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Dublin: 10 °C Wednesday 22 May, 2013

Dáil hears calls for justice for survivors of symphysiotomy

Symphysiotomy was a practice used during childbirth during the last century before the advent of safe Caesarean sections. However, it was used for longer in Ireland because of Catholic religious and ideological circumstances.

Marin O'Moore, symphysiotomy survivors with her daughter as they leaving the Dail
Marin O'Moore, symphysiotomy survivors with her daughter as they leaving the Dail
Image: Sasko Lazarov/Photocall Ireland

A NUMBER OF women from the Survivors of Symphysiotomy (SOS) group were in Leinster House today for a Dáil debate on the procedure that left many of them with life-long chronic pain and a host of other medical problems.

The group is seeking to have the statute bar lifted so they can seek redress through the courts for the permanent damage they suffered as a result of symphysiotomy, during which their pelvises were unhinged.

They also want a public, independent inquiry to be established to examine why the procedure was still used in Ireland, long after it was discontinued in other European countries.

During the operation, a woman’s pelvis is widened by up to 3.5 cm to allow for vaginal birth when labour is obstructed. It was an intervention used in the 18th and 19th centuries to reduce maternal and infant death when Caesarean section was not the chosen path.

The Survivors of Symphysiotomy group, however, claims that many of the operations in Ireland after 1940 were carried out – without prior knowledge or consent – “mainly for religious reasons, by obstetricians who were opposed to family planning”.

“The surgery was exhumed at the National Maternity Hospital by doctors who were hostile to the idea of family planning and who were looking to replace Caesarean section with an operation that would facilitate large families,” they say.

The support group has also called for full access to promised health benefits and entitlements to be enshrined in law.

15/03/2012. Dail Debate Symphysiotomy. Pictured ar

The Minister for Health James Reilly has received a draft report from an independent researcher who examined the practice – how often it was used, why it was used and when practices were changed. On submitting her report in January 2012, she told the Department of difficulties she experienced accessing historical data. Reilly has now asked the Attorney General whether he can make that report available for consultation purposes.

In the Dáil today, the Minister outlined that the medical procedure was primarily used before the advent of safe Caesarean sections.

He admitted that the practice was used for some time after it was discontinued in other developed countries, most notably in Our Lady of Lourdes Hospital in Drogheda.

It has been suggested that some 1,500 symphysiotomies took place between 1944 and 1992. At the Coombe and National Maternity hospitals, it was used in 0.35 per cent of deliveries.

Reilly said he was “conscious of the distress…and pain” that symphysiotomy has caused, adding that the Government was committed to dealing with the matter “sensitively”.

My first priority is to make sure that the health needs of those who have had a symphysiotomy are met quickly and effectively. With this in mind, I am committed to ensuring that the greatest possible supports and services are made available to women who continue to suffer effects of having undergone this procedure.

A cross-party Oireachtas committee has been established to highlight the plight of the women who underwent the procedure between 1940 and 1984. They heard from the victims last night and Fianna Fáil TD Billy Kelleher said the “sad stories” were “emotive, disturbing and upsetting”.

“Many of the survivors have been left permanently disabled, incontinent and in constant pain. I find it astonishing that no person or agency has ever been held accountable for these cruel and unnecessary operations,” said Senator Mary Moran ahead of today’s debate.

Carlow Kilkenny representative Ann Phelan pleaded for full access to the legal system for victims of symphysiotomy. She said that because the Statute of Limitations has run out, they cannot seek redress in the courts.

This could – and should – be amended, added the Labour TD, who also called for the HSE to help survivors gain access to their medical records, something some have not yet been able to do.

She met with victims last week and said the “awful practice” was made worse because consent was not given in  many cases. ”Nor was the full extent of the operation and its aftermath fully explained to the women who underwent the operation.”

Her party colleague Anne Ferris echoed the sentiments, stating the practice has had a “devastating legacy” for many women.

“Groups like SOS are fundamentally important in bringing to light the dark side of an Irish society that liked to hide in shadows,” she said.

