Birth Rape or a Negative Birth Experience?

I've been planning blog posts all week but I've been so busy living life I haven't had the time to write about it. Too bad too because there is some great stuff too. We've been baking, schooling, playing, crafting, sewing, knitting, cooking, dancing, meeting and of course, drinking coffee. I have even made bread. There will be a post about that, there HAS to be a post about that.

But instead of a post on golden crust and French style homemade bread I find myself with much heavier topics on my mind.


I haven't written about birth much and haven't actually attended one since last December and I was the birthing woman. This feels strange but also right at this time. Still a birth junkie though, I've been reading as usual and today I read this article on the Parenting blog. Melanie, the author, addresses the use of the fairly new term "birth rape" when discussing bad birth experiences. She shares with her readers some of the details of her first birth, a negative experience in a hospital and then why she feels that, though it was a negative experience that led to her choosing a home birth the next go-round, the term "birth rape" is not an appropriate label. The crux of her argument is that the doctor and hospital staff at her birth were not set out to intentionally harm her.

I want to agree with her, really I do. Maybe it is true most of the time that a bad birth experience is just that, a bad birth experience. But there are times when I feel "rape" is an appropriate term. And I say that as a rape survivor.

Merriam-Webster defines rape as:

1 a (archaic): to seize and take away by force b : despoil

2: to commit rape on

1: an act or instance of robbing or despoiling or carrying away a person by force

2: unlawful sexual activity and usually sexual intercourse carried out forcibly or under threat of injury against the will usually of a female or with a person who is beneath a certain age or incapable of valid consent — compare sexual assault, statutory rape

3: an outrageous violation

To seize and take away by force
I feel I experienced birth rape once and have witnessed it twice. I was told "if you had just gotten the epidural and delivered your placenta better then I wouldn't have to do this to you" when my OB was manually performing a DNC without any pain relief to remove the retained placenta fragments after she pulled on the cord because (and these were her words) "she was so tired and ready to be done with this already." I had been told more than once that it was the end of her shift. She entered my body 3 times that I remember, telling me to be still and I would thank her later. The way she spoke to me as she forced her arm up to her elbow inside me through my freshly torn vagina and bruised cervix while she scraped the inside of my uterus and searched for the fragments and how she had my legs restrained by nurses triggered flashbacks of my rape that haunted me for 2 years. I passed out from the pain and when I came to later I was told it was my fault, that I wanted a natural birth and "well, was it worth it?" When I became more educated years later and read through my own chart I understood what happened and I know the risk of a retained placenta and immediate postparum hemorrhage but I also know that the attitude with which it was done and the blame being placed on me was all too similar to what my sexual abuser did as well. Perhaps her intent wasn't to harm me but, like a sexual predator, her actions demonstrated that she was primarily thinking about getting what she wanted.


Despoiling, to commit rape on
The 2 times I saw what I feel was birth rape included a home birth transfer and I heard the on-call doctor tell the mother "everyone would be so much nicer if you had come here in the first place. This is what you get for being stupid enough to try a home birth" and then he cut her a 4th degree episiotomy that was completely unnecessary for the 3rd time mom birthing a 6 pounder.


Unlawful sexual activity... carried out forcibly or under threat of injury against the will usually of a female
I have several Labor and Delivery nurse friends that tell stories. There is a OB in town that has a horrible reputation among the nurses at the hospital where he does deliveries because of his poor treatment of patients. Poor doesn't even begin to describe it. One story my friend tells is of a young woman, a teen mom having her first baby. She was afraid and refused a second vaginal exam (smart girl, in my book) because of the pain from the first one. This doctor sat there between her legs and bellowed at her that he was in charge and she was just a little slut that needed to open her legs and let him do what he needed to do. She whimpered and obeyed. He hurt her again in that exam and told her she was no good at birth and he'd probably have to cut her open to get her baby out. Yes, those are the words my friend says he used. The nurses finally stood up to him and threatened to report him if he didn't change his treatment of this patient.


