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Bad Birth Experiences Need a New Name

Posted by sierra on September 8th, 2010 at 7:20 pm

277490538 074d7d5b01 225x300 Bad Birth Experiences Need a New Name

Some birth activists are calling bad birth experiences — the kind where laboring women are pushed around by arrogant doctors and high-handed L&D nurses — “birth rape.”

I really, really hope this phrase does not catch on.

I’m a rape survivor, and a mom. My first labor ended not with the idyllic home birth I’d dreamed of, but with an emergency transport to the nearest hospital, where I was poked, prodded and medicated with only the vaguest pass at getting my consent. I spent days in the hospital fighting with nurses over everything from when I could hold my baby to what needles they could stick her with.

Both the assault and the hospital stay are difficult memories that I’ll probably carry with me always. If I had a chance to write the perfect life for myself, there would be no rape and no hospital birth.

But. A difficult birth, even one that includes non-consensual medical procedures, is not the same thing as a rape.

I would never claim that a woman being subjected to medical procedures she did not consent to while in labor is acceptable. It just isn’t rape.

I’m not going to say that rape is so much worse. No one wins in a game of misery poker, trying to compare one trauma to another. A traumatic birth leaves real and deep scars. Birth can trigger traumatic memories and feelings for abuse survivors. Women with no history of abuse can be left with painful psychological wounds, especially if they are mistreated by a doctor they trusted to help them.

My problem is that by conflating a bad birth with sexual violence, we do a disservice to survivors of both experiences.

To help women heal after trauma, and to support the activists and organizations that work to protect us, we need to be having nuanced, honest conversations about these experiences. Throwing the word rape into a conversation about birthing practices is like dropping a grenade. It shuts down productive conversation.

Women who’ve been violated by the medical industry are genuinely hurt and often righteously angry. They’ve been made to feel powerless, disrespected and dehumanized. They deserve a mechanism to hold the doctors who hurt them accountable, a healing space to recover from the trauma and a way to talk about what happened so that we can all work to prevent it in the future.

Calling it “birth rape” serves none of that. The word rape is, for better or worse, taken. It refers to a non-consensual sexual encounter. Women who’ve been through a traumatic birth deserve their own language, not a term that suggests they’re a subset of rape survivors.

Photo: dearbarbie

 Bad Birth Experiences Need a New Name

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32 Comments

[...] on birth rape, my new feature for The F-Word, which was a response to a slew of articles refuting the term (quoting a piece I originally wrote in March 2008, also for The F-Word) and [...]

Noble Savage » Blog Archive » Really Striking Stuff (RSS): A round-up commented on Oct 08 10 at 4:37 pm

[...] her article “Bad Birth Experiences Need a New Name” Sierra of Babble writes, “The word rape is, for better or worse, taken. It refers to a non-consensual sexual [...]

What Feminists Should Know About Birth Rape « commented on Nov 29 10 at 2:38 pm

Well put.

Rebecca commented on Sep 08 10 at 8:47 pm

Another rape survivor agreeing with you. Bad birth experiences can be assault, especially if consent is not given, but it isn’t rape. Let’s not start co-opting and playing one-up-womanship on suffering.

Larissa commented on Sep 08 10 at 10:23 pm

I agree wholeheartedly with you and I am sorry that you have to know personally what rape is. If enough of us stop people from using this term it will not catch on.

K. commented on Sep 08 10 at 10:34 pm

100% agree

im-in-tx commented on Sep 08 10 at 11:14 pm

I love this perspective. This is the extact term I feel have been searching for to label my views of hospital birth. This term is definitly the grenade droppage I may need to defend my wishes of home birth.

B. commented on Sep 09 10 at 5:11 am

Very good article. I’m sincerely sorry for what you went through- both times.

goddess commented on Sep 09 10 at 7:27 am

Great post, and I couldn’t agree more.

Manjari commented on Sep 09 10 at 9:17 am

Totally agree. “Rape” is a word that I see thrown around more and more these days, in referring to things that are nowhere close to it. “Nazi” is another one.

