outside the system

October 30, 2009

and…one of my all time favorite posts on licensed midwifery.  not just because she uses my drawing for outlaw midwife in the post.  but because i have not really heard analysis on the canadian systems of health care and midwifery.

ok a couple of years ago i was in chiapas talking to this california midwife at the midwifery clinic in san cris.  and i was telling her how making midwifery more professional, licensed, certified would lead not be helpful to empowering women in birth.  and she told me i was wrong.  didnt know what i was talking about.  and i kept trying to tell her that in minneapolis where i gave birth and is one of the most midwifery friendly cities in the states, midwives are afraid of losing their insurance and so risk out a lot of their patients way too soon.

anyways.

Wanting to be respected and admired is only human. As midwifery strengthens its professional framework, this respect will naturally emerge. Midwifery needs strong, outspoken, autonomous women to articulate a vision of birth with dignity for all women. Unfortunately, such voices tend to belong to women who are “outside the system.” Once women are in a legalized system, they are silenced. They can be coerced to give unnecessary pharmaceuticals to women and babies (oxytocin, erythromicin, vitamin K) and they become good corporate citizens. The real respect and admiration that comes from knowing that you are true to yourself is missing. This can be a terrible price to pay for a piece of paper and a guaranteed pay cheque.


Since women can give birth by themselves, the right of each woman to choose where, when and with whom she gives birth is the fundamental principle on which any healthy midwifery model is built. Thwarting the growth of the midwifery movement by making it more and more difficult for new midwives to get training and to launch their practices is ridiculous. Instead of constantly knocking the woman off the ladder on the rung below us, we need to reach down and give her a hand up. Training of the new generation is one of the strong suits of the medical profession and midwives would be wise to emulate that desire to multiply colleagues. The future of midwifery rests in the young women who are now working as doulas. This educated group of women is emerging as the midwives of tomorrow and they need all the support and nurturing that practicing midwives can give them so they can be ready to take up the challenge. When midwives focus their time and energy on training the next generation and quit trying to join the dinosaurs that are on their way to extinction, we will find power, respect and joy in our work.

i have been thinking  about writing this post for a while.  in part i have not done so because i do have lots of privilege and have been able to travel.  and i felt awkward, felt like i was making myself vulnerable to criticism if i wrote this.  but then i figured, fuck it.

i had one of those conversations that i seem to have every few months with someone new about how i do not take into account how privileged i am to be able to travel and live abroad.  and how privileged i was to be partnered. when i talk about my experience of being a mother.

privilege.  privilege. privilege.

1. i do take how much privileged i am into account.  actually in some ways i am more aware of certain types of privilege because i travel.  for instance, the power of my US citizenship comes into stark relief when i am abroad.

2. and i know that it is a privilege to be in a happy partnership, both of us dedicated to loving aza and each other.

3. but i also know that traveling and being partnered is not in and of itself simply privileged.

MOTHERS TRAVELING

let me see if i can put it this way:

through out history.  as long as there have been wars.  mothers have traveled with their children.  they have to survive.  they become refugees.  they become slaves.  they travel to find a safe place to live and create a life with their families.  they leave home to flee abusive husbands, or advancing troops, to find doctors, to find lost family, to take care of sick family, to find work, to find food, to find peace.

yes it can be a privilege to travel.

but it can also be a privilege to stay home.

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h/t radical doula

from rh reality check

check out this article on giving birth in shackles.

Last month, a former Washington inmate sued the state for shackling during her birthing process and high-risk pregnancy, treatment that included a leg iron and a metal chain across her stomach.

Also last month, former inmates of Cook County jail filed a federal lawsuit in Illinois challenging the facility’s shackling practice. Illinois was the first state to have legislation that prohibited shackling; it remains one of four states that make shackling explicitly illegal.

“I had no idea women were treated like that anywhere,” said Tina Reynolds, who was shackled during labor and the birth of her son fifteen years ago.

“Shackling is a brutal and inherently unjust practice, so blatantly draconian,” said Malika Saada Saar, executive director of The Rebecca Project (and contributor to RH Reality Check).

