A Florida woman has shared her distressing experience of being compelled to attend a virtual court hearing while she was in active labour. Cherise Doyley, a professional birthing doula from Jacksonville, faced this ordeal in September 2024 after refusing to undergo a Caesarean section (C-section) against her wishes.
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At the time of the incident, Doyley was admitted to the University of Florida Health Hospital, where she expressed her desire for a natural delivery. However, medical staff raised concerns about the risk of uterine rupture, a rare but serious condition that can occur, particularly in women with a history of C-sections. Doyley, then in her 12th hour of labour, had already faced two previous C-sections, experiences she described as gruelling.

In a surprising turn, as Doyley was labouring, a nurse brought a tablet into her hospital room. On the screen was a judge alongside various lawyers and hospital personnel, convened for a Zoom hearing regarding her case. Doyley was unprepared for this development and had no legal representative to support her. “I was so afraid. I was confused. I did not know what was going on or what to expect,” Doyley recounted in an interview with ABC News.
Prior to the hearing, Doyley had made it clear to her healthcare providers that she understood the risks associated with her decision. She believed the likelihood of uterine rupture was less than two per cent and was determined to try for a vaginal birth before consenting to another surgical procedure. Complications from her previous C-sections worried her, along with the impact that recovery might have on her ability to care for her newborn and her other three children.
During the hearing, Judge Michael Kalil informed Doyley that the hospital had filed an emergency petition, which was initiated at their request, to obtain permission for the C-section. Concerns for the unborn child’s welfare were raised by the doctors present, while Doyley emphasised the lack of consideration for her rights as a patient. “I still have rights as an American citizen and as a patient that I am allowed to decide what goes on with me and my body and my baby,” she stated during her testimony.
Doyley argued vehemently for her autonomy, insisting that her life was also at stake. “If it’s between them choosing whether I have to live or the baby has to live, I did tell them that I want to live,” she asserted, pointing out that she had other children who depended on her.
The judge concluded the three-hour hearing without issuing an immediate order for the C-section, but he did indicate that the hospital could proceed with the surgery without her consent should an emergency situation arise. This uncertainty caused considerable distress.
In the early hours following the hearing, medical staff noted a drop in the baby’s heart rate and swiftly moved to perform the C-section. Doyley ultimately gave birth to a daughter, Arewa, who was subsequently transferred to the neonatal intensive care unit (NICU) for monitoring.
Doyley later voiced her feelings of violation over being forced into a procedure she did not want. “When we use the courts to basically strong-arm, bully someone into an unnecessary medical procedure against their will, it’s akin to torture, in my eyes,” she remarked.
According to the American Medical Association, mentally competent patients generally have the right to refuse medical procedures. However, the legal landscape for pregnant individuals is murkier; in some jurisdictions, hospitals may pursue court orders if a patient declines recommended medical intervention, arguing for the fetus’s rights.
Reactions to the incident have highlighted concerns surrounding patient autonomy and the legal implications of such scenarios. Doyley’s case raises critical questions about the boundaries of medical authority and the extent to which personal autonomy should be respected, especially in sensitive situations like childbirth.
As of now, efforts to gain comments from UFHealth Jacksonville and the State Attorney’s Office for Florida’s Fourth Judicial Circuit regarding Doyley’s experience remain unanswered. The deeply personal nature of her story, coupled with the pressing issues it raises, has ignited discussions about patients’ rights and the ethical considerations of medical interventions during pregnancy.