DRo commented on Sep 09 10 at 9:54 am

rape definition: 3. (noun) an act of plunder, violent seizure, or abuse; despoliation; violation 8. (verb) to seize, take, or carry off by force Although you may not like it, it does fit the definition on rape.

JEssica commented on Sep 09 10 at 10:04 am

JEssica, if you want to go by that definition we could start calling robbery “property rape”. Let’s not. Rape has a clear definition (forcing or using threat of force, coercing a person into sexual activity) in its usage, and applying that way-too-broad dictionary (which one, please?) definition to experiences like traumatic birth experiences is not going to do any good.

Great article, Sierra.

jenny tries too hard commented on Sep 09 10 at 10:13 am

I too couldn’t agree more. And Jenny, great response to JEssica.

laura commented on Sep 09 10 at 10:50 am

I’m going to have to disagree. I think that there are times when birth trauma is rape. When I had my son the nurse continued to put her fingers in my butt (to be honest I’m still not sure why) despite me repeatedly asking her to stop because it was hurting me. This behavior would be rape if she were not a nurse. During most of my labor and delivery I had flashbacks to my abuse as a child. People were doing things to my body without my consent and they didn’t stop when I said “no”. If you felt like you were being raped and you call it birth rape I’m fine with that. It’s your pain, deal with it however you want.

Sandra commented on Sep 09 10 at 11:14 am

Jenny, rape does have several clear meanings. We speak the language of English which means many words may have several different valid meanings. And just because you don’t like it, doesn’t mean you are right. And I wouldn’t argue over the term property rape because it meets the definition.

JEssica commented on Sep 09 10 at 12:51 pm

I agree with Jessica about definitions. It may not be the smartest choice for the “birth movement”, but then again, we’re talking about it, aren’t we? Reading the comments from readers over on Salon and DoubleXX, it’s very clear that many people think women should just lay back and be grateful they don’t die in childbirth, no matter what doctors do to them. The very mainstream view of modern birth practices is a bit disturbing because there is alot of acceptance of things that are just wrong for a human to have to submit to. Anyway, it is very close to the general idea of rape anyway, since birth is intricately related to a woman’s sexuality (whether one wants to admit it or not).

Gretchen Powers commented on Sep 09 10 at 1:04 pm

Gee whiz…if I’ve ever come across as being this obtuse, I apologize.

JEss, I’m not arguing the definition, I’m talking about the common usage in American (and probably Canadian/UK/Australian) English. We don’t call children who can’t speak “dumb”, even though the definition fits, because the most common usage brings to mind something other than a person with mutism or autism or a physical difficulty that makes him/her unable to speak. Same thing with rape…it may be technically true that my husband was raped (money, cigarettes, and shoes were indeed carried off by force) when he was minding a convenience store as a teenager, but it’s a very different experience than the one Sierra referenced surviving, just as the traumatic birth experience she also went through was indeed different from that.

Really if you read Amanda Marcotte’s linked piece—and I almost never agree with anything Marcotte writes, but she’s right on, here—you’ll have a little more insight into why it’s so important to distinguish rape from traumatic birth experience (maybe birth-related malpractice?) and for that matter from robbery…that is, if we’re interested in doing something to change it. Rape has very different motives than birth-related malpractice/assault, in most cases. Some doctors and nurses may be approaching birth from a paternalistic and arrogant perspective, leading to the assault and trauma of their patients in attempting to do what they think is best, but I highly doubt that they’re viewing their patients in the same way that a rapist views a victim.

jenny tries too hard commented on Sep 09 10 at 1:35 pm

How do we know the motives, really? We always hear rape is not about sex, for the rapist, it’s about power (like they say this when someone rapes an old lady, etc…) Some of the things described in the hospital setting are also very much about power. It’s just institutionalized, so it’s “OK”.

Gretchen Powers commented on Sep 09 10 at 1:44 pm

Jenny, I think limiting words to one definition is limiting and false. After reading the linked piece, I think you and the original author have a limited view of assualt or rape as the case may be. Your underlying assumption is the doctor’s or nurse’s motive; however, their belief they are doing right are non-issue to the assualt or rape. Some men rape their wives because it is the husband’s perceived right to do so and for a long time the court (or the institution) upheld this belief. In the case of the birth, the doctor or nurse has a belief that what they are doing is right and the hospital (or the institution) has upheld this. In both cases, they are violating someone’s personal, intimate space.