“The problem is that policies for incarcerated men are extended to women without adapting to distinct circumstances,” Saada Saar added.

i am really glad to hear that the activists around this issue are framing it as a human rights violation.  that this is cruel and unusual punishment.  and that it is torture.

because that is what it is.  it is a practices that causes physical and psychological trauma to the mother as well as child.  someone in the article described it as ‘draconian’ and i kept imagining these medieval torture chambers.

what i have a hard time imagining is the justification for this practice.  really?  so that the woman doesnt escape incarceration.  something tells me that this was said by someone who has not gotten to experience the glorious miracle of labor.  ummm….in the middle of labor is the woman really going to have the energy to break out of prison?

Leaders in the anti-shackling movement credit the campaign’s momentum to centering the experiences of women who were shackled. Their stories are featured at press conferences, in letters, in briefs, and other campaign vehicles. Many are collected through Women on the Rise Telling HerStory (WORTH), an association of formerly incarcerated women founded by Reynolds.

“It may be possible to resist changes (to the practice of shackling), but when you’re confronted with the reality of women who’ve had to endure this, that’s a hard position to maintain,” said Rhoad.

i was thinking earlier that we dont center the voices and experiences of the marginalized simply because it makes us look good.  no, we (as community builders) do so not only because it is ethical but also because it is effective.

placenta medicine

June 24, 2009

After a woman has a baby, many changes quickly begin to occur in her body. Hormones revert to pre-pregnancy levels, organs shift and blood levels decrease – just to name a few. This transition can sometimes be difficult. Placentas contain hormones which, when given in the postpartum period, can make the change easier. Ingesting the placenta also can help to prevent postpartum depression. I have seen quite a few women who had postpartum depression with previous pregnancies take placenta medicine after a current pregnancy and feel completely different.

Placenta medicine also has nutritional benefits. It is a high source of iron and protein. Because the placenta is the bridge between mother and baby, it contains all of the same vitamins and nutrients that mother has passed across to baby. This may be especially important if a woman experiences postpartum hemorrhage.

~ Kelly Graff
Excerpted from “The Bridge of Life: Options for Placenta,” Midwifery Today, Issue 84

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The most practical method of processing the placenta is to dry it. This method has been and still is being used all over the world. Depending on the culture, the placenta is dried in the oven or in the sun. When the placenta is finally mummified after many hours, it will still need to be protected from bacteria and insects.

Traditionally the dried placenta is wrapped in a piece of cloth and hung in a cool, dry place to be cured like bacon. In a modern household, a preferable method is to grind it into a powder and keep it in a well-sealed jar in the refrigerator. The powder can then be used to produce various remedies.

The placenta must be completely mummified before being pulverized. The average placenta is 25 mm thick, has a diameter of 22 cm and weighs about 500 g. Depending on the size and thickness of the organ, an average of three days and three nights is required for it to dry enough to be broken into chunks.

The exposure to heat during the drying process should be as gentle on the healing substances as possible. Afterwards, the placenta will only be half its original size and will have turned hard and black. It needs to be brittle enough to be crushed into pieces with a heavy object.

First, grate the dry chunks of placenta, then grind with a coffee mill or with a mortar and pestle. Keep removing the powder and grinding the bigger pieces. If the powder is still not fine enough, add a carrier substance such as sugar, silica or mineral earth. The crystals of the carrier substance will make the powder even finer.

The completed placenta powder keeps best in a cool, dry place. The container should be marked with the date the powder was made, the dilution and the origin of the raw material. Experience shows that the powder can be stored for up to three years. If bacteria, spores or parasites are not destroyed, the powder will develop a bad smell. If this happens, do not use the powder anymore.