Yesterday: Dáil to debate symphysiotomy tomorrow>

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Comments (29 Comments)

  • This procedure is a lot more brutal than episiotomy. The long lasting side effects are more debilitating and most importantly the medical decision to preform this was influenced by more than medical knowledge and women were not asked for permission. Quite often no one explained before, during or after, what had been done

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  • Hey Joan a symphysiotomy is a surgical procedure which is carried out to permanently widen the pelvis of a woman who might normally require repeat Caesarean sections. The cartilage of the symphysis pubis, which is the point where the pubic bones come together, is surgically divided during the procedure. An episiotomy is a cut to the perineum. Huge difference, an episiotomy is basically a cut that heals and that’s that but a symphysiotomy is permeant and life altering. For it to have been done without consent is just appalling but then again Doctors were gods then, look at all the unnecessary hysterectomies that were done.

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  • The statistics are absolutely shocking. This was an utterly barbaric practice and survivors deserve justice for what they have been forced to ensure. Yet another example of how male doctors and legislators, highly influenced by the teaching of male clerics, failed women.

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  • As late as 1992???? Jesus I was born by a caesarian in 1989! Why on earth would this be used instead of a caesarian in the last 20 years!

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    • because a c section limited the number of future children a woman could have therefore doctors who were following the letter of papal law saw it as a form of family planning. Despite the agony and deformations left after women who had this antiquated procedure they could continue to have more babies.

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    • AlMar 16/03/12 #

      Helena: There was no “letter of the papal law” involved. There is NO Church teaching or document that necessitates or justifies this procedure other than when it might have been (in the past) medically necessary in best medical practice. There mere fact that commentators keep saying that it was based on Catholic teaching does not make it so.

      Any doctor that performed it when it was not medically indicated by current best practice based that decision on their own private medical/moral/ideological criteria. It was not based on Catholic medical ethics.

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  • @ Claire
    I wrote comments for many hours on this subject on journal.ie yesterday and I am disgusted with the wording James Reilly used. ” It was not barbaric, but he felt it was inappropriate”! Maybe he should go through the hellish life these women have gone through all their life, then give a proper opinion. Most, if not all maternity hospitals were run by the religious orders.

    Most women went through hours/days of labour because caesarian sections were not allowed. This awful operation was done to these mothers without asking permission, and was done mainly for ‘religious reasons’. Sickening.

    I hope they have better luck with their inquiry and people are made accountable – not like the many other inquiries in the past that have found themselves collecting dust in the Dail basement. The copy of one Report/inquiry, which is mine, has not dust on it. It was the Leas Inquiry. God bless and I will you all well.

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    • This day has been a very long time coming and I wish you well Sheila. And I really hope that this Minister for Health comes up to the Mark and works with all the mothers and their families and gives the answers and finally give the women some truth and Dignity

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  • Once again we have the spectre of Irish women being abused by medical ‘professionals’ who, instead of looking after the welfare of their patients were following the dogma of their cult and putting their church before their patients. Despite what Minister Reilly said today, it IS barbaric what these nazi style doctors did to the unfortunate women whose lives the destroyed. Why these operations were still being done into the late 90′s beggars belief and the culprits, be they medical, religious or political need to be hauled before a Dail committee and made to answer for it. It’s like something out of a horror movie, a sinister Dr Mengele style clique who take over the states hospitals and are then allowed to inflict their own dogma based ethics and practices on unsuspecting women not caring what the outcome is to the patient as long as they get to follow their own set of beliefs.The maternity hospitals where these operations took place have questions to answer and Dr. Reilly needs to stop his foot dragging and get on with finding the answers. Today in the UN, Irelands human rights record was under the microscope and when you read about this horrific abuse you have to conclude that in Ireland, under the malign influence of the catholic church major abuses were allowed to take place and these abuses were sanctioned by the state and the politicians who were in charge at the time, no coincedence that they took place in religious run hospitals, schools, orphanages or the infamous gulags of the Magdalene laundries. The damage that’s been done to Irish women, children and many disabled people in deference to catholic church ideology and dogma is shocking and all with the collusion of a deferential Irish state. It is unforgivable and should not be allowed to go unpunished. It’s time someone was held accountable for these crimes against women wether they be dead or alive the people who allowed this to happen need to be identified and brought to justice for their crimes and for those who are dead and gone then history should be updated to record their part in it. The Ulster unionists were right all along, Home Rule really did turn into Rome Rule and we are now seeing what happens when you allow a sinister cult to run your health, education and social policy. I hope these women take the catholic church, the hospitals involved and the Irish state to the European Court of Human Rights because if it is left to politicians in Ireland then it will be swept under the carpet like all the other abuse cases that the Irish state and it’s religious masters stand accused of and as usual nobody will ever be held to account.

