When Activism Called Me

Monday I attended the Fem2.0 Conference. What an amazing gathering of women (and a few men) who were there to network, build bridges and truly demonstrate what feminism means in 2009. I left so very hopeful that our generation (of women and men) will make our country and our world a much better place. We left the conference with a little homework assignment, to tell the story of when you felt the call to activism. When you realized that you just had to say something, that you couldn't be quiet anymore. When you felt that justice needed to be served in some way that just could not be ignored.

As I thought about it, for me it was the first time I truly felt outrage personally. Don't get me wrong, I had been saddened, moved, and depressed about many other issues before this turning point into activism, but it was truly when it was personal injustice that sent me over the edge.

I was raised to be content and complacent. My parents had been members of the ACLU until my father began to work for something of a government agency and enacted a family philosophy of "non-partisanship". My parents registered for political parties to vote in primaries but besides that, no petition-signing, no grassroots anything. "We give to the United Way (and stay out of it)" was their philosophy at this time in their lives. No matter that Mom had walked in Civil Rights marches back in high school and that Dad used to be an academic and most likely surrounded by political discussion a ton when he was younger. They were in a different stage in their lives by the time I surprised them and I did not grow up in a household that felt "outrage" or a call to activism.

When I saw some of the panelists speak Monday, I realized that growing up with outrage must really help a person become an activist at a younger age. I'm not an old lady, but I do think it is interesting that I, and many others, did not feel the call to activism until I became a mother. We discussed that it is a very "politicizing event" at the panel "Breaking the 'Waves': Moms Coming Together for Equality" for many women and yet how to get women who do not have children to understand how this happens? There are so many reasons motherhood empowers women but not all reasons apply to all mothers.

The act of birthing my first child was the turning point for me. It was not worrying about the world I was birthing my child into, although that has certainly come into my sphere since then. It was childbirth. Something that I see many women view as a burden and perhaps one of the most awful experiences of their lives. Well, it was not for me. And here is the story.

Before I found out I was pregnant I had been to each of my sister's three births. Her birth experiences varied and by her third, she had been coached by a friend (from Holland no less) to try to go drug-free. I would never forget her words to me after the dust had settled, "Cynthia, I healed so much faster without all of the drugs, try to not do the drugs..." and so it was. I approached my first pregnancy, at the young (for my circle of friends) age of 26, with the expectation of avoiding as many interventions as possible. The more books I read, and especially Active Birth, Birthing from Within, and Husband-Coached Childbirth, I gained the confidence to approach birth in this way.

Meanwhile I couldn't talk about my approach with anybody. I loved my coworkers dearly, but they all gave me the "honey, the epidural is wonderful" talk and when I hinted at trying to avoid it they smiled and made me feel like I would be eating those words. They finally left me alone and tried to support me, but it was in a way that was filled with doubt and general misinformation about women and our biology. Stories about too-small-pelvises and too-big-babies were constantly the in the air outside of work. When I told my family that hospitals had squatting bars to help women use gravity to get their babies out, your pelvis can expand when you aren't on your back, and so on....men laughed and made jokes about women doing gymnastics during labor. The women were, in my memory, very silent, perhaps smiling along and just letting the "boys be boys." But I felt unsupported. I felt belittled. I felt like nobody believed in me, except my husband, who was amazingly non-chalant about the whole thing. His confidence worried me in a different way--he was so confident that women were designed to have babies that he didn't understand my addiction to birthing books. Well...he wasn't going to push this baby out. It was me. And in many ways I felt very alone with the whole thing.

The day came. And I was a week late. My care providers had given me some deadline before they wanted to induce me and *thank goodness* I went into labor exactly 1 week late. (Baby number 2 would really show the medical community the rebel in me--he went over 2 weeks late and was perfectly fine--and the smallest of my three babies.) The labor was extremely straightforward. My water broke around 2 a.m. and contractions started within the hour. We went to the hospital when I really felt like I was ready to go and sure enough, we arrived and I was progressing nicely.

