Parenting

Saturday, November 28, 2009

Is it Fair to Call a C-Section Rape?

By Madeline Holler
Strollerderby/Babble

Rachael Larimore was raped years ago and survived. More recently, she has given birth three times, all of them via c-sections. Considering her history and experiences, she’s unsympathetic toward Arizona mom Joy Szabo and others who equate forced c-sections with rape.

She’s got a point, which she makes in the post, “Childbirth is Not Burger King. You Can’t Always Have it Your Way,” at Double X. But in arguing that Szabo’s use of “rape” is hurting rape victims, she errs in the same way she’s accusing Szabo of erring: that is, she makes assumptions about the trauma of other people’s experiences and diminishes that trauma in the process.

Larimore’s first c-section followed an induction, all of which her doctor discussed with her and she willingly agreed to. She was also given a choice during her second pregnancy, VBAC or another section. She chose the latter. Third time, no question. Here’s what she says:

Yes, I was lucky. I had a choice. And I realize that not having that choice can be frustrating. But to compare it to rape is unfair to doctors, hospitals, and—yes—actual rape victims. There are still hospitals that perform VBACs. If yours doesn’t, you can find another one. You might have to find a different doctor, but in the end, it’s your choice. You are prioritizing your chosen method of delivery over your choice of doctor and place of delivery.

First, Larimore’s belief that our medical insurance system will simply allow someone to switch doctors and hospitals at whim is questionable. But more to the point, while Larimore thinks “rape” overplays the trauma and helplessness this Arizona woman is trying to capture in using the term, Larimore is way underplaying those same feelings. She says Szabo’s c-section-only option is “frustrating.” Based on the woman’s actions, I gather she’s more than frustrated.

And also? Larimore’s forgetting that Szabo — and others who have claimed birth-rape — doesn’t actually have a choice. The doctors wouldn’t let her attempt VBAC, based only on hospital policy, not Szabo’s history. You can read more about Szabo and her drastic and expensive alternative to the c-section here.

Finally, maybe I’m now guilty of broadening the semantics of rape beyond scope, but I read a hint of “she’s asking for it” into Larimore’s conclusion. She questions the motivations of women who write birth plans, even though this is one way birthing mothers can say “no.” She also implies that women are overly invested in their attempts to have input into how their bodies are handled.

There is so much emphasis today put on couples having “birth plans” and making childbirth into a magical, memorable experience. When so much energy is spent crafting an experience, you’re bound to be disappointed if it doesn’t go exactly as planned. But childbirth is momentary. Parenting is forever. And one of the lessons of parenting is that things don’t always go according to plan.

Larimore’s not the first person to ridicule birth plans and remind us that c-sections can be necessary. But I think her post (and the reaction to it) is a great demonstration of the discord in one subset of Mommy Wars’ conflicts (Battle cry: “I birth better than you!:). While we all love the kids — we can agree on that, right? We all love the kids!!! — each side continues to be suspicious of the other with regard to the exit strategy. One side says about birth, “What’s the big damn deal?” The other side says, “It’s a big damn deal!”

So which side is right?

Can’t they both be?

Please share your thoughts in comments here.

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Syndication:

From the Community…

Comments 1-10 of 89
  • katie's Avatar
    Posted by katie Wed Oct 21, 2009 10:05am PDT

    Honestly, I can't blame the hospital. It is risky to have a vaginal birth after a c-section, and with all of the medical malpractice lawsuits now-a-days, I'd cover my ass like that too.

    It's unfair to call that "rape", though.

    Report Abuse
  • Wifey's Avatar
    Posted by Wifey Wed Oct 21, 2009 10:13am PDT

    Let me guess...This woman's gonna sue the hospital for doing what was best for her and the baby???

    Report Abuse
  • Katie B's Avatar
    Posted by Katie B Wed Oct 21, 2009 10:22am PDT

    I was talking to one of my friends a while back about forced c-sections and she says it happens all the time... Now, she's not a doctor, but she has had 5 children and she has heard OB/GYN's brag about how many C-sections they have done because than they can get back to whatever event they want to get back to... Now, I don't know if this is the norm or not (because I haven't had kids yet).. But I would like a choice.... if we have the choice on whether to have an abortion or not, we should have a choice on how we want to birth our children.... I can see C-sections being used in emergencies, but not as a time saving measure. :-/

    I don't know if I totally agree with the semantics that's it's rape though...

