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Mothers are being abused during childbirth.

We need our own #MeToo | Sally Gimson | Opinion | The Guardian 28/12/18 22&01

Mothers are being abused during


childbirth. We need our own
#MeToo
Sally Gimson
Fri 28 Dec 2018
11.00 GMT
Many women are scared to speak out about their treatment at
the hands of medical professionals as they give birth

‘Women all over the world are still being told to be grateful they are safe and have a baby,
regardless of any pain or abuse they suffer in the labour ward.’ Photograph: arcticflea/Getty Images

W
hen I had my first baby by caesarean section, I woke up on the operating
table. The pain was so extreme as they were cutting me open that as I was
regaining consciousness my first thought was that I had gone to hell, and was
being tortured. The pain was accompanied by a loud beating in my head.
When I became more conscious, I realised that I had not been given enough
anaesthetic, but I was paralysed and there were tubes in my mouth. Then I heard them say
in German – because I was in eastern Berlin only a few years after the wall had come down –
“She can have everything now.” Mercifully, I passed out. When I woke, I tried to say
something in my faltering German. But they patted my hand, got my husband to show me

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Mothers are being abused during childbirth. We need our own #MeToo | Sally Gimson | Opinion | The Guardian 28/12/18 22&01

my baby and pretended they hadn’t understood.

No one ever mentioned it. And when I tried to ask, it was waved away. I was expected to
forget what had happened, look after my baby and get physically better.

My experience was not unique. Women all over the world are still being told to shut up, get
on with it and be grateful they are safe and have a baby, regardless of any pain or abuse they
suffer in the labour ward or in the operating theatre. Many suffer as a result with postpartum
depression and panic attacks. And then they don’t talk about it.

In Russia, doulas – professionals trained in providing emotional and educational support to


women – have launched a hashtag, #violence_in_obstetrics, on the social network VK after
the success of the Russian #IAmNotAfraidToSpeak campaign, in which thousands of women
across Russia and Ukraine talked about their experience of sexual abuse.

In the first two months of launching #violence_in_obstetrics, the doulas collected up to 70


stories a day from women who had been abused in Russian hospitals.

Zlata Ivanova, who spoke to Index on Censorship magazine, said she went through several
painful pelvic examinations that made her bleed; an on-call doctor told her off for arriving
too early; and she had to crawl on all fours to the foetal monitoring procedure room two
floors up while having painful contractions.

She then lay on a rubber sheet for 16 hours, in a room with seven other women, writhing in
agony while nurses screamed at them. Without her consent she was put on an oxytocin drip
and the doctors broke her waters to speed up the process. After she had had the baby, three
interns stitched up a tear in her vagina without anaesthetic.

Her experience was in Novosibirsk, but it is rare to find a woman who has had more than
one baby in hospital anywhere in the world who has not suffered some kind of experience
that feels like abuse, be it a male doctor putting fingers inside her to feel the baby without
her consent, to being shouted at and blamed either for her crying baby or for complaining
about pain.

I am white and I was shouted at in a London hospital when my baby was crying. Although
the nice woman from La Leche League had been round in the day to help with
breastfeeding, at 2am the over-worked agency nurse yelled at me that I was incapable of
producing milk and would I please stuff a bottle in her mouth because I was waking
everyone up.

If you don’t speak the language of the nurses and doctors caring for you, or are from an
ethnic-minority background, the chances are that you will get worse care. Research in the
UK shows that women do not get interpreters and that some hospital staff are not respectful
to women when they disagree with them.

This silencing of women can also lead to death.

Women in some countries report feeling pressure from their families who insist that
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Mothers are being abused during childbirth. We need our own #MeToo | Sally Gimson | Opinion | The Guardian 28/12/18 22&01

anybody not giving birth naturally is “just lazy and could have pushed”. Discussion of C-
sections is considered unacceptable by many in countries such as Nigeria, and to be hushed
up. A doctor told Index on Censorship that one woman was moved to another hospital
where she would not be offered a C-section. She was in labour so long her baby died, she
ruptured her bladder and had to have a hysterectomy.

Here in the UK, in Shropshire, babies had been dying for years before it became a scandal
this summer. Rhiannon Davies, whose baby Kate died in 2009, said to the Shropshire Star:
“Unlike what I was led to believe in 2009, Kate was not the first avoidable death at the trust.
Yet no one bothered to learn, and so sealed her fate, and mine, and that causes me almost
unbearable pain.”

Not all the recipients of this treatment are calling it abuse yet. But just as women are
beginning to label the sexual abuse they receive in the workplace and on the street for what
it is, so others have started to name the abusive treatment they are receiving when they
have a baby.

Birth is a very fundamental experience for mothers. So women need to be listened to, not
shouted at, shut down or subjected to brutal intimate examinations. Doctors and nurses
very often junk birth plans and justify brutal treatment in the name of medical science – it’s
an emergency or they need to save a life. The ends – a healthy mother and baby – justify the
means. The sexist, and sometimes racist, behaviour that can be part of the means is rarely
questioned. Yet how you are cared for as a mother and whether you felt you were respected
and had a voice affects how you look after your baby, and your future experiences of sex and
birth.

In the worst cases, women are silenced because, as in Shropshire, medical professionals are
covering up for malpractice. More women, who could be supported by doulas as in Russia,
need to speak out about their experience on social media and to hospitals, and ask whether
how they were treated was really necessary for a safe birth. When they do, we will be
surprised – as we were with #MeToo – why we mothers put up with it for so long.

• Sally Gimson is the deputy editor of the global quarterly Index on Censorship magazine

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Topics
Childbirth
Opinion
Health & wellbeing
Pregnancy
Parents and parenting
Women
Doctors
Family
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