Obstetric Violence: How to Advocate for Yourself in the Delivery Room

The concepts of consent and bodily autonomy shouldn’t disappear when you go into labor.
save article
profile picture of Genevieve Jeffries
Published October 3, 2022
pregnant woman in labor and delivery room at the hospital
Image: Sidney Morgan

Welcoming a new baby into the world should be joyful and exciting. But not every birth goes as planned. It’s true that the best laid labor intentions can give way to emergencies and medical interventions. But, as a patient and a human being, you should know your rights and be given the opportunity to ask questions and provide consent. Of course, that doesn’t always happen. Some women walk away from high-intensity hospital situations—or even everyday prenatal appointments—feeling violated. It’s true that obstetric violence comes in many forms, and it can strip a mom-to-be of the positive experience she has been dreaming about for months. To that end, it’s important that all pregnant people and their carefully chosen teams know how to advocate for a smooth labor and delivery. Here’s what to know.

What Is Obstetric Violence?

Obstetric violence, which is essentially defined as physical, mental or emotional abuse during pregnancy, childbirth or the postpartum period, is only recently getting acknowledged as a problem in the medical community. It most commonly happens in hospitals, and can occur at the hands of doctors, nurses, midwives, anesthesiologists and other medical professionals. The unfortunate reality is that it’s usually a result of unconscious or systemic bias against women—and it disproportionately affects those in underrepresented communities.

A 2019 national US study entitled Giving Voice To Mothers, found that one in six women reported experiencing mistreatment, ranging from verbal abuse to a loss of basic human rights during pregnancy or childbirth. Women who had hospital births, in particular, reported a higher degree of misconduct. Those who were most likely to endure this injustice? Women of color. On the other hand, white women, over the age of 30, who were planning a vaginal birth were least likely to experience it.

Related Video

What Forms Can Obstetric Violence Take?

Abuse comes in many forms. Physical abuse is the most recognized form of obstetric violence; this includes performing medical procedures—be it a dilation check, membrane stripping or episiotomy—without a patient’s consent. Of course, emotional abuse is also possible. This may be defined by neglect, a general lack of respect or a flat-out refusal of necessary medical care and treatment. It also includes ignoring questions and using threats or intimidation to quiet a patient.

How to Advocate for Yourself in the Delivery Room

Although obstetric violence can derail a peaceful birth plan, there are some steps you can take to advocate for yourself and your comfort.

Speak up

Many birthing people don’t voice their discomfort in the delivery room out of fear. But you know your body better than anyone else. If you’re not feeling confident enough to express yourself verbally, there are some other ways to set the tone: Dim the lights and play calming music. This immediately demonstrates that you’re in control of the mood and vibe, and it prompts others who enter the room to follow suit and respect your space.

Create a birth plan

Creating a birth plan in advance is a great way to establish communication with your team from the very beginning of labor. In fact, The Reproductive Health Journal recommends doing this to help steer the process of labor and delivery, and improve your overall birthing experience.

Work with a doula

Doulas are extensively trained to support moms before, during and after childbirth. They’re educated in ethics and care; moreover, your chosen doula will be familiar with your specific birth plan, so they can speak up on your behalf if and when you’re unable to do so.

Assemble a strong birth team

Establishing a strong care team can also boost your confidence. Lamaze International notes that creating cohesive communication ensures that everyone on your team stays focused on your labor and well-being. When assembling your squad, make sure you include people who make you feel supported and safe. The team can consist of a partner, family, friends, a doula or trusted medical staff.

Ask questions

If you’re curious about something, speak up and ask questions. There’s no rule that says you can’t be inquisitive about what’s happening to you, your body and baby. It’s important for you to understand what the medical team is doing and why they’re doing it.

Understand your right to refusal

Take confidence in knowing that you can refuse anything at any time if you feel unsafe. The American College of Obstetricians and Gynecologists (ACOG) makes the point that a capable patient has the right to refuse treatment—and that decision should be respected. Of course, emergencies do crop up, but that doesn’t mean your rights are obliterated. In fact, this is when your team should talk you through what’s happening and share the options.

