Put Your Big Girl Panties On

Do you all remember my t-shirt slogans from months and months past… or is it years?  I’ve come up with another slogan: “Put your Big Girl Panties On.” Let me back track. A year ago, I started writing a series for the Where’s My Midwife? blog. My series was about potential slogans for t-shirts. I came up with “Don’t Hate Me Because I Had a Beautiful Birth” (one of our most popular blog entries ever—thanks readers!) When I wrote that blog, I was feeling positive and upbeat. Then personal tragedy hit.

My sister, Elena, had been diagnosed with a highly metastatic form of cancer only a month after our midwives were fired from a local practice. If my sister could (and was!) battling, and seemed to be kicking cancer’s ass, well, I would battle right along with her. While I would continue to fight against the injustices that I witnessed daily in my community, not only about access to midwives, but also to woman-centered care locally and nationwide, I would try to spend as much time with my sister as possible.

About a year after Elena’s diagnosis, she lost her battle, and she suddenly passed away.  I was with her as she took those last difficult breaths. There were moments that I thought as I slept next to her on the hard cot in her hospital room, and as I kept certain forces at bay (unwelcomed visitors, etc.) that this was actually the culmination of my work as a doula. I will always hold those moments with my sister close, as difficult and painful as they were.

This was the second year that we experienced the holidays without my sister. It was harder this year for me than last year. Last week I sat across from my friend and midwife, Suzanne, one of the two midwives who was dismissed from our local practice. As I wept, wailed, and screamed (unfortunately my grief has recently manifested as anger towards people who I dearly love), Suzanne gently suggested that I contact a therapist. She chose her words carefully, “Sylvia, I want you to consider if you might benefit from medication, therapy, or both.” It is one of the things that I appreciate about the way that midwives practice. They are at their core “with woman,” and they are trained to care for the total person. I appreciate that Suzanne recommended that I seek help not only as my friend, but also as a health care practitioner.

The last two years were for me the intersection of a personal fight (dealing with my sister’s illness and death) and of a more public battle (increasing access to midwives.) It’s been a tough couple of years. For me “put your big girl panties on” has meant that I got up every day and not only take care of myself and of my children, but it has also meant that I continued to work to make change in my community and beyond. As we become “big girls,”(i.e. women) we face major life changes and tragedies. “Putting my girl panties on” means that I need to prepare myself mentally and physically for this next stage in my life. I am facing life without my big sister, and I am also squarely in the middle of middle age. (Did you know, by the way, that midwives provide continuity of care throughout women’s lives?) I have made an appointment with a therapist to help me navigate these unchartered waters. Thank you, Suzanne, midwife and friend, for reminding me that it’s necessary to take care of this aspect of my health.

So, I leave you with this. When I say, “put your big girl panties on” I mean that we all have our personal and public battles to fight. For me it’s one of the mantras that have helped me through the past couple of years. Join me in putting ‘em on and in fighting your own fight: whatever this may be.

Happy New Year!

The New Year is a time to reflect back on the past and to step forward into the future with clear intentions. Here are some of our new year reflections:
In 2011 we test drove a sweet little idea called Pregnant Mayhem. This was an opportunity for mommies everywhere to hit the streets and demand better maternity care using theatre, public art, flash mobs, megaphones, protests, whatever it takes to get the word out about our broken system and the beautiful ways it could be better. The original idea was to have something simple and provocative every month. This something would take place all over the country.
Our initial action took place around Labor Day to coincide with the 5th anniversary of Karen Brody’s International movement –  “Birth” On Labor Day.  It consisted of four women in four different cities giving birth in public spaces, a conference, a street fair, a tourist destination and a parking lot. Of course we didn’t force any real babies to spend their first moments of life as a public spectacle. These women were all performing a scene from Karen Brody’s play “Birth”. In 2012 we want to further develop this idea of taking our birth activism to the streets. We want to reach more people in more places with bigger and more profound happenings. It is time for birth activists to stop talking amongst ourselves and to get the message out to where it can make the most impact.
Also in September of last year, Where’s My Midwife? planted roots in Canada with the birth of the Ontario chapter.  Maria Radonicich relocated from Wilmington with her family only to find that a local midwifery practice, in Orangeville, Ontario, needed help.  Maria told the locals about the success we had in Wilmington when mamas demanded change.
Soon, local families were painting car windows and marching for midwives, all in the hopes that the local hospital – Headwaters Health Care Centre – would see the community demand for midwifery care and grant privileges to the Midwives of Headwater Hills’ entire practice.
The new chapter saw one midwife granted privileges in November (bringing the practice total to 3 with privileges at HHCC) and are awaiting approval of a fourth midwife’s privileges. In the coming months we anticipate seeing the Midwives of Headwater Hills catching babies at Headwaters Health Care Centre again.  We will be working on establishing non-profit status in Ontario and researching what town to head to next.  We will continue reaching out to communities who have lost their midwives or seen their ability to practice be crippled by unfair laws and policies.  We are ready to stand with communities across the U.S. and Ontario and help them develop an individualized plan to set things straight. If you need more midwives in your community give us a call!
And, finally, one of our favorite projects in 2011 was a short film titled “Midwives’ Diner”.  This year look for more short films promoting midwives and the amazing care that they provide. We love making films and will continue to use them as our megaphone.
We are looking forward to a year full of positive, creative, engaging action. We hope your 2012 is full of all good things. Happy New Year!

