Ep. 468: The Know Your Rights Map: Obstetrical Violence, Birth Trauma, and Patient Rights in the Hospital Birth Room with Cristen Pascucci [Re-Air of Ep. 203]

Ep. 468: The Know Your Rights Map: Obstetrical Violence, Birth Trauma, and Patient Rights in the Hospital Birth Room with Cristen Pascucci [Re-Air of Ep. 203]

In this Birth Lounge Podcast episode, host HeHe interviews Kristen Pascucci, founder of Birth Monopoly, about birth trauma and obstetric violence in hospital birth. They discuss trauma as a self-defined response that overwhelms the system, common trauma/PTSD symptoms (intrusive memories, nightmares, avoidance, physical reactions, triggers including the hospital or even the baby), and the overlap with prior sexual trauma. Pascucci explains obstetric violence as appropriation of the birthing person’s body and subordination through coercion, manipulation, pressure, disrespect, and power dynamics, ranging from jokes about birth plans to forced procedures; vaginal exams without true informed consent are highlighted as a common example. They also cover reporting options (hospital complaints, state licensing boards, lawsuits) and why accountability is often limited, including low disciplinary rates and barriers to malpractice cases, and share resources at birthmonopoly.com including an obstetric violence map.

00:00 Accountability and Advocacy

02:06 Informed Consent Basics

04:09 Meet Cristen Pascucci

05:34 What Birth Trauma Means

09:23 Trauma Symptoms and Triggers

16:13 Defining Obstetric Violence

20:13 The Pyramid of Harm

21:39 Common Example Vaginal Exams

33:02 Reporting and Medical Boards

45:29 Resources and Closing

Guest Bio:

A former communications strategist at a top public affairs firm in Baltimore, Maryland, Cristen Pascucci is the founder of Birth Monopoly and Birth Monopoly's Doula Power group, co-creator of the Exposing the Silence Project, and, from 2012 to 2016, vice president of national advocacy organization Improving Birth. She has run an emergency hotline for women facing threats to their legal rights in childbirth, created a viral consumer campaign to “Break the Silence” on trauma and abuse in childbirth, and helped put obstetric violence and the maternity care crisis in national media. Today, she is a leading voice for women giving birth, speaking around the country and consulting privately for consumers and professionals on issues related to birth rights and options. Cristen​ ​is also the host of Birth Allowed Radio as well as executive producer of a documentary film planned for release in 2020 to start a national conversation on obstetric violence, birth trauma, and women's rights in birth.

SOCIAL MEDIA:

Connect with HeHe on Instagram: https://www.instagram.com/tranquilitybyhehe/

Connect with Cristen on IG: https://www.instagram.com/birthmonopoly

facebook.com/birthmonopoly

BIRTH EDUCATION:

Learn how to stay in control of your birth and reduce the risk of unnecessary interventions in our Avoid a C-Section Webinar. HeHe breaks down the cascade of interventions, explains what’s really happening in the hospital, and shares practical strategies to protect your birth plan, advocate for yourself, and navigate labor with confidence. Perfect for anyone who wants a positive, informed hospital birth experience: https://www.thebirthlounge.com/csection

Feeling nervous about speaking up in labor? Our Scripts for Advocacy give you the exact words to handle the most common conversations that can make or break your birth experience. From declining unnecessary interventions to asking the right questions about procedures, these scripts empower you to stay in control, speak confidently, and protect your birth plan — even when the pressure is on. Think of it as your personal toolkit for advocating like a pro, so you can focus on your baby, not the stress: https://www.thebirthlounge.com/Scripts-for-Advocacy

And if you haven’t grabbed it yet… Snag my free Pitocin Guide to understand the risks, benefits, and red flags your provider may not be telling you about, so you can make informed, powerful decisions in labor: https://www.thebirthlounge.com/pitocin

Join The Birth Lounge for judgment-free, evidence-based childbirth education from HeHe that shows you exactly how to navigate hospital policies, avoid unnecessary interventions, and have a trauma-free labor experience, all while feeling wildly supported every step of the way: https://www.thebirthlounge.com/

Want prep delivered straight to your phone? Download The Birth Lounge App for bite-sized birth and postpartum tools you can use anytime, anywhere: https://www.thebirthlounge.com/app