The public policing of pregnancy

Any pregnant woman who has ever ordered a glass of wine with her dinner, asked for a regular (non-decaf) coffee, or nibbled on a piece of brie from the cheese plate will know what it feels like to be watched, monitored and judged. Many women have told me stories of barmen asking if they’re sure they don’t want him to add some soda water to that pinot grigio, or a barista saying “You mean decaf, right?” with her eyebrow arched. Some women have even been refused service or kicked out of establishments for drinking a pint of beer or attempting to buy a block of cheese.
I know that one of my biggest pet peeves when I was pregnant with my first child was the assumption that I was completely helpless, vulnerable and unable to make decisions based on calculated risk by myself. While I acknowledge that heavily pregnant women are at a physical disadvantage in certain situations and do indeed have a decreased sense of balance, a harder time standing for long periods of time and shouldn’t be lifting a load of bricks or anything, it got ridiculous at some stages. I had people rushing forward to pry a door out of my hands and open it for me, or insist on carrying my one bag of shopping, which consisted mainly of a tub of ice cream and extra-soft toilet tissue. And on the occasions when I was only going to be on the Underground or bus for a stop or two and so politely declined the seat offered me, I would get annoyed, even hostile reactions. I had one lady absolutely INSIST I take her seat, even though by the time we had this conversation, she got her things out of the area and I heaved myself into it, I had arrived at my stop and had to extract myself from the tangle of bags and limbs to get back to the doors again. The patronisation from some quarters was palpable.
Don’t get me wrong; I always appreciated the offer and more often than not, took them up on it, grateful for the protection from being smashed and elbowed in the stomach during the rush hour commute. But as my bump grew and I got closer and closer to my due date, I got not only looks of sympathy but ones of distaste. I remember one man grumbling under his breath when I waddled onto the train carriage one morning: “Jesus, is she going to give birth here too?” and rolling his eyes. It was astonishing, and obvious that some people felt that I should be confined to my home, a la the Victorians.
Funnily enough, that concern seemed much less prevalent when I was pregnant with my second child and had my daughter in tow with me. There were many times when I genuinely could have used some help while trying to get my pushchair, shopping and massive belly out of a narrow shop while holding the heavy door open and had completely able-bodied and pushchair-less people wait patiently, not offering any help, while I struggled and heaved and got flustered. It was as if the fact I was already a mother meant I didn’t need any help or consideration at all. Kind of like “Well, you knew what you were getting yourself into this time…”
I know it’s hard for people (especially those who have never been pregnant themselves) to know what to do and that each woman is different in what kind of help she’d like or need, but I think it’s safe to say that offering = good, insisting or completely ignoring = bad.
Of course, none of this compares with what Samantha Burton went through. Burton, who was 25 weeks pregnant and had two older children, was hospitalised against her will in Florida last March when she questioned her doctor’s order for complete bed rest after he suspected an impending miscarriage. Burton, who simply asked for a second opinion, was then forcibly hospitalised and forced to submit to “any and all medical treatments” the doctors felt necessary to ensure the safety of her foetus, even though a) there is no clinical evidence to support the commonly-held belief that bed rest improves outcomes for miscarriages; b) she had two other children to care for and so bed rest wasn’t feasible; and c) IT’S HER BODY AND THEREFORE HER DECISION. For three days she was held captive until undergoing a forced cesarean section that revealed her foetus had died anyway.
Thankfully, the American Civil Liberties Union (ACLU) has taken up the case and will be following it and keeping us updated as it goes through the Florida Court of Appeals since it (amazingly) lost in the original trial, Burton v. Florida. So far, the state of Florida has (appallingly but not surprisingly, in a state with a nearly 40% cesarean section rate) defended its actions as simply “maintaining the status quo.” Sadly, the status quo in America (and increasingly in other places as well) seems to be about treating pregnant women as incubators and their rights secondary to that of the foetus residing in and dependent on their bodies.
Making sure that we are afforded the same rights to make decisions regarding our health, safety and care as anyone else (even if an onlooker or doctor doesn’t approve) is absolutely imperative in ensuring we have full human rights, let alone “women’s rights.” And part of exerting that autonomy is by being able to eat cheese, drink caffeine, have a beer or carry our own shopping, Pregnancy Police be damned.
about 1 month ago
The example you provide is awful. And a 40% c-section rate is unacceptable.
Maybe things are different in Ottawa but the number of times I got onto a bus pregnant and had to ask someone to give me a seat for my 20 minute ride was absurd. People would just look away until someone else offered.
about 1 month ago
@Capital Mom – I agree that 40% is unacceptable. It’s horrible, really. And yes, some people do just ignore you if you’re pregnant because they don’t want to be the one to get up. Good on you for asking though, I know too many women who would just suffer in silence for fear of appearing rude or ‘entitled.’
