stat tracker for tumblr
Prolonged Eye Contact

A dispatch from Texas, the front line of the war against women [*]

She knew she was supposed to be careful about getting pregnant, although truthfully she didn’t think it could happen because of her blood pressure and kidney problems. The nurses at the county clinic started her on the pill, but her blood pressure went all crazy. They asked her to come back on a Wednesday night when the doctor was there. The doctor asked lots of questions and spent a lot of time with her. It was nice to see a doctor care so much.

The Wednesday night clinic was where the nurses sent you when they needed the doctor’s help. It took two buses to get to that clinic and she had to wait an hour after it closed for her boyfriend to get off of work so he could pick her up, but she went because the nurses were so insistent.

The doctor (so young, she looked right out of medical school) asked her to stop the pill, something about the estrogen. The doctor tried to talk her into an IUD. Said it was the safest thing. But it sounded scary and some ladies at church said it caused abortion, so she wasn’t so sure about that.

Eventually she agreed to the Depo-Provera shot. Made her bleed all over the place for a while, but after a couple of shots she stopped getting her period altogether so that was okay.

Her boyfriend got a job in a new city, so they moved. She didn’t have a car, and even if she did she couldn’t afford the gas money to go back to the county clinic where she used to get her Depo shot. The nurses there were very nice and she was sure they would have looked the other way seeing she now lived in a different county. But they told her about Planned Parenthood. She could get her Depo there. She was so excited when she realized it was only six blocks from her apartment.

When she called to make an appointment for her Pap and Depo she was told Planned Parenthood couldn’t accept her Medicaid. Wasn’t allowed to accept Medicaid. Some law. “But I don’t want an abortion,” she said.

“Doesn’t matter,’ the receptionist said. “The government of Texas refuses to let any state tax dollars go to Planned Parenthood. You’ll have to pay for the visit and your Depo, but we do have a way to reduce the price for you.”

Even then it was a lot of money. More than she had right now. She called several doctors, but no one accepted Medicaid. “Doesn’t pay enough to cover our expenses,” they said.

And then one thing sort of led to another. She got a job at the Wal-Mart, but only part-time, so no health benefits. She needed the money to pay for her blood pressure pill. And food. Her boyfriend’s job wasn’t as many hours as they’d hoped. She bought condoms when she had the money, but stopped after a while. Deep down she had always thought she couldn’t get pregnant. The doctor at the county clinic told her not to count on it. The doctor said she had delivered many women who never believed they could get pregnant.

The sound of the doctors at her door brought her back to the here and now. She went to the emergency room the night before with the worst headache she had ever had. The look on the emergency doctor’s face when he saw her blood pressure was almost comical. And the swelling, he’d wanted to know how long it had been that bad.

He told her she was probably six months along. That she had something called preeclampsia. Her kidneys couldn’t handle the stress of being pregnant. When they got her to labor and delivery the OB said she needed to have the baby. As soon as possible. It didn’t matter that she was so early. She could have a stroke and her kidneys might fail. They told her that her baby had a 60-70% chance of surviving.

Her headache was a little better. The medication to bring down her blood pressure helped. The contractions hurt, but they weren’t that bad. She listened closely to the doctors at the door. They were talking about her ultrasound. She thought the lady who was doing the scan had taken a long time. She’d even called someone over to look at the screen. Something about not enough fluid so it was hard to see.

Only one doctor came in. A lady. She walked like she was in charge. She pulled up a chair. Her face looked a lot softer up close. “Your ultrasound has some findings and I need to talk with you about them. We know the fluid is low. We knew that from the initial scan we did last night. We talked about that this morning. But this latest ultrasound is more detailed and gives us more information. Your baby is smaller than expected. That could be from your blood pressure, but there is something else. Some problems with the bones in the skull. You were taking a blood pressure medication and it looks as if there are some birth defects.” The doctor paused.

“What does that mean for my baby?” She thought it sounded odd to say those words, my baby, out loud. A baby she didn’t even know she was carrying until yesterday. A baby she thought she could never have.

And that’s when she started to cry.

________________________________________________

*I hate the “war on women” rhetoric for a number of reasons, but this story HAS to be told far and wide. I don’t want to see a SINGLE person victim blame this woman or say she should have “kept her legs closed” or “known better.” Poor people are allowed to have sex. People with chronic conditions are allowed to have sex. All of the blame is on the politicians of Texas who decided their games with health care mattered more than this woman’s LIFE. That because she was poor and needed Medicaid her life and health were disposable and up for debate (the same thing that happens every day with the Hyde Amendment). They decided because she was unfortunate enough to need assistance that they had the right to butt their noses into her business and prevent her from going to Planned Parenthood. There is so much fail in this story and I doubt this woman is alone; there are probably hundreds, if not thousands, of people suffering in Texas right now. And now that the WHP is gone it WILL get worse.

Also, here’s a story from the comments:

I have high blood pressure (among other health concerns) and have since I was 18. I have also never wanted children. However, because I don’t meet their “eligibility” requirements, I cannot find a doctor who will sterilize me. Two attempts to insert an IUD were unsuccessful and traumatic. I became pregnant while using condoms, then ended up paying $750 for an abortion at a private clinic (PPH wouldn’t take me because of my blood pressure) and because my blood pressure was so high they couldn’t perform the procedure until it was under control and by then it was the second trimester. If I had continued with the pregnancy I risked further blood pressure problems, kidney damage, and damage to the fetus so I would need to go to a high risk pregnancy specialist which I couldn’t afford, even with the insurance I had. The doctor said he suspected that my blood pressure went even higher because of the pregnancy, but when I said I didn’t want to have children he still tried to convince me that what I needed was an IUD or Depo because I might change my mind one day. I have tried Depo and had terrible migraines the whole time.

Because doctors and politicians are so convinced that women don’t have any idea what’s going on with their bodies and deep down they all want to procreate, they have made reproductive care prohibitive in so many ways. If the doctors I had talked to for the past five years had listened to me and believed that I knew enough about my own mind and body to know that I wanted to be sterilized, I wouldn’t have had to spend the time off work and all my savings to terminate a pregnancy I couldn’t sustain even if I had the desire.

