Author Archive

Pregnancy and Publicity

I’ve been thinking about how funny it is that pregnancy is written on our bodies, and that such a private, intimate state–between me and my husband and me and my child–becomes public knowledge just by my moving around the city. It’s strange, really–long ago, I completely rejected the idea of an engagement ring for exactly this reason: I didn’t want a private state broadcast in public by a sign on my body. The way an engagement ring makes something abstract and emotional become physical–and the way this physicality and publicity, in our society, is limited only to women (that is, men do not wear engagement rings)–really bothered me. With pregnancy, though, I have no choice–my husband walks around the city and no one knows that he’s expecting a child, but that’s not my experience. Things are public, again, because of the signs written on my body for anyone to read: I stand in the CVS buying a pen and a cranberry juice in between my classes and the clerk says, jovially enough, “Wow, you going have that baby any day now!”

Uh, no, I still have two months left, I think, but that’s not the point–the point is really the odd state of having the private made public, without my explicit consent. As much as I love this baby and am overjoyed to have him/her growing in me, it’s unsettling, frankly.

–Christina

10 October 2011 at 1:19 pm Leave a comment

“A Woman’s Right to Choose”

Recently on a forum I participate in, someone mentioned women who get pressured by their OBs into c-sections, and someone else spoke up in (what I interpreted as) a combination of defensiveness and genuine curiosity to ask why pro-midwifery folks always “get all preachy about” this issue, and why we couldn’t just see it as a woman exerting her right to choose a c-section.

I stopped to think about that. Personally, for me, I don’t mean to come across as “preachy” in the common, negative sense of the word, but I do often want to “preach” (as in publically teach, share, and proclaim) something I see as a little-recognized truth.

Here’s what I posted in response:

First of all, I’d just like to point out that research (the very very well-respected Listening to Mothers and Listening to Mothers II academic studies–huge, wide-ranging, very important, well done) has shown that women are not really “choosing c-sections.” It’s a myth. Women tend to be pushed by their care providers into it, but true “maternal choice cesarean” is very, very, very rare–basically non-existent. I can’t link to the academic articles, but here’s an abstract of a general-press version written by two public health experts in women’s and reproductive health on the subject.

So I can’t speak for anyone else, but the reason that I personally “get all preachy about” things like this is that I don’t really believe women are choosing, in free and fully-informed ways, to have major surgery that has significant risks for them, their babies, and their future births–I think a society that hides misinformation and non-evidence-based medical care behind the veneer of “a woman’s right to choose” is really doing women a disservice.

It was an interesting line of thought for me, because of course I do feel that as an argument it’s potentially worrisome in its longer-range implications. Like many women (and men, of course), I am firmly pro-choice in the sense of a woman’s right to freely and easily choose to have an abortion if that’s what’s right for her in a particular pregnancy at a particular point in her life. I do see how this “right to choose” argument can be turned on its head and used to advocate for “maternal-choice” c-sections, but I think that the balance of power–and the free flow of information–in these situations is so impossibly skewed that there really is no ability for a woman receiving standard, medically-minded prenatal care to “choose” a c-section.

–Christina

2 October 2011 at 7:25 am Leave a comment

Thoughts on surviving with a newborn

Oh yeah, it’s all about survival.

Babies cry when they’re separated from us–from our warmth and our heartbeats especially–because of survival, because our species wouldn’t have made it this far if we could set a baby down on the ground in the jungle: quiet babies, in those circumstances, would have been quietly nibbled up by tigers, after all. A baby who cried if you tried to put her down would get picked back up, where he would be quiet and happy again and we adult humans could go back to our hunting and gathering.

So now here we are, no tigers in sight, and it’s still all about survival–the babies’, and our own.

I have a good friend who now lives far away and who just had her first child. My friend is struggling, struggling with doctors’ orders (“Did you really do what the doctor said, and nurse 8-10 minutes every two hours?” my friend asked over email; over email, I laughed, not unsympathetically, and tried to explain that at certain points in those early weeks I might have spent 8-10 minutes in a two-hour span not nursing), struggling with how to care for a baby and herself (“[My partner] is back at work,” my friend wrote, “so I’m sleeping with the baby in the nursery and doing all the night-time things”), and basically just struggling to get through these early weeks.

My advice to her was that, in my opinion, it’s not helpful to think of one parent as “going to work” in the morning because usually both parents–especially the nursing mom who stays home with the newborn during the day–are working. Beyond that, though, my advice was to find a survival strategy that works, right now in real time, for her and her family, and not to think beyond this–not to let thoughts race ahead to “Is this baby going to still be attached to the boob all the time when I go back to work in January?” or “Am I never going to get more than a four-hour stretch of sleep again for the rest of my life?” The answers to those are “Possibly, but you’ll deal,” and “Probably not, but who knows,” but honestly, those questions and answers are far, far away.

For now, do what you have to do to survive!