Thoughts While Driving

Those of you who follow us on Facebook , know that Where’s My Midwife? has been busy giving birth and participating in other BOLD activities. There is much happening, and it is very cool and exciting, but I will let the lovely and talented Kirsti and Anna share those stories.

For now, I wanted to tell you about a very odd experience I had a couple of weeks ago. I went to see my midwife, and when I left, I was sad. I know, I know. You are thinking, “Honey, you ain’t the first person to be sad. Let me tell you about a SAD trip to see a health care professional!” And you’re right. You are totally right.

What seemed so unusual, at least to me, was the reason for my sadness. I was there for a routine checkup. Yes, every woman’s favorite – the annual exam. All was well, and as I was leaving everyone, from the lovely nurse who asked me about all my other kids at each visit during my last pregnancy to the ladies at the front desk who were simply kind enough to treat me as a person and not a number, said, “Bye! See you next year!” Really? I have to go a year without seeing this people? I’m going to miss them. And that doesn’t even include my midwife. Love her! She is amazing! That is all I can say.

But it struck me as I was driving home, who is their right mind is sad about not spending time with the people who poke and prod at their most sensitive parts? A woman seeing a midwife, that’s who.

BOLD is turning 5 and Where’s My Midwife? will be a guest of honor at the birthday party!

What is BOLD you ask? BOLD (“Birth” On Labor Day) is a global movement to make maternity care mother-friendly. Folks all over the world sign up to perform a play called “Birth” by Karen Brody over Labor Day weekend.  Ms. Brody conducted hundreds of interviews with women about their birth experiences, and condensed them into seven interwoven monologues that paint a vivid picture of birth in our country.  People all over the world are coming together to laugh and cry, to be entertained and educated, to discuss how to improve maternity care and to raise money for organizations doing the work.

The women in the play could be your best friend, sister, neighbor or coworker and their stories reflect the reality of giving birth today. There is ecstasy, pain, disappointment, rejoicing, and poop!

BOLD has been happening for 5 years and to celebrate they are honoring 5 people or organizations that have made creative contributions to improving childbirth choices for mothers in the last 5 years. Where’s My Midwife? was chosen alongside:

We are very excited and honored to be included in such an amazing group of creative activists! We hope that you will join us in New York City.   Before you list all the reasons why spending Labor Day in NYC is impractical visit: www.GetBoldAboutBirth.com.   The play and birthday celebration are being broadcast for free via the internet. All you have to do is sign up. You can even bake a cake and invite all your friends over to watch the play and celebrate with you!

Summer Madness and our Anniversary!

After a busy spring of blogging, we have been oddly silent for the past couple of months.  For that, we apologize.  We know you enjoy reading our rambling (some of you even admit it in emails – and muchas gracias for the love!), and we love sharing with you. 

Last spring we went through a bit of a restructuring, and I emerged as the primary blogger.  Little did the rest of the group know, that beneath my exterior of overachieving auditor and mommy of four, I am a slacker.  This summer I have totally failed to share the latest and greatest WMM? news with you.  But while I have been busy eating bonbons and drinking margaritas (oh how I wish!), the rest of the group has been busy.  Some of the things that have gone on since Memorial Day:

 

So now that we are updated, we are going to work on posting regularly so you can keep up with all our fun and madness – whether you like it or not!

P.S. – It has officially been two years since we found out that our beloved midwives had been fired.  In case you missed it, or want to remember why we are still so fired up, here is our birth story:

“Where’s My Midwife?” from Kirsti Kreutzer on Vimeo.

 

 

Congratulations, Missi!

 

The lovely and talented Missi Willmarth was awarded the 2011 Kitty Ernst Award at the 56th Annual ACNM Meeting and Expo in San Antonio, TX last week!  We could not be happier for Missi, one of our biggest supporters.  She is the lovely midwife who ran a half marathon last October to raise money for WMM?  Ms. Willmarth is the coordinator for the University of Cincinnati’s nurse-midwifery and women’s health nurse practitioner’s program where she teaches and coordinates the fully on-line Master’s program!

