Dream reflections

May 6, 2008

So I don’t usually get this personal at Radical Doula, but this dream felt too relevant not to share. On Friday night, in the middle of facilitating a two-day training (my day job) I had a really vivid dream that I was pregnant. So vivid in fact that it stayed with me throughout most of the day on Saturday.

Now a pregnancy dream might not seem that odd, as I am a doula, and spend quite a bit of time thinking and writing about pregnancy and birth. But put me in the position of pregnant woman? That’s just weird. In the dream I was in New York, and knew I was pregnant, but apparently not how far along. I went to a birth center there (of course, even in my dreams I’ve still got my politics) and they informed me I was about to pop. Like any day. Mind you I was not very big in this dream, just a little tummy.

So then my panicked anxious self kicks in, thinking about how my life will change if I have a baby (I’ll have to move out of my group house!) and how I really want an abortion but its too late. The other thing that flashed through my dream-mind was: I have to find a doula!

A friend today informed me that pregnancy dreams mean something big in your life is about to change. That’s a possibility, but if there is one thing I know for sure, I won’t be getting pregnant in real life anytime soon.


Some thoughts on gender and pregnancy

April 16, 2008

So I’m a little late on this hot news item, but I’ve been trying to process some of the media and reactions before commenting. To get the low-down on the Thomas Beatie situation, read his own testimony about his pregnancy here. In short, he is a transgender man who decided to carry he and his partner’s child.

What has fascinated me most is the media reaction to Thomas’ pregnancy. At first, the media headlines seemed to question his pregnancy: Man claims to be pregnant, read the headlines, instead of Pregnant Woman claims to be Man. The fact that they questioned his pregnancy and not his masculinity was striking.

It seems some people thought the whole thing might be a hoax (maybe because he just looked SO masculine!) but after Thomas went on Oprah and People Magazine, the hoax possibility was disregarded.

What this case brings me back to is the ideas and definitions around gender and sex. When people define what makes someone a “woman” the definitions shift shakily depending on the circumstances. For example, ability to reproduce and birth a child is often cited as a defining category of woman. But, as Judith Butler points out, there are many times in a woman’s life when she is not actually able to birth a child. Before puberty, after menopause, not to mention the larger number of women who experience infertility. Are people who cannot bear children still considered women? Yes.

The gender definition shifts again if you look at chromosomes–women are XX and men are XY. Well, increasingly we are discovering that there are people who aren’t either XX or XY, and that the gender categories don’t fit neatly with the chromosomes either. Same thing with secondary sex characteristics (Women are people with breasts. What about men with breasts? Women without breasts?).

These are things I think about a lot–not just the social construction of gender (the ideas that are associated with men or women, like weakness and strength) but also the social construction of biological sex categories. Particularly being part of a birth activist community, which in many ways is centered around essentialist ideas about gender (women know how to give birth), constantly makes me reflect on how we use these categories, often in ways that are limiting and too narrowly defined.

Thomas Beatie is a very stark example, and an exercise in gender definitions for the general public, who don’t often think about these categories. We take for granted the ways our gender identity (and our biological sex) define and limit who we can be. I believe this is because our gender is at the core of our identities.

Ever walked around in public with a pregnant woman? The primary question she will be asked is “What is it?” referring to the sex of the child. When we call something so fundamental to our identities into question, it is extremely destabilizing.

Is there room in the birth activist movement for more radical ideas about gender and sex? Here’s to hoping.


More studies to scare pregnant women

January 23, 2008

The New York Times had an article yesterday about a recently released study that claims that caffeine can double the risk of miscarriage. This is just another study to throw on the pile of “you’re going to harm your baby if” studies.

Research on pregnant women is a difficult issue. As it stands, due to ethics guidelines and a strict Institutional Review Board policy it’s very difficult to get permission to do studies on pregnant women. They are placed into the same special category as minors and incarcerated people–they are considered unable to give consent.

Now there are a few reasons why this might be. Minors are not considered capable of giving consent because of their age–it’s difficult to involve them in medical studies, particularly things like clinical trials, and their parents usually have to consent for them. People in prison are not allowed to give consent because of the history of abuses they have faced at the hands of medical research–it is also likely that they might feel coerced because of their incarceration. I think the most likely reason pregnant women aren’t considered able to give consent really lies in the ideas of fetal personhood–the unborn child she is carrying can’t give consent, therefore she can’t. That takes us down a slippery slope that most reproductive rights advocates are afraid of because it gives the fetus rights.

