Wednesday, April 8, 2009
Sometimes I Forget That Not Everyone Has A Degree In Political Science
Things that seem so obvious to me don't make any sense to others. One day in conversation I mentioned that birth is a political issue and the person I was talking to turned into a kettle on the boil, whistling hysterically, steam shooting out her ears, (well maybe not exactly like that, but the point is she did not see how birth is political).
That some choices are deemed acceptable and others are not is political. Politics is about power.
In the case of birth:
Who has the power to deem what is acceptable and what is not?
Who deems what is affordable and what is not?
Who deems what is safe and what is not?
Birth in this culture is incredibly political, particularly when it comes to homebirth and freebirth. It's made even more political by the fact that care-providers make money from birth and from certain kinds of birth (in most cases the more interventions done, the more money the institution and the care-provider get from the government, or in private health situations they get from the patient's themselves and their insurers), institutions like hospitals and birth centres make money from women choosing to birth there. Midwives make (very little) money from women hiring them to attend their homebirths.
Lately there's been a lot of talk of what is acceptable and what should be acceptable. I keep hearing this line "but where do you draw the line?" in regard to birth choices and what women should be "allowed" to choose for their bodies and their babies. That people are quick to question "where do you draw the line?" without asking "WHO will draw this line" concerns me greatly.
There has been talk of legislating against freebirth, and it's only been a couple of weeks since the Australian Government's
Maternity Services Review publisiced that it will effectively make homebirthing with an independent midwife illegal next year. What really astounds me is that some of the people suggesting that the line should be drawn against freebirth are the same people outraged that their choice to homebirth with a midwife is being taken from them. Hypocrisy much?
What I find even more interesting is that freebirthers, such as myself, took to fighting for the rights of those who homebirth with a midwife, when the review released it's recommendations, even though it doesn't directly effect us. Weeks later we learn who our real friends are as
others work to distance themselves from us after poorly written reports and opinion pieces are published in the paper about freebirthers and babies dying at homebirths.
A background in political science would help these people understand that "drawing a line" against one group only paves the way for power-holders to draw more lines against other groups in the future. When the freedom of one group is threatened, freedom for everyone is threatened. We were supposed to have learned this lesson from the 20th Century, but we didn't. As Kat, the brilliant author of Empowering Birth Blog shares:
In my former life, I was a Ph.D. student (I left indefinitely during my first pregnancy) and an organizer for social justice at the Jewish Council of Urban Affairs in Chicago. Much of my work centered around housing issues, specifically housing for the poorest of the poor, or public housing. Few were interested in becoming intimately involved with the dwellers of Chicago's severely neglected, rat and crime infested high-rises where families struggled to survive. I shared the poem below with those hesitant to get involved. I think it is an important one to read whenever we think that an issue is not MY issue. Whether we decide to birth at home or in a hospital, with or without an epidural, assisted or unassisted, birth choice is an issue that touches us all, women and men.
First They Came for the Jews
First they came for the Jews
and I did not speak out
because I was not a Jew.
Then they came for the Communists
and I did not speak out
because I was not a Communist.
Then they came for the trade unionists
and I did not speak out
because I was not a trade unionist.
Then they came for me
and there was no one left
to speak out for me.
Pastor Martin Niemöller
You might incorrectly assume that this is a poem about Nazi Germany and nothing else. You might wrongly assume that this poem doesn't apply to any other issues. And you might wrongly assume that it is offensive and anti-semetic to use this poem in any other case aside from the Nazi Germany case. This is a poem about freedom, humanity and respect for others. Kat understood this and went on to write:
If I rewrote the poem, it would go something like this:
First they came for the unassisted birthers,
but I did not speak out, because I do not free-birth.
Then they came for those who birth at home with lay midwives,
but I would would not speak out, because I would not have a home-birth with a lay midwife.
Then they came for those who birthed with Certified Professional Midwives,
and I would not speak out, because I would not have a home-birth with a CPM.
And then they came for those who birthed in birth centers and with Certified Nurse Midwives,
but I would not speak out because I would not have a birth in a birth center or with a CNM.
And then they came for me,
and there was no one left to speak for me.
When you sit in your own box watching silently as the freedoms of others become restricted, or worse still, you actively assist in the restriction of those people's freedom, you forget that at some point it may be you whose freedom is being restricted.
At this point all talk is about homebirths (with or without a midwife present), it won't always be, and it hasn't always been. Often the subject of the moment is whether women in hospitals should be allowed to refuse medical interventions, whether women should be allowed to have elective caesareans, whether they should be allowed to try to vaginally birth after caesarean or with a breech baby.
Before you start deciding for yourself where you think other women should give birth and who should attend them and how they should give birth, pause and reflect. Better yet, read some
Orwell and some
Huxley and take a look at the dystopia you're actively creating!
ETA: on a totally unsophisticated note, from one of my favourite movies:
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You don't need a degree in political science to appreciate that