Monday, January 18, 2010

Are women's bodies broken and defective? Just ask your TV.


Most people know that we don't expose ourselves to much media around here. However, we get a snippet here and there, and more often than not, we're disgusted with what we hear.

This morning at the gym, I happened to catch a glimpse (sound turned off) of this segment on Good Morning America. (GMA happens to be the show that visited my hospital, spoke with one doctor, refused to speak to nurses, and then "spoke out" on the "dangers of doulas.") What seems to have happened is that a Haitian woman went into preterm labor at 32 weeks. American doctors suspected that the baby was lying transverse and thus unable to delivery vaginally. There were also signs that her uterus was becoming infected. A flurry of text messages later, they managed to get her to a field hospital, where it was discovered that the baby was actually head down, in a fine position for delivery. She subsequently delivered her baby vaginally, and, it seems, fairly uneventfully.

Watching this clip with the sound off, I was struck by the imagery. Poor, third-world, black pregnant woman splayed out in front of the TV cameras while white men all over the world exchanged electronic missives about what to do with/to her. She's rushed off to lie flat on her back in a hospital bed in a tent, an Israeli field hospital with, of all things, electronic fetal monitors strapped to her. Where did those come from? Why would they have a machine that not only costs thousands of dollars, but doesn't improve outcomes? When periodic listening with a fetoscope--or in times of need, an ear against a pregnant woman's belly--can tell you what you need to know?

The message these pictures spoke was: women's bodies are trouble. They're defective. They're ticking time bombs. And they need men--wealthy white men, judging by these images--and their machines to save them.

Despite the fact that the birth was eventually effected with very little technology (which I couldn't tell from the clip--to me, it appeared that she underwent a Cesarean, but she must have just given birth in a room that looked like an OR), ABC News still managed to worm in a statement of how OMG SHE WOULD HAVE DIED if she'd had her baby at home:
The mother is doing well, despite having experienced preeclampsia, a leading killer of pregant women in Haiti, shortly before giving birth. And when Besser spoke with the doctor who delivered the baby, he said that the earthquake, ironically, likely saved the lives of both baby and mother.

"He said that had she delivered at home, both the mother and baby would have died," Besser said.

I'm sorry--would have died of what? The cure for preeclampsia is not drugs. Not surgery. Certainly not Blackberries and television cameras! Just one thing: the birth of the baby. Which her body had already initiated (go figure) and eventually completed.

It's not the only time the media (hey, ABC news again!) has recently glossed over the facts to present us with the idea that things can go wrong at the drop of a hat and you'd better be in a hospital--just in case. Exhibit B: the Christmas Miracle Mom.

Only, maybe not so much. It's interesting how the American Medical Association and ACOG seem to have infiltrated the media in recent years; how a story involving a cardiac arrest following an epidural turns into doctors saving the life of a woman whose pregnancy mysteriously tried to kill her. Interestingly enough, just a few years ago, MSNBC ran a story about a young mother who died following a "routine" induction and epidural. It actually happened in DC, at a hospital where several of my friends used to work. I thought the article did a good job of avoiding conjecture and finger-pointing; it just reported the sequence of events, which pointed to the fact that an epidural killed Julie LeMoult.

Does that happen often? No. But it does happen. Similar to the risks of homebirth, (though different in the important respect that one is a major, elective medical procedure and the other is normal life event), the risks are rare, but there. However, while there's probably not an OB in the country that wouldn't argue for a woman's right to have a large needle, anesthetic, and narcotic injected into her spine in order to birth her baby, their professional organization is fighting tooth and nail to limit a woman's right to bring her baby into the world in the location of her choosing, despite the dissent of some of their members.

And today, what you hear are grim statistics, implicitly chalked up to out-of-hospital birth:

A woman in Haiti has a 1 in 44 chance of dying from childbirth in her lifetime, according to the World Health Organization. The comparable statistic for the United States is 1 in 4,800.

Part of the problem may be that even in the best of times, medical resources may not be accessible to many Haitians.

"About 80 percent of the population delivers outside of the hospital on a good day [in Haiti]," Moritz said.

A number of European countries have higher rates of out-of-hospital birth than the United States--and better maternal mortality rankings, by far. So clearly place of delivery is not the only factor here. Perhaps the women's bodies there aren't as defective as they clearly are here, or in Haiti? Or just maybe, they haven't been led to believe that they are.

Pregnancy and birth are neither where it begins, nor where it ends. They just tend to be where it's most visible. However, society's disdain for the female body crops up in other places, too. Breastfeeding, for example. It's a well-worn example that women's breasts are OK everywhere, as long as they're being used to sell sex (or anything else) and not to feed a baby. Women's bodies are cheap commodities for commerce and decoration--not something powerful and useful (let alone something men can't do! Gasp!) like nurturing another human being!

Menopause is another example. On the way to the gym this morning, coincidentally, I happened to hear an assinine spot involving a male DJ talking about one of his friends' wives who was going through early menopause. He went on to discuss how disgusting and abnormal this was, how she was probably a "sweaty mess," and how MAYBE his friend would stick around, but if you were "just dating" someone, the menopause would probably be a reason to "hit the road." "You add PROFUSE SWEATING to ALL THOSE HORMONES?" he said. "Come on!"

The message: women's bodies are gross, they're only good for one thing, and when they're not good for that thing anymore (as deemed by men)? Hit the road.

Come on indeed. This makes me all so furiously sad, now not just for myself and the other women out there, but because I now have a little girl. A little girl whose tiny body has miraculously transformed from 10 pounds of sweet melting baby fat into a sturdy 17 lbs of muscle and mobility, and which I know will someday be capable of further miracles. Like the one that grew and nourished her, and safely birthed all 10 lbs of her with little more assistance than a tub of warm water. And I plan to fight tooth and nail to safeguard her belief in herself and the integrity and power of her body.

Are women's bodies broken and defective? Far from it. But our view of them certainly is.

4 comments:

Pam said...

If you'd been Amish, you would never have seen that tv segment and sent your blood pressure soaring!! A glimpse of why they seem so happy? Despite superficial appearances, I think a respect for the awesome power of women remains in a society like that, AND they may be blissfully ignorant of the extent to which it is absent in ours! As for our media-driven, medico-driven, money-driven society, women's rights have been mistaken for respect -- even by women themselves. I'll bet a lot of women are responsible for these titillating little articles and segments, lending more and more credence every day to the notion that they themselves are broken and need the white male establishment to get fixed, not that there's anything wrong with being a white male ;-). Don't they see what they are doing? Fabulous Fightin' words, there, Katie Nation! Women such as you can fix this, but it's the work of a lifetime. I know you've got it in you! For Eden's sake! And all her sisters.

Pam said...

A friend's 5-year old walked in on her doing Yoga today. Said "Oh, Mommy's broken." Now THAT's different! :-)

Anonymous said...

Incredible post, Katie. Extremely well-written and thought-provoking. I really agree with you, but think that if I were someone who didn't share your beliefs on this subject, I would have needed to seriously reconsider my perspective after reading this.

-Hunter Randoph's secretary :)

Virginia Ruth said...

Ooh, now you've got me all fired up! Especially since I just read a story of an unplanned homebirth, and contrasted the attitudes of the mother and father (ecstatic, awed, empowered) with the attitudes of the hospital staff when they went in the next day for a vitamin K shot (you had the baby at HOME?!?)

Fight the good fight. From what I know of you and Matt, Eden will be well-equipped to carry it on when she gets older.