The following is a guest post from one of the most influential bloggers in my life. When I found her site I was just starting to get really interested in and writing about the intersection of mothering and feminism and the veritable minefield of hot-button issues out there. Among the nearest and dearest to me is birth advocacy. I’d written about birth issues before but Jill at The Unnecesarean helped inspire me to take that advocacy to the next level — activism. She is a fiercely feminist protector of women’s bodily rights, their choices and their lives. In short, she kicks ass. I am honoured to share her words on my site.

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ptsd

Via Lauredhel of FWD/Forward, who included the following warning:

WARNING: story of obstetric assault and PTSD symptoms. More accurately labelled “obstetric trauma”, not “birth trauma”.

In the article, How childbirth caused my PTSD, which appeared on Salon.com, Taffy Brodesser-Akner writes of being violated against her consent by a doctor while on Pitocin and Stadol.

The delivery of my son didn’t start with a rush of water, or cramps that left me hunched. It was a decision, an edict, and with it, the drip Pitocin, a drug that induces contractions. The contractions came big and loud, almost immediately at one minute apart. My cervix wouldn’t dilate, though. I was eventually given the narcotic Stadol, which caused me to hallucinate through a very long night. Twenty-four hours later, clear-headed but still not dilated, I told my doctor I didn’t believe the induction was working, that I wanted to discuss other options. But before I knew it, he began painfully separating the membrane guarding my bag of waters.

“He isn’t examining me,” I yelled at my husband. “He’s doing something.”

In a hushed tone, the doctor asked the nurse for the hook, a mechanism that breaks your water.

“Why did you do that?” I asked when it was done. “I thought we were going to talk about it!”

His voice was cold, flat. “You’re not going anywhere,” he said.

She discusses how the diagnosis of PPD she received a week after birth didn’t fit, as she “felt that [she] was stuck in fight-or-flight,” then received a PTSD diagnosis that seemed to fit her symptoms. When she searched the Internet for information, she didn’t find a warm reception.

Just around the time I was figuring this all out, the Wall Street Journal published an article discussing postpartum PTSD. It referenced a now-famous study by Harris Interactive for Childbirth Connection, in which 9 percent of postpartum women screened met criteria for a diagnosis of PTSD, according to the mental-health diagnostician’s Bible, the DSM-IV.

Not surprisingly, it elicited a giant eye-roll from bloggers. “Something about applying the term PTSD to childbirth irks me,” said Hannah Tennant-Moore, a blogger for Babble’s Strollerderby. “PTSD is most commonly associated with war veterans and victims of extreme violence; applying it to new mothers makes maternity seem like a pathology.”

Over on Jezebel Jessica Grose sneered, “Have we become so precious and hyper-conscious that something women have been doing for time immemorial is now ranked alongside war as a painful event?” She went on to say: “Certainly having a bowling ball of a baby shooting out your vag isn’t a picnic for anyone, but the hysteria surrounding something so matter-of-fact is troubling.”

The article goes on to quote a pediatrician from the University of Chicago claiming that “[f]ifty years ago, women were anesthetized for childbirth” and are now awake to experience what he calls “misadventure[s] in the delivery room.”

The pediatrician follows the cultural script of pinning the trauma on this trend of women being awake to witness the rare events in which “the mother’s life [is] at risk or the baby’s.” He stated that having a baby is opting into a normative experience and that it is difficult to find people to turn to when you’re one of “the other 2 percent” who do not have uncomplicated births, and “[w]hen you find it’s totally different from what you were told it would be, it’s traumatic.”

Rupturing membranes without consent while a woman’s body is being slammed with pharmaceutically induced contractions is not a mere “misadventure” of childbirth itself. This is a violation of patient rights, autonomy and human decency. It’s the act of a doctor who clearly would have preferred for his patient to be anesthetized as in pediatrician’s scenario of days past so that whole annoying “informed consent” thing wouldn’t get in his way. The obstetricians that the author consulted about her birth raised questions about the necessity of the induction in the first place.

Slapping women in the face with the unrealistic expectation line serves only those wishing to perpetuate the status quo and blame women for creating their own PTSD. While is it true that the rareness of death in childbirth contributes to a “couldn’t ever happen to me” factor that is exacerbated by the unrealistic “I can control this from ever happening to you” or “you or your baby will die right now/tomorrow/next week/next month unless you do everything say” sales pitches from care providers, the time has come for women discussing the trauma associated not with childbirth but with coercive over-management of childbirth to not be thrown into some sexist, ableist Cassandra metaphor.

Akner no longer feels like “the only person who survived a normal life cycle event damaged and ruined” thanks to the community that she has found, a community that will probably continue to increase in numbers concomitantly with the increase in the number of unnecessary inductions and cesareans.

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