An outrageous violation
The other birth rape experience I witnessed was by a midwife in a birth center and was even more traumatic than the first with the midwife saying "you really want me to do this, you'll be thanking me later so stop being such a whimp" as she repeatedly tried to manually dilate a posterior, slow progressing, hard cervix despite the laboring woman begging her to stop and to get out of her. All my interventions to protect my client were ignored and her actions didn't stop until the 3rd time when I told the husband that he needed to tell the midwife to remove her hands from his wife and explain what she was doing. When she did I physically put myself between my client and the midwife until we had her word that she would not do another cervical exam without the express and clear permission from the mother. That birth was one of the most horrible I have ever seen and even included a light smack on the rear of the birthing mother on hands and knees when she tried to move away from the pain the midwife was causing her. In any other situation there would be no question that language of assault would be appropriate in describing the events that took place, just because it is birth and these people are supposed to be helping does not give them license to exert dominating control over a woman's body against her will. When I left the home of that couple after getting them settled back home several hours later I sat in my car and bawled. What I had witnessed wasn't just a series of unfortunate events or even unnecessary interventions but a vile form of abuse under the guise of assisting someone in the midst of an extremely and intensely vulnerable time. I won't even go into the desperate feelings of guilt and failure as a doula that hounded me in seeing my client abused and me feeling powerless to stop it.


I understand the writers point. Not every case of an undesired intervention equal birth rape. However, there are some where the attitude is clearly not just "this is what we do to get a healthy baby" but rather one of punitive power masquerading as care. Birth rape is a strong and unsettling term and rightly it should be. It should not be used lightly but it should not be ignored. If we tell women that they cannot describe their experience with language that points to assault we put more barriers in the way of their healing and for those suffering from PTSD as a result of their birth experiences we make it even more challenging for them to find the help they need. We need to be careful that we do not dismiss these traumatic experiences and that we encourage women to use the terminology they need to accurately express what happened to them. I don't want an us vs. them attitude between doctors and women or doctors and the natural birth community but not all health care birth professionals are as benevolent as we would like to believe. There are many wonderful and talented doctors, nurses and midwives I have been privileged to work with and know. Far more truly caring ones than not and most of them love what they do and recognize the honor they have in attending birthing women. I am grateful for this. The small handful that have made me sit in my car and sob are greatly outnumbered. But they are there and they are hurting women and families, traumatizing them by looking out for themselves, their needs and wants over those of the very people they are serving. That is how rape happens, when a position of power is abused to control someone to proceed in an action by violating their body through force against their will.


Melanie may not feel that her personal negative birth experience wasn't birth rape and it sounds as though she has found healing through her second birth and that's wonderful. For me and some other women "negative birth experience" just isn't the right terminology for what we went through. Birth rape feels closer. It may make us uncomfortable but that's exactly what it should do.

What do you think? Is Birth Rape too strong of language for birth related abuse? What would be some other terms we could use instead? Do you feel it is fitting?

Pressing Memories

I finished singing the "last" song and told her it was time to go to sleep. We both laid down, her face just inches from mine with her Raffie, she tossed her delicate legs over mine and gave me a sleepy smile. For a moment we just looked at each other with sleepy smiles. Just as I was lifting my hand to stroke the hair out of her face and trace light circles across her nose and around her eyes, Squiggle Bug settled her hand on my face and said around the Raffie ear in her mouth "I love you mommy." Finger the sunshine strands on her forehead in the dim light, I smiled and whispered that I loved her too. My chest constricted and tears stung my eyes as she began to caress my face just like I do hers every night. Laying there caressing each others face I told myself to press this moment into my memory like a flower between the pages of a book to be discovered later as a sweet, faded surprise. I worried I would forget anyway. Then my mind scrambled to find other memories hidden in it's pages; first giggles, how she smelled the first time I held her, a small arm clutching my neck, cuddles in the early morning, blue eyes gazing intently into mine as I held her while she nursed. Beautiful memories but already so faded.


Her hand dropped, too drowsy to continue fingering my face and peeking through slits in her eyelids she asked me to sing again. I obliged, holding on to this moment for as long as I could. Would she? Would she remember those dusty memories? With so many more memories and knowledge coming to fill the pages of her mind, I doubted it. I reflected on my own memories as a child, realizing that the earliest one I had of even going to bed as a child was when I was at least 7 or 8, certainly not 2. Peering through the clouded lens of so many years I remember sitting next to my mom in a nightgown on the couch in my family room, the blue couch with flowers, and my brother and sister and dad there as well. Dad was playing the guitar and we had been singing. He launched into "Goodnight Ladies" replacing ladies with the names of my siblings and me, one at a time. To the tune of our names we circled the room giving hugs and goodnight kisses before dancing off to bed. I don't think my older brother cared for that part much but he awkwardly participated. In bed I listened to the end of the song for my brother and then my dad sang another song and I sang along softly. There are details missing, details like the ones I was trying to grasp to hold forever from this moment putting my own daughter to bed. No, she probably wouldn't remember.