I feel for the woman in your article and it breaks my heart to think of what she went through, and chills me to know that I could have been in her place so easily.

POSTED BY NJS | FEBRUARY 26, 2012, 12:59 PM

genderacrossborders:

“Dedicated to Dr. Cecilia Achadu Otim, 34, by The Naguru Teenage Information & Health Centre of Straight Talk Uganda, from the White Ribbon Alliance for Safe Motherhood’s Stories of Mothers Lost  Cecilia was the only female heart surgeon in Uganda. After a healthy pregnancy, her baby girl was born by caesarean section. An hour after the operation, Cecilia’s breathing suddenly changed. No nurse was available. Only her mother was present with Cecilia as she took her last breath.”
From the exhibition, “Women Hold Up the Sky,” on view at the Skirball Cultural Center in Los Angeles, CA, through May 20, 2012.

genderacrossborders:

“Dedicated to Dr. Cecilia Achadu Otim, 34, by The Naguru Teenage Information & Health Centre of Straight Talk Uganda, from the White Ribbon Alliance for Safe Motherhood’s Stories of Mothers Lost

Cecilia was the only female heart surgeon in Uganda. After a healthy pregnancy, her baby girl was born by caesarean section. An hour after the operation, Cecilia’s breathing suddenly changed. No nurse was available. Only her mother was present with Cecilia as she took her last breath.”

From the exhibition, “Women Hold Up the Sky,” on view at the Skirball Cultural Center in Los Angeles, CA, through May 20, 2012.

Are You In The Know? [Pregnancy Edition]

[All of these statistics are cis-centric, unfortunately.]
  • How many pregnancies occur each year worldwide? Each year, more than 208 million pregnancies occur worldwide; 185 million occur in the developing world alone. Worldwide, almost two in five women who become pregnant have either an abortion or an unplanned birth.[24]
  • How many women die each year from pregnancy-related causes? Worldwide, an estimated 358,000 women die from pregnancy-related causes each year, with about 355,000 of those deaths occurring in developing countries. The United States has one of the highest maternal mortality rates among developed countries (1,000 maternal deaths per year) and accounts for nearly 60% of all maternal deaths in the developed world.[25]
  • What proportion of pregnancies worldwide are unintended? More than 40% of pregnancies worldwide are unintended. Roughly half of these pregnancies end in induced abortion. The proportion of unintended pregnancies ending in abortion is higher in more developed countries (53%) than in less developed countries (48%).[24]
  • How many pregnancies occur in the United States each year? About 6.7 million pregnancies occur in the United States each year.[26] Nearly two-thirds of all pregnancies result in live births and about one-fifth in abortion; the remainder end in miscarriage.[27]
  • What proportion of pregnancies in the United States are unintended? Nearly half of all U.S. pregnancies are unintended (49%); about 43% of these end in abortion.[26]
  • Have levels of unintended pregnancy in the United States changed in recent years? Following a considerable decline in the overall U.S. unintended pregnancy rate between 1981 and 1994, the rate has remained essentially flat: About 5% of U.S. women still have an unintended pregnancy every year.[26]
  • Which groups of women in the United States are most likely to experience an unintended pregnancy? In the United States, unintended pregnancy rates are higher among poor and low-income women, women aged 18–24, cohabiting women and minority women, compared with higher-income women, white women, college graduates and married women.[26]
  • How does unintended pregnancy vary by state? More than half of pregnancies are unintended in 29 states and the District of Columbia. Rates of unintended pregnancy are generally highest in the South and Southwest, and in states with large urban populations.[28] And, in every state, the proportion of unintended pregnancies that were mistimed (65-75%) is much larger than the proportion that were unwanted (25-35%).
  • How much do unintended pregnancies cost the United States each year? Unintended pregnancies cost U.S. taxpayers roughly $11 billion in public insurance expenditures for unplanned births and first-year infant health care.[29]
  • What states have the highest and lowest public costs associated with unintended pregnancy? California and Texas spend the most money on births that result from unintended pregnancies—about $1.3 billion annually—while North Dakota spends the least—$21 million.[29]

TW: mention of rape, possible TW for tokophobia

uh0h:

I’ve changed my whole view on pregnancy and abortion. Pregnancy may be uncomfortable, and being in labour may be very painful, but giving up 9 months of your own life to give another person [sic] a whole lifetime to live isn’t too much to ask for. I think it’s one of the most beautiful experiences and everyone deserves a chance to have a child. If you decided against it, it’s fine, but I think that those who don’t have children will miss out on a big part of their life. I am also against abortion now. If you are too young to have a child, or can’t take care of it, adoption is an option and possibly the best way to go. People don’t realize that they have the power to take away somebody’s life, and by aborting a[n] child embryo you are doing exactly that. You are taking away that person’s embryo’s chance of living their whole life and having children of their own. It cannot possibly be your choice [HA!] on whether or not this child embryo gets to have a life. It is unfair to think of all the time that you and your child embryo could have had, or at least the life your child embryo could of had that another family could provide them with, but you took that away from them. Take your own life as an example, and picture your mother aborting you. All your relationships, all your memories, and your whole future would be non-existent.

[I fixed that for you!]

“Pregnancy may be uncomfortable, and being in labour may be very painful, but giving up 9 months of your own life to give another person [sic] a whole lifetime to live isn’t too much to ask for.”

isn’t too much to ask for.

isn’t too much to ask for.

isn’t too much to ask for.

isn’t too much to ask for.

So, essentially you’re saying:

UN-FUCKING-ACCEPTABLE.

When people run their mouths about pregnancy being no big deal a few things become apparent very quickly:

  • They’re a misogynist douchecanoe
  • They know nothing about pregnancy and what it entails
  • The probability of them being a person capable of getting pregnant decreases significantly
  • Their priorities are warped in a very disturbing way

[Unfortunately most outside links are to cis-centric articles. It should be pregnant people, not just women.]

