reproductive health

Two Million Stillbirths Worth Only Two and a Half Lines to "Pro-Life" Bloggers

Thu, 2011-04-21 03:25

So a bunch of clowns at something called "ProLifeBlogs" gives a whole two and a half lines, plus a link to another website, for a new report about stillbirth.

More than 2 million babies are stillborn every year worldwide and about half could be saved if their mothers had better medical care, according to research estimates published Thursday in the medical journal Lancet. ...

Source: "ProLifeBlogs"

Two and a half lines? Is this the best a "pro-life" organization can do?

Their blog's search feature turns up exactly four other posts about stillbirth, only a handful about miscarriage, none more recent than 2007. None are actually relevant to the millions of unanswered stillbirths every year, the tens of millions more unanswered miscarriages and spontaneous abortions, and... just all kinds of stuff about how "pro-life" those folks imagine they are.

There's only one way to measure whether someone's interest is authentically "pro-life" or if instead they just want to control women: what they do about stillbirth, miscarriage, and spontaneous abortion. If they don't do anything about it, but still call themselves "pro-life" they're liars.

You know why the pro-choice movement calls itself "pro-choice?" Do you know why it fights against forced abortion in places like China even as it fights for the right to choose to terminate an unplanned, unwanted pregnancy in the United States? Because it's not about forced pregnancy, and it's not about forced abortion (and it's sure as heck not about the "sanctity" of forced sex!) Instead it's about *choice!*

A stillbirth stops a *wanted* beating heart. A miscarriage almost always stops a wanted beating heart too. Miscarriage, spontaneous abortion, and stillbirth are almost as prevalent worldwide as induced abortion and yet "pro-life" organizations do, what? Nothing!

You know that old quip about the pro-life movement? "Caring about children from conception to birth but not a minute after?" That's not even true is it? Because they're doing exactly what? Sure, they're willing to gun down a doctor in his church or kitchen, willing to waive banners, splash blood, "ex-communicate" honest legislators, put out vaguely racist ads, to celebrate this imposition on a clinic, that imposition on women, the other "tough minded" choice to extend a rape victims nightmare from minutes to nine months.

But a minute later they're willing to... waive bye-bye to two million stillborn babies a year with a flipping two and a half line post?  Yeah, that's "pro-life" alright.

You know what will happen to the "pro-life" movement when the Supreme Court overturns Roe V. Wade? Every last one of them (those who don't turn their attention to outlawing condoms) will pack up their bags, say "that'll teach those hoors and floozies" and never again trouble their little brains with another thought about "unborn life."

Meanwhile? Two million unanswered stillbirths will still happen every year. Between tens and hundreds of millions of unanswered miscarriages and spontaneous abortions a year will still happen every year. Every one of them an "unborn life" that not a one of them ever has, or ever will care about.

Because really? If they did care then someone, somewhere in the "pro-life" movement would have already stepped up their game.

If you follow the link in that casually tossed-off post you know who it turns out helped fund that Lancet Stillbirth study? The Bill and Melinda Gates Foundation. You know who were still pro choice last time I looked? Bill and Melinda Gates. You know why they're putting time and money into this instead of a "pro-life" organization? Because unlike "pro-life" agitators they aren't just into this to punish women. They're not into this "pro-life" business to use fetuses to smack women back into line. Unlike some people. They're into it because they believe that if you make the choice to have a baby, as most people actually do, then we should all do everything we can to support that choice. Just as we should support every reproductive choice.

Instead of la-dee-daing two million stillbirths into oblivion with a miserly two and a half lines. No surprise though. That's is about what one ever expects from a bunch of lazy, immoral, unethical, inconsiderate, and hateful liars.

Update: My mistake!  A bit more research suggests that "pro-life" organizations have been agitating to... send "birth" certificates to grieving parents after stillbirth.  Because, after a hard day of defunding prenatal-care providers and imposing capricious restrictions on women's healthcare decisions what else could one possibly do about stillbirth?