–Christina

29 September 2011 at 5:08 am Leave a comment

I’ve figured it out!

I think I’ve figured out the difference between my first pregnancy and this one–don’t laugh! The difference is–um, I have a child now.

Yep.

Short of some basic randomness involved in the biology of the thing–baby might be positioned differently, so the kicks might feel different, etc.–I think for me the big difference is really the presence of my son.

Here’s what I mean by that. . . .

The first time around, I definitely had a little bit of morning sickness in the first trimester, but it was very manageable and very mild. This time, I am sure that my sensations are the same–that is, the morning sickness didn’t feel stronger, etc.–but the contexts that prompted them are different. Hustling out the door in the morning, getting me to work and a toddler to preschool, I had less time to eat a protein-laden breakfast, this time around, that could help manage the symptoms of morning sickness for me.

Now, sitting in the back seat of the car next to my son’s carseat (he is and always has been a terrible car passenger and will scream–earlier, just wordless cries, now, things like, “THE BUCKLE IS HURTING ME! I WANT TO GET OUT! I WANT TO GET OUT OF THE CAR! THIS IS TOO TIGHT!”–unless constantly soothed), the feelings of carsickness and vague dizziness that pregnancy induces in some women come to the fore for me, whereas the first time around, sitting blithely in the front passenger seat with no one screaming and no back-seat bumpiness, I barely noticed them at all.

This time, the third-trimester aches and general large, awkward movements that pregnancy brings are intensified when I put my son to bed at night, lying down beside him on his very low-to-the-ground mattress. . . and then rolling strangely and stiffly off it when he’s asleep and I get up to go on with my evening. The first time around, I got to just sit in the living room with my feet up every evening, though such a concept now seems laughable to me.

Anyway, I write this all with humor, but also with a bit of reality behind it–I don’t think this pregnancy is harder, or anything like that, on its own, but I do think that the situations we are in shape the way we perceive our experiences, and that idea is certainly proving true for me now, at least.

–Christina

22 September 2011 at 4:57 am Leave a comment

Cheers for vaginal birth!

An online friend just had a vaginal breech birth, in a hospital, here in Massachusetts. That shouldn’t be such a rarity, such a cause for celebration, but things being what they are in this country, it unfortunately is. When I mentioned this to my midwife, she knew immediately which OB and which hospital she must have used, because, again, it’s such a rarity to find an OB who is willing to attend a vaginal breech birth. I guess this is a good news/bad news post, then–good news, and many cheers and congratulations, for my friend, and bad news for the vast majority of women who are simply given no other option but major surgery when they have a breech baby close to term.

–Christina

18 September 2011 at 8:22 am 1 comment

Expectations: thoughts on a second pregnancy, birth, and child

When I was pregnant with my son (now three years old), the most difficult thing for me about the experience was that I’d never done this before–it was all completely new to me. In retrospect, I think that newness also made some things easier to accept. Now, though, at 28 weeks along with whoever this new baby will turn out to be, the most difficult thing for me is that I have “done this” before: it’s very strange, the constant comparison and remembering and weighing that goes on in my mind with this pregnancy.

Some things are obviously, tangibly different this time: I had a large, dark linea nigra on my belly with Marcus, but I barely have a visible one at all with this baby. I had an anterior placenta with Marcus, which muffled many of the big movements for me, but my placenta now must be in a different place as I feel so much more movement, and so many more constant large kicks and turns and wiggles, than the first time around.

I have to wonder how long this almost unconscious comparison process is going to go on, though. Through labor and birth? Through the newborn period? Forever? Parents always say they love their children equally, and I don’t doubt that, but this constant mental game of same/different is a new one to me, and I’m wondering if it ever fades into the background.

–Christina

12 September 2011 at 8:21 am Leave a comment

Due/Do

At 27 weeks along, I all of a sudden look obviously pregnant to strangers. No longer do people give me those funny little glances, trying to figure out if I am–I am now offered a seat everytime I get on a bus or train, and people I meet (a friend of a friend, a new acquaintance at a party, another mom I strike up a conversation with at a playground or beach) routinely ask me a certain question.

I’m sure you can figure out what the question is. It’s a completely predictable, if idiomatic, one: “When are you due?” they ask.

My problem with this question? I inevitably hear it as, “What do you do?” and start answering that. There’s a moment of confusion, before my conversation partner intervenes: “No, no, no,” he or she (usually she) says, “I mean when are you due?”

Ah. Right. I can answer that one too, of course. But it’s a huge shift of my brain, of my identity–I do do something outside of gestating, raising, and nursing children, and while I’m intensely proud of the work of my body, this natural, physical, biological work it’s doing, I’m also proud of the work of my mind, and my answer to the “What do you do?” question which used to be–before I looked so obviously pregnant–the more common query.

I’m not sure what to do about this–I guess I only have 12-15 weeks or so to keep at it, and then the question will fade into the background of distant memory. But it’s tricky, meanwhile, and it highlights a basic conflict in my identity that I (obviously) haven’t entirely resolved yet.