In my post about the “pregnancy is a mere inconvenience” trope I mentioned a huge list of possible complications of pregnancy. These include:

Normal, frequent or expectable temporary side effects of pregnancy:

  • exhaustion (weariness common from first weeks)
  • altered appetite and senses of taste and smell
  • nausea and vomiting (50% of women, first trimester)
  • heartburn and indigestion
  • constipation
  • weight gain
  • dizziness and light-headedness
  • bloating, swelling, fluid retention
  • hemmorhoids
  • abdominal cramps
  • yeast infections
  • congested, bloody nose
  • acne and mild skin disorders
  • skin discoloration (chloasma, face and abdomen)
  • mild to severe backache and strain
  • increased headaches
  • difficulty sleeping, and discomfort while sleeping
  • increased urination and incontinence
  • bleeding gums
  • pica
  • breast pain and discharge
  • swelling of joints, leg cramps, joint pain
  • difficulty sitting, standing in later pregnancy
  • inability to take regular medications
  • shortness of breath
  • higher blood pressure
  • hair loss
  • tendency to anemia
  • curtailment of ability to participate in some sports and activities
  • infection including from serious and potentially fatal disease
    (pregnant people are immune suppressed compared with non-pregnant people, and are more susceptible to fungal and certain other diseases)
  • extreme pain on delivery
  • hormonal mood changes, including normal post-partum depression
  • continued post-partum exhaustion and recovery period (exacerbated if a c-section — major surgery — is required, sometimes taking up to a full year to fully recover)

Normal, expectable, or frequent PERMANENT side effects of pregnancy:

  • stretch marks (worse in younger people)
  • loose skin
  • permanent weight gain or redistribution
  • abdominal and vaginal muscle weakness
  • pelvic floor disorder (occurring in as many as 35% of middle-aged former child-bearers and 50% of elderly former child-bearers, associated with urinary and rectal incontinence, discomfort and reduced quality of life)
  • changes to breasts
  • varicose veins
  • scarring from episiotomy or c-section
  • other permanent aesthetic changes to the body (all of these are downplayed by women, because the culture values youth and beauty)
  • increased proclivity for hemmorhoids
  • loss of dental and bone calcium (cavities and osteoporosis)

Occasional complications and side effects:

  • spousal/partner abuse
  • hyperemesis gravidarum
  • temporary and permanent injury to back
  • severe scarring requiring later surgery (especially after additional pregnancies)
  • dropped (prolapsed) uterus (especially after additional pregnancies, and other pelvic floor weaknesses — 11% of people, including cystocele, rectocele, and enterocele)
  • pre-eclampsia (edema and hypertension, the most common complication of pregnancy, associated with eclampsia, and affecting 7 - 10% of pregnancies)
  • eclampsia (convulsions, coma during pregnancy or labor, high risk of death)
  • gestational diabetes
  • placenta previa
  • anemia (which can be life-threatening)
  • thrombocytopenic purpura
  • severe cramping
  • embolism (blood clots)
  • medical disability requiring full bed rest (frequently ordered during part of many pregnancies varying from days to months for health of either birth parent or baby)
  • diastasis recti, also torn abdominal muscles
  • mitral valve stenosis (most common cardiac complication)
  • serious infection and disease (e.g. increased risk of tuberculosis)
  • hormonal imbalance
  • ectopic pregnancy (risk of death)
  • broken bones (ribcage, “tail bone”)
  • hemorrhage and
  • numerous other complications of delivery
  • refractory gastroesophageal reflux disease
  • aggravation of pre-pregnancy diseases and conditions (e.g. epilepsy is present in .5% of pregnant people, and the pregnancy alters drug metabolism and treatment prospects all the while it increases the number and frequency of seizures)
  • severe post-partum depression and psychosis
  • research now indicates a possible link between ovarian cancer and female fertility treatments, including “egg harvesting” from infertile women and donors
  • research also now indicates correlations between lower breast cancer survival rates and proximity in time to onset of cancer of last pregnancy
  • research also indicates a correlation between having six or more pregnancies and a risk of coronary and cardiovascular disease

Less common (but serious) complications:

  • peripartum cardiomyopathy
  • cardiopulmonary arrest
  • magnesium toxicity
  • severe hypoxemia/acidosis
  • massive embolism
  • increased intracranial pressure, brainstem infarction
  • molar pregnancy, gestational trophoblastic disease (like a pregnancy-induced cancer)
  • malignant arrhythmia
  • circulatory collapse
  • placental abruption
  • obstetric fistula

More permanent side effects:

  • future infertility
  • permanent disability
  • death.

Statistics on maternal mortality [death!] and morbidity [complications!] in the USA, often disproportionately affecting people based on race and class:

  • According to new UN data, maternal mortality in the US has worsened, falling from 41st to 50th in the world. In other words, women in the US face a greater risk of maternal death than in 49 other countries. Women in the US face a greater risk of maternal death than nearly all European countries, as well as Canada and several countries in Asia and the Middle East. Despite the 34% decrease in global maternal mortality between 1990 and 2008, with 147 countries experiencing a decline in maternal death rates, the US was among just 23 countries to see an increase in maternal mortality.
  • The US maternal mortality ratio, at 12.7 (deaths per 100,000 live births), was 3 times as high as the Healthy People 2010 goal, a national target set by the US government. 10 states had 18.5 or more maternal deaths per 100,000 live births. Only 5 states met the Healthy People 2010 goal of 4.3 deaths per 100,000 live births. 
  • The maternal mortality ratio for American Indian/Alaska Native women was 4 times higher than the 2010 target and for African American women was 8 times higher than the 2010 target. New government data shows that for 2005-2007, the maternal mortality ratio (deaths per 100,000 live births) was highest among non-Hispanic black women (34.0), followed by American Indian/Alaska Native women (16.9), Asia/Pacific Islanders (11.0), non-Hispanic whites (10.4), and Hispanics (9.6).
  • The risk of maternal mortality has remained 3 to 4 times higher among black women than white women during the past 6 decades. Racial disparities were also seen in all income groups, with black women facing approximately three times higher maternal mortality risk compared to white women at low, middle, and high income levels.
  • Deadly Delivery found that little data is available on maternal morbidity (complications), despite its frequency. “Near misses,” complications so severe the woman nearly dies, have increased by over 25% between 1998 and 2005 to 34,000 a year—one woman every fifteen minutes.
  • Over 1 million women a year experience some complication of pregnancy that has a negative effect on her health. Currently, nearly 30% of women experience complications related to childbirth, and this has not improved.
  • In 2003-2007, women living in the lowest-income areas were twice as likely to suffer a maternal death, and women in the middle income areas faced a 58% higher risk, compared with women in the highest income areas.
  • States with high rates of poverty (18% or more of people living below the poverty level) were found to have 77% higher maternal mortality ratios than states in which fewer residents had incomes below the federal poverty level.

