Pregnant women are public property

During the pre-conference training organized by Be Present, Inc, I stood up and introduced myself as a radical doula. This was a designation that I came to assume for myself through an understanding that my beliefs (which seemed to me completely logical and altogether natural) placed me apart from a large part of what I have come to call the 'birth activist'? community (midwives, doulas and advocates who work toward changing the standards of care for birthing women in the US). This conference highlighted many of the ways my politics are a seeming contradiction: I'm a doula and I'm a pro-choice abortion advocate. I'm a doula and I'm a lesbian. I'm a doula and I may never have children. I'm a doula and I'm Latina. I'm doula and I'm not entirely comfortable with the gender/sex binary.

What was so groundbreaking about this conference was that it brought together two of my worlds, the birth activists (midwives, doulas, academics) and the pro-choice activists (policy people, advocates, organizers). I can see now how these two groups, the former of which dedicates its time to supporting women as they bring children into the world, and the latter that fights for women's rights to not bring children into the world, don't necessarily go together. The irony is that I never understood the contradictions that exist between the them until Lynn Paltrow pointed it out to me precisely because the two are really good about not mentioning the others issues. The midwifery conferences I have been to in the past never mentioned the issue of abortion allowing me to erroneously assume that they were all pro-choice just like me. Likewise, the pro-choice conferences rarely mentioned the issues that face birthing women so focused as they are on the rights of women fighting not to birth. So congratulations NAPW, you succeeded in beginning a dialogue between the two movements (as stilted and precarious as it may have been at times) even just by creating a space where that dialogue was possible.

What this conference made entirely clear to me (and maybe what I already understood from my own dual roles) is that the activists from these two camps need to be in the same room, if not simply because the people whom we are fighting are one and the same. The people who want to take away women's rights to abortion, contraception, and comprehensive sex education are the same ones who aren't afraid to forcibly subject women to c-sections, limit the scope of women's choices about how they birth or place the rights of an unborn fetus above the rights of a woman. So let's keep the conversation going, and focus on how we can protect women's choices throughout all the phases of their lives.

Despite a health-care system that outspends those in the rest of the world, infants and mothers fare worse in the U.S. than in many other industrialized nations. The infant mortality rate in Canada is 25 percent lower than it is in the U.S.; the Japanese rate, more than 60 percent lower. According to the World Health Organization, America ranks behind 41 other countries in preventing mothers from dying during childbirth.

With technological advances in medicine, you would expect those numbers to steadily improve. But the rate of maternal deaths has risen over the last decade, and the number of premature and low-birth-weight babies is higher now than it was in the 1980s and 1990s.

Why are we doing so badly? Partly because mothers tend to be less healthy than in the past, “which contributes to a higher-risk pregnancy,” says Diane Ashton, M.D., deputy medical director of the March of Dimes.

But another key reason appears to be a health-care system that has developed into a highly profitable labor-and-delivery machine, operating according to its own timetable rather than the less predictable schedule of mothers and babies. Childbirth is the leading reason for hospital admission, and the system is set up to make the most of the opportunity. Keeping things chugging along are technological interventions that can be lifesaving in some situations but also interfere with healthy, natural processes and increase risk when used inappropriately.

Wow, can't believe I'm still pissed about that after all these years ...