What to Do If You’re a Victim of Obstetric Violence

If you believe that you’ve been a victim of obstetric violence, there are many support options available to you. The most immediate option is to contact the hospital or birth center’s administrative office to file a formal complaint. You can also contact state boards that regulate physicians, midwives and nurses. Birth Monopoly conveniently compiles all of this information for easy access. Of course, action won’t heal all your wounds, so seek out a therapist or counselor if you need to talk to someone. Most importantly, be gentle with yourself.

The good news is that the birthwork community is advocating for better, safer and healthier pregnancies, labors and deliveries for moms-to-be, and working to fight obstetric violence. In the meantime, empowering yourself and your support team can help you have the experience you want.

About the expert:

Genevieve Jeffries is a doula and the founder of Woman of the People, a private practice based in San Diego, California. Her passion for women’s rights is the driving force behind her work. She’s also the founder of Sisterly Obstetrics, which focuses on pairing expectant mothers with proper prenatal resources.

Please note: The Bump and the materials and information it contains are not intended to, and do not constitute, medical or other health advice or diagnosis and should not be used as such. You should always consult with a qualified physician or health professional about your specific circumstances.

save article

Next on Your Reading List

pregnant woman in labor at hospital
Pooping During Labor—Will It Happen? (and How to Get Over It)
Medically Reviewed by Kendra Segura, MD
pregnant woman receiving an epidural during labor and delivery in hospital
Epidural 101: How It Works
Medically Reviewed by Kendra Segura, MD
Newborn baby resting on mother's chest after labor and delivery
The Best Labor and Delivery Gowns, According to New Moms
By Christin Perry
pregnant woman in hospital bed before delivery
What Happens at the Hospital When You Deliver
Medically Reviewed by Kendra Segura, MD
black pregnant woman in hospital bed for labor and delivery
These Are the Best Hospitals for Black Maternal Care, US News Reports
By Wyndi Kappes
Jason Kelce poses for a photo with Kylie Kelce during the Kelce documentary premiere at Suzanne Roberts Theater on September 8, 2023 in Philadelphia, Pennsylvania
Jason Kelce Shares 4 Delivery Room Essentials All Dads Should Have
By Wyndi Kappes
pregnant woman talking to doctor in exam room
What Is Cervical Effacement?
Medically Reviewed by Kendra Segura, MD
pregnant woman in hospital bed during labor and delivery
13 Common Labor and Delivery Fears (and Facts to Quell Your Concerns)
Medically Reviewed by Kendra Segura, MD
castor oil on wood table
Is It Safe to Drink Castor Oil to Induce Labor?
Medically Reviewed by Kendra Segura, MD
pregnant woman at doctor's office
Baby Is Coming: What to Know About Cervical Dilation
Medically Reviewed by Kendra Segura, MD
doctor examining pregnant woman's belly for membrane sweep
What Is a Membrane Sweep—and How Can It Induce Labor?
Medically Reviewed by Kendra Segura, MD
evening primrose oil
Is It Safe to Induce Labor With Evening Primrose Oil?
Medically Reviewed by Kendra Segura, MD
mother who just gave birth holding newborn baby in hospital bed
Expert Tips for How to Prevent Tearing During Birth
Medically Reviewed by Kendra Segura, MD
couple packing hospital bag for birth
Hospital Bag Checklist: What to Pack for Delivery
Medically Reviewed by Kendra Segura, MD
pregnant woman doing exercises to induce labor
Exercises to Help Induce Labor
Medically Reviewed by Kendra Segura, MD
What Does It Mean to Have a Breech Baby?
What Does It Mean to Have a Breech Baby?
Medically Reviewed by Kendra Segura, MD
pregnant woman with IV in arm during labor
The Lowdown on Using Pitocin During Labor
Medically Reviewed by Kendra Segura, MD
pregnant woman sitting in bed
How to Do Perineal Massage to Prepare for a Vaginal Delivery
Medically Reviewed by Kendra Segura, MD
pregnant woman sitting at home
What to Know About the Transverse Baby Position
Medically Reviewed by Kendra Segura, MD
pregnant woman sitting in bed holding belly
What Does Baby's Fetal Station in Labor and Delivery Mean?
Medically Reviewed by Kendra Segura, MD
Article removed.
Article removed.
Name added. View Your List