Safe Birth Take Two

A couple of weeks ago one of my dear friends gave birth, at home, surrounded by her family and small community. She is a paragon of strength, but also a tower of gentleness, and she's funny, athletic, and creative. Her first son was born in the hospital, and from then she knew that she wanted to birth at home, without interference, peacefully.

I do know that the way she gives birth is not for everyone. In fact, the birth reality that I envision is very different from her reality. I see women giving birth in all sorts of ways, attended by all sorts of caregivers. But the most important thing about the birth experience will be that the woman giving birth is at the very centre of the experience. She is giving birth; it's her body, and she makes the decisions.

I've been talking to a lot of women lately, and I'm hearing some shocking stories. Don't misunderstand: I know that there can be mistakes, sometimes tragic and foolish ones, made by women and their caregivers who try to create more caring, gentler paradigms about birth. Believe me, I know that Nature is far from gentle; that babies and mothers can die; and that modern western medicine can and does save lives.

But, and this is the most fundamental and important thing, there exists in our maternity care system a systemic and pervasive misogyny that allows maternity caregivers to debase, abuse, destroy, demean, reduce, insult .... the women who come to them for care ... and this has to be ended! 

This systemic sexism is linked, of course, to the racism that we see around us to create a poisonous brew that is literally killing black women in the US (https://www.nationalpartnership.org/our-work/health/reports/black-womens-maternal-health.html). 

In the past week, I've spoken to women all around the world. I've heard tragic and disgusting stories. Doctors are doing unspeakable things to women. Doulas and midwives are deciding to leave at random times, women are being left alone when they most need attendance. It should be no act of bravery to bear a child. What I mean, is, of course it is a brave and courageous act to make the jump to bear a child, but that act should not be met with conflict and derision on every front.

"They didn't even look at my birth plan."

"My midwife went out of the country."

"They botched the c-section and told me I could have a VBAC, but I couldn't because they had made a hole in my cervix."

"The midwife left when I went into surgery."

"The nurse broke my bone."

"I told them it still hurt but they didn't believe me."

"The doctor jumped on my stomach."

"They wouldn't tell me what was going on."

"They didn't believe me when I told them the baby was coming."

"They didn't believe me when I told them I was in labour."

The are real women with real voices, telling real stories. They suffer immense trauma and feel pain, and grieve their loss of self-esteem. And do you know what they do? They love their babies, and raise their children, with love.

Women deserve more. Speak out! Let's start to talk about our experiences ... it's time to stop the slaughter of birthing mothers (literally, in the case of Black women). It's time to birth on our own terms. We need to seek out birth attendants who put the birthing woman at the centre of the birth event; who treat women as they are: the bearer of children. The vessels of life. The nurturers of our babies.

Woman Centred Birth

https://www.feministcurrent.com/2020/01/20/using-gender-neutral-language-regarding-women-and-childbirth-is-about-more-than-semantics/

Sexual Politics

Back in the day when I was first becoming an adult and exploring my relationship to the world, we used to say "The personal is political". Generations that have come after mine have absorbed this saying so that what seemed revolutionary to us is a given for them.

A few years ago we had a big kerfuffle in the American midwifery community. There was a pitched battle between the old guard, feminists who believed that their fight for women's rights and the right to choose and women's right to power over their own bodies was their domain, and the domain of midwifery and the be-all and end-all of reproductive justice.

The new guard said, no, actually, we have a new and different way of looking at bodies. We have taken your idea that everyone could "be what they want to be", and be respected for that, and we've lifted it one step higher. Now we are fighting for the freedom to actually create our own identities, and for the freedom to be treated as people on our own terms, in our own inclusive language, freed from the restrictions that the "women's movement" imposed upon revolutionary change.

Heady stuff. I signed a letter that agreed with the original proposition, that, yes, we have fought long and hard for "women's rights". But several of my younger students and a couple of my friends came to me and said, actually your view is distasteful to us, and offensive to some. We are fighting a different battle, they said. You don't understand the basic concepts, or the rules of engagement, or anything really. So sit and listen and learn.

So I did. I took my name off the letter (actually its still on, but hoping for closure at some point). I sat and listened. I don't agree with everything I hear, in fact some of it I downright disagree with. But I do agree, and fully support, a person's right to passionately believe in something. I believe that to change is to live. I believe that just because I don't understand something does not give me the right to offend people or dismiss their beliefs.

Part of the huge gift of being on this planet for sixty years is that I experienced infancy, childhood, adolescence, young adulthood, young motherhood, older motherhood, and I am just starting to see the value of acceptance and flexibility. So I say to the young guard: so happy you are making changes. May you make them wisely. And when the time comes, may you have the grace to pass the torch to your children and their children.