way they want and they get mad and upset even though I'm sure it's in their best interest and I now I'm hearing the term rape being thrown around. Really?

I'm sure somewhere there is a shady doctor or so taking advantage of a low income, uneducated, women. It's still not rape although it is traumatic. And I don't believe it's common place.

What i I do believe is common is a bunch of self centered women trying to use a term for shock value. And no, if we can charge a murderer in the deaths of two people when a pregnant woman gets murdered, a woman cannot refuse treatment in labor when the baby is now a person. You can't. We charge people all the time with child neglect for not seeking medical care. Same goes here.

I'm off my soapbox now, but it angers me that people would equate this to rape and compare a flipping unwanted episiotomy to it!!!

Holy cow, there is so much wrong with this post that I'm at a loss where to begin.

First, you have NO IDEA what my personal history is with regards to sexual assault, so don't EVEN go there.

Second, YES, a woman CAN REFUSE TREATMENT IN LABOR. Let me repeat, A WOMAN CAN REFUSE TREATMENT IN LABOR. I'm LIVID that you, as a healthcare professional, think otherwise.

Third, I'm not talking merely about an episiotomy, although giving an episiotomy against a woman's wishes is WRONG. I'm talking about a woman CRYING and saying "NO, PLEASE STOP!" and kicking her legs or trying to squirm off the bed while an OB is forcing his hand inside her lady parts.

Is it commonplace? No. Does it happen? It sure as **** does. And it doesn't matter if it happens 10% or 1% or 0.001% of the time, it's WRONG and to the woman experiencing it, it FEELS LIKE RAPE and if that's how she wants to describe that feeling of pain, humiliation, powerlessness and fear, then by G-d, I'm going to let her. It takes NOTHING away from my sexual assault to allow her to use that descriptor.

This thread has turned a bit in tense as it's triggered a lot of emotions for some. I'm just going to remind everyone here to treat each other with compassion and to strive for understanding, even when the other's viewpoints don't align with your own.

I suspect this is more common than we think....and having a term associated with it can give women more of a voice.

I was a perfectly healthy educated 24 yo delivering a perfectly healthy 6 lb baby girl with my husband and sister at my side. My labor was progressing beautifully and I was the most quiet, compliant patient you could ask for.

Because my OB was apparently in a rush, he manually dialated me, under the guise of "checking my progress", while I cried, "No, please stop" for the entire minute or so. My husband cried beside me. After my daughter was delivered, he didn't want to wait for my placenta to deliver so he pulled it out prematurely causing it to tear and leave sections attached to my uterus. He then said, "you are gonna really hate me for this" and proceeded to manually scrape my uterus for all placenta remains. Those two interventions were by far the most painful aspect of my daughter's birth.

I was traumatized!

i share this to counter some of the misconceptions I am reading. I will say there is something validating about giving this a name.

27 years later, I am now going to process all these feeling again!

With all that said, this experience, along with many others, has left me a heck of an advocate for patients.

So the woman was raped? Doing a medical procedure against ones' will is assault and battery, not rape.

Specializes in retired from healthcare.
So the woman was raped? Doing a medical procedure against ones' will is assault and battery, not rape.

What I've been told is that when patients are irrational, then they no longer fall into this category where they have a right to refuse. "You can't reason with someone who is irrational." A patient who is screaming, "No," when her midwife or doctor goes to cut an episiotomy might be thankful when she finds her frightening and exhasting labor is suddenly over with and she and the baby are safe. Of course there are grey areas even with irrational patients.

All rapes are assault, but not all assaults are rape. Is a lady partsl sling or abortion with severe complications a rape just because it involves the reproductive system? Is any bad outcome on a woman rape?

I suspect this is more common than we think....and having a term associated with it can give women more of a voice.

I was a perfectly healthy educated 24 yo delivering a perfectly healthy 6 lb baby girl with my husband and sister at my side. My labor was progressing beautifully and I was the most quiet, compliant patient you could ask for.

Because my OB was apparently in a rush, he manually dialated me, under the guise of "checking my progress", while I cried, "No, please stop" for the entire minute or so. My husband cried beside me. After my daughter was delivered, he didn't want to wait for my placenta to deliver so he pulled it out prematurely causing it to tear and leave sections attached to my uterus. He then said, "you are gonna really hate me for this" and proceeded to manually scrape my uterus for all placenta remains. Those two interventions were by far the most painful aspect of my daughter's birth.

I was traumatized!

i share this to counter some of the misconceptions I am reading. I will say there is something validating about giving this a name.

27 years later, I am now going to process all these feeling again!

With all that said, this experience, along with many others, has left me a heck of an advocate for patients.

Very similar to my story. :sorry:

Yes, this is a real thing. As a CNM and former labor nurse, I can tell you that it goes beyond just "informing" a birthing woman what is going on. You must get informed consent. Think of that in the context of a "traditional" tape scenario...would being "informed" by the rapist make penetration okay? Of course not. The woman must be asked permission and have control over her own body. No one should touch a birthing woman without asking her permission, informing her on the perceived need for the touch or intervention, and the possible risks and benefits. THIS is informed consent, and does not change, simply because a baby is involved.

It's not about the outcome, but about the lack of consent.

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