Tag: women

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balance community connection

Embracing Mothering, Releasing Motherhood: Women’s History Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1711640523303{margin-bottom: 0px !important;}”]I loved one-sided “conversations” with my son when he was an infant and it’s one of my favorite things about postpartum visits now. I refer to all my clients by their first names, however, when I’m providing postpartum support to clients I know identify with terms like “woman”, “mother”, and “mom”, I often find myself talking to Baby about how wonderful their mama is and what a great job she’s doing, especially when they get to the stage where their eyes follow her around the room lovingly. 

This often sparks a conversation with the client, especially if no one else is there. That’s part of my goal. In a patriarchal world, “mother” is a loaded construct. Adjusting to the idea that you are now someone’s “mama” is one of the most emotionally and psychologically intense aspects of the postpartum experience for first and only-timers because of everything that is expected of motherhood. 

Canadian feminist scholar Dr. Andrea O’Reilly has devoted her academic career to understanding what it means to be a mother. A mother of three herself, she understands “motherhood” as something separate from “mothering”. Motherhood is a patriarchal institution that sets rigid, specific, and unattainable expectations on the care work of raising children as a means of exerting control over women’s bodies and lives. To meet patriarchal expectations of motherhood women must be selfless, long-suffering, patient and kind, and compliant with expectations of good, wholesome women. Patriarchy’s archetypal mother does not sexualize herself, but she also doesn’t “let herself go”. She keeps an immaculate home and serves balanced, from scratch meals. She has well-groomed, well-behaved children. She always knows exactly what to say and do to comfort her family and keep peace and order in the home. By the 1980s, contributing to the household income was added to the list of expectations. As an avid fan of The Cosby Show, it did not strike me as unusual that high-powered lawyer and mom of 5 Clare Huxtable would make fresh squeezed OJ and pancakes from scratch for her brood on Saturday mornings, served in the comfort of their stunning, self-cleaning Park Avenue home.

As a working mom of one in 2024, it strikes me as absurdly implausible, and that’s intentional. The point is not for anyone to be as perfect as an 80s sitcom mom. The point is for all of us to feel like we’re failing by comparison.

Conversely, O’Reilly defines “mothering” as autonomous, empowered, and priceless social labour that we construct and define according to our deep knowledge of family, community, and personal needs. As a verb rather than a noun, “mothering” is action-oriented and the role is created by those who enact it. Mothering does not require the relinquishment of self but affirms each mother’s right to undertake the role in a manner that is faithful to her authentic self. 

When supporting new mothers I hold space for their joy and discomfort with being called “mama”. I normalize using alternative monikers if that’s preferable. My wife was not comfortable with “mother” as a label, so we went with a variation of her nickname instead. I encourage them to insist on making space for the things that made them “them” before they had their beloved baby. We unpack unrealistic and sexist expectations of moms as they arise. I affirm the need to putting yourself first sometimes, for the overall good of the family. We lay the groundwork for them to define the role according to what works for them and their family. Liberating new mothers from the constraints of motherhood and facilitating their intuitive enactment of mothering is one of my favourite aspects of being a doula. 

 

We hope our woman-identified audience is having an affirming Women’s History Month this March. For those of you who mother, we affirm your right to do this living giving, nurturing work on your terms. [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”534490″][vc_column_text css=”.vc_custom_1711640593876{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row]

Categories
Anti-Oppression community Trauma

16 Days of Activism Against Gender-Based Violence

[vc_row][vc_column][vc_column_text css=”.vc_custom_1701109787897{margin-bottom: 0px !important;}”]For our observance of UN Women’s 16 Days of Activism Against Gender-Based Violence, we reflect on how doulas are involved in ending obstetric violence at the individual and systemic level. Reflecting on this year’s theme, we call on governments and insurance providers to Unite and Invest to Prevent Violence Against Women and Girls by funding better access to doula care.

Where we need to go

As doulas, companions, and birth keepers, we know in our bones that our presence alleviates the challenges of birth and new parenthood and supports people to have joyful, transformative experiences during this major life event. 

A growing body of research supports our intuitive knowledge. Doula care is an effective perinatal intervention that reduces the need for medical interventions, including c-sections, decreases low birth weight and preterm births, and improves satisfaction with childbirth and postpartum well-being, among many other benefits. These benefits have the biggest impact on families adversely affected by the social determinants of health, including low-income, and racialized people (Cidro et al., 2023; Greiner et al., 2019; Kozhimannil et al., 2016; Marshall et al., 2022; Ramey-Collier et al., 2023; Robles, 2019; Thomas et al., 2023; Wodtke et al., 2022; Young, 2022).

Yet, despite this, only 6% of birthing families receive support from a doula. Doulas are usually paid by families out of pocket, and care is not usually available to the populations for whom having a doula might have the greatest impact.