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  • amana's Avatar
    Posted by amana Wed Oct 21, 2009 10:28am PDT

    By definition, rape is as follows:

    1. In a general sense, a seizing by violence; also, a seizing and carrying away by force, as females.

    2. In law, the carnal knowledge of a woman forcibly and against her will.

    3. Privation; the act of seizing or taking away.

    4. something taken or seized and carried away.

    5. Fruit plucked from the cluster.

    (From Webster's 1828)

    It does seem strange that her 2nd was an emergency c-section, the 3rd a vaginal and now for the 4th they won't agree to a vaginal even though the 3rd was fine. Seems fishy.

    But she doesn't have to go to that hospital. No one is forcing her to. Her insurance may not be covered elsewhere but she does still have the choice to go and pay for it all out of pocket. So she isn't actually being forced.

    Therefore by definition, it doesn't sound like rape to me. And though it is unfortunate that she is having trouble getting the service she wants, its unfair to the victims of sexual assault/rape to associate the two situations.

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  • Vix's Avatar
    Posted by Vix Wed Oct 21, 2009 10:33am PDT

    Violation, fine. Rape, absolutely not.

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  • Z's's Avatar
    Posted by Z's Wed Oct 21, 2009 10:45am PDT

    This woman sounds really ridiculous, outrageous and attention-seeking. The word rape always gets attention, I'm sure that's why she used it. But, to say that a hospital "making" her get another c-section is rape is a huge slap-in-the-face to real rape victims. You always have a choice, you can find a doctor and hospital who will allow you to labor. It's only a "trial of labor" though, if anything goes awry, they will section you again. This isn't just to save their own asses, it's to potentially save the lives of both the mother and baby by preventing uterine rupture.

    This woman should be silenced and ignored. People continue to baffle and sicken me.

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  • Katie B's Avatar
    Posted by Katie B Wed Oct 21, 2009 10:59am PDT

    This woman should be silenced and ignored.

    ~~~

    Wow! Really Z's? Silenced and ignored? No one has to agree with her but she has a right to an opinion and to voice it, regardless if she is the only one that believes it.

    Report Abuse
  • Karen S's Avatar
    Posted by Karen S Wed Oct 21, 2009 12:02pm PDT

    There's no other circumstance in which a person's bodily integrity is disregarded like it is in a medicalized childbirth. If I went to the ER complaining of chest pains and the doctor told me I needed heart surgery in order to live -- I could sign papers that I was going against medical advice and go on my merry way. I would not be threatened with a court order.

    The risks are not statistically higher in VBAC!!! I agree there is always a choice -- but her options all stink. I don't think it's a stretch to compare a forced c-section to rape at all. As a doula I have seen many violations of women in labor that I would indeed call sexual assault, frankly.

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  • Cha-Chi's Avatar
    Posted by Cha-Chi Wed Oct 21, 2009 12:42pm PDT

    Ok, is it me, or does the comparison of a c-section and rape seem ridiculous?? Come on people! How could one possibly say that having a c-section gives the same feeling of rape? I never been raped, nor have I had a c-section, but damn, I just don't see how the 2 compare. Ok, so the doctor gives you no choice, but to have a c-section. So what? You'll have a beautiful and hopefully a healthy baby in the end.. After a rape, I'm sure you don't have the same feelings as one does after a c-sction.. People can come up with some stupid things for attention...

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  • Maya's Avatar
    Posted by Maya Wed Oct 21, 2009 12:49pm PDT

    I am so sick and tired of selfish WOMEN! Are you really so selfish, that you would risk the LIFE of your child?!

    Why on earth would you argue it for a minute? If the doctor tells you that it's risky, what more do you need to hear? Who doesn't know that a vaginal delivery, after c-sections is dangerous? By all means, get a second oppinion. But don't be surprised when the majority, are all saying the same thing.

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