But what does this all mean for pregnant women and birthing mothers? What it means is that the research on pregnancy and obstretrical practices is not all that scientific. The studies can’t be set up in the rigorous ways they traditionally are. There can’t be control groups, you simply can’t test things out the way you normally do. Which means that studies like this one rely on data from women who are making their own decisions about how much caffeine to intake, so there are a lot of variable that are hard to factor out.

But most importantly what it means is that obstetrical technologies are used anecdotally. No one can run a study on the effects of pitocin in labor, except to look back at cases that already happened and try to compare. Same thing with epidurals, with fetal monitors, with cytotec. So instead doctors learn the hard way, and the SLOW way, by trial and error. But at whose expense? Just looking at the short obstetric history we see a lot of these mistakes:

  1. Thalidomide babies: Birth defects caused by a drug to avoid morning sickness;
  2. Twilight sleep: a drug used in the 1950s which erased all memory of childbirth but resulted in women being restrained and having rages and fits, in addition to affects on the baby
  3. Episiotomies: It was once believed that cutting the perineum (skin and tissue between the vagina and anus) was preferrable to natural tearing. After a lot of years of routine episiotomies, they figured out that women were more likely to have really serious tears (and all sorts of other nasty problems) as a result of the episiotomy, and that natural tearing (with its jagged edges) healed faster.

Feel free to add your own to the list in the comments!


Who decides?

January 16, 2008

Next week is the Anniversary of the Roe vs. Wade Supreme Court decision which upheld a woman’s right to an abortion. In preparation I’m going to blog about some more reproductive rights centered topics leading up to next week.

First off is a shout-out for the just released NARAL Pro-Choice America report Who Decides? The Status of Women’s Reproductive Rights in the United States. The report gives a state-by-state breakdown of the laws affecting women’s ability to choose abortion, access emergency contraception, get insurance coverage for reproductive health services, among other things. They give each state a grade that corresponds to these issues.

For example, my lovely home state of North Carolina receives a D+ from NARAL for a variety of reasons including that 83% of counties in NC have no abortion provider (which is consistent across the country, by the way). You can see what grade your state gets here.   

They also have some awesome maps that give an overview of certain restrictions across the country, like this scary one about states with almost total abortion bans (even though they are unconstitutional) on the books.

What would be really awesome is if next year, NARAL could add some information about birth–which states allow midwives to practice and which allow home birth. I know a lot of you would agree that how you birth is a fundamental reproductive right as well.


Pregnant New Mexico Teenager Arrested and Deported

December 13, 2007

This is ridiculous and just proof that the administration’s haphazard immigration crackdown is ineffective and completely unjust.

U.S. immigration officials deported a pregnant Roswell High School senior after she was pulled from class Wednesday by a local police officer regarding a traffic ticket issued days before.

She was only 18, and who knows what happened to her when she was sent back to Mexico. Frequently these individuals no longer have ties in their country of origin, and this girl’s mother remains in New Mexico. This kind of thing isn’t going to strengthen “security” or immigration enforcement, and it is a blatant violation of human rights. The detention centers that people are sent to while in the process of being deported are often jails that have been “converted” into detention centers.

These kinds of stories just keep coming, along with ones about women who are separated from their infants, many times who suffer from dehydration and complications from the disruption of breastfeeding.

For more information about the immigration justice movement, http://www.immigrantsolidarity.org/.


Suggestions for good pregnancy books please

November 27, 2007

When I was in college, I wrote a chapter of my thesis (entitled Managing Birth: Hospitals, Mothers and their Meaning in the United States about my work as a volunteer doula) on the best-selling pregnancy book What to Expect When You’re Expecting. In brief, I wrote about why it is terrible, and scares women, and should really be called What to Be Scared of When You’re Expecting. Not to mention that it is very much based on the doctors are better paradigm (my favorite quote, from the introduction, was something to the effect of how modern medicine had moved birth from the kitchen table to the hospital. wtf).

What I didn’t do when I wrote that chapter was recommend a good pregnancy book alternative. Now I’m looking for suggestions from you all, for good not scary midwife and doula friendly pregnancy books. Suggest away!


News Round Up

November 20, 2007

It’s been awhile since I’ve done one of these, but I’m taking advantage of a day off to catch up on the news. Enjoy!