On Grown-Up Words Like "Incorporate" and "Uterus"

Sun, 2011-04-10 23:06

Amanda Marcotte, in rare form on the recent brouhaha over the American Taliban's effort in the Florida state legislature to censor censure censor a fellow legislator for using the word "uterus" around children. As in the sentence "If my wife incorporated her uterus, you all would say hands off."

[P]eople who can’t tolerate hearing the syllables you-ter-us spoken aloud should not be filing 18 separate bills aimed at snatching control of the organs away from the rightful owners. If you want to control something that badly, you should be able to say it out loud.

Source: RHRealityCheck.org

This quip more than any other illuminates the wicked-childishness of the anti-choice mind set.

She notes that the children present were high-school age legislative pages, and ponders the (trust me, absolutely real) conservative belief "that a girl of 15, 16 or 17 is too young to hear the word “uterus,” but she’s plenty old enough to be forced to bear a child against her will." But I digress.

I'd just like to point out that this tidbit from, the Washington Independent (via Barbara Morill)

The ACLU of Florida. The ACLU has just launched a website at which women can incorporate their uteri online, thus sending a message to Florida legislators that “less regulation and government intrusion begins with a woman’s uterus.” The website calls on women to literally make their uterus their own business.

Source: Washington Independent

Here's the official ACLU Incorporate My Uterus website.

My feeling is that it's a good idea to keep pushing conservative's operatic tropes into opposition: the "sanctity" of business vs. the "sanctity" of life, the "sanctity" of pollution and pesticides vs. the "sanctity" of life, etc.  It won't affect the true believers, sure, but not everyone who pulls the lever for those guys is a true believer.

Thanks to Planned Parenthood Ozymandias Actually Really Doesn't Have to Worry. So... Thanks, Planned Parenthood!

Fri, 2011-04-08 18:25

Ozymandias just totally rocks. Here's her 99.9-percent-of-the-time take on what the "libertarian" Koch Brother's shrieking assholes in Congress want to take away from all of us.

My period is a week late. I have officially "missed my period."

If it doesn't happen by this weekend (fingers crossed), Morgan and I are going to get a pregnancy test from the CVS. It's more likely to be malnutrition or simple irregularity than pregnancy, given that Morgan and I are perfect about condom use ... I consider the chance of pregnancy here very low.

But I don't want you to worry. [W]hat I want you to do now is think about how not-big a deal this is, because of Planned Parenthood. Morgan and I use condoms that Planned Parenthood gave us. I have a pack of birth control pills (not used, because I am supposed to start it during my first period) prescribed for me by a Planned Parenthood employee, who also gave me my first Pap smear. If the stars misalign and I'm pregnant, I can get a safe low-cost abortion, thanks to Planned Parenthood. If I was a different person without a crippling phobia of pregnancy, then I could get prenatal care at Planned Parenthood.

Source: Ozymandias's Crushing and Venting Engine of Doom

That's just beautifully simple.

I shall refrain from pulling posting my fundamentalist-derived fulminations on the sin and apostasy of those who think it sport to fuck around with her health, and the health of millions of women like her, either out of "sincere" conviction or... perhaps worse... as a ploy for extorting further tax and pollution indulgences for their cronies.

Anti-Choice Dakotans Think Letting 1 Man Die to Kill 99 Women Is Worth It Unless Komen Fund Kowtows to Anti-Science Doctrine

Sat, 2011-03-19 23:31

Oh this is just getting ridiculous! Beth Saunders says

Two North Dakota bishops have created a list of organizations that “good” Catholics should not support with money or volunteer work – mostly for abortion or contraception-related reasons.

...

Susan G Komen’s crime is that it “refuses to acknowledge the link between abortion and breast cancer.”

Source: RHRealityCheck.org

Since they think there's relationship between breast cancer and abortion they may imagine only women get breast cancer. And given the anti-abortion/anti-contraception movements visceral disdain towards women...

I wonder if it would make any difference if they realized about 1% of breast cancers occur in cis men?

I Gave $100 to Planned Parenthood Today

Fri, 2011-03-11 16:19

I gave $100 to Planned Parenthood today.