JEssica commented on Sep 09 10 at 2:19 pm

yeah, and the mothers and elder women in certain African villages think they’re doing right by forcing clitorectomies on their daughters, too…it really doesn’t matter what the perpetrator thinks…I am actually surprised at the lack of sensitivity displayed for other womens experiences

Gretchen Powers commented on Sep 09 10 at 2:32 pm

Not addressing Sandra’s experience, which raises my eyebrows… The use of the term ‘rape’ in this context is pure hyperbole and it’s deliberately inflammatory. Is there really any question they mean to invoke sexual violence? It’s an underhanded effort to put medical professionals on the defensive and change the terms of the debate. They really shouldn’t use such perverted language (see how I did that?).

bob commented on Sep 09 10 at 2:34 pm

Yes, the women who practice FGM do think that they’re doing what’s best for their daughters. Doctors once thought that putting women totally out to give birth was what was best. You address those well-meaning individuals by convincing them that their actions are NOT what’s best, not putting medical professionals on the defensive. Some medical professionals may indeed be using their position of authority to get a sexual thrill out of operating without their patients’ consent…but, really, do you think that’s where *most* instances of traumatic birth stem from? By all means, if we think a doctor or nurse is setting out to humiliate, dominate, or terrify a patient he or she should be dealt with accordingly, but I don’t think that’s the case with most doctors who do end up traumatizing patients. Think of it this way…a dentist who is careless about testing to see if the patient is numb before drilling is a bad dentist. A dentist who does not apologize for accidently brushing a female patient’s breast while working is a bad dentist. But neither one is setting out to harm the patient, and approaching these careless or foolhardy dentists in the same way as a sadist who intentionally drilled before the patient was numb or intentionally groped a patient would not get anyone very far.

jenny tries too hard commented on Sep 09 10 at 2:55 pm

I think people are entitled to use the terminology they wish and do not think that in all cases it is hyperbole. I think mainstream folks fear facing the fact that the model for birth in US institutional settings is broken and this language is making them very uncomfortable. So be it.

Gretchen Powers commented on Sep 09 10 at 2:57 pm

Bob, you may be right the terminology may be used to inflame people reactions, but I don’t think it is meant to put good doctors or nurses on the defensive. I do believe there are bad doctors and nurses in our hospitals. I have dealt with plenty of nurses and doctors who have attempted to belittle me (not in the birth/childcare realm) and bully me into doing things I already said no to. So I can imagine where this does happen while people are giving birth and more severely violating them by expressly going against their wishes. People may want to couch these violations with softer terms or sugar coat them for the general public, how is that any more truthful than using the term rape.

And Jenny, what the dentist did wouldn’t be consider rape, it would be considered molestation when he “accidentally” grazes the boob. If he were to continue the molestation after the patient has voiced her complaint then it would fall under rape.

JEssica commented on Sep 09 10 at 3:28 pm

Agreed that the dictionary definition is technically applicable, but I also agree that using the term to describe birth-related assault doesn’t do a damn thing to foster understanding of what it is, what it is not, and how to improve patient advocacy in childbirth. The latter should be the primary goal.

Mistress_Scorpio commented on Sep 10 10 at 5:32 am

I have enjoyed having this passionate intercourse with you all.