Some exciting changes are happening in the United States. Starting from around 2020, several studies found that racialized birthers and newborns experienced much poorer outcomes than their white counterparts, including an increased likelihood of death. This disparity was most significant for black people. These studies opened a floodgate of conversation about a Black maternal health crisis in the US. State healthcare systems are under significant political pressure to find solutions. Doula care is seen as a critical intervention that improves outcomes for racialized birthers and babies, and many Medicaid-funded doula programs are emerging (Rochester, Delaware, Michigan).

Sadly, Canada is lagging in finding innovative ways to make doula care accessible. One reason for this is that it is harder for researchers and advocates to demonstrate similar racial disparities because Canada does not collect race-based data. There is ample anecdotal evidence that Black and Indigenous people experience the same medical racism that has been identified in the US, but individual accounts can’t provide the level of “proof” that makes a strong case for funding.

That being said, a recent study by obstetrician researchers at McMaster University learned that birthers in Canada experience a high rate of operative vaginal deliveries (forceps or vacuum) and has higher rates of 3rd and 4th-degree tears than any other high-income country (CTV, 2023). Continuous support from a doula during childbirth reduces the need for interventions like operative deliveries.

Call to Action for International Day for the Elimination of Violence Against Women (November 25)

Whether you are a birthworker, a birther, or a concerned citizen, you can add your voice to the call for better access to doula care by doing two things:

  1. Write or call your Member of Provincial Parliament (MPP) and let them know you want coordinated public funding for doula care in your province’s healthcare plan. 
  2. If you have extended health coverage, call your insurance carrier and let them know you would like doula care to be an insured healthcare expense. More insurance companies covering doula care would make this support accessible to many more families.

Birthworker Affirmations for 16 Days

We use affirmations to buoy our clients, but what about using them to protect ourselves from burnout as we extend compassion to clients and act for systemic change? As part of our observance of 16 Days of Action Against Gender-Based Violence, we offer these 16 affirmations to support you on your birth work journey.

  1. My work humanizing birth humanizes communities. The merits of this work are limitless.
  2. My practice of self-compassion is integral to my ability to extend compassion to my clients.
  3. Changing one life changes everyone’s life. By supporting each person I honour our interconnectedness.
  4. My actions can make a difference.
  5. I will manifest the village I need to support me to continue manifesting change for birthers and families.
  6. By facilitating a non-judgemental space, I play an invaluable role in creating a safe space.
  7. By creating a sacred space for birth, I bring great joy to families, which increases my own joy.
  8. When I remember to take a deep breath, my client is reminded to breathe deeply.
  9. With collaboration and determination, we can realize humanized, empowering birth for all families. 
  10. My acts of service provide a blanket and a shield to families at their most vulnerable.
  11. My compassionate presence and loving words are a powerful antidote to suffering that can exist within birth, making space for more joy.
  12. By inspiring birthers and families to believe that physiological birth is possible, I play a tangible role in making physiological birth attainable.
  13. I will preserve my energy for the real struggle. 
  14. It is a blessing to walk alongside families during this intimate and transformative time, for which I am deeply grateful.
  15. With deeply rooted compassion, I can be a willow or an oak in service to my clients’ needs.
  16. With the birthwork community’s diligence, one day all births will be humanized births. I am honoured to be a part of this movement.

 

Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.

 

We invite you to practice with the ones that resonate with you. Please share any of your own affirmations that would support the birthwork community.[/vc_column_text][/vc_column][/vc_row]

Categories
birth community Trauma

Domestic Violence Awareness Month

[vc_row][vc_column][vc_column_text css=”.vc_custom_1698759996931{margin-bottom: 0px !important;}”]Let Clients Know You are a Safe Person to Disclose to about Intimate Partner Violence

“For one-quarter of women who experience DFV [Domestic and family violence], the violence begins during pregnancy. Where violence was previously occurring, it escalates in frequency and severity during pregnancy and early motherhood.” (Baird et. al., 2021)

Based on this disturbing truth, Baird and many other researchers recommend that all pregnant women be screened for intimate partner and domestic violence. There is a fair amount of controversy and debate within international healthcare systems and among individual providers regarding whether or not to implement this recommendation. 

Unfortunately, vulnerable pregnant people and children are caught in the middle of that debate. In Sault. Ste. Marie on Oct 24, 2023, 5 people including 3 children were killed due to domestic violence, renewing calls for intimate partner violence to be declared an epidemic.

We can avoid getting bogged down by debate and discomfort and put the well-being of birthers and families first by being a safe zone for clients to disclose IPV and other trauma. Here are some strategies I’ve used universally to let clients know they can tell me about domestic abuse. I can’t go into details for obvious reasons, but suffice it to say, these strategies work.