Even though in general when I give to reproductive-health organizations I give to smaller, local ones that have neither the visibility, the clout, or the fundraising capabilities Planned Parenthood does.

But today, these days, now, that visibility, clout, and capability is precisely what's painted the right wing target "surveyor's symbol" on Planned Parenthood's back.

To paraphrase the silly Grateful Dead bumper sticker from the 1970s, Planned Parenthood may not always be the best at what they do, but in a lot of places they're the only ones doing it.

If I had $10,000 I'd have given them that instead.

If you've got something to give this year might be a good time to do that.

Remembering When Abortion and Contraception Were Illegal: Clarisse Thorn Hosts Two Short Films in Chicago's Hull House Tonight

Tue, 2011-03-08 07:14

Tonight in Chicago Clarisse Thorn will be hosting two short films about the days before Griswold v. Connecticut and Roe v. Wade established the rights, respectively, to contraception and abortion without prosecution.

Tuesday the 8th, my sex-positive film series in Chicago will be screening two films about feminist icons and feminist history. Here’s the event description:

Many laws, policies and social mores have tried to restrict women’s ability to take ownership of our bodies. To kick off the new ACTIVIST SEX and SEXUAL HISTORY themes of SEX+++, we’re going to show two documentaries about amazing feminists who fought for our right to make our own choices!

  • “Jane: An Abortion Service” is a fascinating political look at a little-known chapter in women’s history. It tells the story of “Jane," the Chicago-based women’s health group who performed nearly 12,000 safe illegal abortions between 1969 and 1973 with no formal medical training. As Jane members describe finding feminism and clients describe finding Jane, archival footage and recreations mingle to depict how the repression of the early sixties and social movements of the late sixties influenced this unique group.
  • “Margaret Sanger: A Public Nuisance” highlights this pioneer’s strategies of using media and popular culture to advance the cause of birth control. It tells the story of her arrest and trial, using actuality films, vaudeville, courtroom sketches and re-enactments, video effects and Sanger’s own words.

SEX+++
pro-SEX, pro-QUEER, pro-KINK
a free documentary film series for people who like sex

Second Tuesdays, 7pm
FREE, all are welcome
Jane Addams Hull-House Museum
800 S Halsted
RSVP: (312) 413-5353
Here’s Facebook, here’s the Google Group email list

Source: Feministe

I'll be there. I'm old enough to have been a high-school-age peer counselor in the days before Roe, and at least technically old enough to remember Griswold. But it was all pretty vague to me. So I'm looking forward to the refresher.

Will Anti-Choice Activists Be as Frantic About Hormonal Contraception for Men? We Might (Finally) Find Out Soon

Thu, 2011-01-06 17:11

Speaking of emergency contraception, and the tendency to blame women for using it, and the tendency to blame women, for that matter, for just about any choice they make regarding their reproductive choices and/or opportunities, and especially for anti-choicers to blame them for all of the above because they're convinced that hormonal contraception is really a closet abortion conspiracy, Jenna of My Sex Professor brings a little potentially welcome news

Many men are disappointed with their lack of contraception options: between the barrier method and vasectomy lie few other choices. A new method (RISUG) is being tested, which entail a one-time reversible injection that prevents sperm from penetrating the egg. The procedure would take five minutes and be effective for at least ten years

Source: My Sex Professor

While for years we've heard stories about how male contraceptives are just around the corner, and are thus justified in feeling a little wary, it's worth pointing out that at least the stories are coming closer and closer together.  And this one actually sounds fairly promising!