In addition:

From the White Ribbon Alliance Fact Sheet on global maternal mortality:

  • Every day, 1,000 girls and women die in pregnancy or childbirth. In 2008, an estimated 358,000 women died due to complications developed during pregnancy and childbirth. For every woman who dies, at least 20 more suffer injury, infection or disability from maternal causes –approximately seven million women every year. Seventy-five percent of maternal deaths occur during childbirth and the post-partum period, and the vast majority of maternal deaths and injuries are avoidable when women have access to health care before, during and after childbirth.
  • Pregnancy and childbirth are among the leading causes of death and disability for girls and women in developing countries. A girl growing up in Chad today is more likely to die in childbirth than she is to attend secondary school. Complications during pregnancy and childbirth include uncontrolled bleeding, obstructed labor, infection and high blood pressure. Societal factors include gender discrimination and social, cultural, legal, economic and logistical barriers that deny women lifesaving health care.
  • Maternal deaths are the greatest health inequity of the 21st century. Ninety-nine percent of maternal deaths occur in developing countries. The chances of a woman dying in pregnancy or childbirth is one in 14 in Somalia and one in 31 in sub-Saharan Africa, compared with just one in 15,200 in Italy and one in 4,200 in Europe. Worldwide, women giving birth in urban areas are twice as likely to be attended by skilled health workers as those in rural areas. Similarly, 84 percent of women who have completed secondary or higher education are attended by skilled workers during childbirth.

There’s the risk of losing one’s job and, by extension, home; body or gender dysphoria; missing or dropping out of school; the potential trauma of choosing adoption; suffering from pregnancy related job discrimination; the economic toll of pregnancy and raising a child; and not being able to continue taking important medications or exacerbating pre-existing conditions.

How about costs? Hmm? All the people that complain about financial instability and poverty not being a “good enough” reason for an abortion obviously have no clue how much pregnancy and childbirth costs. In a new report on maternal mortality and morbidity in the USA these statistics were given:

  • Approximately 99 percent of women give birth in hospitals where facility fees alone average between $8,900 and $11,400 for a vaginal delivery, and between $14,900 and $20,100 for a cesarean, depending on whether complications occur. This does not include the health professional fee which was reported in Deadly Delivery to add an additional $4,350 to $6,000. [It also doesn’t include fees for prenatal care and testing, an epidural or other pain medication, an episiotomy, postnatal care, possible NICU expenses, or lost wages.]

How about the fact that pregnancy and childbirth can trigger sexual abuse/rape memories?

How about the fact that rapists don’t automatically lose their parental rights in all states?

It cannot possibly be your choice [HA!] on whether or not this child embryo gets to have a life.

Well, there’s the pesky concept that reproductive rights are human rights and this includes abortion.

We also know that reproductive rights violations constitute torture in some cases and cruel, unusual, or inhuman and degrading treatment in many more.

And consent to sex isn’t consent to pregnancy. So, no, I don’t have any moral or legal obligation to a zygote.

[TW for ableism is article’s title] In addition, an unwanted pregnancy could pose a mental health risk.

And choosing adoption can affect the mental health of the birth parent.

If you are too young to have a child, or can’t take care of it, adoption is an option and possibly the best way to go.

For who exactly? Rich, white people who want children so badly they’ll kidnap them from basically anywhere? Some people are literally too young to have a child as their bodies are not physically ready and childbirth could kill them. How is adoption really an option for them? Especially when adoption is an alternative to parenting not pregnancy. 

***Tl;dr Forcing an unwilling person to remain pregnant is too much to ask for.***

So I’m just going to leave this logic bomb with…you.

“Sanctioned Cruelty: Reproductive Rights Violations as Torture”

[*pregnant people]

A woman living with HIV in Chile is forcibly sterilized while unconscious and undergoing a cesarean delivery.

A Kenyan woman, along with her newborn child, is detained for weeks by hospital staff in miserable conditions. Her crime is poverty; she has no money to pay her medical bill.

In Peru, a young girl lives in a tragically diminished physical capacity because doctors valued her pregnancy—which resulted from rape—more than they did her life and health.

This kind of treatment, and its consequences, is horrifying and unconscionable. For too long, such acts have not been treated with the gravity they deserve. But the Center for Reproductive Rights is leading the movement in asserting that such egregious abuses amount to nothing less than torture or cruel, inhuman, or degrading treatment. And we demand that it stop today.

International human rights bodies have clearly defined torture. It’s the intentional infliction of severe pain or suffering—physical or mental—with the specific purpose of obtaining information, intimidating, punishing, or discriminating. And someone, or some entity, acting in an official capacity must be involved, have instigated it, or acquiesced to the treatment.

The threshold for cruel, inhuman, or degrading treatment, as distinguished from torture, can be crossed even more readily. The abusive treatment need not be intentional—negligence, with or without a specific purpose, is enough. And an act can be degrading simply because of the humiliation it causes.

Why do these definitions, these standards, matter in the fight to stop violations of reproductive rights? Because torture and ill treatment are universally condemned as grave offenses in violation of international law. All countries, whether bound by official treaty or not, are held to a global understanding that torture and cruel, inhuman, or degrading treatment are wrong and prohibited.

But the common perception of these offenses is narrower than their actual reach. Torture and ill treatment are not confined to prisons and theaters of war. The Center for Reproductive Rights has just released the video “Sanctioned Cruelty: Reproductive Rights Violations as Torture” which identifies a far more common setting in which women find themselves subject to the mistreatment and discriminatory whims of government officials, where they suffer severe physical and/or mental pain simply because of who they are. These places? Hospitals, clinics, doctors’ offices.

