In Support of Invisible Midwives Everywhere

Today is International Day of the Midwife. A day to honour all of the midwives who have been a part of all of our lives, after all, even those people without children of their own were born themselves once and chances are, a midwife attended their birth.

Midwives are there for women and their families on one of the most important days of their lives. Midwives nurture women in their care, guide them emotionally and physically through pregnancy, birth and early parenthood. Midwives save lives and witness daily the amazing entry into the world of new little people, quietly, confidently and with compassion. Midwives know when to sit back and be invisible, trusting women to birth their own babies and only coming to assist if the need arises.

Or at least they should.

Unfortunately the systems that midwives have to work within don’t allow them to do their job properly. They are forced to place time limits on the women in their care, to intervene¬†unnecessarily¬†on a regular basis and to persuade women to birth in big obstetric units if their employer is under the false impression that these units will prevent law suits from happening. The fact is that home is the safest place for women to give birth, it is also the cheapest place. Continuity of care from a trusted midwife also results in better and safer births. It’s utter madness that the system doesn’t grab hold of these facts and embrace genuine with-woman midwifery.

All over the world, women and midwives face persecution and legal action against them if they dare to step outside of that system. Agnes Gereb, Hungarian midwife and obstetrician, is currently under house arrest for attending women birthing out of hospital. Even here in the UK, NHS midwives who work with women at the centre of their care face the possibility of harassment in the workplace from their colleagues. AIMS has a Midwife Defence Fund that people can donate to, this fund helps secure legal representation and cover other costs to assist midwives facing persecution. You can donate here: http://aims.org.uk/MDF/

Independent midwifery is scheduled to become illegal as of October 2013, due to red tape. The EU has declared that IMs must have indemnity insurance, but no provider on the market is willing to insure midwives working outside the system. Therefore, by default, midwives will no longer be legally able to practice independently.

IMUK has been tirelessly searching for a solution, but there is no option available that will allow them to continue to provide care during birth for women who are anything other than “low risk”, that is, “risk” as defined by an extremely conservative legal team in charge of defining NHS protocols, which is not always the same as genuine medical risk. Even if it were, women should still have the right to choose their care provider and place of birth.

If I am ever to have another baby, I would not be able to be cared for by a skilled and experienced midwife of my choice in my own home, as I have had two previous caesareans and am therefore “high risk”. The actual risks of a home birth in my situation are tiny and I should be free to choose to birth there with a midwife of my choice. The changes in the law mean that I am extremely unlikely to ever have a third baby and if I do, I would be forced to choose between the luck of the draw NHS service, who treated myself and my husband so appallingly three years ago, or to not have a midwife present at my birth at all. Basically, I don’t want another baby at all if I can’t have the same amazing midwife that I had for the Bean’s birth.

So today, on International Day of the Midwife, I’d like to shout out my support to independent, with-woman and invisible midwives everywhere who are striving to care for women and their families despite great personal risk. You are all superstars.

I Am Woman… Hear Me Roar

Today is International Women’s Day, so I’d like to take a moment to acknowledge the wonderful women in my life and write a bit about what the event means to me.

The theme this year is “Connecting girls, inspiring futures”. I think it is so important that young girls and women are encouraged to think about their sexual health, their futures and their relationships, to value themselves enough to make positive choices. The only way that happens is through the examples of positive role models. There are far too many pop tarts gracing the magazine covers and television these days. Hyper-sexualised “singers”; super-skinny celebs who are famous for being famous and make a reputation for themselves as lacking intelligence; lost and desperate starlets who poison their bodies and have their own rooms reserved in rehab for their frequent falls from the wagon. It’s a sorry state of affairs.

There are a small handful of alternatives out there, such as Tyra Banks, who not only represents a more healthy body type these days, but who works to help girls and young women value themselves. That’s not to say she isn’t also making a lot of money out of the good PR of her apparent altruism, but I think that’s true of most philanthropists if you look at the whole picture. Then there’s one of my favourite singers, Pink, whose attitude and music set a wonderful example to young girls, showing them that they can be themselves in the face of peer pressure.

It’s really important to me to recognise that even in the UK, there is still inequality between men and women. Women still earn less than men in the same jobs; women fill more service roles and less professional roles than men; the socially valuable role of mother is extremely undervalued financially and culturally (how many times have you heard a woman say “I’m just a mum” when asked her occupation?); women bear the brunt of the government’s spending cuts too. Women often seem to be the ones to take responsibility for their contraception too and many of the options are hormonal; that is, they work by changing our biological functioning. What are the physical and social implications of that?

Teenage girls were routinely paraded through the school nurse’s office in the last couple of years, to be given the HPV vaccine, with the promise that they would be protected from cervical cancer. There is some concern that this vaccine gives girls a green light to have unprotected sex, as they, and their male peers, may believe that being vaccinated against one STI makes it safe to have unprotected sex. Not the right message for these young people at all. A number of my friends with daughters of the appropriate age talked about the issues with their daughters and helped them come to fully informed decisions about whether to accept the vaccine or not.

As mothers we are censored and discriminated against for the way we feed our babies, both breastfeeding and formula feeding mothers report being discriminated against or judged, sometimes by businesses but all too often by other women. Whether women really are judging each other is not easy to determine, we often project our own insecurities onto onlookers and read judgement where there is none.

It’s acceptable for the female body to be depicted as a sexual object, but not as a mother growing or nourishing her child. Men’s nipples can be shown in public, but women’s nipples can’t. For a very thorough exploration of the topic of infant feeding as a feminist issue, please see this blog post by The Alpha Parent, particularly points 4 and 5. Caution: If you are offended by the facts of formula feeding it’s probably better for your blood pressure to simply not click the link.

Birth is also a feminist issue, both for the women giving birth and the women providing care. Midwives who refuse to conform to the medical model and instead provide woman-centred care, are bullied and harassed in the workplace, in some cases risking their livelihood and even imprisonment. Pregnant and birthing women are taught to expect to lose all of their dignity during birth, to have decisions about their own bodies made by someone else. This is, of course, absolutely unacceptable and untrue, it is perfectly possible to retain both one’s dignity and bodily autonomy in birth, no doctor or midwife can legally force a woman to comply with hospital protocols against her will, to do so is assault. But the language used by maternity care providers often hides this fact. Women are told that they are “not allowed to do x”, or that they “have to have y”. Care providers who use this language should be reported to their supervisors.

The global picture for women is even more bleak. The very fact that we need an International Women’s Day is itself a telling sign of the huge inequalities and difficulties that women face. I think it’s vital that we take the opportunity to reflect on the situation and see if there is anything we can do to change it. One day a year isn’t much, it’s a token gesture really, unless people really take notice and do something positive. One off events like this are intended to do that, to draw attention to an issue and have an impact reaching beyond that one day.

An individual can contribute in a number of ways, from simply letting those important women in their life know how special they are, to mounting a campaign against a sexist corporation or government! Check out the IWD website for ideas on how you can make a difference.

I’m already a birth and breastfeeding activist, albeit on maternity leave at the moment, so I will mark today with a huge thank you to some very special women:

My mum, Linzy; my dear friends, Jo R-D, Lisa S, Vicki M-W, Debs R, Lori F, Sarah C, Kellie R, Sally P, Chloe B, Gillian S; my friends and colleagues Beverley B, Nadine E, Debbie C-D, Jo W, Ruth K, Ruth W, Caroline W; fellow campaigners Emma K, “Mrs BWF” and everyone else who is working tirelessly to inform and empower other women. Thank you all for being amazing women.