It's great news, obviously, for at least the following reasons

1) There really aren't a lot of contraception options available for men.  Worse, of the three available -- condoms, vasectomy, and withdrawal, the most recently developed, vasectomies, were introduced nearly 200 years ago! Since then?  Nothing.  And say what you will about condoms (I say they're pretty good at preventing disease and pregnancy if they don't break and if you use them correctly) they're kind of hard to use correctly until you've really gotten the hand of it, by which point... but I digress.  What I was going to say is this sounds promising because it would be really, really nice to have something intermediate to the permanence of vasectomies and the uncertainties of condoms

2) The introduction of reliable, realistic, reversible and hard to screw up contraception for men will change the blame-women-first-and-always dynamic.  Because once solutions become available for men there won't be that sort of shoulder-shrugging "what can ya do, man" resignation men who fuck up are able to rely on from their peers.  Because, in part, the obvious answer to "what can ya do, man" would then be "what you can do, asshole, is get a shot once every ten years.  You're not getting any sympathy from us."  So that's a big deal.

3) When it comes to the situations where emergency contraception is most likely used (condom breaking, or not using a condom for first-time sex after a long drought, or when functionally incapacitated by drugs or alcohol) the odds of neither party being on some form of contraception can be way lower.

4) Taking items 1-3, above, into account, the focus of responsibility for contraception can shift away from 100% women to more like 50/50 men and women.  (If the product Jenna mentions is as effective and non-intrusive as promised responsibility could shift further onto men.  Although, obviously, an easily used saliva- or semen-based test to quickly confirm effectiveness would be welcome as well.)

But then there's

5) The beauty of the proposed method is that by robbing sperm of the ability to merge with eggs it'll make "conception" impossible! Which ought to shut the ugly pie holes of the "contraception is really abortion" covens.

And, if I can put on my speculative psychopathology-of-the-anti-choice crowd had for a moment, it could even be that...

6) If contraception happens inside men's bodies the anti-choice crowd won't actually care.  Or at least if they do they'll have to start basically from scratch.  And while yes, as a matter of fact it would be better if the anti-choicers were really anti-choice and not just anti-women-as-autonomous-agents, as most evidence suggests. But even then...

7) If the anti-choicers did turn on men and start running the same ill-willed intrusions at least it would put men squarely on the front lines  with women, as opposed to the status quo where most men have basically been confined at best to the sidelines.

Medical Procedures: With Friends Like These It's Very Difficult To Distinguish Prejudicial Care

Wed, 2010-09-15 09:38

Last spring Matthew Yglesias quoted Richard Ablin, discoverer of the PSA test for prostate cancer, on the cost of the test’s adoption (and misuse!), on both the healthcare system and patients themselves. (Emphasis Yglesias’s)

The medical community is slowly turning against P.S.A. screening. Last year, The New England Journal of Medicine published results from the two largest studies of the screening procedure, one in Europe and one in the United States. The results from the American study show that over a period of 7 to 10 years, screening did not reduce the death rate in men 55 and over.

The European study showed a small decline in death rates, but also found that 48 men would need to be treated to save one life. That’s 47 men who, in all likelihood, can no longer function sexually or stay out of the bathroom for long.

Albin said it in the NYT, here.

Yglesias adds

In the health care domain, in particular, a mix of weak science, bad economic incentives, and poor mathematical understanding leads to a fair amount of over-treatment. And over-treatment for cancer isn’t just an issue of spending money that didn’t need to be spent—treatment for prostate cancer normally has very unpleasant side effects and it’s really cruel to inflict it on men who don’t actually need the treatment.

He said it here.

Yup. Prostate surgery is necessarily pretty brutal. A urologist friend told me once that just to reach it you have to carve through some of the toughest, most interconnected muscles in the body. And then since the prostate completely surrounds the urethra, nearly all nerves and blood vessels to the penis, and the base of the penis itself, it’s extremely difficult for even very-targeted surgery or radiation treatments to a) remove cancerous tissue without b) severely degrading bladder control, erections, and anything else one might ordinarily do with a penis. Then you have to recover the use of all the pelvic and leg muscles and connective tissue the surgeons must go through to get to the prostate in the first place.

And then somebody, somewhere in the economy, has to pay for it.

All with a 47-1 chance that the debilitation and the expense was unnecessary.

And lest I seem to be dwelling disproportionately on prostate cancer, Yeglesias points out

...as far as cancers go, that’s totally typical. Reducing over-screening and over-treatment would probably save money (though it’s always hard to know what the long-term impact will be since everyone eventually gets sick and dies) and will definitely spare patients a lot of pain and suffering.