The Center, in partnership with the Campaign to Stop Torture in Health Care, documented these stories to illustrate the severity of the harm inflicted by certain reproductive rights violations. These violations of fundamental human rights, because of their tragic consequences, and the circumstances and conditions under which they are committed, absolutely rise to the level of torture and ill treatment.

Calling these atrocities by a different name won’t help a girl walk again, allow a woman to build the family she’d dreamed of, or restore the dignity of a mother wrongly detained, but our urgent efforts will signal to the world the gravity of these kinds of crimes against women. And that like all forms of torture and cruelty, they cannot be tolerated.

Cases and resources:

 

While the decrease in the [global] maternal mortality ratio … is a victory, it is anything but a ‘mission accomplished’. We are not off the hook … The US … still has a responsibility to prevent maternal death. No woman should die giving birth, in the US or abroad. We have the technology and medical knowledge to prevent it. It’s just a question of making sure everyone has access to it, which is, irrefutably, a basic human right.

Serra Sippell, President of the Center for Health and Gender Equity

*pregnant people.

It keeps startling me that at the beginning of this 21st century, at a time when we can … explore the depths of the seas and build an international space station, we have not been able to make childbirth safe for all women around the world. … This is one of the greatest social causes of our time.

Thoraya Obaid, Executive Director of the United Nations Population Fund

*pregnant people.

Deadly Delivery: The Maternal Health Care Crisis In The U.S (One Year Update, Spring 2011)

[*pregnant people]

In Deadly Delivery, Amnesty International documented that women in the US face a range of obstacles in obtaining the services they need, and documented multiple failures in the health care system, including: language barriers to care; lack of information about maternal care and family planning options; lack of active participation in care protocols; inadequate postpartum care; and a lack of accountability and oversight.

Key data released in 2010:

  • According to new UN data, maternal mortality in the US has worsened, falling from 41st to 50th in the world. In other words, women in the US face a greater risk of maternal death than in 49 other countries. Women in the US face a greater risk of maternal death than nearly all European countries, as well as Canada and several countries in Asia and the Middle East. Despite the 34% decrease in global maternal mortality between 1990 and 2008, with 147 countries experiencing a decline in maternal death rates, the US was among just 23 countries to see an increase in maternal mortality.
  • Over 4 million women in the US give birth each year, and the hospital bills for this care reached $98 billion. International Federation of Health Plans data indicated that the US spends twice as much as any other country surveyed on the fees charged by maternal health care providers.
  • Prior to health care reform, approximately 13 million women of reproductive age had no health insurance. Uninsured women are less likely to be in good health when becoming pregnant, and if they have chronic health conditions, they are less likely to have obtained treatment, which increases their risks during pregnancy.
  • Once becoming pregnant, women eligible for Medicaid (government funded health insurance for low income families) faced bureaucratic hurdles and delays obtaining Medicaid coverage, which resulted in delays obtaining prenatal care. In addition, many physicians do not accept payment by Medicaid because of low reimbursement rates, which has created a shortage of providers for women paying with Medicaid. The high cost of maternal care means that many women cannot afford to pay for care without insurance. 
  • Approximately 99 percent of women give birth in hospitals where facility fees alone average between $8,900 and $11,400 for a vaginal delivery, and between $14,900 and $20,100 for a cesarean, depending on whether complications occur. This does not include the health professional fee which was reported in Deadly Delivery to add an additional $4,350 to $6,000.
  • Medicaid pays for over 40% of births in the US, and costs related to pregnancy and birth account for over one quarter of all hospital charges billed to Medicaid.
  • The US maternal mortality ratio, at 12.7 (deaths per 100,000 live births), was 3 times as high as the Healthy People 2010 goal, a national target set by the US government. 10 states had 18.5 or more maternal deaths per 100,000 live births. Only 5 states met the Healthy People 2010 goal of 4.3 deaths per 100,000 live births. 
  • The maternal mortality ratio for American Indian/Alaska Native women was 4 times higher than the 2010 target and for African American women was 8 times higher than the 2010 target. New government data shows that for 2005-2007, the maternal mortality ratio (deaths per 100,000 live births) was highest among non-Hispanic black women (34.0), followed by American Indian/Alaska Native women (16.9), Asia/Pacific Islanders (11.0), non-Hispanic whites (10.4), and Hispanics (9.6).
  • The risk of maternal mortality has remained 3 to 4 times higher among black  women than white women during the past 6 decades. Racial disparities were also seen in all income groups, with black women facing approximately three times higher maternal mortality risk compared to white women at low, middle, and high income levels.
  • Deadly Delivery found that little data is available on maternal morbidity (complications), despite its frequency. “Near misses,” complications so severe the woman nearly dies, have increased by over 25% between 1998 and 2005 to 34,000 a year—one woman every fifteen minutes.
  • Over 1 million women a year experience some complication of pregnancy that has a negative effect on her health. Currently, nearly 30% of women experience complications related to childbirth, and this has not improved.
  • In 2003-2007, women living in the lowest-income areas were twice as likely to suffer a maternal death, and women in the middle income areas faced a 58% higher risk, compared with women in the highest income areas.
  • States with high rates of poverty (18% or more of people living below the poverty level) were found to have 77% higher maternal mortality ratios than states in which fewer residents had incomes below the federal poverty level.
  • While cesarean births can be life-saving procedures when needed, in the US, Deadly Delivery reported that cesarean births carry greater risks of death and severe complications, compared with vaginal births. For example, cesareans have been shown to increase a woman’s risk of infection, hysterectomy, and kidney failure, and have been associated with an increased risk of developing a life threatening blood clot (pulmonary embolism). Cesareans also result in greater risks for future pregnancies.
  • The US cesarean rate rose for the 13th consecutive year to reach an all-time high of 32.9% in 2009, more than double the WHO recommended range of 5% to 15%.
  • New analysis shows that the states reporting higher than average cesarean rates (over 33% of births) had a 21% higher risk of maternal mortality than states with cesarean rates less than 33%.
  • The cesarean rate has increased every year since 1996, when it was 20.7% of all births, for a total increase of nearly 60%.
  • Cesareans remained the most common operating room procedure in the US and were performed on 1.4 million women in 2009. The cesarean rate varied widely across states, from 22.8% in New Mexico to 39.6% in Louisiana, and 48.0% in Puerto Rico, in 2009.
  • Among women who have had a cesarean in the past, the rate of VBAC was only 9.7% in 2006, a decrease of 73% from 1997 rates of 35.3%, and new data for 19 states suggests it may now be as low as 8%.
  • Rates of labor induction and cesareans that are performed without any medical reason increased dramatically between 1990 and 2006, and have grown even faster than the rates of medically indicated inductions.
  • The American College of Obstetricians and Gynecologists (ACOG) guidelines have long indicated that elective early delivery is not acceptable medical practice. Risks of elective deliveries between 37 and 38 weeks include, for the woman, a significantly greater risk of c-section and serious complications including anemia, infections, and sepsis; and for babies, a higher risk of death, respiratory problems, and admission to neonatal intensive care units.

