When a UN committee ruled that Nahia Alkorta had suffered obstetric violence during the birth of her first child, it was the culmination of a 10-year quest for justice.
Alkorta was diagnosed with post-traumatic stress disorder after her treatment at a hospital in northern Spain in 2012 and turned to the UN, having failed in the Spanish courts.
The UN Committee for the Elimination of Discrimination Against Women last month found that she had been subjected to a litany of unjustified interventions, which amounted to obstetric violence, including a caesarean without her consent, with her arms immobilized and her partner barred from the room.
“Since the ruling, more than 100 women have contacted me saying this kind of thing happened to them,” Alkorta, 36, a mother-of-three, told Agence France-Presse in an interview. “It isn’t talked about because of the pain it causes, because of the sense of shame. There’s an idea that this is just the way it is.”
The UN committee’s decision described obstetric violence as “violence suffered by women during childbirth at medical facilities,” adding that it is a “generalized and systemic phenomenon.”
It said Spain should compensate Alkorta for physical and psychological damage, and ensure that women’s reproductive rights are safeguarded by the health and judicial systems.
The ruling came as campaigners across Europe have been raising awareness about obstetric violence, which they say often goes unrecognized.
Some national medical associations in Europe even take issue with the term itself, saying that it cannot be applied to their practices.
However, Alkorta said that “women are telling a different story.”
Alkorta suffered nightmares, insomnia and flashbacks after an ordeal that began when her waters broke at 38 weeks.
At her local public hospital in San Sebastian, she was induced with the drug oxytocin, despite having contractions and without any medical reason given, she said.
Staff responses to her questions became increasingly aggressive, she recalled.
The day after she was admitted, gynecologists decided to deliver the baby via caesarean, without seeking her consent and despite a midwife telling her that her labor was progressing, she said.
“When I asked for a clear explanation, they just said they would take out the baby and it would be over in 40 minutes,” Alkorta said.
With her arms tied down, a protocol that some hospitals follow during caesarean births, and her husband barred from the room, she trembled with fear.
“I felt completely at their mercy,” she said.
Alkorta was unable to hold her son, who was healthy, for the first hours of his life.
There is a lack of comprehensive data measuring obstetric violence in Europe, but advocacy groups say women are routinely denied informed consent, subjected to rude and degrading behavior by medical staff, and, in some cases, dangerous practices.
A recent “Stop Obstetric Violence” petition in Serbia gathered 70,000 signatures in five days, calling for the state to cover the cost of somebody accompanying a woman in the delivery room.
Some Serbian public hospitals require the extra person to pay, even if it is the woman’s partner.
“Many mothers in Serbia would prefer to forget the day they gave birth, because they experienced various forms of violence by medical staff,” the petition said, listing insults, humiliation, shouting, neglect and medical errors among the problems.
Some countries in Europe, including Spain and Italy, have set up obstetric violence observatories, but campaigners say that legal cases are rare.
“We are approached by many mothers who have suffered a traumatic birth, but almost no one ends up filing a lawsuit,” said Nina Gelkova, a spokeswoman for Bulgarian campaign group Rodilnitza. “The state does not acknowledge that such a problem exists.”
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