The Obstetrical Re-Structuring of Accidental Out-of-Hospital Births

Two of the women in my study accidentally gave birth outside the hospital. The treatment these women received upon entry into the hospital provides a very clear example of the tremendous force of the hidden cultural process at work in obstetrical rituals.

Virginia Larsen gave birth to her second child in the car on the way to the hospital. She wrapped the baby in her husband's jacket and held him in her arms and nursed him as they continued on. Upon arrival, the hospital staff "acted horrified." The baby was whisked away to the nursery and the mother to a room; she was required to stay in the hospital for three days, and was not allowed to see the baby for a full 24 hours-- a period much longer than normal in that hospital.

Genevieve Cummins gave birth to her first child, accidentally, at home. She had planned to deliver in the hospital labor room with a certified nurse-midwife; but her labor was very quick--she was starting toward the stairs to get in the car and head for the hospital when the head crowned. She made it back to her bed, and her mother called the midwife, who lived only a few minutes away. The midwife arrived, expecting to check her and take her on to the hospital, but ended up calling a paramedic team and catching the baby a few minutes later. The birth was completely successful; the mother felt thrilled. But the midwife, who had officially committed herself to do only hospital deliveries, felt that her job and reputation were in danger, so she requested that Genevieve go to the hospital to be checked and to explain the circumstances of her accidental home birth:


Genevieve:
After she was born, I got a surge of energy and was feeling really high in spirits...I got dressed and was heading to the hospital to get checked out. I was just so fired up. I just remember being exhilarated.

Robbie [looking at a photograph]:
You look exhilarated. You combed your hair and put a dress on. You put your necklace on. I can't believe it. You put your gold necklace on and everything. You walked into the hospital like a different person [from the way she looked in the preceding photographs].

Genevieve:
Then they put me down in a wheelchair. As I started paying attention, I realized I was pretty sore. One of the doctors that [the nurse-midwife] works with just absolutely insisted that I should have stitches. I didn't need them. I really was mad about that because I was proud that I had not torn badly. [My midwife] said that it was just a very superficial little tear and would have healed on its own, but the doctor insisted I be stitched. That was really the most uncomfortable thing about the whole birth. Normally when they give you the shot for your episiotomy in the hospital, the baby is pressing down on some nerve and you don't feel it. But she was already born, and I felt everything. I felt the shot--they did it all the way around-- and even when she started stitching, I was still feeling some of it. They gave me about three stitches. It was just negligible. It made me so mad. But after I realized that it was what I was going to have to put up with, I didn't fuss anymore because I didn't want to make it any more difficult on [the midwife] than it already was. She had a tough time explaining why we had it at home. "Why didn't we get to the hospital?" I made it a point to tell all of the doctors when I saw them that it was an emergency, that she and I did not plan this--I was really fearful that I was going to make difficulties for her.
After she was born, I just stared at her for a while. They wanted to take me to the hospital and I just wanted to lay there and look at her. After the discomfort was gone, I was just so into what was happening right now. I kept thinking, why do we have to go to the hospital? But [the midwife] kept saying, "Come on now. We really need to get to the hospital and make sure you both are all right." I thought that was kind of silly. I kind of rebelled at that idea. I wanted to stay right there where I was. I thought, I've done it all here now. Why do I have to have anything to do with the medical establishment?

Robbie:
What did she say that convinced you to go?

Genevieve:
Probably making sure that the baby was all right. That probably just snapped me out of it and I thought, Hey, yeah, I really should make sure.


The hospitals missed their chance to socialize Genevieve and Virginia into our society's core value and belief system during their births, but they did not fail to do their best to achieve that socialization after the fact. The experiences of these two women indicate that the process of birth--the manner in which a baby is born --is as important to the hospital as that it is born: it is not just that a baby is produced, but how it is produced that matters.

Wheelchair|The "Prep"|Partner |Clothes|Shaving|Enema
Bed|Fasting |IV|Pit Drip |Analgesia|Amniotomy
EFM|IEFM |Cervical Checks|Epidural|Push/Don't Push
Transfer |Lithotomy|Sheets|Episiotomy
Mirror|Apgar |Washing|Eye |Vitamin K|Bonding|Separation
Bassinet|Wheelchair|Summary
Introduction