Category Archives: Reproductive Rights

Mothers are Dying

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Mothers are Dying

Conservatives have a lot to consider. I’m sure the idea of overturning Roe v Wade has you chomping at the bit and why wouldn’t it, this has been on your to do list for decades. You’ve been ticking off a lot of boxes since Trump became POTUS. This is all fantastic news unless you happen to be female. Hear me out.

I respect the Pro Life stance…at least in theory. From the surface it looks like the high moral ground, truly it does. Don’t kill your offspring sounds like a reasonable rally cry. The only problem is that the conservative movement may be killing women. Like so many other issues impacted by health and socioeconomic conditions, it kills women of color more frequently.

How you ask? Well thank you for asking…accessibility to reproductive healthcare is one of the reasons. All that fuss over Planned Parenthood caused them to withdraw from Title X. They left $260 million federal dollars on the table because they refused to comply with the gag rule implemented by the Trump administration. The gag rule basically is this – you can have Title X federal dollars as long as you do not refer patients for abortions. Fun fact, sometimes abortions are medically necessary to preserve the life of the mother.

So if you are a female who relies on Planned Parenthood for affordable reproductive services, you’re kind of screwed (and not the fun way of screwed that makes this a relevant conversation). I think of all the women who have limited resources trying to make the best choices they can regarding their health – exams, birth control, cancer screenings – many of these women can no longer afford the sliding scale prices of PP because the scale slid too far for their limited means. As a prior client of PP I can tell you I never had an abortion – never contemplated one because I had access to affordable birth control.

Will the women that can’t get screening services now get some divine intervention which will prohibit them from getting ovarian or breast cancer? Um, no. It will just be harder if not impossible for them to get screened. They will have to chose between a screening or birth control because they can not afford both.

These policies will create more unwanted pregnancies. Which gender is more impacted by unwanted pregnancies? Which gender has their career side lined by unwanted pregnancies? Which gender is more likely to encounter domestic violence during pregnancy? Honestly there are so many life long consequences of unwanted pregnancies and women bear the brunt of it, always.

And while I am capable of having a conversation regarding Pro Life/Pro Choice, I can’t entertain the anti-birth control conversation. That is too much of a personal invasion, too much control handed over to mostly men for “religious” purposes (or perhaps just trying to control the female gender). This is a hill I may be willing to die on for the next generation.

Another fun fact, for a developed country, America has a staggeringly high maternal mortality rate. In 2018 our national maternal mortality rate was 17.4 (that’s the number of deaths out of 100,000 live births). The rate for non-Hispanic black women was 37.1 (yup, more than double the national rate). Don’t take my word for it you can read about it here – https://www.cdc.gov/nchs/maternal-mortality/index.htm

Maternal mortality rate really needs to be considered in all matters related to female reproductive rights. I state this as someone who has survived two high risk pregnancies. At 39 weeks pregnant with my first child it was discovered that I had a Deep Vein Thrombosis (they claim about 9% of maternal moralities), access to life saving procedures is why I am alive today. When I became pregnant again we knew it was high risk. Once again I had access and resources needed to mitigate my risk….what if I didn’t have that access? Should women without access to life saving procedures (in my case it was an IVC filter used to break up blood clots) be forced to have a full term pregnancy? It is not my place to tell another woman how to handle that situation especially if her life is on the line. To be clear, I don’t think it’s your place either and that is why I am Pro Choice.

I’m not suggesting that the conservative movement is solely responsible for the increase in maternal mortality, there are many factors to consider. Data collection for maternal death has increased in recent years so that has identified more cases. The disparity in healthcare access along with our inability and/or unwillingness to address that shows up everywhere in our woefully inadequate American healthcare system. What I am stating is that more women will die from pregnancy/birth related complications if we continue the trend of limiting access to reproductive health services.

When does the mother’s life matter as much as the unborn child?

White Tower View

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White Tower View

When I was a teenager I spent several months living in an all female group home. The ages ranged from 15 to 65 and anyone that was within childbearing age was taken to the gynecologist and put on birth control. It was explained as a way to keep everyone on a regular cycle and minimize mood swings. I didn’t fight it and went on the pill like most of the other residents.

For the next fifteen years I took birth control pills, the lowest dose at the time (ON777). My menstrual cycle was consistent, nothing more than a minor inconvenience. Not painful like some of my friends and the pills didn’t seem to cause any side effects. When I became sexually active, I was grateful for their effectiveness. I went to Planned Parenthood for my annual exam and purchased my birth control pills through them at a discount until my late 20s.

I never had a bad experience. The place was clean, staff was professional and no one shouted “whore” as I made my way into the clinic. Never once did anyone try to sell me on an abortion, I never needed one thanks to those little pills. I had access to effective healthcare, physical and financial accessibility, without which, I could have had a different outcome.

When I got to my early 30s I was starting to get concerned about the long term effects of birth control pills. I decided to give my body a break and go off of them. I discussed this with my long term boyfriend. By this time I had a good job and I owned my own home. My guy was doing well and we were in love, 5 years into our relationship. We were pretty relaxed about the possibility of becoming pregnant and let the universe guide us. We eventually got pregnant….I say we because I don’t know any female that has gotten pregnant on her own (an immaculate conception is pretty rare). We decided it would be a good time to get married and have a kid.

We got married and the pregnancy was going well until 39 weeks in. I felt a dull ache behind my left knee. Turns out I had a deep vein thrombosis (DVT) which can become fatal if a blood clot breaks away and goes to your heart/lungs/brain, scary stuff. I was fortunate to be within 3 miles of a trauma center hospital. A retractable filter was inserted through my jugular vein and was placed below my heart and lungs to break up any potential killer clots. The fact that I’m typing this lets you know it worked.