–Christina

6 September 2011 at 7:42 am Leave a comment

“Necesareans”

I’ve long been a fan of Jill’s great site, Unnecesarean.com, but I just recently stumbled across this interesting and thought-provoking blog post about “necesareans,” or truly medically necessary c-sections. It’s definitely worth a read; there’s a lot of information here, and lots of links to external sources, and it’s written by someone with a natural-birth slant. She talks a lot about how many c-sections are done for “fetal distress,” which is a very blurry and ill-defined term that can sometimes be twisted by doctors into a reason for major surgery, whereas “acute fetal distress” is in fact a real thing (she gives ranges of test results, etc., by which this can be measured), which really would suggest a need for an immediate, and necessary, c-section. At the end of that section, though, there is this paragraph:

If the baby is in acute distress, it’s time to get the baby out, by the swiftest method possible.  Please, if your doctor says the baby is in danger, don’t spend time printing out this post and checking the lab work

Now, this is very interesting to me–I’m wondering whether this is just a classic CYA-disclaimer, or what, since the entire force of the post up until that paragraph does seem to suggest that women do arm themselves with information, asking questions of their doctors and checking the results of tests and interventions against what they have researched ahead of time. Here, though, the author seems to be retreating a bit, falling back on the old “trust your doctor” line. What troubles me about that, though, is that many women do not have a caregiver they really know and trust; if you do, of course, and that caregiver says the baby is in distress, you do not stop to quibble. But what about women who are pressured into delivering with a specific doctor because of proximity, or policy, or insurance/money, or just luck (large practice, the doctors you trust are away, this one’s on call, etc.)? In these situations, the woman is right back to where she was before having read this post, sadly–relying on the word of a “caregiver” who is not, in fact, always using research-based practices, or even always delivering “care.”

Sigh.  I don’t know the answer, other than for me, personally, this is one more reason I choose to labor and birth at home with a midwife I trust completely.

–Christina

 

3 September 2011 at 5:21 pm Leave a comment

Placental encapsulation–yea or nay?

This local placenta encapsulator was recommended to me recently, and as I think about my upcoming homebirth, I’m not yet decided whether to go this route. The squeamish factor that some cite doesn’t bother me, but I am truly terrible at taking pills. Awful. I gag every time. I nearly vomit every third or fourth time. Tylenol caplets? No way, can’t swallow them. Vitamins? Ditto. My mother rolls her eyes at me and asks why I haven’t “grown out of” this; my husband also thinks it’s a crazy put-on behavior, but I just gag and choke, despite attempts with water and applesauce and Jello, you name it. So, personally, I like the idea of placental encapsulation, but I am not at all sure I’d be able to physically get the things down.

Of course, there’s always the placenta smoothie option, but here the squeamish factor does play a role for me–and also for my relatives who will be my post-partum support and might end up making these, at least the first few days.

What about you? Thoughts?

–Christina

25 August 2011 at 5:15 pm 2 comments

Birth circles, homebirth meet-ups, and other social events

Recently, on a parenting listserv I’m a part of, there have been several pleas for real-life, in-person get-togethers to discuss birth. One mom began by asking if others would be interested in a natural-childbirth-focused discussion group, and the discussion along those lines made me think about the idea of birth circles (I’m not aware of any currently active birth circles in the Boston area at the moment, unfortunately), where women can talk about their birth experiences–natural or “unnatural,” midwife-attended or medically-guided, homebirth or hospital birth–in a non-judgmental environment. Separately, I asked if some people would be interested in having a homebirth-focused meet-up, which could be attended by moms, partners, kids, and indeed whole families interested in homebirth–whether they’ve had a homebirth, attempted homebirth but transferred, are planning a homebirth, or are even vaguely interested in one.

What I think is really interesting about this desire for face-to-face gatherings is that, no surprise, the Web has made more information more readily available to more people than we’ve had in a long time. Clearly, my mother in the 1970s–though she did manage to find a LLL phone number somewhere–did not have access to as much information or sharing of stories as we do today online. But, just as clearly, in previous generations, women did have access to a female-centered community which talked about birth experiences and shared information–my grandmother, who had two children in a railroad flat in a Lower East Side tenement in the 1920s, attended by a midwife, must have talked to other women about birth; her mother, my great-grandmother, who had three (or four? memories are hazy that far back) children at home in a Sicilian peasant village in the 1890s, also attended by a midwife, must have similarly had a community to talk to.

So, no big surprise here–it seems like we still crave that real-life sense of community, especially about important or highly emotional things (and birth, certainly, is both). What about you? Do you have real-life friends or contacts who have had homebirths, or used midwives, or are interested in a midwifery model of birth? Or are you the only one you know, as some moms too often say, outside of whatever online communities and message boards you’ve become a part of?

–Christina

 

 

18 August 2011 at 5:14 pm 1 comment

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