Things slowed down slightly when I went throughout the whole hospital triage experience...to make sure I was in labor. Hi. I am 41 weeks pregnant, I told you the waters broke at home (and my husband could vouch for that) and now am having contractions on top of each other. Let me have this baby. But no, I must lie down and have the monitors strapped on for at least 20 minutes. I complained, "I know you have hand-held dopplers!" Well, we just need to do this and then you can get up. But then I had to go to the bathroom. Quite graphically and specifically, I HAD to poop. There was no "excuse me, can you please remove these things and let me get a robe on..." no. I had to go and the nurse said "but you can't, not right now, wait! I have to get the doctor!" and off she ran. I said to my husband "Kevin, get me a trash can!" and I emptied my bowels right next to the bed. The nurse and doctor came in and, now I know, they were really worried I was pushing out the baby without the expert there to catch.

Finally convinced I was in labor, we moved to a labor and delivery room and I complained again about monitors. One nurse was very frustrated with me but slowly the staff realized that I was going to challenge their norms and not cave. Before too long, a new nurse, who turned out to be a certified nurse midwive on duty teaching the RNs more about the midwives' model of care, came into the room. I said "FINALLY someone who understands what I'm going for" and my mother cried and thinks Nurse Lisa was an angel from heaven. To this day I wonder how things may have gone if she wasn't working that day. She was experienced with different labor positions and we had to use many of them because they realized baby was acynclitic so I needed to be flipped from side to side to get baby into a more optimal presentation. I pushed for 2 hours and it was hard. HARD hard. My husband was always right there with me and so supportive. My mother and sister stood back a bit but were supportive, in their own way.

When baby came out I felt such relief. Not only relief, I felt fantastic. I wanted to tell the world that I did it and that every woman should feel as great as I felt in that moment. I had done it. I had birthed a baby without medication. I had only a tiny tear that needed only "one stitch" if it even needed it at all. And Marcus was 9 lbs 15.7 oz. Only after baby #3 who was also 10 lbs did I feel like I could even say that number. 10 pound babies. My body makes 10 lb babies. Still somewhat shocking to read. I was an 8.5 lb baby and my husband is not massive. There was no predicting that.

And one of the first thing people asked right after that was "if you knew he was that big, do you think you would have tried to go natural?" and that is what really fueled the fire in my belly. Not only was I on a birth high that left me talking a mile a minute for days (and now years) about the power of women's bodies, but I was asked to question my approach again? AGAIN? After such success? What is WRONG with people? What is wrong with our society? Why should I even wonder how else I would have approached the birth when I had just proved was that my body could birth a 10 lb baby the first time around? If anything, this proves that women should never know, or even think they know what size their babies may be!

The more I read about childbirth in America (such as Birth as an American Rite of Passage, Our Babies, Ourselves, and Ina May's Guide to Childbirth), the more I became outraged how few women ever get to feel the way I do after a birth. So many never even get the chance. The worst thing is, they don't even have the kind of care that supports a birth that will make them feel this kind of empowerment. Birthing my first child changed my life and my perspective on the world. Not only did I become a parent, but I gained the confidence to question every social norm that comes my way. I feel like I have the intelligence and the tools to do so. Sometimes I see women who are 10 years older than I am still in a place that I was when I was 25. Is this kind of thinking something akin to "wisdom"? Because I didn't plan to have any wisdom until I was much older. I am so frustrated to see young women look towards childbearing with fearful eyes. I have head older women say they want to avoid the entire birth experience altogether, if they have to have a baby, they would prefer the elective cesarean to keep it under control.

It is this control that makes me want to tell the world that childbearing is one of the most important feminist issues in America today. Our women have been told that staying in control is of utmost importance. But in staying "in control" we are actually not encouraged to feel outrage. If we stay in control, then that means we are fitting very nicely into society as it is today. We are so busy with work and family that keeping it together is truly essential to our existence. But if every women could feel truly empowered once in her life...if every woman got a chance to follow her instincts and prove the naysayers wrong, well, what could women achieve? What could their sons and daughters achieve when they hear of her transformation?

