01/06/2021
I think a lot of people don't understand that, despite the name, MOST obstetric violence doesn't involve physical force. It can also be threaded through law and policy, and manifest through improper communication or lack of communication.
Like:
- patients are not given the option to refuse membrane sweeps, cervical checks, waters being broken--they're told very nicely that this is what is going to happen and most people don't even know to question that
- state regulations "require" patients to submit to prenatal vaginal exams if they want to have a home birth
- hospital policy restricts doulas from being present with their clients
- mandatory surgery policies aka VBAC (vaginal birth after cesarean) bans
- a patient is given a deadline for birth (before X weeks) or for labor (in under X hours) with the consequence being an invasive medical intervention
- any version of "you want to keep your baby safe, don't you" or "you don't want to hurt your baby, do you" as a justification for a medical invention or substitute for informed consent discussion
- the justice system has no mechanism to value the impact of rights violations and trauma on victims so no such lawsuit is ever viable
This is by no means an exhaustive list.
I would argue that obstetric violence is structural where midwifery is marginalized and oppressed, and overseen by hostile parties who often have a vested interest in suppressing midwifery access.