Other statistics and facts:

  • Around the world, a woman dies from complications of pregnancy and childbirth every ninety seconds, nearly 1,000 women every day.
  • New UN data show that between 1990 and 2008, 146 of 172 countries reduced their maternal mortality ratios, for a global decrease of 34% to 358,000 deaths a year.

Read the full report for more in-depth information, important legislation introduced in 2010 and 2011, and citations.

What “Pro-Life” Really Means for Women in the US

[*people capable of getting pregnant]

When the GOP puts out “pro-life” ads, they don’t show the real consequences of denying women the right to control their reproductive destinies. They don’t show the staggering number of women who are not healthy enough for pregnancy, or suffer from complications. They show you sugary images of smiling families and healthy babies. “Pro-life” as pro-family is a blatant lie, and it’s time the GOP fessed up.

Amnesty International has released a study (PDF) of the statistics for maternal health care in the US, and the results are more than a little disturbing. As the same Tea Party Republicans who call themselves “pro-life” condemn birth control and Planned Parenthood, they stand against Obama’s much needed health care reform that would bring health insurance to millions. The United States currently ranks 50th in the world for maternal deaths. This is worse than most European countries, Canada, and some countries in Asia and the Middle East. In fact, the number of maternal deaths grew in the US from 1990 to 2008, while 147 foreign countries experienced a decline.

The biggest problem for women was a lack of access to healthcare resulting in women becoming pregnant while having untreated health issues and a lack of pre-natal and post-partum care. Uninsured women are less likely to be in good health when they become pregnant, yet the GOP doesn’t see fit to extend them healthcare. The cost of maternal healthcare is incredibly high but most providers do not accept Medicaid, and it is incredibly difficult to get Medicaid once pregnant.

The number of women who die during childbirth is still frighteningly high, and is at a 20 year peak. The number increases significantly for any minority. The number of women who suffer from severe complications has increased by 25%, and the report also

“found a lack of comprehensive and accurate data on maternal mortality, morbidity, and health care practices; a lack of coordinated oversight needed to improve the maternal care system and research; inadequate review of data; and a lack of concerted efforts to eliminate disparities.”

In a time when costs related to pregnancy and birth make up 25% of all charges to Medicaid, why is the GOP not increasing access to family planning for women instead of slashing the Medicaid budget? When it has been proven that a child whose mother dies is 3-10 times more likely to die, why are none of the GOP leaders calling for better healthcare for pregnant mothers and oversight boards for the statistics? When the GOP uses every opportunity to claim it supports families, why is it driving them to poverty by trying to force women to have children they may not be able to afford or may not be healthy enough to have? Why when the GOP says it stands with families, is it doing everything it can to break them apart?

It’s time to tell the GOP that healthy families need healthy women, and family planning is a key part of this goal.

missatralissa:


do you know what hyperemesis gravidarum, pre-eclampsia, and ectopic pregnancies are? 
2)I have no clue what those pregnancies are, and personally,  I dont  care because a pregnancy is a pregnancy, a baby is a baby.

Right there. RIGHT FUCKING THERE is why you do not deserve to have an opinion. You don’t care. You don’t care that women will die. You don’t care to even learn what happens to other women all over the world. Just because you had a healthy pregnancy you believe you have some magical right to force all other women to make the same choice you did. 
Get off your fucking moral superior horse and get educated. 
I am sick of people not even taking the time to learn what goes on. If you are so adamantly going to judge other people then at least have the fucking courtesy to learn what it is you’re judging them for. 
Do me a favor and go look up anencephaly while you’re at it. 

But an abortion by choice just because you were screwing around or dont want to give up your teen life, is DISGUSTING.

So you’re perfect? Because clearly you’re so fucking perfect that you get to be the moral ruler by which every other female on the planet is judged. 

My daughter and I are both living results of prolife moms. 

My mother is pro-choice. She CHOSE to have me when she was ready to be a mother and give me the best life she could. She also helped me go through my abortion and kept me strong. So again, unless you and your mother are so perfect that the rest of us and our mothers should be compared to you, FUCK OFF. 

What you’re really saying is, “personally, I don’t care because I’m ignorant enough to think that it will never happen to me. Only stupid bitches have pregnancy complications and are evil enough to save themselves!1!!!1”
Yeaaaah.

missatralissa:

do you know what hyperemesis gravidarum, pre-eclampsia, and ectopic pregnancies are? 

2)I have no clue what those pregnancies are, and personally,  I dont  care because a pregnancy is a pregnancy, a baby is a baby.

Right there. RIGHT FUCKING THERE is why you do not deserve to have an opinion. You don’t care. You don’t care that women will die. You don’t care to even learn what happens to other women all over the world. Just because you had a healthy pregnancy you believe you have some magical right to force all other women to make the same choice you did. 

Get off your fucking moral superior horse and get educated. 

I am sick of people not even taking the time to learn what goes on. If you are so adamantly going to judge other people then at least have the fucking courtesy to learn what it is you’re judging them for. 

Do me a favor and go look up anencephaly while you’re at it. 