Anyway, while this post came up way before the recently raised concerns about the mistreatment of women in maternity I think it nicely illustrates the problem faced with distinguishing specifically misogynistic treatment of women in maternity with plain old ordinary mistreatement of people in medical treatment.

Most urologists are men, as of course are all prostate patients. And so by only the most convoluted reasoning could one construct a case that treatment was influenced by misogyny. And yet protocol is such that 46 men are effectively castrated and rendered incontinent at extraordinary cost for every one man who’s life and/or post-recovery quality of life is likely to be improved.

This is so not one of those “but men are mistreated too” arguments. Instead the point is that under present practice everyone is a potential candidate for mistreatment, with the result that distinguishing mistreatment motivated by misogyny (or racism, classism, ageism, ableism, or conversely by incompetence, indifference, or vindictiveness) is very, very difficult.

Or, approaching it from the other direction, finding ways to eliminate the sort of abuse and inconsideration that appear to be inherent in much of contemporary medicine (medicine of all stripes including much of alternative and “non-western” practice) would have two strong benefits in the fight against misogyny and other prejudice-based abuses.

First, it would just plain make the remaining cases of prejudice-based abuse vividly apparent.

Second and even more importantly, it would make it way more difficult for prejudiced practitioners to hide their behavior in the greater noise of non-prejudiced injury.

Case in point, the capricious 4th-degree episiotomy Chingona mentions in comments at Kittywampus would have been unambiguously targeted for prosecution were 2nd- or 3rd-degree episiotomies not also considered perfectly routine. But even better, under other circumstances whether it was motivated by sheer prejudice or merely by the OB’s personal pettiness it most likely wouldn’t have happened at all.

(Quick note for the majority of people who are seriously deficient in maternity practices. The entire medical justification for episotomies is to avoid 4th-degree tearing. Consequently a caregiver snipping one for shits and giggles ought to have been caught anyway. That it wasn’t… assuming it wasn’t… is evidence that that which is routine desensitizes supervisors and lay people alike from distinguishing actual abuse.)

The Unfamiliarity at the Heart of Ambivalence Towards Maternity and Progressive/Feminist Maternity Activism

Tue, 2010-09-14 22:04

Terminology note: I’m going to compress the distinct phases of pregnancy, labor and delivery, and post-natal recovery into the shorthand term “maternity.”

Longer follow up on that earlier post about “birth rape” and the more-recent post about the way environmentalism tends to have credibility and to get more respect* than do feminist maternity activists.

Seems kind of startling given that genuinely essential but temporary changes during those roughly 10-13 months — from somewhere in the first trimester to the end of the (little discussed) post-partum “fourth trimester” — is one of the most common “natural” justifications for building entire civilizations (including most of ours) around the notion that at all times women should only be 2nd-class citizens at best… and no more than livestock at worst.

But issues of the process of pregnancy get short shrift. Why? I dunno. Could be denial maybe? Ideology? Speculation? Avoidance? Blunt lack of experience until one’s in the thick of it? Maybe. Or maybe its women in maternity’s near-total invisibility, especially right before and after birth?

Or could it perhaps be because for most women involved in the conversation, and their partners, there really isn’t enough time spent in maternity to develop and promulgate critical consciousness, let alone activism? Because before you get into maternity you’ve got other fish to fry. Then when you’re in it you’ve got other fish to fry. And then when you’re far enough through the process for your partner(s) to shoulder half or more of the load and you can start thinking about trying to return to the workforce you’ve… once again got other fish to fry.

Consequently in contemporary culture the majority of feminism-oriented people who are in it, and who tend to stay in it long enough to start developing theories and policy founded in the reality of pregnancy/childbirth/return, tend to trend far enough towards, I dunno, “hippie-ness,” “woo-woo,” or feminine-gender essentialism to be comfortable around — or even having — multiple births. And those same qualities tend to create a mutual alienation between them and their more professional, academic, or “mainstream” counterparts.**

I’d add that thanks to that mutual alienation between mainstream and maternity-oriented feminists the people maternity-rights feminists instead butt heads with most often area) the medical/obstetrics profession, b) religious conservatives and other “quiverful” style activists. In that context of opposition from mainly socially conservative forces and absent engaged support from progressives it might seem perfectly logical for maternity activists to equate the atrocious, violating treatment too many women receive as tantamount to “birth rape.”

