See Human Rights in Childbirth’s excellent article “Women’s Voices Amicus Curiae Brief: Informed Consent and Refusal” for more detail on Rinat Dray’s story and her case Rinat Dray vs. Staten Island Hospital et al., including the full brief submitted to the court with 42 stories from American women recounting personal experiences with nonconsented procedures in their maternity care. A February 10, 2015, joint statement from Amici is here.



JANUARY 15, 2015



Pregnant Women Ask Court to Affirm Their Constitutional Rights

Hospital claims women lose right to refuse surgery when pregnant

 New York—A New York hospital has claimed that it has the right to make decisions for its pregnant patients.  It said in papers filed last week that women are not entitled to due process in childbirth, asserting that if doctors call an “emergency,” a court order is not needed for a doctor to force a woman to have surgery.

The claim was made in a motion to block amicus curiae (“friend of the court”) briefs submitted by consumer organizations Improving Birth, International Cesarean Awareness Network, and others in support of New York mother Rinat Dray, who filed a lawsuit after being forced into a third Cesarean section at a Long Island hospital in 2011. Ms. Dray had planned a vaginal birth after Cesarean with the support of her own doctor, but he was not present when she went into labor.  Instead, the on-call doctors sought and received permission from the hospital’s own legal department to “override” her decision to give birth vaginally, even while noting “the woman has decisional capacity.”  Ms. Dray was restrained and taken by force into the operating room, where doctors extricated her baby by surgery (more detail here).

“Obstetric violence like what Ms. Dray experienced is widespread and accepted in United States maternity care,” said Cristen Pascucci, vice president of Improving Birth.  “We hear from women on a daily basis that they are pushed into risky, unwanted interventions in childbirth.  Especially in light of the well-documented dysfunctions in American maternity care, we look to the court to clarify that women, not hospitals with profit motives, hold the rights over their bodies in birth.”

In the United States, all people have the right to informed consent and refusal in their medical care, rooted in constitutional rights to autonomy and bodily integrity.  The right to refuse treatment, especially, is strongly upheld by U.S. courts, human rights law, and ethical guidelines for obstetricians.  Unfortunately, as advocates have long observed, these rights are routinely violated in maternity care (see “Caught on Video: Improving Birth Breaks the Silence on Abuse of Women in Maternity Care“).

Improving Birth and International Cesarean Awareness Network joined the Birth Rights Bar Association, Choices in Childbirth, and Henci Goer on two amicus curiae briefs filed by Human Rights in Childbirth (HRiC) and the National Advocates for Pregnant Women (NAPW).  The HRiC brief “Women’s Voices: Informed Consent and Refusal” includes 42 stories from U.S. women recounting personal experiences with nonconsented and forced interventions in childbirth (brief and stories here).  The NAPW Brief in Support of Liberty, Equality, and Dignity in Birth can be accessed in full here.  The court will decide whether to admit the briefs at a January 27 hearing.


Improving Birth is the largest national consumer advocacy group for better maternity care.  Our mission is to bring respectful, evidence-based care to childbirth in the U.S.


“Women’s Voices Amicus Curiae Brief: Informed Consent and Refusal, USA, Part 1” (January 14, 2015) Human Rights in Childbirth (Link here)

“Mother Accuses Doctors of Forcing a C-section and files suit” (May 16, 2014) Anemona Hartocollis, New York Times (Link here)

“Lawsuit: Staten Island Hospital Forced Patient into C-Section Against Her Will” (May 13, 2014) Jessica Mason Pieklo, RH Reality Check (Link here)

“Caught on Video: Improving Birth Breaks the Silence on Abuse of Women in Maternity Care” (August 28, 2014) Cristen Pascucci, Improving Birth (Link here)





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  4. Jill Herendeen says:

    Yes, hospitals do this because they want to make money. Cesareans are far more profitable than vaginal births. If you want to change this situation, you have to make it no more profitable, or better yet, MORE EXPENSIVE, for the hospital to do a cesarean. E.g., demand universal, single payer health care, progressively-financed. When the rich have to pay through the nose to pay for unnecessary expensive “therapies,” you may bet your bottom dollar that this nonsense will stop.

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