But an abortion by choice just because you were screwing around or dont want to give up your teen life, is DISGUSTING.

So you’re perfect? Because clearly you’re so fucking perfect that you get to be the moral ruler by which every other female on the planet is judged. 

My daughter and I are both living results of prolife moms. 

My mother is pro-choice. She CHOSE to have me when she was ready to be a mother and give me the best life she could. She also helped me go through my abortion and kept me strong. So again, unless you and your mother are so perfect that the rest of us and our mothers should be compared to you, FUCK OFF. 

What you’re really saying is, “personally, I don’t care because I’m ignorant enough to think that it will never happen to me. Only stupid bitches have pregnancy complications and are evil enough to save themselves!1!!!1”

Yeaaaah.

(via theowlintheolivetree-deactivate)

sewenteenandrussian:

prolongedeyecontact:

Inconvenience? You hear that people capable of getting pregnant? This is all merely an inconvenience:
[clipped rest of post for brevity]

Uhm, no. My time of the month is an inconvenience. Pregnancy? That shit is life altering, and you shouldn’t be pressured to do it. I want to go into a rant about this, but honestly, I’m in too much pain, and I’m too tired to.
(Tried to post this, and tumblr engineers sent me this)
“We’re incredibly sorry for the inconvenience.”
…………

That is rich :/

sewenteenandrussian:

prolongedeyecontact:

Inconvenience? You hear that people capable of getting pregnant? This is all merely an inconvenience:

[clipped rest of post for brevity]

Uhm, no. My time of the month is an inconvenience. Pregnancy? That shit is life altering, and you shouldn’t be pressured to do it. I want to go into a rant about this, but honestly, I’m in too much pain, and I’m too tired to.

(Tried to post this, and tumblr engineers sent me this)

“We’re incredibly sorry for the inconvenience.”

…………

That is rich :/

“Janet”

[TW woman survived life-threatening pregnancy after doctors refused to do an abortion because of antichoice hospital regulations.]

My husband and I are ranchers. I was 45 years old when this happened. We have five children, and my parents live on our ranch also. We work hard, but since the multinational companies have taken over so much agriculture, it’s hard to make a living wage. It helps to get Medicaid. I’ve had a rough year; I’d been feeling ill for a long time, stopped getting my period and gained a lot of weight. After many trips to the doctor - we are 45 minutes from town - I was diagnosed with Lyme disease.

Last fall, my husband and I were repairing our roof when I fell 16 feet off a ladder. I felt a “goosh” of water, and seemed like the same feeling as when my water broke when I’d had my kids. I made an appointment to see my doctor, and a week later he said I was 17 weeks pregnant. The ultrasound showed that there was no amniotic fluid left in the sac, but that the fetus’ heart was beating. The doctor said that it wouldn’t survive, and that my medication for Lyme disease was known to cause birth defects. Because he’d delivered my kids, I trusted him and asked him to do an abortion. He said that even though he knows how and is pro-choice, he couldn’t because his hospital won’t allow them. He wished me luck, and warned me to get to the hospital fast if I started to hemorrhage, as I did with my last three pregnancies. The last one was so bad I almost died. The hospital is an hour and forty minutes from our house.

Montana Medicaid doesn’t pay for abortions, so I tried to get the money together. By that time I was 19 weeks. I raised half the money, and the fund in Bozeman gave me the rest and convinced a doctor, in a place three and a half hours from our home, to do it past his usual limit. But the night before, I started to bleed and passed out. My husband and kids were out in the fields calving. My father found me and rushed me to the hospital. I only know the rest from what my doctor and others told me. At the hospital, they gave me transfusions but they refused to empty my uterus, which was the only thing that would stop the hemorrhaging. The hospital administration wanted to air lift me to Salt Lake City, where they can treat severely premature babies, even though mine would never survive at only 19 weeks. My doctor finally convinced them to give me pitocin to induce labor. Five hours later, I came to but I was still bleeding full out. My doctor wanted to do a C-section but I refused; finally I delivered the fetus. It had died and it was very malformed. It took me months to recuperate at home.

I am angry at what I had to go through. At every step, the life of the fetus was more important than my own life. I’m angry that my own doctor wouldn’t do the abortion. Why should abortion be separate from any other medical procedure? I’m angry that the hospital wouldn’t let me have an abortion, even with my risks and medical condition! I’m angry that even when I’d lost every drop of my own blood, they thought the fetus’ life was more important than mine, even though they all knew it would die eventually.

I’m angry and I’m lucky to be alive.

Legal but Out of Reach: Stories from the National Network of Abortion Funds, 4th Ed., 2003. www.nnaf.org

In re: to my pregnancy complications post

To all the people in the notes saying things along the lines of “well why are you complaining? You knew you could get pregnant and had sex anyway so you were totally, like, asking for it. It was your choice to get pregnant, so like, yeah. If you get serious complications it’s not my problem”: the point, you missed it. By a long shot. It’s way back here in fucking reality.

The post isn’t even really about abortion, people. For real, I promise. The guy is denigrating ALL pregnant people. Pro-choice pregnant people, “pro-life” pregnant people, people who want to be pregnant, people who don’t want to be pregnant. He’s denigrating my mother, and my grandmother, and my great grandmother who gave birth to 13 children, and my aunts, and my friends who have been pregnant. This isn’t “pro-life” versus prochoice. It’s fucking cis men who think pregnancy is a god-damn walk in the park and (in his misogynist mind) women should just shut the fuck up. 

Some people choose to be pregnant, and hey, that’s their right. It’s valid and wonderful. Full stop. But no one wants to develop gestational diabetes or preeclampsia or hemorrhage to death. No one is “asking” for that by virtue of getting pregnant. There is nothing in Joe-the-misogynist’s statement for anyone to agree with. Especially if you have the nerve to call yourself “prolife.” You don’t get to force people to give birth and denigrate them for enduring what might be the most painful thing they’ve ever experienced. I don’t care if you’re prochoice or “pro-life.” You have no right to look a pregnant person in the face and tell them that they should just shut up about the fact that pregnancy is hard fucking work. Nor do you have any right to look me in the face and claim I shouldn’t want to not be pregnant because it’s just an “inconvenience” and it’s no big deal.