I happen to think “birth rape” is still a terrible term for that treatment. Largely because broader society’s reluctance to recognize and deal with permutations of the real thing. But it’s also because I still think the term misstates rather than overstates the sort of violations, great and small, medical and merely social***, that are inflicted on women in maternity. And finally because, as FiveofNine and I and others have noted, the generally rotten, disrespectful, and abusive treatment… and some-time medical violations, assaults, and batteries laboring women receive at the hands of some maternal medical professionals is materially similar to what’s received by women (not to mention men) who are merely elderly, juvenile, developmentally or mentally disadvantaged, incarcerated, suspected of substance abuse, or simply suspected of “malingering.”

* With the result that a birth-rights activist catches more quite a bit shit for invoking the metaphor of “birth rape” than the average environmentalist gets for invoking the same metaphor as in, for instance, “raping the planet.”

** For every ugly stereotype about mainstream feminist activist “cat ladies” there’s an equally ugly stereotype about pro-natal activist feminists shearing llamas and nursing till seventh grade.

*** For instance nearly everyone knows better than to put their hands on a woman’s ass, breasts, or even hair without being invited to. Even the ones who do it know better. Yet hardly anyone recognizes how rude it is to put their hands on a pregnant woman’s abdomen without permission.

Lindsay Beyerstein Correctly Says "Birth Rape" Rhetoric is Ugly, Misleading

Fri, 2010-09-10 13:04

Long before I first posted anything about sex and even longer before became an outright sex blogger my first experiences with online participation came in the pages of the old Usenet usergroups on pregnancy, childbirth, and infant care. My partner had terrible insomnia when she was pregnant and so I’d spend hours sometimes, late at night, on an old dial-up account, reading voraciously and nervously chiming in.

I was nervous in part because I’m a man (albeit a well-informed one who’s maternal grandparents had themselves been well-regarded authors in the field) but also because passions ran intensely high… or more accurately ideologically so… on certain topics such as vaccination, circumcision, breast feeding, episiotomies, and c-sections.

And because I was nervous I relied very heavily on a handful of texts and magazine articles, written mostly by well-regarded midwives, doctors, and other caregivers who trended heavily (but non-obsessively) towards natural childbirth, nursing, and childcare.

While on balance I’d rather have been in bed asleep most of those nights, became reasonably well-regarded, became very well informed, and generally had a very good time. (One of my last posts described the birth of our first child and I still treasure the kind words and best wishes we received from online friends and adversaries literally all over the world.)

Well, as my children have moved on to middle school those days are long behind me. And I’m still a man. And I’m still a little nervous getting into this. But remembering the intense rhetoric of those (still-ongoing, incidentally) debates I’d like to chime in alongside Amanda Marcotte and, just now, Linday Beyerstein of Big Think as being strongly in support of respect for women’s childbirth preferences and decisions but even more strongly opposed to calling it “birth rape” when their decisions are not respected.

Some factions within the natural childbirth movement are attempting to popularize the concept of “birth rape.” The idea is that women who are handled roughly, verbally abused, or bullied into unwelcome interventions during labor are literally being raped by their health care providers.

...

Some of what [UK-based reproductive-rights activist Amity] Reed is describing here _[link to the F-Word]_sounds like plain old assault and battery or verbal abuse. She also implies that some instances of so-called birth rape are medical procedures performed against the patient’s will. If a doctor performs a procedure on a competent adult patient against her will, that’s assault. Women in labor should have the right to refuse treatment if they’re mentally competent to do so.

...