@Mothership – Looking forward to seeing this post of which you speak!
@lovepeaceohana – Very well said. It’s all about trusting women.
@jen – Yep, exactly. And it’s a very frightening prospect!
@Heather – Yes, one has to wonder if the stress of being held prisoner didn’t perhaps contribute to her baby’s death, because obviously the ‘bed rest’ didn’t work.
@Irene – I don’t know about ‘priority’ but certainly ‘consideration’.
@Lost in France – Yes, bodily autonomy includes pregnant women smoking. We can’t FORCE someone to stop smoking, only give them all of the information, support and resources to help them quit. Same goes for pregnant women.
I disagree with your statement that women want equality but then get upset when we are treated the same. This is a common argument brought up in anti-feminist conversations. A lot of people seem to think that feminism can be simplified down to the buzz words of Choice and Equality, meaning that any choice that any woman makes is feminist (merely because she made it freely) and that obtaining equality with men means we must be treated exactly the same in every circumstance. Neither are true. Feminism is about seeking freedom from sex-based oppression, not women seeking to be exactly like men.
As for cesareans being lifesaving, of course they can be! No one disputes that. But 40% is not lifesaving, it’s harmful — to babies, to mothers, to everyone. The WHO recommends a rate no higher than 10-15% to keep infant and maternal mortality rates at their lowest. Doubling and even tripling that rate does not prevent more deaths…it causes them.
about 1 month ago
just found your blog and love it. Will be back to read and comment further but have to dash to fetch Thing One. Very glad, though to have been given kick up arse reminder about post I have been meaning to write since my return from UK recently.
Keep up good work (and see you on Twitter)
about 1 month ago
I never really know what to say to things like this. Frothing incoherently with rage doesn’t seem productive, because I like to believe that the people who voice their concerns are trying to be sensitive to a mother(-to-be)’s needs, but sometimes the patronization is just so palpable and infuriating. When I was pregnant with my first child I had some people (mostly friends and family) ask if I would switch to decaf, but a patient explanation that caffeine in moderation would not be harmful to my growing babe was good enough for them – and now that I’m pregnant with my second, they generally trust me to make my choices.
That’s what I think is largely missing for most of these conversations: trust that women can and will make reasonable choices for themselves in their families. It’s writ large throughout the struggle for reproductive justice and I have a feeling we will make no headway in any of our endeavours unless we can first convince the rest of our society that women are indeed rational, thinking human beings capable of and entitled to sound, informed decision-making.
about 1 month ago
this is the problem with the growing pro-life movement. that fetus has more and more legal rights… which means the mother automatically has fewer.
about 1 month ago
It used to drive me totally insane how I was suddenly considered to have the intellect of a child and needed asking ‘are you sure’ and ’so you think you should be doing that?’ over food and exercise choices.
the second time around with a boisterous, clingy, 2 year old to look after at the same time I found even more annoying. i couldn’t possibly be strong enough to push a wheelbarrow of hay to a field for my horses but carry a 10kg child around half the day was fine.
The story about the woman confined to her bed is deeply disturbing. Taking away a persons rights like that and holding them prisoner, which in no way has been proven to help and I’m sure the added stress was very detrimental at this time, is preposterous. Utterly appalling.
about 1 month ago
I totally agreed, priority should be given to the mommies. They are also loyal customer and public consumer who enjoy the same treatment.
about 1 month ago
During both my pregnancies, I ate and drank exactly what I liked and had two very healthy babies as a result. I believed in my ability to know what is best for me and my unborn child and was fortunate to find people who respected my wishes. However, if we are to support a woman’s right to make her own choices, this would have to extend to smoking in pregnancy too, wouldn’t it? I wonder, though, how much we have contributed to this situation ourselves. We demand to be treated equally, which is absolutely right, but then some times when we are, we don’t like it. People often can’t do right for doing wrong.The 40% caesarian rate is high, but how much of it is caused by people suing hospitals when they got it wrong leading to this fear of litigation that has undoubtedly driven up caesarean rates. However, my biggest peeve is the demonising of caesareans, without which both my children would have died. Just a few thoughts to throw into the pot. Very interesting post and I’ll look forward to seeing how this blog develops. Good luck!
Previously (Very) Lost in France´s last blog ..Is it genetic?
about 1 month ago
The case of Samantha Burton is one I particularly identify with – I was put on bed rest whilst pregnant with Babygirl and whilst i was doing all I could to protect the baby it was with my consent and not whilst forced to do something
Whilst pregnant I hated that I was policed – it was my informed choice to drink, eat cheese, eat rare meat based on what I’d read – not the choice of the uninformed to tell me what they thought I should do
Muddling Along Mummy´s last blog ..Being the less loved parent