So I'll have to tell her. Over and over again, describe how she smelled, her sweet sleepy voice requesting yet another song, her soft hand stroking my cheek as she tells me she loves me, the favorite cookie pajamas keeping her warm and snuggly, and the way her hair lays across her forehead in the gentle glow from the nightlight. And to press it in my memory I'll write it down in her journal. I know that many of the memories I have from my childhood are because of the spiral bound journal scrapbooks my mom would squeeze out time at 2am to fill for me, recording her perspective of the mundane and exciting moments of my childhood.


This weekend I'm going to go through one of those notebooks and share those musty memories with my own children. Then I'll record those precious details that slip away and press them into my memory to share with them again one day. I will continue the tradition of preserving memories in the written word to share one day with my children as my mom did for me. There may be long blocks of time between those moments but I will press every moment I can.

Everyone's Beautiful- except me.

Deep breath. It's simple really, just write a few sentences about your day, life with kids, homeschooling and whatever is in the crockpot at the moment. Not hard, you can do this.

Yes, I talk to myself. Even to prepare to write a blog post. In fact, I talk to myself all the time though it's never really to myself but to some imaginary host of readers. A host. There are 7 followers of my blog, hardly a host. But I love you guys, even if it doesn't appear that way thanks to my gross neglect of my blog. They don't make it here often but I write post after post in my head through out my day, I'm thinking of you, I promise.

The neglect is over, it ends here. I'm blogging again. Last night I had dinner with an author, Katherine Center, a wonderful woman who nicely kicked me in the rear though I don't think she realized it. Blog, she said, and write. Constantly struggle with the balance but at least struggle. So here I blog. My confession, I want to be a writer, always have but have always dismissed it as something that would never happen because, well, there are millions of people that want to be a writer and last night I learned what I already knew with out numbers to back it up- something like one in 900 submissions to a publisher get published. The number could have been 9,000, I don't exactly remember and in reality it doesn't exactly matter, the odds are not good. Still, I'm going to try. Here's my first attempt, I'm telling the world that I want to be a writer and I'm working on a book. All 7 of you. Plus maybe my mom, and if she can figure out how to comment she might even say hi. Hi mom.

The question is what to blog about. In my mind, my life is boring, really boring. I see beauty in my life but I am not part of it, just the onlooker of beautiful moments that perhaps only I'd appreciate because they are created by the glue and painted covered hands of my offspring. Cooking, cleaning, home schooling, knitting, and occasionally writing, not exactly the stuff of captivating posts and I'm not about to have a specific theme to my blog, say homeschooling or crafting because I am far too unfocused and unorganized to achieve that well. My blog reflects my life, a little bit of everything and profoundly unorganized and the idea of recording that chaos somewhere and holding it up for the world to see (yes, even the 7) is rather intimidating. Sure, I could present something that is nice and polished, like a semi-precious stone cut and smoothed to shine as something of real value but in reality I would know, it's still just a piece of rock you can find on a hiking trip made to look pretty. No, that doesn't interest me, if for no reason other than I stink at lying. I'd be found out. All it would take is for one person that's been to my house to say something and it would be all undone. Sticking with the truth even if it is messy and unglamorous.

Enough about me. Last night my good friend, Monette (currently blog-less, this situation must be remedied) invited me to an event she planned for her club to have dinner with Katherine Center who is *gasp* really a very normal woman and mother. Borrowing Katherine's most recently published book, Everyone's Beautiful, from Monette, I read through it in about 3 days, give or take. I would have read it in less time, an easy read it's free flowing conversational style makes it hard to put down but I had a few distractions that required I feed and teach them at least once in a while. It was everything all the quotes and reviews said it would be and more. Mildly depressing for maybe three quarters of the book for me not because it's a depressing story, on the contrary, it's funny, poignant, real, and engaging, but because in the telling of a young stay-at-home-mother with three children under 4 it was a little too real for me. I squirmed at times in spite of my laughter with the feeling that I could relate with the main character a little too well. This is so much of what made it so I wanted to read it all in one sitting. Uncomfortable though I may be with the idea that I could relate to this character I had to see where the book was going, what was going to happen to her. She starts off the book declaring that she decided to change and I had to know what that change would be and how it would take place. The further I got into the book the more I had to know about this change, if for no other reason than to have hope for myself.
Read this book if you have been a mother of small children, are a mother of small children, want to be a mother of small children, or have a mother. Though it's a book about a mother of small children in reality it's about so much more, a book about feeling stuck and what we do to change it. A story of love, hope, promise, and the humor in life that accompanies us on whatever path we're on if we have the courage to see it. And beauty, a story of beauty. I'm attempting to find that in myself now too.

And that was more than a few sentences. I really need to write a book.