Lower back tattoos interfere with epidurals? Doctors say no.

Story of a water birth in West Texas, and another article about water birth.

Midwife assisted births on the rise.

The Today Show online investigates alternative pain mediation techniques.

80% of people in the UK oppose a bill which would remove the legal requirement that a doctor consider the child’s need for a father when performing IVF procedures.

More love for midwives in Wisconsin.

Opinion piece about the financial waste caused by intervention and over-hospitalization of birthing women.

43% of women in California breastfeed exclusively.

One hospital in Houston considers outlawing VBACs (vaginal births after cesarean sections) completely.

Study says that curvy women live longer and have smarter children.

NYTimes article discusses the declining enrollments in childbirth classes.


What to eat when you’re eating for two

October 31, 2007

Some new research and tools from the Department of Agriculture just came out for pregnant women, to help them gauge what they should be eating, and what kind of weight gain they should shoot for. You can see the tool here, which asks for information like age, height, weight and due date to calculate what the caloric breakdown should be.

Pregnancy nutrition is not a new topic–doctors have been telling women how to eat, and particularly what not to eat during pregnancy for a really long time. The famous What to Expect When You’re Expecting book even has a counterpart, What to Eat When You’re Expecting.

What strikes me about a lot of this information is how much it focuses on what NOT to eat. Pregnant women have endless lists of forbidden foods. One site I found had a long list of things on its forbidden list:

  • Sushi, raw fish, undercooked foods, Swordfish, shark, king mackerel, tilefish, and fresh (as well as canned albacore) tuna; raw sushi and raw shellfish; refrigerated smoked seafood such as lox, trout, and whitefish (unless cooked as an ingredient in another dish).
  • Raw milk and any dairy product (cheese, yogurt) made with raw milk; soft cheeses such as Brie, Camembert, feta, Danish blue, Roquefort, and Mexican-style queso blanco and queso fresco (unless clearly marked as pasteurized); uncooked foods made with raw eggs (such as salad dressings and protein shakes).
  • Teas made with goldenseal, black or blue cohosh, ephedra, dong quai, feverfew, juniper, pennyroyal, Saint-John’s-wort, rosemary, or thuja. Drinking lots of nutritionally void diet drinks instead of healthier ones like water or juice.
  • Then of course there is NO alcohol, nicotine or caffeine.

Many women even have to go off important medications that they take for their own well being. It’s a complicated issue, and pregnant women obviously have to take into account the well being of the fetus they are carrying. But how much is too much? Are we overreacting about the effect that small amounts of these foods can really have on pregnant women and their fetuses?

I have read some interesting things about alcohol and pregnancy, and how the research is really not conclusive that small amounts of alcohol during pregnancy actually have negative effects. Most of what we know comes from alcoholic pregnant women and the effects on their children. Part of the problem is that we can’t do good research on pregnant women–there are all sorts of rules governing the ethics of medical trials on pregnant women (maybe for some good reasons).

But it means that we don’t really know for sure what kind of impact certain foods, drugs and treatments have on women and their children. So doctors instead try to make recommendations based on anecdotal cases, what the research we do have says, and their best guess. The same thing goes for a lot of medicines and interventions used during childbirth. It’s kind of scary when you think about it.


Admiring post-pregnancy bodies

October 2, 2007

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I discovered this interesting site, The Shape of a Mother, which displays women’s pictures of themselves post-baby. Very cool–let’s help women not be ashamed of their pretty much unavoidable stretch marks, being a mother is a beautiful thing and so are their bodies, loose skin and all.

Thanks to Red Pomegranate for the link.


Free info session for expectant mothers in NYC

June 20, 2007

Choices in Childbirth invites you to the June free informational session for expectant parents.June Topic: The role of the birth partner: doula? partner? relative? friend? What is your winning team?

Date: Wednesday, June 27th, 6:30-8:30PM
Meeting location: 859 Broadway, Apt 3 (cross Street 17th Street, off Union Square), NYC

Guest speakers: Risa L Klein, CNM, Stephanie Watson-Campbell, birth & postpartum doula, and 3 mothers who will talk about their individual choice and experience.

If you know anyone else who might be interested, please pass on the word!

To print our flyer you may download it from: http://www.zen63326.zen.co.uk/CIC/

You can check out more information from this group on their website.