My Open Letter to New Hampshire's Administration:
An advocate suggested I write an open letter to the New Hampshire Department of Health and Human Services and the New Hampshire American College of Obstetrics and Gynecology - including nurses because the New Hampshire Medical Board refused to acknowledge my complaint (the statute of limitations is 5 years, it has taken 15 years for me to be at a place to report this). My primary issue is that I don't believe the physician was trained to avoid my clit during the exam. I mean, he asked his supervising physician if he should go "back and forth to get in." (I think this is a basic rule, that everyone should comply with - avoid the clit!) Do Not Go Back and Forth to 'get in'. It should be Sunny's Law.
Dear NHDHHS, and NH ACOG including nurses,
In 2005 at the birth of my daughter I experienced a trauma. It had such a massive impact on my life, and my daughter’s. I hope to prevent others from experiencing this type of thing. I would like to request anyone attending birth have education about preventing birth rape.
I believe the student physician wasn't trained to avoid it. It has been 15 years and I still struggle with the trauma of it. I take medication for mental health and am still working with a trauma therapist. I've also started to work with meditation and a reiki healer.
After posting about advocacy in a private support group and with encouragement, I sent this letter to the state medical board as a complaint. I was notified that I can't file a complaint due to the statute of limitations (5 years, it's been 15 years). Here is the email that I sent that they aren't acknowledging.
Dear New Hampshire Medical Board,
I am writing a complaint against the medical education system’s failure to train student physicians and faculty to avoid sexual assault during birth exams. I would like assurance that every 2 years any provider attending birth receives training to prevent birth trauma and 'birth rape'.
This issue significantly impacted my well-being. At five months postpartum, I developed delusional disorder, and after 14 months, I was diagnosed with psychosis. The trauma was terrible for my mental health and well being. It has taken 15 years to be at a place where I can report this. My therapist thinks this may help with closure. It isn’t a simple story, and I struggle with unrequited love for the student doctor. I’m hoping this complaint reporting process will allow me to let go of the hope for his love. I wrote the hospital’s attorney seeking closure trying to find healing in 2017. They never wrote back.
I’m not complaining to get anyone in trouble, but to advocate to increase training related to maternal trauma prevention, patient rights, and provider skills. There is a need for prevention around sexual assault through training in this taboo area with provider education because nobody should ever experience birth rape or sexual assault while giving birth - any touching must be consented. I do not believe the student provider and supervising physician intended to harm, but the memory continues to impact my wellbeing and intimate relationships. I wrote my story as fiction based on a true story. The book is as I remember the experience (attached pdf).
My birth trauma support group encouraged me to write this complaint. I am not the only one in the group who has experienced psychosis after birth trauma. The only way things will change is to acknowledge what happened and try to heal.
Please Consider Developing Training To Prevent Sexual Assault With This List In Mind:
1. Ask the patient for permission before touching.
2. Accept “no” for an answer and find another provider if the patient says no.
3. Use a mirror if you cannot see.
4. Ask the patient if they are willing to reposition if you cannot see.
5. Tell the patient what you intend to do before doing.
6. Explain why you intend to do what you do in the exam.
7. Tell the patient as you do the exam what you are doing.
8. Do not approve students staying late without asking the patient for permission without the student present.
9. Train physicians and midwives and prevent sexual assault during exams with annual trauma and sexual assault prevention training.
10. Critical reflection incident response when a violation/trauma occurs.
11. If a violation occurs, don’t threaten to sue the patient.
* After submitting the letter I realized I want the medical history to ask how to support me during care. I want to share that I had a trauma at the birth and to read my book if you want more information. But request the provider tell me their intentions, and talk me through exams.
"I trust that if I start to fall off the ladder of life again, others will pick me back up and put me back on."
-Sunnyg