birth, Honesty
Trigger warning: Birth, hospital, doctors, mortality  In the midst of a week that has been celebrated in the birth community for the reversal of censorship of real birth images on social media, there has also been a piece of problematic fictional birth media circulating online. When I first saw SNL’s sketch from May 12th, 2018, “On the Day You Were Born,” which stars Amy Schumer as a mother and as a woman in labor, I was annoyed by it, but willing to let it go as a joke. Of course it is important to laugh about the things that can be most challenging in life, and for a lot of people their experience of childbirth tops that list. Then yesterday, I saw the video being shared via BuzzFeed, with the title “This SNL Sketch About Childbirth is Hilariously Real,” and that tipped me over the edge. Okay fine, so I read the comments (never read the comments) and really that’s what tipped me over the edge. (Haven’t seen the video yet? Watch it here). While there are moments in this sketch that are redeeming, and even some realistic depictions of postpartum and parenthood, the portrayal of Amy Schumer’s character in labor is deeply upsetting… We see a woman screaming bloody murder –  in absolute terror – while laboring in a hospital setting. Her husband is equally as terrified. There is a curtain up over her legs – disconnecting her from her own experience – and the medical staff in the room are only paying attention to what’s going on between her legs under the curtain. No attention is paid to how she is feeling… which, again, seems to be completely terrified. Everyone in the room is yelling, and in total hysterics. Another doctor comes in and Amy yells at her asking where she’s been, seemingly pleading the doctor to save her. I’ll pause there, because I think you get the picture. How often do we see birth depicted this way in the media? Pretty often. We are used to it. So it shouldn’t be a big deal, right? Wrong!
“This SNL Sketch about Childbirth is Hilariously Real,” says BuzzFeed. “Real?!” I yell, as I shake my fist skyward, “this is not the way it has to be!”
Let me back up and say that I have no problem with the fact that this sketch takes place in a hospital. People should give birth where they feel most comfortable, and for most people that will be under medical supervision, in case something goes wrong. Just remember – birth is not a medical event, and though you will likely have medical options to consider during labor, birth works uninterrupted most of the time. It is true that over the course of history maternal and infant mortality rates have gone down overall. This likely has to do more with the availability of healthcare and resources throughout a person’s lifespan than it does the presence of medical personnel during labor and birth (i.e. Rickets and Polio used to be big risk factors when giving birth – and they no longer are – even basic nutrition and access to healthy foods makes an enormous difference in prenatal care). It is also true that since the 1980’s those maternal mortality rates have been rising in the US (due to unnecessary, unsafe, and overused medical intervention). As a doula who attends births for a living, all of the births I have attended thus far in my career have taken place in a medical setting. That being said, none of them have looked anything like that SNL sketch. Most people should give birth in a hospital, because that is where they feel safe! But, they should not give birth in a state of terror! Terror can and should be avoided during childbirth. Now, to return to the SNL sketch, it’s not problematic to me because I lack a sense of humor. I understand that it’s intentionally dramatized. It is problematic because for so many people this is their reality, which is made evident by the popularity of this – now viral – video. Because we are fortunate enough to be living in 2018, when many of the pre-existing medical conditions that could negatively impact perinatal and newborn health have been treated throughout our lifetimes, and we are overall healthier than folks were even 100 years ago… birth works most of the time, and there is no need for it to be so entirely over-medicalized. The standard in obstetric care is to strip away the authority and autonomy of the pregnant/birthing person, and assign all power to the doctor in the room. This is not only inappropriate, but also dangerous. It can leave a person feeling like they have no control over what is happening to their own body. It can lead to terror. In midwifery care, this standard is often different, and the individual who is receiving care is treated as the expert in their own body and experience. (If you’re interested in hearing more about this, check out this episode of 1A from NPR on maternal mortality rates in the US). The over-medicalization of pregnancy and birth often leads to way more stress and fear than it does peace of mind. Especially when the care model is set up so that most people (receiving care from an OB) spend only five minutes, give or take, with their doctor in a prenatal appointment, and 0% of that time is spent actually discussing their feelings towards pregnancy and birth, or heaven forbid, their fears.
The standard of care needs to change. The depiction of childbirth in mainstream media needs to change.