“Birth rape” is an emotionally manipulative metaphor that encourages women to re-frame  traumatic experiences in a way that makes them seem even more traumatic. It’s difficult enough to come to terms with a disappointing, painful, or terrifying birth. To encourage women to recast that experience as a sexual violation, even when everyone agrees that the doctor did nothing sexually inappropriate, is cruel, not liberating.

She said it here.

I ought to add that I absolutely agree with the outrage Amity Reed and many other activists feel at the sometimes appalling treatment they receive, especially at the hands of “mainstream” industrial medicine. My first introduction to how bad that treatment can get came from a student-nurse friend who told me that where she was interning one of the Ob/Gyns was very up front with her staff about how she hated conscious patients (this was back in the day when anesthesia was common for deliveries) and how forceps were great when she was in a hurry for a cigarette! And by all accounts (such as Reed’s) that attitude is still alive and well. And disgraceful. And demeaning. And dehumanizing. And can be encountered not just among surgeons but right down the line to receptionists*. And most of all unnecessary and wrong.

In other words I recognize the reality of medical malpractice. But I also agree with Beyerstein and Marcotte that the treatment described amounts to legal definitions of answerable malpractice, and (one would hope) even assault and battery. But I also agree with them that it’s counterproductive on dozens of layers to call it rape.

In their respective pieces Marcotte and Beyerstein articulate why. I’d like to add two more:

First, all too often the callous mistreatment women receive in the delivery room is reflected in the emergency rooms, operating rooms, geriatric wings, psychiatric care wings, cardiac- and intensive-care suites, and neonatal wards of many of the same facilities. One can note that routine childbirth is not a medical event — as many natural childbirth advocates argue and as I’m inclined to agree. But to the extent childbirth happens in multi-purpose medical facilities it’s infuriating but not surprising that laboring mothers would be treated little different from other patients.

Second, and it’s a point related to the first, what in the Sam Hill has happened to us that we’re unable to recognize, let alone acknowledge, the emotional and psychological impact of “mere” assault and battery? When a merely inconvenient or uncooperative but non-violent geriatric or psychiatric patient is strapped to a bed and forcibly catheterized we call that highly traumatic and dehumanizing treatment assault and battery, not rape. And when a nurse slaps or quietly slips sedatives into the IV of a wailing teenager not because he needs it but because he’s disturbing other patients we call that instrumental abuse of a human being assault, not rape. Amplifying effectively-identical behavior in delivery rooms denies the severity, and the impact, of that behavior elsewhere in medical care.

Conversely, calling it medical assault and battery in the delivery room just as we call it assault when it happens anywhere else highlights what’s really going on rather than allowing mistreatment to be divided and conquered, sequestered, partitioned and, I think, gendered into one thing that happens to women in the maternity ward vs… something less significant should it instead happen (perhaps to the very same patients under other circumstances!) in, say, the burn unit, recovery room, or ICU.

As Beyerstein says, to call it “birth rape” is to invoke a grossly manipulative metaphor that we correctly don’t tolerate when it’s invoked by others consumed past reason by their own agendas. We shouldn’t tolerate from advocates of causes we support, no matter how strongly we support them. Update: Speaking of causes we support, we shouldn’t tolerate metaphor in the rhetoric of environmentalism either, where it’s entirely too common… and entirely not called out often enough. (Hat tip to Chingona.)

Note: I don’t think I should have to say this but I will: almost all direct providers of all forms of healthcare, from radiologists to reflexologists, from naturopaths to neurologists, and from cardiac surgeons all the way down to candystripers are skilled, diligent, effective, and compassionate towards their patients needs. The few who aren’t — the ones who sometimes seem determined to tar the whole enterprise with their own sordid and abusive antics — should be dealt with appropriately, not hyperbolically.

* Even midwives are not immune to mistreatment of their patients. While waxing enthusiastically about my partner’s experience with our midwife (a nurse practioner with admitting privileges at all area hospitals) a friend from the east coast told us her midwife had rarely looked at her, talked on the phone, stepped out for cigarettes, or just sat rubbing her forehead saying “oh my god, oh my god” during most of her very long but otherwise completely routine labor!

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