bob commented on Sep 10 10 at 2:40 pm

In most (but not all) rapes, the victim has little to no choice or say in what happens. In a birthing situation, while advocating for yourself may be difficult under the circumstances, you don’t HAVE to do what they say. I hired a doula to be my voice, since I knew my huband would pussy-out and cave into whatever they suggested, since he hates seeing me in pain. While doctors and nurses may be pushy or start talking dire, they won’t kill you and/or your baby just to spite you for not doing what they said (unlike many rape scenarios.)
To equate the two is reprehensible. I’m fine with birth violation, birth bullies, or similar phrases. But YOU HAVE A VOICE AND CAN USE IT in a hospital. Unless you are unconscious or ruled mentally unfit by a certified expert, THEY CAN’T TREAT YOU AGAINST YOUR WILL. So not having the backbone to stand up for yourself in a medical setting is nowhere near the same as when standing up for yourself would probably get you killed, and definitely severely hurt.
I chose a doctor who would respect my birth plan. We discussed it in advance, talked over the points we disagreed on or were questionable. I hired someone to support my desire for a SAFE non-medical birth (if tearing her out through my nostrils with forceps was the only way to guarantee she’d survive, I would do it, without fail. I gave the hospital a copy of my birth plan when I pre-registered, so they’d know to assign me L&D nurses who were more like-minded with my wishes. I advocated for MYSELF in advance. Yes. There will be emergency situations where you don’t get to pick the doctor on-call. But if it’s an emergency, I’m gonna go with the guy who went to medical school for 5 years, rather than my wants. Did I WANT forceps? Did I WANT a C-section? No. But any birth that results in a live baby is a successful birth. It’s almost NEVER like you had planned/hoped, and to blame the staff, when you could/SHOULD have had someone there (a spouse/partner, sister, friend, doula, midwife) to advocate for you, is just wrong. It’s not like the doctors are jamming your baby in the wrong way, or making him/her too big to go through your pelvis just to try out some new tool or technique!

Ludicrous Mama commented on Sep 11 10 at 4:23 am

I agree. It seems to negate or even trivialize the experience of women who have been raped. Plus it makes you seem like a hysterical person who is not capable of reason. Like calling Obama Hitler or referring to women as Womyn.

Marj commented on Sep 11 10 at 1:00 pm

I feel sorry for the children who are the products of these so-called “birth rapes.” Can you imagine how disturbing it will be for them to hear their mothers speak of their birth in such a violent and ugly way? Lets hope this term fades out before it starts destroying the innocent children.

Alisha commented on Sep 13 10 at 10:31 pm

As a rape and sexual assault survivor, I am totally comfortable with the term ‘birth rape’. Rape is penetration without consent, and birth rape is indeed that.

Anji commented on Sep 14 10 at 4:31 am

A woman has every right to describe her experiences as she sees fit. For some that may be ‘birth rape’ for others ‘birth violation’. We should not diminish the experience by arguing over how it’s worded.
@Ludicrous Mama you are lucky to think that you do not have to do what medical staff say during birth. If you have been given an epidural or drugged to help labor progress, walking away or moving away is not an option and medical staff can do things against a woman’s will and without her consent.
Birthing partners aren’t necessarily experienced and often accept the medical staff know what they are doing (and don’t realise that frequent vaginal examinations aren’t necessary and permission should always be obtained). Not all countries offer a choice of doctor/midwife either.
Rape isn’t about the motivation of the perpetrator but the effect on the victim. Medical staff don’t intend to rape or violate a women, most think they are acting in the best interests of the baby. But the best interests of the baby is a mother who feels she has been supported through birth (even a c-section) and is ready to bond with her baby. Not a mother who has been traumatized.

Anna commented on Oct 08 10 at 4:44 pm

CHRIST!!!!!!!!!

We all need to go sit in our respective corners and cry until we can be good and get along and communicate like big kids.

Here you all are ARGUING SEMANTICS rather than doing a DAMN THING to help ANYONE! Well, I hope *you* can pat yourself on the back for arguing the word “rape”this way, and you for arguing it the other.

And so on and so forth. It doesn’t matter if you call it “birth rape” or “birth trauma” or “hospital purple polkadotted probing”, it is what it is, and something needs to be done about it.

PS we give each and every word we as human beings use a certain power. “rape” may fit webster’s, but step off; it’s taken. The “birth *rape*” movement will only be scoffed at, BELIEVE YOU ME, until there is a word that isn’t completely claimed already. (and, well, you could grab a thesaurus, but “birth pillage and plunder” just doesn’t have that sweet ring to it…)

Exie123 commented on Jun 30 11 at 6:16 am

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