Category Archives: Uncategorized

The Obstetrician Who Cried “White Privilege”

In December of 2016, I wrote an essay for Nursing Clio called Nurse-Midwives are With Women, Walking a Middle Path to a Safe and Rewarding Birth. In the piece, I advocated that all women be given the option of delivering with hospital-based nurse-midwives, whose evidence-based practice results in safe births and, in some settings, significantly lower rates of interventions such as cesarean section. I only recently, quite belatedly, realized that OB-GYN Amy Tuteur had responded on her blog to my essay. She offered a belittling (and inaccurate) representation of my position on hospital-based nurse-midwifery, specifically invoking the specter of “white privilege.” Why? …

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Face to Face with Sharrona Pearl

I recently had the pleasure of speaking with Sharrona Pearl about her new book, Face/On: Transplants and the Ethics of the Other. Below are excerpts from our conversation, which ranged from disability, to artistry, to parenting, to sex transitions, all illuminated by Sharrona’s insights from the history and culture of face transplants…

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Eighth-Grade Innovator Helps Girls Focus on Class Periods, Not Menstrual Periods

“If men could menstruate,” Gloria Steinem observed wryly in an iconic 1978 essay for Ms. magazine, “[s]anitary supplies would be federally funded and free.” Surely, too, tampons and pads would be stocked in every public bathroom just like toilet paper.

Instead here we are, almost 40 years and a powerful women’s movement later, and women and girls still have to pack their supplies into pockets and purses, and figure out how to have them handy at that time of the month…

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I May Not Heal, But I Will Live Better Thanks to Occupational Therapy

Last year I learned how to chop a carrot with my eyes closed. While being filmed. Sounds like one of those crazy reality cooking shows, like “Cutthroat Kitchen,” doesn’t it?

Actually, I was in the model kitchen at the Lighthouse Guild for the Blind in New York City, and the filmmaker was Joseph Lovett. We were shooting a brief documentary designed to teach ophthalmologists when and how to refer patients for low vision therapy. I was grateful for the care offered to me by the Lighthouse Guild, and I had agreed to be a sample patient for the film…

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Is Contraception “Health Care”? The Hobby Lobby Case

As we wait for the Supreme Court to render a decision on the Hobby Lobby contraception coverage case, I have been pondering the historical relationship between contraception and health care. Is it obvious that contraception should be considered part of “health care”? And would it be possible to decide that it isn’t, but still make it affordable and available?…

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Sportscasters Advocate Elective Cesarean Section

Yesterday, and others excoriated sportscasters Boomer Esiason and Craig Carton for obnoxiously opining that baseball player Daniel Murphy should have told his wife to have an elective cesarean section, so that the birth would be done before the season started.  Boomer and Carton were annoyed that Murphy missed two games to take 3 days’ paternity leave, to be with his wife after the birth of their child.

As an advocate of evidence-based birth practices, I of course find this suggestion alarming.  Cesarean section is major abdominal surgery, and can come with complications.  It also increases the chance of problems in future pregnancies and births.  And premature birth can cause long-term problems for the child.  Pre-term convenience cesareans are clearly a bad idea.

But even more, as a historian, I find this story really striking. 

First, the most obvious: Sportscasters casually opining about cesarean sections? Wow.  Even a decade ago, this would have been shocking.  But in recent years, celebrity pregnancy and birth have become staples of tabloid news, and we casually discuss who has a “baby bump,” who gave birth when, and who is breastfeeding.  We used to focus on stars’ sex lives, but now we talk about the aftermath too.  Sportscasters discussing cesareans and paternity leave is perhaps a natural next step, giving some public attention to men’s reproductive lives.  While I didn’t like what Boomer and Carton had to say, my inclination is to feel that this is probably a positive development.

Second, it is clear from this incident that cesarean section has become as normalized and taken-for-granted in our society as vaginal birth.  Murphy’s wife in fact, in the end, gave birth by emergency cesarean.  Boomer and Carton, and other commentators, called it a “normal birth,” without complications.  They thought Murphy should have spent at most 24 hours with his wife during her recovery.  In 1965, the first year statistics on cesareans were compiled, they accounted for 4.5% of births in the United States.  Rates began rising in the 1970s, and now stand at about 33% of births.  In 1965, a surgical birth would certainly have been treated as “complicated,” by all involved.  Now, it’s routine.  The fact that surgical births often come with postpartum complications, such as incision infections, and typically come with much longer and tougher recoveries, disappears into the “normalcy” of the practice.

Third, I am struck in various commentaries, such as one by Mike Golic and Mike Greenberg, that the father’s role in birth is typically considered very important, but also very narrow.  He is supposed to be there for the birth.  It is not always clear whether it’s for his sake, to have the experience of seeing the baby newly-born, or for his wife’s sake.  As long as he’s there for that moment, and his wife isn’t hemorrhaging afterwards, his official, ceremonial role is done.  Murphy clearly did not experience his wife’s birth this way; he was quoted as saying, “I can only speak from my experience — a father seeing his wife — she was completely finished. I mean, she was done. She had surgery, and she was wiped. Having me there helped a lot, and vice versa, to take some of the load off. … It felt, for us, like the right decision to make.”  But even sympathetic commentators from the sports world tended to view the emergence of the infant as the crucial moment, and the rest as optional.  For most of Western history, of course, husbands were not welcome at their wives’ births; it has only been in the last 50 years that we have cultivated a new role for them as partners and supporters of their wives.  But it appears that at least for some Americans, this new role is defined incredibly narrowly, as a ceremonial moment, kind of like wedding vows.  See the baby come out, cut the cord, done.  It seems to me that the narrow definition serves busy husbands better than it serves laboring and recovering wives.

While Boomer and Carton’s commentary was obnoxious, and their harsh criticism of Murphy for taking three days’ paternity leave infuriating, I am pleased to see these issues addressed in the hyper-masculine world of professional sports.  I just hope Boomer and Carton don’t have the last word.