I’d love to hear from you in the comments about what you’re doing to support clients to open up about abuse and violence.

Create a Cone of Silence

When couples retain my services, my welcome email explains how each individual can communicate with me confidentially. The email is clearly a template, so it’s obvious that I’m not putting that out there for personal reasons. 

Then I initiate a chat with the birther via a communication channel that is obviously exclusive to them and me, usually a chat with a cell phone number that I know is theirs. This strategy isn’t perfect since many abusive partners closely monitor the victim’s communication channels. Still, including this in the welcome email normalizes situations where information should not be shared between partners.

Ask Everyone About Stressors

I ask clients to complete my intake questionnaire individually rather than as a team. The questionnaire invites the client to share about stressors in their home environment. I’m aware that not everyone might answer a question as blunt as “Are you being abused by your partner?” candidly, especially with someone they are still getting to know. Additionally, abuse can take many shapes and often goes unrecognized. Clients disclose a range of domestic issues in response to this question. Even if nothing is shared at that time, it sends a clear message that I am open to talking about practical, social, and emotional aspects of their pregnancy journey.

Leverage One-on-One Moments

Some things come out much more easily face-to-face than they do in other ways. Unfortunately, our work prenatally and postpartum often occurs while both members of a couple are present. I take advantage of times when the birther and I happen to be one-on-one to initiate conversations about the birth and postpartum life. I let all of my birthers know that while I’m here to support them as a team, the buck stops with them. If I have to make a choice, I’m ride or die for the birther. 

Have Resources at the Ready if Someone Discloses Abuse 

However the birther decides to handle the situation, I make sure I know about local resources that can support them in that choice. This encompasses therapists, organizations that support women to develop safety and escape plans, community legal clinics, and food security resources. 

 

For folks in Ontario, contacting the Assaulted Women’s Help Line is a great way to start figuring out your options to address intimate partner violence. 1.866.863.0511

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text css=”.vc_custom_1698759879666{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_single_image image=”520952″][/vc_column][/vc_row]

Categories
Anti-Oppression birth Equity

Women’s History Month

4 females in colourful clothing sitting together smiling for a photo

[vc_row][vc_column][vc_column_text css=”.vc_custom_1696691842834{margin-bottom: 0px !important;}”]For much of human history and in a myriad of cultures, the ability to create life was revered and seen as a source of power. When Rachel from friends, overdue with Emma famously says “No uterus, no opinion” – she’s describing an attitude that used to be a given. Things started to change in the mid-19th century as the then-exclusively male profession of medicine and the burgeoning specialty of gynecology gained legitimacy and brought reproductive health under its control.

When you control the uterus, you quite literally control the social order. You assume control of the means of producing the next generation, who gets to have a “legitimate” family, and who does not. 

For as long as patriarchy has sought to control women and people with uteri by controlling reproduction, we have resisted and fought relentlessly to bring reproduction back under our control and keep it there. 

October is Women’s History Month and this year’s theme is “Through Her Lens: Celebrating the Diversity of Women”. 

The diverse, heroic people who have fought for reproductive justice, access to choice, and humanized birth are countless, spanning time, place, age, race, gender, sexuality, ability, class, religion, and the full array of human experiences. By sharing a few of their stories, we begin to tell the story of our ongoing struggle for reproductive freedom through their lens. 

The work of these pioneers and modern-day heroes is part of the fabric of all we do as doulas, childbirth educators, and birth keepers to ensure that pregnancy, birth, mothering, and parenthood are empowered, affirming choices and experiences.

The featured figures in women’s history offer a lens through which can explore the movements that have shaped the context of birth work in the 21st century.

Dr. Elizabeth Bagshaw & Nurse Dorothea Palmer

Elizabeth Bagshaw started her medical studies at the University of Toronto in 1901 at the age of 19 and began practicing medicine in Hamilton, Ontario in 1905. The medical profession was overwhelmingly dominated by men at the time. The limited number of women in the profession were excluded from specialties such as surgery and steered toward obstetrics or pediatrics. As a result, maternal health quickly became the primary focus of Dr. Bagshaw’s practice. In 1932 she was asked to become the medical director of Canada first birth control clinic, which was illegal at the time. Despite the legal risks, Dr. Bagshaw accepted the role because she “understood that neglecting health care that only women need contributes to their subordination.” Bradshaw’s practice at the clinic consisted largely of fitting women for diaphragms and conducting follow-ups. The clinic served 400 women in its first year of operation.

At the time that she assumed the role, the Great Depression was ravaging society. Men were out of work, children were hungry, and maternal mortality was high. Women were dying from botched abortions. Family planning options were urgently needed. Despite these conditions, sharing birth control information was illegal and considered immoral by many. Bagshaw and her collaborators were called “devils” and “heretics”. 