How can we expect people to go into labor without an overwhelming sense of fear when there is no one addressing their concerns, or preparing them honestly for what could happen once they’re in the labor setting of their choice, whether that’s a hospital, birth center, or at home? That is, unless they have the resources to seek independent childbirth education, and/or hire a doula. How can we expect people to go into labor unafraid when all that we see in the mainstream media are overdramatized and over-medicalized depictions of childbirth? The more we expose ourselves to positive birth images and stories, the less “hilariously real” this SNL sketch will seem… more like horrifyingly misunderstood and unsupportive. Maybe I’m doing SNL an injustice, though. Perhaps this piece was intended to be a glaring satire that is critical of the massive shortcomings of the current obstetric model, but that is certainly not how it was received by the general public. Indie Birth does a lot of work involving the importance of birth media. As part of their work as not only midwives, but also activists, they provide images and stories that help to bring others into the birth space. In part, this is done because it is something that has been increasingly lost in our culture as birth became taboo. In the past, you may have been present at several births before your own first pregnancy and first experience giving birth. As Margo Nelson recently said on an episode of the Indie Birth podcast, “there’s a way to [share birth media] that is for the highest good.” (Check out that podcast episode here). So BuzzFeed, why not write an article about the #IGUncensorbirth petition, or talk to Indie Birth about the work they did behind the scenes to make the importance of real birth media understood (by a team of people who had no vested interest in birth rights and were not parents themselves)? Let’s redirect the attention to positive birth stories! Let’s build a generation of well-informed, unafraid, powerful birthing persons! Want to see real birth media? (Click here for my list of Instagram accounts to follow). Don’t believe me that you can give birth in a hospital, but that it doesn’t have to be like that? Check out this photo of Emily @mamasaurusssrex, cool as a cucumber, catching her own baby in a hospital setting: Still think I’m overreacting? (Check out this article about the abuse of women in labor, which is just the tip of the iceberg). Birth in love! Not Fear!
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As the the child of an academic, and a student of the liberal arts, I hold in high esteem the ability to think critically… And, (as a Being doing my very best to appreciate this life incarnate) I also desperately try to avoid harsh, unjust, unnecessary, pessimistic criticism of the world of around me. Where is the line between critical thinking and plain old criticism, and how do we toe it gracefully? At the very core of critical thought, there is a need to find fault, and a need to tap into negativity. If we are to analyze a work of art, a scientific study, or a political policy, we need to be able to see both the good and the bad. In my childhood home, and in the classrooms I have been privileged to study in, I was praised for criticism. I was praised for looking at the world presented before me and finding its faults. I was praised for being able to see these faults, mull them over, explain them in depth, focus on them, and (only sometimes) offer a solution to them. All the while, I was also being conditioned to see the world through a particular lens, with a particular set of biases. This complex relationship to critical thought made me believe that there was always a right and wrong answer; that critical thinking is objective. Wrong (ha! there I go again). We criticize based on what we perceive. Perception is subjective. I don’t know about others, but I am not convinced that this very important point was made clear to me during my days as a university student: critical thinking is founded on subjectivity. The practice of critical thinking, of criticism, once came with rewards; now, it comes with struggle. Perhaps others can relate to this experience. I look back, and think about where this landed me. On one hand, I am well educated, employed, able, and articulate. On the other hand, I feel stuck in a rushing flood of negativity, against which I am tirelessly swimming upstream. How do I hold true to my identity on both sides? How do I continue to challenge my environment, to be an agent of change – for certainly we have to think critically in order to have the necessary direction to enact change – and yet, still remain optimistic, positive, and Light?  How to survive? I need my critical thinking skills to avoid falling victim to the fear and dis-ease of the modern world. I also need an optimistic spirit, an ability to see the best, not the worst, in order to remain sane… even happy. Criticism, like all negativity, has its roots in Fear. We decide that something is wrong, that it is faulty, because somewhere deep down we fear what our reality would be if it were true. 2+2 = 22?! Wrong! If that were true the very Earth would crumble beneath my feet! (And this doesn’t mean that 2+2 does, in fact, equal 22, only that we should question why we are so quick to say it is untrue.) Only through the lens of Love can we make trustworthy judgements. Self-awareness is my only solution, as it often is. I must continue to observe my thoughts, my emotions, my involvement, and my energy. I am not alone in this. I need to ask for support from friends, for them to be a sounding board without pushing me deeper into the strong current of negativity. Only through self-awareness might I have a chance to understand when I am purpose-fully using critical thought, and when I am being unjustly critical.