~ Cornelia Enning
Excerpted from Placenta: The Gift of Life, Motherbaby Press 2007

simple health care

June 22, 2009

as many of you may know i have a healthy distrust of the medical establishment.  and by that i mean that i have stayed away from doctors as much as i could for my teenage and adult life.  now part of this is just economic.  for most of my adult life i havent had health care insurance so i couldnt afford to go see a doctor.  even if i wanted to.  when walking into the doctors office is 70 dollars and that doesnt include tests or fillling prescriptions…i had to find more economic ways to keep myself healthy.

so at first i started with herbs and vitamins.  echinacea, kava kava, st johns wort, vitamin c, etc.

and food.  raw fruits and veggies, cutting out animal products, drinking more water, etc.

and yoga.  and learning to breathe deeply.

and energy/body work. focusing.

and chiropracter after the birth to get my back and especially my spine stronger.

and homeopathy.  which i didnt have a lick of faith in. until i was so desperately in pain with a sinus/tooth infection and i had tried everything and been to two dentists and finally went to the homeopath in san cristobal and a day later i was so much better i couldnt believe it.

and i have plenty of reasons to distrust doctors.  i have my lil set of horror stories.  especially in dealing with /nurses/hospital staff while i am admitted through the er with no insurance…which is why i was at the er in the first place because i couldnt afford to go see a private doctor.

and there are definitely times when i think that doctors are really helpful.  for instance surgery when it is necessary.  and broken bones and xrays.  when i need a knife to cut into my flesh to extract something or set something right … yep a doctor is useful then…

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digging right now

February 7, 2009

stuff i’m digging right now

eat mangoes nekkid: by india who reminds us to: nurture yourself , its all very beautiful, regardless of the circumstances always find the bliss

what i have loved about her blog for the past couple of years is her celebration of her body, sexuality, food, movement, visual beauty.  frankly she has excellent taste in the pleasures of life and reminds us all to be grateful for that which is good.  she does so not from an annoying positive about everything and thus oblivious about most things but from a grounded spiritual love.  thank you india.

pomegranate queen: her poetry ‘raw and spontaneous’ on the screen.  exploring diaspora, longing, love…

synchronicity is fading i fear
i am fading
so i must stay up

i put on my headphones
i lay back i listen
and the boom bap the bass line remind me
of the sun

the people could fly: i am one of those lil black kids who grew up reading the people could fly: american black folktales…and i love the blog created in the name of this book.

5 sisters travel the world finding power and possibility in the stories, dreams, and lives of people-through an evolving American mYth-reality about Africans who fly.

stand and deliver: rixa’s blog on birth and midwifery is one of the best, informative, well-researched, good analysis, interweaving the person with medical.

forced sterilizations

December 21, 2008

i give much love to anyone who has had to make the difficult decision to have major surgery that has resulted in not being able to conceive a child.  that is an incredible decision.  for those of you who felt informed, and weighed the pros and cons and made your choices accordingly, you have my respect (as much as that may mean).

but since i first read about forced sterilizations of women of color by racist doctors in angela davis’s book: women, race and class, whenever i think about it i want to cry.  that choice to conceive and bring life into this world stolen from women—all i can say is that the universe’s blessings are manifold.

el compa sent me a link: reparations for eugenic sterilization in north carolina.

North Carolina lawmakers pushed Thursday to offer reparations to thousands of victims of a forced sterilization program now recognized as a shameful part of U.S. history….“Yes, it is ugly. It’s not something that we’re proud,” said state Rep. Larry Womble, D-Forsyth, who has been working on the issue for several years. “But I’m glad that North Carolina has done more than any other state to step forward and not run away from it.”…Rep. Ronnie Sutton, the Democratic chairman of the study committee, said because of the nation’s lagging economy, it may not be possible to fully fund the compensation program with an estimated $18 million that would be needed to cover all surviving victims. “Anything with money is going to have a hard road to hoe,” Sutton said. He suggested lawmakers may consider funding some of the program in the upcoming session to get it started and finish allocating money at a later date.

that is not enough money.  sorry, but it is true.  for all those who wanted children and had that potential for giving life cut from their very bodies, there is not enough money left in this world, to compensate you for what doctors, lawyers, state regulations have ripped away.

and even of the 18 million, that money is largely symbolic, you will not see most of it…and that makes me sadder.  they will use the current economic down spiral as an excuse to not materially compensate you (even a little) for what you had stolen from you in order to appease the powers of good, well-meaning, evil folks in this world.