The controversy came to a head in 1936 with the trial of Ottawa-based reproductive health nurse Dorothea Palmer. Palmer was charged with advertising birth control during home visits to discuss family planning. Palmer’s defence successfully argued that she had acted in the public good and she was acquitted. This defense was successful again on appeal, making things easier for Bagshaw’s clinic and other early family planning pioneers, although the law making advertising birth control illegal was not reppealed until 1969..

June Callwood 

June Callwood was a Canadian activist, journalist and writer who co-founded the Canadian Abortion Rights Action League in 1973, along with Kay Macpherson, Lorna Grant, Eleanor Wright Pelrine, Esther Greenglass, and Henry Morgentaler. Over the course of the 1970s and 1980s the organization played a pivotal role in the journey to full decriminalization of inducing an abortion in 1988.  After this milestone, CARAL continued its work to ensure equitable and safe access to medical termination of pregnancy.

June Callwood was also known for her journalism in support of social justice and women’s rights. Over the course of her journalistic career she wrote for the Globe & Mail, Chatelaine, McLeans, and other major Canadian publications.

As an activist, she was involved in co-founding over 50 social service organizations, including Casey House a hospice for people with AIDS and Jessies: The June Callwood Centre for Young Women, which provides a range of social services to young women and trans people experiencing pregnancy.

Dr. Galba Araujo

The Humanizing Childbirth movement began in Fortaleza, Brazil in 1975 when Obstetrician Galba Araujo pioneered a program to train traditional midwives and partner them with hospitals. His project gained international recognition, and acted as a catalyst for the World Health Organization to host a conference on technology and childbirth in Brazil in 1985. 

In 2000, the first annual conference on humanizing childbirth was held in Fortaleza Brazil, revitalizing interest in the Humanized Birth movement for the 21st century. This movement aims to de-medicalize birth and create a process wherein relationships and communication are centred and where personal and spiritual transformation are possible. 

While Dr. Araujo’s contribution was undoubtedly central to this movement garnering international recognition in mainstream medicine, the principles of this movement are drawn from woman-led traditional Indigenous midwifery in Brazil and other part of the Americas. 

Reverend Alma Faith Crawford

Reverend Alma Faith Crawford is one of 12 Black women who coined the term “reproductive justice” in 1994 and founded an anti-racist feminist movement aimed at equipping women of all races, classes, and sexual and gender identities with the option to choose to have family, whether through accessing adequate support to childrear, or by accessing options to prevent or terminate pregnancy. The organizing framework they developed for Women of African Descent for Reproductive Justice recognizes that the rage of choices available to a person are impacted by a person’s social experience, with people experiencing injustice and marginalization having diminished access to choice. Maintaining each individuals human right to reproductive justice involves dismantling all forms of social injustice at the deepest level of the system. In addition to equitable abortion access, reproductive justice advocates call for access to social services that would make is possible for more people to raise families with well-being.

Reverend Crawford also organizes with interfaith pro-choice advocacy organization Religious Coalition for Reproductive Choice. She continues her intersectional social justice work as a senior coach for Pastors Without Borders. As clergy in the United Church, she and her partner Karen Hutt create welcoming and loving spaces for members of the Black, LGBTQ+ community. 

Nurse Courtney Penell

Courtney Penell is an Indigenous labour and delivery nurse in Nova Scotia who performed the first smudge ceremony in a Halifax hospital in June 2023. Her ability to perform the ceremony in the hospital came at the end of 10 years of advocacy, that included collaboration with the hospital and the fire department to resolve safety concerns. The long-fought-for policy was implemented just days before her nephew’s birth, allowing her sister to become the first person to receive the ceremony in the hospital. Smudging is an important Indigenous ceremonial and medicinal practice that involves burning sacred herbs such as sage, cedar, sweetgrass, and tobacco. The specifics of the ceremony vary from Nation to Nation. Penell performed the ceremony according to her family’s Mi’kmaw traditions. 

Courtney Penell’s advocacy is part of a Canada-wide Indigenous movement to decolonize birth by reclaiming traditional practices and ceremonies, bringing birth back onto ancestral lands, introducing traditional first foods, and other liberatory actions. 

 

[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column width=”2/3″][vc_column_text css=”.vc_custom_1696691935455{margin-bottom: 0px !important;}”]Keira Grant (she/her) Inclusion and Engagement Lead – Racialized Communities

Keira brings a wealth of experience to the Online Community Moderator role. She is a Queer, Black woman with a twenty-year track record in Equity, Diversity, and Inclusion (EDI) education, projects, and community building initiatives.[/vc_column_text][/vc_column][vc_column width=”1/3″][vc_single_image image=”520907″][/vc_column][/vc_row]