To be very clear, I believe childbirth can be empowering no matter how the birth turns out. The key is having the mother be a partner in her care and not simply a patient. I am not anti-doctor or anti-cesarean. Women and babies are saved every day by modern American medicine.

The women for which I advocate are the women who do not know they can ask for better in a hospital setting. A woman who may be told to lie on her back and agree to the hospital staff's norms of monitoring her and her baby. The woman who feels so much pain from staying on her back that she must have an epidural to help her stay there. The woman who now cannot feel her contractions or move around to help her baby move down...who is then told the baby has "failed to progress" or that the baby's head is too big (cephalopelvic disproportion) and that she must have a surgical birth. When that woman's baby is born he could be be ten pounds and the operating room will breathe a collective sigh, "well no wonder, your baby was 10 pounds!" The woman will be happy her baby is healthy but she will also have to recover from surgery which will not be the most pleasant introduction to motherhood.

All women remember the births of their children for a lifetime. Many contemplate how the birth progressed and why things happened the way they did. I can very easily imagine how my birth could have gone differently--I have heard and read of countless stories that read as the above paragraph. But it did not happen to me. I found my voice during the birth of my baby. I am not alone in this outrage and I will no longer feel like I cannot discuss my approach with people in my community. I am proof (times three) that my way can work. It may not work for all women, but women deserve the information to approach birth in a confident, empowered way. The outrage I felt at being so doubted has led me beyond birth activism, but that was the beginning for me. My priorities have shifted and I am so grateful that I am the person I am now. I can make a difference and I do, one woman at a time.

Negative Talk at Birth Circle

Rh negative talk has become a hot topic at Birth Circle. Tonight marks the second meeting in a row where the routine treatment of RhoGAM for Rh negative mothers came up. Two months ago I hadn't met a woman who was questioning the protocol for being Rh negative and now I know four. FOUR women questioning a medical norm in two meetings, 4 weeks apart. I am excited for this group to start discussing their choices of treatment with me so I can pass on this wisdom to others out there. It seems like yet another support group in the making. Rh negative women should know they are not alone in questioning their treatment.

One thing that became clear is that Rh negative women do not feel they have enough information about the latest treatment, Rhophylac (and other preservative-free RhoGams: BayRho-D® Full-Dose; BayRho-D® Mini-Dose; MICRhoGAM®; RhoGAM®; Rhophylac®; WinRho SDF®). The traditional treatment of RhoGAM got lots of attention with its possible negative side effects to the baby so you can see why these women want answers.

I have to admit, I did not know much about this treatment because I am Rh positive and even if I were negative, I had my first baby at a teaching hospital in 2003. Perhaps they were already using a preservative free-RhoGAM and the controversy had calmed down?

Thimerosal, the preservative that is 49% Mercury, was removed from RhoGAM in 2001. Women in 2009 are hunting for studies and data to help them make hard decisions.

I have learned a few things that I think all Rh negative women should know:

1. If the father of the baby is Rh negative, you have virtually nothing to worry about. Care providers rarely ask what the father's blood type is.

2. If the baby is Rh negative, also nothing to fear. Women rarely hear about their chances of birthing an Rh negative baby.

3. Childbirth is designed to work. In a normal birth, baby's blood should not cross to the mother. The small risk of this happening is not discussed with women. Interventions increase the risk of baby's and mom's blood mixing so guess where most of these women are choosing to give birth....that's right, at home with midwives.

4. If the baby is Rh positive, you have a 72 hour window to give the mother the post-natal treatment. It isn't some sort of sudden panic at birth, you have three days to manage this situation.

What seems to be a common thread is more women questioning the traditional treatment at 28 weeks gestation. Women do not trust that the preservative-free RhoGAMs will not have some side effects to their babies or to their own bodies. These women want studies and they also want community. They want to see how other women proceed given different situations.

I would love to know what, if any, recent studies we have to cite for this topic. Please comment away if you have any perspective on this subject at all.