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a lil sisterist revelation

December 10, 2008

when i started reading midwife: sage femme, hebamme, comadrona, partera blog i thought she was of color.  thinking probably latina.  and then hours of reading later…6 or 7 pages into the blog, i found out that she was white.  i had to read the sentence 4 or 5 times to be sure…i am still in half-denial, like i really want to claim her as a radical woc.  but then i thought, no, it is awesome that she is white…frankly there arent that many white chicks that ‘get it’.  and when i meet (or read) one who does it gives me hope for sisterhood.  it reifies that ‘whiteness’ is not an adequate excuse to not struggle to be conscious in this world.  or for white folks to throw up their hands like: oh, there is no point in trying…

you know, sometimes life has a way of handing me some beauty.

and now…some articles/blog posts i am digging about birth.

after the birth what a family needs: this is for a friend who is looking at becoming a post-partum doula.  i think that she would be wonderful at it.

word magic: i have questions of anti-circumcision as a movement.  questions about respect for cultures and religions.  but i love this bit in this post:

She was shunned for many years for daring to speak up for the unassisted birth pioneers.  She loved being a midwife but didn’t do it with any compromise of her values.  She was fond of the idea that midwives should attend only one birth per month…She often said that “Every mother is a midwife” and then proceeded to further alienate herself from most other midwives by asking the rhetorical question “Why would I pay someone to be paranoid for me?”…Every profession needs someone to shoot straight from the hip and bring the profession back to a state of humility.

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a balancing act

December 7, 2008

BEFORE

i am not a primitivist.  i do not romanticize the past simply because it was before now.  i do not believe in some edenic before when all went perfectly.  but i do have to ask the question: how the fuck did the human race propagate itself before doctors, obgyns, or certified licensed and insured midwives?

let me put it this way: what does it take to call yourself a midwife?

i imagine that for most of human history midwives were just women who had given birth or were the sister or the mother or had been around for birth and knew the rituals, the songs, the calls that that community had developed around the emergence of new life into the world.  there was probably a well of community knowledge that could be dipped into held by various men and women in the community.  maybe some oral traditions.  maybe some drawings that acted as a guide and a recorder of history.  there were probably some herbs that were known to be helpful.  probably folks had watched other mammals give birth.

and they knew the particular women giving birth.  knew her temperment, her favorite foods, what her moods looked like.

when most ‘natural’ midwives say that midwifery is a calling found around the globe, i think this is who they have in mind: the mother, sister, aunt, cousin, grandmother, neighbour who came by and helped out.  the woman who had a knack.  who was in charge of gathering and drying the herbs.  the woman who took it upon herself to care.

this is the way birth is happening in a good many parts of the world right now.  as i type.

and yet the same ‘natural’ midwives will tell you how their craft is ancient and wise and sacred, based on the knowledge and lives and experiences of these aforementioned women, would be offended if that woman moved into their community and called herself a midwife.  hung a shingle outside her door.  and started attending births.

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do you remember that democracy now! with melissa harris lacewell and gloria steinem talking about hillary and barack earlier this year?

it is one of the greatest exchanges that happened during the election imho.

it was the difference between second wave and third wave feminism…i know we are not supposed to acknowledge the difference between the generations approach to feminism…but i need the analogy to explain third/fourth wave midwifery…

well, alot of the midwives that i have met (primarily in minneapolis) are second wave midwives.  they have fought so hard for legal recognition that everything else becomes secondary or tertiary in their view.  and they are very protective over the ‘gains’ they have made, no matter how the privileging of ‘certified’ and ‘insured’ midwives has been not only negligent but destructive to women of color, the queer community, sexual and trauma survivors, imprisoned women, and many more marginalized in the birth community and in the world at large.

what they seemed to be much more concerned with is protecting their status and the status of certified midwives in order to advance their cause.  they do so by looking toward women’s cultures that are black and brown and saying: see!  see!  those women have ‘natural’ birth.  and we, white women, are using those black and brown exotic women’s cultures as a model for us to change birth in our white communities.

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