Congratulations, Missi!  YOU ROCK!

They’d do it for us. . .

Our friends at Choices in Childbirth recently applied for a grant through The Foundation for the Advancement of Midwifery. As one of the 16 finalists for the grant, they are eligible to compete for an additional $5,000 Fan Favorite Award furnished by Floradix. Choices in Childbirth is a nonprofit that educates women about Mother-Friendly childbirth options like doulas, midwives, acupuncturists, and yoga instructors. They work to connect providers with women and families to make the most positive birthing, prenatal, and postnatal experiences possible. They are located in NYC and work as a national organization. Every vote will help them to win crucial dollars that support their educational resources for women: the online Mother-Friendly Provider Network and the printed Guide to a Healthy Birth.  This is where you come in!  Follow this link, and cast your vote.  It’s an exciting time to be working as a birth advocate!

WMM? Maternity Care Snapshot

A quick, anonymous survey.  We aim to have snapshots from all over the world.  Here’s how it works:  If you have given birth in the last five years, answer the questions and email your responses, numbered 1-10, to info@wheresmymidwife.org.  It’s that simple!  We will post surveys periodically so we all have the chance to get a brief glimpse of what birth is like in other communities.  We hope that this will help to get women asking questions.  Why are there so many options in ______, when I only have ______ to choose from in my community?  To get responses from a large, diverse community, we need your help.  Please click the share on Facebook and Twitter links on the left side of the page, and email the questions and instructions (or just send a link to this post) to women you know who have given birth in the last five years.  If you would like to include a photo, you can email it with your answers.  Just remember, a photo may take the anonymity out of your survey answers.

I completed the survey so you can see how it will look:

 

 

  1. Where are you?  (city, state, provence, country)  Wilmington, NC USA
  2. Within 25 miles of your home, how many Obstetricians?  Midwives?  73 OBs (according to my health insurance provider), 4 midwives (licensed by the state and currently catching babies
  3. Within 25 miles of your home, how many hospitals with labor and delivery?  Birth Centers?  1 hospital, no birth center
  4. How would you describe your community? (rural, suburban, urban)  suburban
  5. Describing your most recent birth experience, who was your attendant (if any)?  obstetrician or midwife?  midwife
  6. How many home birth practitioners are available?  OB or Midwife?  1 midwife
  7. Are there any doulas serving your community? How many?    yes, 11
  8. Are childbirth education classes available?  yes
  9. How happy are you with your maternity care options?  (Very Happy, Pleased, Disappointed)  Disappointed – not with my midwives, just the lack of options
  10. If you could change one thing about maternity care in your community, what would it be?  I would love to have a birth center in Wilmington

Faith Gibson Interview

In March, I had the great pleasure of hosting Faith Gibson, an extraordinary midwife and activist, at my mom’s house during the CIMS Conference (to read more about Faith, click here).  She agreed to do an interview for our History of Midwifery series of shorts.  I shot over an hour of footage because she has so many incredible stories to share – from her time as a Labor and Delivery nurse to her arrest as a midwife in California.  We will be releasing her story in 4 parts.

Part One is Faith’s recollection of working in the ‘white ward’ of a segregated hospital in the 1960s in Florida:

 

 

Stay tuned for Part Two: the Black Ward, and Faith’s own Birth Story.

 

Another Two Bite the Dust

 

As I went to write this morning, I decided I would share the latest and greatest in midwifery news with all you lovely people.  For many, a holiday weekend is fast approaching, and for all of us (at least on this side of the equator) spring is finally here.  It seemed a perfect time to write about something heartwarming or joyous like the story that was shared with me last fall about a midwife delivering a baby on an airplane.  So I googled “midwife”, looked for news, and hoped for the best.  While I did discover another baby recently delivered by midwives on an airplane (I guess they are serious when they say to be cautious about flying late in the third trimester!), I also saw this:

Muncie, Indy birthing centers to close May 1

Oh, maaaan.  As soon as I saw the headline, I sighed, took a deep breath, and clicked on the link.  It was disheartening to learn that Indiana is losing not one, but two, birth centers with the closing of Expectations birth center in Muncie and Nurse Midwives of Indianapolis on May 1st.  While the closings don’t appear to be the result of a midwife getting arrested for attending a birth or anything horrible and traumatic, the giant banner on the birth centers’ website announcing the sadness of the closing is very believable.  This is a sad time for Barbara Bechtel, the staff of the birth centers, and the many families who benefited from the services of the centers.

Our hearts go out to you, and if any of you live in Indiana, we would love to hear from you and help in any way we can to expand access to midwives and birth choices in your area.