Women see what happens to them as yet another part of the raw deal of womanhood, writes Milli Hill
Georgie was in established labour when the midwife asked her to get out of the birth pool and have a routine vaginal exam. Georgie said no. She didn’t think she needed to be examined, and she felt the birth was imminent. The midwife asked again, and when Georgie declined once more, the midwife turned to her husband, urging him to impress upon his wife that she needed to comply. With her husband now joining the midwife in repeated requests to get out of the water, Georgie acquiesced, and was then examined during a contraction, and her waters forcibly broken. She found this incredibly painful, and asked the midwife to stop. She did not stop.
On paper, Georgie had a good birth. Shortly after the examination her baby was born, at home, in the birth pool. Everyone was healthy and well – at least physically. At an emotional and psychological level, however, there was much for Georgie to unpick in the weeks that followed the birth, not least the fact that not only did she feel her body had been completely violated, but that her loving husband had unwittingly become complicit in this act.
[…]
Interestingly, Georgie did complain. When she explained how the examination had made her feel, in particular when it continued even when she had asked for it to stop, she was told, by a different midwife: “No vaginal examination (VE) is pleasant, if she had stopped when you had asked I doubt you would have let her continue the examination, and it needed to be finished.”
[…]
So for Georgie’s midwife, “it needed to be finished”, and Georgie’s role was to endure it. There is a sense of entitlement to be found in moments like this, with echoes of rape culture: a real confusion over whose needs come first, and who has ownership of the body in question and is permitted to do as they wish with it. Education for health professionals is urgently needed to address this. A 2013 study published in the journal BMC Pregnancy and Childbirth found that professionals held conflicting beliefs about women’s choices in childbirth; on the one hand the health workers questioned stated that “women were the ultimate decision makers”, but also simultaneously agreed that “the needs of the woman may be overridden for the safety of the fetus”.


