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  • Their really is no limit to the damage that these cultish predators can inflict.

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  • How anyone, but especially a woman, can have anything to do with the zombie religion beggers belief. I would say this is shocking, but it isn’t. Religion trumps decency every time.

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  • Joan , I only posted the def of both things to show just how different they are. I wasn’t I implying that you thought it was in anyway right.

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  • That’s exactly what I mean, I had numerous operations as a child, a couple were unnecessary, and at that time (@45 years) nobody, regardless of what operation was being preformed were treated like they are today…it was yes doctor, no doctor.. That was not right, but the general populace was not really up to speed with medicine, there was no Internet in those days, and you just trusted them, in fairness they were in the dark also to a large extent. That don’t make and of this right, but it was very different times!

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    • That is so very true in so many cases. The fear/respect the general populous had for the med professionals was a huge factor.
      But this practice was continued well beyond its time, when the doc preforming would’ve been well aware of the risks and outcomes.
      The motivations were sinister. The practice was used in Africa and there have been arguments that the women in Drogheda were being used to train missionary nuns. The practice was favoured by those opposed to family planning.
      This article spares us the gruesome details of the procedure itself and the lasting damage to women and children. Some women didn’t know the damage wasn’t normal. They lived with pain, shame and horrific memories. Often in silence.
      This was an act of violence against these women. They deserved better. They had trusted and that trust was abused.

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  • I have found a petition that does need signing especially with in the next 2 weeks before the SoS group have any chance of justice : http://www.gopetition.com/petitions/support-survivors-of-symphysiotomy/sign.html
    Share this with friends to get the number can be submitted to the Government.

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  • I sympathise with these people, but can I most respectfully ask, is the latter day episiotomy not a little similar and can also lead to incontinent problems etc…I personally know of people myself actually, who had unnecessary operations due to medical ‘ignorance’ at the time????

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  • AlMar 16/03/12 #

    This practice is barbaric, and in a modern setting without medical indicators it is just wrong.

    But it has NOTHING to do with religion. I am still waiting for anyone to tell me precisely what aspect of Catholic teaching necessitated the practice. The simple fact is that we are dealing with a clique of rather arrogant doctors who may have developed a bizarre interpretation of Catholic teaching. But it was THEIR interpretation, NOT actual Catholic teaching. How could that happen you ask? Well, just look at how poorly informed most people are on what the Church teaches today, when access to information was more widely available.

    It seems to me that much of this relates to the arrogance and power of the medical profession at that time.

    I get the fact that people round here do not like the Church. I get the fact that this is a reaction to the very real over reach and abuse of the past. But we simply cannot blame the Church for every bad thing that happened in the past.

    I repeat – this practice has NOTHING to do with Catholicism.

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    • @Almar,
      You are very concerned with fact, or facts especially when concerning the church. What fact you should be most concerned with is this, you are delusional!
      When will the many personal accounts of actual abuse be accepted by you, really did happen and was perpetrated by members of the church or agents of the church belief.
      Or is it a case that you are one of these Zealot Catholics that cannot accept the truth for if you do it would mean every decision you made and the consequences of these decisions would mean you actually committed many sins. Denial is the lesser of the two Evils then!

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    • AlMar 16/03/12 #

      Story Teller – I really am quite mystified by your comment. Numerous times here I have absolutely accepted that priests and religious have been responsible for terrible abuse. I have also accepted that other priests and religious and bishops have covered up that abuse, either willingly or through ignorance or through lack of care. I have never denied that, nor have I ever sought to underplay it.

      In fact, in the VERY POST THAT YOU COMMENTED ON I said the following:
      “I get the fact that this is a reaction to the very real over reach and abuse of the past”.

      So, yes, facts do matter. The fact is that there was abuse and I have admitted it. The fact is also that you have misconstrued my posts and have attacked me on the basis of your mistake. I do expect at least some form of acknowledgement from you that you were mistaken and have misconstrued my posts.

      But once again, I will insist on this – symphysiotomy has NOTHING to do with Catholicism and is not necessitated under any Catholic doctrine whatsoever. If individual doctors – Catholic or otherwise – performed this procedure when it was unnecessary, then it was their individual decision, and certainly one that, if performed in recent times with modern medical advances, runs counter to Catholic medical ethics.

      Reply

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