Birth Witness

Montreal Birth Companions is an organization that serves about sixty women a year. We provide doula services for the poorest of Montreal's women - the refugees, no-status women, and very recent immigrants. We have been active in Montreal for almost ten years, without funding, and without office space. The volunteers are either trained doulas, or doula students, matched carefully with the women they serve.

We have seen our share of disrespect and abuse in the maternity care world here in Montreal, and we are now initiating a project which hopefully will be the beginning of a constructive dialogue.

We are gathering stories from women, which are about instances during their birth experiences where they felt uncomfortable or maltreated. 

We are not out to vilify obstetricians. Our goal is to help to create an environment within which a woman who will be going to the hospital to give birth can be secure that she is treated with respect, whatever her language, colour, marital status, financial level, or whether or not she has healthcare coverage.

We believe that a woman, any woman, has the right to be told what her options are; to be asked permission before she is touched; to be spoken to with respect.

We believe that the attending caregivers, whether they are doulas, midwives, nurses or physicians, have the responsibility to care wisely for their patients. This responsibility includes providing information, asking permission, and exercising cultural sensitivity. 

MBC volunteers have witnessed physicians loudly scolding women without health coverage, as their baby's head is crowning, about their financial mess. I have personally witnessed an OB who made an overtly sexual remark about a vaginal pack. I need to remind residents that it is not okay to rupture a woman's membranes without telling her, just because your hand is in her vagina. I myself pushed my agenda on a woman who was heading for what I considered to be an unnecessary cesarean section, resulting in her feeling betrayed and angry instead of happy about her birth.

We need to talk about this abuse loud and clear. We are not suggesting that every woman in Canada must have a natural birth. We are suggesting that we start to create a system where the woman is at the centre, surrounded by respectful attendants.

Justice

We used to be ridiculously politically incorrect in the olden days. Remember Flip Wilson, dressed in the judge costume, wearing a tilting greyish wig and the "Heah come da judge!" routine?

So, I had to go to court to testify about a case that involved my car and a driver who decided it would be ok to smash into me and then drive off. But two different people (me duh and someone else) got his license plate number. So I toddle down to court on the metro (subway in Montreal), on one of the freezingest cold days of the year, when I'd much rather be at home working on my book (yes, writing another one)...and anyway, the guy had paid his fine and I didn't have to go. They refunded my metro tickets and sent me home.

And I started thinking about justice and how it works.

1. Someone does something bad.
2. They get caught.
3. A group of people decide that the person did indeed do the bad thing, and how the person should be punished.
4. A negotiation starts.
5. Sometimes, justice is done. Sometimes, it isn't.

And I started thinking about the interesting projects I am involved in. I just started helping to organize Montreal's One Billion Rising event. This is a worldwide event that was conceived by Eve Ensler,  to demand an end to violence against women.

This is justice.

Montreal Birth Companions has started a Birth Abuse Witness Program, which will collect attestations from women who have been left uncomfortable with their birth experiences. These attestations are part of a campaign to change the maternity care system in Montreal.

This is justice.

Every week, MBC volunteer doulas assist women who have no resources, who are from other countries, who may not have families or partners here, who may have experienced abuse and violence. MBC doulas accompany these women to give birth and provide a safe and nurturing environment for them and their families during this important time.

This is justice.

At Bumi Sehat, in Bali, women are given quality care during their childbearing year. Midwives, doctors, acupuncturists, and others care for these women without payment because of the generosity of others and their desire to do good.

This is justice.

So, justice isn't only about hit and runs and terrible crimes. When those things happen, yes, we would like the state to get involved and do its thing. But the simple acts of justice, love and kindness balance out. They have to.

Let's find the balance.