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BestSelf, Healing, Intention, Loving Kindness, Practice, Yoga
“Throughout class I will offer hands-on adjustments, if you are open to receiving adjustments during your practice, [turn your palms to the ceiling] now, and if you prefer not to be touched, stay as you are.” I say the above, or something similar, towards the beginning of any yoga class I teach during which I intend to give students physical adjustments. To me, this doesn’t seem revolutionary. More and more, yoga instructors are being taught or coming to realize that it is important to ask permission before touching their students. Not everyone wants to be touched every day, and there is an enormous list of possibilities as to why that might be – injury, trauma, bad mood, distractions. I am not going to address those possibilities in any detail here, instead I will discuss consent. I have been asking my students’ permission before giving adjustments for about a year, but recently I have shifted to using the consent-based language above. Why? Thanks to a workshop with Gwen Soffer (Enso Yoga) and Melissa Lucchesi (Voices Inc.) my eyes were opened to the distinction of consent (see resources at the bottom of this post for more information). Consent is empowering. Consent allows you to say, “yes,” as emphatically as you want, so that you don’t have to say, “no,” with any emphasis (or panic). In a culture that is hyper-sensitive to political correctness, we have somehow neglected the importance of consent.  The baseline assumption when you request anything of another person, should be that the answer will be “no.” I don’t say that to sound negative, I say that because unless they consent, unless they choose to answer “yes,” then you shouldn’t expect your request to be granted. In the US you are innocent until proven guilty, well, in this life your requests are denied until they are granted. When you are acting in relation to others – you need to ask – you can’t just act presumptuously. I mean… you can, but if you do, you’re probably being a privileged asshole. That being said, just because you ask for something doesn’t mean you will receive it. The baseline assumption when another person requests something of you, should NOT be that you are obligated to find a way to say “yes.” Saying “yes” doesn’t make you a better person, more generous, or cooler. Saying “yes” when you don’t want to is not only exhausting, but also, by saying “yes” when you don’t want to, you are surrendering your personal power. We tend to fall victim to social obligation, rather than practicing our right to consent. I truly believe there is no personal freedom greater than the power to give consent. So, back to the yoga classroom… Here are some of my thoughts about consent, lack thereof, and hands-on adjustments in class, based on my own personal experience as a student and a teacher. If a teacher asks permission before giving physical assists in any way, even without using consent-based language, I believe that is better than not asking at all. For example, I used to say, “Throughout class I will offer hands-on adjustments, if you prefer not to be touched [turn your palms to the ceiling] now.” This is almost the same as how I ask now, but it requires that those who do not want to be touched take action to opt out. This is not the same as giving consent. This assumes that everyone wants to be touched, except for those that don’t. It also puts those who are opting out in a potentially uncomfortable position. Similarly, I have also heard teachers mention at the start of class, “I will be giving assists during class, if anything feels uncomfortable, you are welcome to say no thank you.” Social obligation may drive students to accept unwanted assists, or to feel guilty about taking action to say “no.” It’s like walking around a party with a tray of hors d’oeuvres and handing them out to everyone instead of letting people choose to take one for themselves. All the party-goers take on that distinctly awkward body language as a deviled egg is shoved into their hand and they mumble, “oh, okay, thanks,” and then turn to their friend and say, “I really don’t want this,” and end up leaving it hidden in the foliage of the nearest houseplant. If a teacher only asks permission while in the process of giving an assist, I still believe that is better than not asking at all… but barely. The instructor’s hands are on the student and then they say, “does this feel okay?” In some cases, a student will reply “no,” but more often than not they just nod their head in agreement. I have to wonder how many students have grimaced through a painful or downright bad assist out of social obligation and a desire to placate their instructor.  Finally, there are teachers who do not ask permission at all to give hands-on assists. Some of these instructors are my friends, and some are my teachers. I still choose to take many of their classes, but I am practiced in letting go of social obligation, setting my own boundaries, and saying “no,” and that is not the case with most students. Some of the reasons I have heard to justify giving hands-on assists without asking permission include:
  1. Two fold…
    1. “If a student comes to my class, they know they will be adjusted.” What about new students? What about students you know but have a new injury, or are in a bad mood, or just want their freakin’ space today? I can tell you from my own experience that there are certain teachers that I know will adjust me if I am in class, and when I am having a day that I don’t want to be touched, I don’t go to their class.
    2. “If they don’t want to be adjusted, they can just go to a different class.” Sigh. Well, shit.
  2. “I can just sense whether someone wants to be touched or not. I can sense their energy.” Even the most wonderful, in tune, energetically aware instructors have been blinded by their own ego and presumptions and given me assists that were unwanted. That is, before I learned to say “no.” Please please please, instructors, keep your ego in check on this one.
  3. “I’ve been teaching for so long, I’m not going to change the way I do things now.” Well that’s just a stupid excuse. The yoga practice is one of self-awareness and personal growth. If you have decided that you will continue to not ask permission before giving adjustments, fine, but at least come up with a justifiable reason.
I ask my instructor friends to join me in questioning why we approach adjustments in the way that we do. Is it our place to give hands-on assists? Should we ask for permission, and if so, how/when? What is the real purpose behind each and every assist? When might we be causing more harm than good? How much of how we view assists is our own stuff/ego? What might we be putting on our students? How can we best serve every student who walks into our classes? Historically, this conversation has gotten pretty heated. It is difficult to consider that we might be harming our students or making them uncomfortable when we have the best of intentions. Just try to take the time to reflect on consent-based physical assists. Whether or not it resonates with you as a teacher or practitioner, I believe that we owe it to our students. The teacher-student dynamic inherently has a power hierarchy, and as teachers, we need to take every precaution not to strip our students of their personal power. Consent is a personal freedom. Let’s give it back to our students.
Click the Links Below for More Resources: Affirmative Consent Arrives in Yoga Studios Permission Stones Trauma Informed Lens – Gwen Soffer and Melissa Lucchesi      
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