It turned into a fairly dramatic birth including me being induced, 5 hours of pushing and a sideways baby that wasn’t budging (I’m happy to say he’s become much more compliant since then). Eventually it was determined that I needed to have a cesarean section. Two weeks later, the retractable filter was removed and I was put on blood thinners for 6 months. I had all kinds of terrible reactions to the medication which caused me to have numerous tests for Lupus, MS and enough blood draws to satiate an army of vampires. It was rough and we didn’t plan to have another child.

Because of the blood clot issue I could not go on BC pills or have any kind of hormone based birth control. IUDs freaked me out, I heard too many horror stories. So our options were a diaphragm, condoms or pull out. We failed at those options and I got pregnant soon after our son’s first birthday. When I told my husband I was pregnant he said – “congratulations, are you sure you want to go through with this?”

It was a fair question given the unexpected complications of my first pregnancy. My husband was traveling internationally on a frequent basis. Most of my pregnancy would be spent with a toddler and no local family, just a handful of friends that I made in the 6 months since we moved. I didn’t hesitate though, I wanted to go through with the pregnancy.

My gyno had become very close with me since the birth of my son. The kind of closeness that comes from a near death experience. I could see the concern on her sweet face when I went in to see her to have the pregnancy confirmed. She contacted the hematologist and gave me the name of a good perinatologist, I was going to be closely monitored.

I did the best I could to not focus on what could happen. My biggest fear was driving or being alone in the house with my son and having a pulmonary embolism or a brain aneurysm, these were not far fetched concerns. I kept thinking of Steel Magnolias when  Shelby dies while making dinner with her young son crying next to her body. The possibility was a shadow throughout my pregnancy.

Six and a half months into the pregnancy I felt that familiar dull ache behind my knee again. I called my gyno she asked me to meet her at the hospital.  Sure enough I had a clot, not a monster DVT like the first time, but a clot which could have been fatal to me or my baby girl. I was put on a heparin drip and remained inpatient for a week. When I was sent home I was given medicine that I needed to inject into my pregnant belly twice a day for the remainder of my pregnancy.

My gyno and my hematologist were getting twitchy. I could see fear in their eyes with every interaction, I was a ticking time bomb. I told my gyno that I wanted a tubal ligation after the baby was born and I could hear her exhale as she expressed gratitude over my choice. To be clear, my husband was also onboard with that and he respected the fact that ultimately it was my decision.

This time I had a planned cesarean and the now familiar retractable filter was inserted just prior to that. They decided to do a c-section at 35w6d and I got my tubal ligation immediately after. Two weeks later the retractable filter was removed followed by a year of blood thinners and more blood draws, so many blood draws. I went to a blood clinic at Robert Wood Johnson University Hospital in New Jersey to see if there was a genetic reason for my issue. After more tests and many more blood samples it was determined to be pregnancy related and having no plans for further pregnancies, I was released from care.

I was fortunate to have two healthy babies, now teenagers. I had a caring partner with both pregnancies. I had assistance with child care when I had to go to the hospital. I had good health insurance. I had a vehicle to get myself to the necessary appointments. I had money to pay for gas, pay for a sitter, pay co-payments, I had a network of support. I also lived within reasonable proximity to excellent reproductive healthcare.

What if I couldn’t get birth control as a young woman? What if there was no clinic, no sliding-scale fee, no access? What if I was a woman of color? Would my seemingly minor medical complaints have been taken seriously? Would that dull ache get the attention it deserved? Or would I just be another sad anonymous number in a case study?

I understand how the pro-life movement can seem like the high moral ground when you are looking down from an ivory tower. You can’t see deep enough into the brush to see what is happening there so it simply blends into the background, it’s just scenery. I would ask you to take those long steps down and see what is happening outside of your limited view.

Have you ever gone with a 15 year old girl who was getting an abortion? I have, it was devastating. She made a mistake, she was so scared, just 15. I held her and cared for her and listened to her when she told me about the recurring nightmares of her unborn child. This was not an easy decision, she was gutted.

Have you ever seen the bruises of domestic violence on a pregnant woman? I have and I wanted to kill the guy. I threw a baby shower for a dear friend when we were both 20. She married her long term asshole of a boyfriend when she got pregnant. Fun fact – domestic violence often escalates during pregnancy. She got changed in front of me and her chest was covered in bruises. She and her baby eventually got out of that situation, it took a long time.

Have you known anyone who had a late term abortion? I knew someone who had a late term abortion. It was heartbreaking. A co-worker of mine found out that her fetus died in utero in her third trimester. She was given the choice to abort or wait for her body to naturally go into labor and deliver a stillborn baby. Can you imagine living with that trauma?

Do you know any females that have been raped in a manner which could have resulted in an unwanted pregnancy? I expect every hand to be raised at this one. Has the #MeToo movement taught us anything? Sexual violence and molestation is rampant – at work, in the military, college campuses, church, school, pretty much everywhere including home for some unfortunate victims. These women should go to jail if they abort an unwanted zygote? Should they be denied a morning after pill? What if the trauma has them so horrified that it takes them a few weeks to come to terms with the possibility of an unwanted pregnancy? What if the victim is also beaten badly during the rape and is in a coma – does she get a f*cking pass then?

We all have strong feelings about this topic and I’m not trying to isolate anyone, truly I am not. I’ve seen some horrible stuff up close and in person. My own personal experiences and those of people close to me have helped to form my opinions and I’m sure the same is true for you. There is a lot of gray area for me and in the end I always circle back to individual choice. I can’t know the fine print details of each individual situation. I’m not a medical professional, psychologist or social worker. I’m not pro-abortion, I’m pro-choice.