Check yourself, right over a cliff.

Do you even realize how misogynistic your fucking comments are getting? And now there’s too many for me to even bother addressing you individually. I don’t have the spoons for you, honestly. And I’m not sure you’re even fucking worth it at this point. You’re slut shaming and victim blaming and being sexist as all get out and I don’t think you even get it at all.

The point is that pregnancy is inherently risky. Not every pregnancy has complications but every pregnancy is potentially life-threatening. When something can kill you it’s not a mere “inconvenience.” That’s it. That’s the point.

The fact that some of you have so little sympathy for what pregnant people put themselves through for wanted pregnancies or how torturous an unwanted pregnancy can be, is fucking despicable. 

Assholes, come get your people.

dresdenlowe replied to your photo: I’m sorry it came off that way. This was brought…

Many of the temporary complications are common though. and it’s not uncommon for a person who has had an epidural to have back problems for the rest of their life. Pregnancy is amazing, it’s very alien-esque. It’s not w/o it’s downsides though.

Yes, I definitely agree. Like I said in the post, 40% of pregnancies have at least some complications. They might not all be life-threatening, but to the person they’re happening to they might be quite significant. Only they can decide that, because obviously everyone reacts differently to changes in their bodies. To many, pregnancy, even a complicated one, is a blessing. Also to many, a completely uncomplicated pregnancy could feel like torture and send them over the edge. That’s why this flippancy about the dangers and burdens really irritates the hell at of me. No matter what, pregnancy and childbirth are life changing events and they permanently change your body. That’s why people shouldn’t be fucking forced to give birth. Full stop.

I’m sorry it came off that way. This was brought up in the notes as well, so I’ll address that concern here.
I think it should be obvious (but I guess maybe not) that the intent of the post wasn’t to vilify pregnancy but rather vilify the antichoice rhetoric, misogyny, and male privilege that was dripping off the original tweet as a basis for claiming that pregnancy is just “inconvenient”. This argument is being used in the context of taking away my constitutional right to an abortion due to the poster’s assumption that 9 months of pregnancy is no big deal and that I have no basis for my concerns. Therefore, I didn’t feel the need to end with a footnote that “yay, pregnancy is actually awesome” because my prochoice stance should make it clear that pregnancy is always an option for those willing to do it. I even said in a follow up post that I fully support pregnancy as a reproductive choice.
The point of the post is to cut through the bullshit of the antichoice rhetoric that cis men like to spew. The fact of the matter is that every pregnancy is potentially life-threatening (a point I will never cede) and that alone elevates the state of pregnancy above a “mere inconvenience.” I don’t really think it’s relevant that *some* of the complications are rare (at least in developing countries) because every pregnancy has the potential to take a turn for the worst, and almost half of all pregnancies experience complications. While they might be temporary, manageable, or even wildly uncommon I fail to see why they should be reduced to mere “inconveniences” especially since the pregnant person is the only one capable of deciding if those are risks they are willing to take. As a trans* person who never wants to be pregnant, pregnancy let alone even mild side effects or complications would make me suicidal. So you can see how that would be offensive to be dismissed as “alarmist” or an “inconvenience.”
With 358,000 pregnant people DYING yearly due to pregnancy or complications I think it’s highly suspect when people, especially cis men, take the view that pregnancy is no big deal, and that the unwilling incubator should just deal with it as such rather than make the right decision for themselves and their bodies. Pregnancy isn’t the problem here, nor are the people who choose it. It’s the people who feel compelled to be glib about the inherent dangers of pregnancy, and the dangers people subject themselves to in order to bring children into the world. Because of that, I feel the need to call out bullshit like this tweet because some of us would rather get hit by a bus than deal with the easiest, most uncomplicated, risk-free pregnancy let alone die from one. 
Hope that clears that up.

I’m sorry it came off that way. This was brought up in the notes as well, so I’ll address that concern here.

I think it should be obvious (but I guess maybe not) that the intent of the post wasn’t to vilify pregnancy but rather vilify the antichoice rhetoric, misogyny, and male privilege that was dripping off the original tweet as a basis for claiming that pregnancy is just “inconvenient”. This argument is being used in the context of taking away my constitutional right to an abortion due to the poster’s assumption that 9 months of pregnancy is no big deal and that I have no basis for my concerns. Therefore, I didn’t feel the need to end with a footnote that “yay, pregnancy is actually awesome” because my prochoice stance should make it clear that pregnancy is always an option for those willing to do it. I even said in a follow up post that I fully support pregnancy as a reproductive choice.

The point of the post is to cut through the bullshit of the antichoice rhetoric that cis men like to spew. The fact of the matter is that every pregnancy is potentially life-threatening (a point I will never cede) and that alone elevates the state of pregnancy above a “mere inconvenience.” I don’t really think it’s relevant that *some* of the complications are rare (at least in developing countries) because every pregnancy has the potential to take a turn for the worst, and almost half of all pregnancies experience complications. While they might be temporary, manageable, or even wildly uncommon I fail to see why they should be reduced to mere “inconveniences” especially since the pregnant person is the only one capable of deciding if those are risks they are willing to take. As a trans* person who never wants to be pregnant, pregnancy let alone even mild side effects or complications would make me suicidal. So you can see how that would be offensive to be dismissed as “alarmist” or an “inconvenience.”

With 358,000 pregnant people DYING yearly due to pregnancy or complications I think it’s highly suspect when people, especially cis men, take the view that pregnancy is no big deal, and that the unwilling incubator should just deal with it as such rather than make the right decision for themselves and their bodies. Pregnancy isn’t the problem here, nor are the people who choose it. It’s the people who feel compelled to be glib about the inherent dangers of pregnancy, and the dangers people subject themselves to in order to bring children into the world. Because of that, I feel the need to call out bullshit like this tweet because some of us would rather get hit by a bus than deal with the easiest, most uncomplicated, risk-free pregnancy let alone die from one. 

Hope that clears that up.

CUDDLE FUDDLE by DEDDY