About Birth
Modesty For Pregnant Women
By: Misty Roberts, Founder of Medical Patient Modesty
Many people falsely assume that women don’t care about their modesty
during childbirth because they are in too much pain, but that is
simply not true. There are many women who feel that their modesty
during childbirth is extremely important. Some women and husbands
don’t want a male ob/gyn or any other male medical professional to
be present for the birth of their baby. All too often families have
their wishes for modesty violated as they gave birth. The birth of
your child should be a joyful time and it's tragic how violations of
modesty have made birth experiences traumatic. Even female ob/gyns
can be insensitive. Many have ignored our wishes for privacy and
allow medical students to be present for all parts of birth even
when asked otherwise.
Home (or birthing center) births with a midwife attending is an
excellent choice for women with low risk pregnancies. Giving birth
is a natural function, not an acute illness. You are often treated
like a sick patient at the hospital, while home birth is much more
natural. You are free to eat, drink, and walk around. You choose
who is there with you – family, friends, or neighbors. There are no
externally-imposed visiting hours in your home, before, during, or
after the birth. Women's wishes for modesty in hospital settings
are disregarded routinely. Unnecessary medical interventions are
common. The list is huge, but a few examples are: too many pelvic
examinations, episiotomies and unnecessary C-sections. Medical
students strive to do as many pelvic exams as they can for their
requirements and many women are taken off guard because they have
medical students coming into their room uninvited doing these
invasive exams and other procedures without asking. Midwives do
fewer pelvic exams and always ask first. With respect for you as a
laboring woman, you will reduce your chance of having these
unnecessary interventions.
If
you choose an out-of-hospital birth, look for an appropriate back-up
plan, preferably with an all-female ob/gyn practice to deliver your
baby. Make it clear to your midwife that you don't want a male
gynecologist. Many midwives even do breast examinations, pap
smears, gynecological examinations, and even some procedures for
women who are not pregnant.
For a planned hospital birth, (or unplanned as in the case of a
transport from home or birth center), if a birthing mother wishes
for an all female team and maintain that her husband is the only man
present, she will need to choose an all-female ob/gyn practice that
doesn't rotate with other practices of male doctors. Keep in mind
that all doctors in a practice rotate. There are wonderful female
ob/gyns in mixed practices, but you won't be guaranteed a female ob/gyn
in a mixed practice.
Discuss with your ob/gyn your desires for an all-female medical team for the birth of your baby. You
should also visit the hospital and meet the nurses, let them know
your desires. Remember that the
team may consist of the female ob/gyn doctor, nurses,
anesthesiologist and/or nurse anesthetists, and surgical scrub
technician. If you need an epidural, you will need an anesthesiologist. It's best if your
team consists of all females, a female anesthesiologist
or nurse anesthetist. Many hospitals employ at least a few nurse
anesthetists. Nurse anesthetists are often able to administer
anesthesia without an anesthesiologist. If it isn't possible, speak to the doctor and nurses and request that they keep your
private parts covered while the anesthesiologist or
anesthetist is present to protect your dignity and modesty. If you
must have a Cesarean Section, you will be required to have a
catheter inserted. You should ask that the male anesthesiologist or
anesthetist stay out of the room until all of the prepping for
surgery including insertion of the urinary catheter has been done.
There are a number of wonderful all female ob/gyn practices in the
United States that work hard to accommodate patients’ wishes for an
all female team.
Create a birth plan. Make sure that you include who you want to
have present. If you don't want medical students or male medical
professionals to be present, indicate that on your birth plan.
Make sure you come up with a plan in case the unexpected happens.
One web site that offers a good example of a birth plan is:
http://www.birthplan.com/
Consider hiring a doula
to provide support
during your labor. She is an advocate who can speak up for your
wishes about modesty if you are birthing in the hospital.
One of the goals of "Medical Patient Modesty" is to help women
succeed in having a respectful, all female team and be more assured
of having modesty protected. We hope to educate medical
professionals, including female gynecologists, about the importance
of patient modesty and how they can protect a women’s dignity and
make a hospital birth more joyful. A number of hospitals in the
United States, especially rural areas, have mostly male ob/gyns and
few (or no) female ob/gyns. We consider this is a very serious
problem. Many women don’t want a male gynecologist to deliver their
baby and feel very abused by most of them. Far too many hospitals
cannot assure families that their desires for modesty will be met.
We want to contact those hospitals and set up dialogue about this
issue. All hospitals should offer this choice for women, to be able
to birth with a woman. We are also reaching out to help
women and their husbands learn how they can stand up for
their rights to modesty in medical settings.
Medical Patient Modesty also addresses male patient modesty because
many men also value their modesty in medical settings. There are many men
who feel uncomfortable with female nurses doing intimate procedures
such as urinary catheterizations. You can read more about
our other goals on Medical Patient Modesty’s web site:
http://www.patientmodesty.org/.
Medical
Patient Modesty is still in its beginning stages and we welcome
volunteers to join in with us and help. If you're passionate about promoting
stronger medical patient modesty, please contact us at
info@patientmodesty.org. We're currently looking for a midwife and a doula in Western North
Carolina, Upstate South Carolina, Tennessee, or North Georgia to
serve as a volunteer board member for Medical Patient Modesty. Please feel free to share any suggestions about how we can
expand, work
and succeed to promote stronger medical patient modesty.
Many
thanks, Misty Roberts
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