I’m a midwife, and I can’t keep quiet about our reproductive system

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Reading a chapter about a dead mother hits me in the chest; gasping for air near my heart, pain, while my soul trembles with anger, fear and pain. I read his name-Amber Isaac, Sha-Asia Washington, Dr. Chaniece Wallace-Then I try to imagine in my mind who this person was, the family he left behind, and the life left hopeless in his dreams and dreams stolen. Another kind, dead woman. All due to broken systems and other broken suppliers.

As a midwife, what makes me hang my head is the sadness, the embarrassment and the indifference and the absence of the voice of the giver when discussing the epidemic of women and the deadly plague that is taking place in this country.


We are the only northern hemisphere in the world where maternal mortality and mortality are rising; where it is now less safe to give birth to a mother than it was in the past.

A mother’s health problem is because we have come a long way from the way the body is born. We fear and act to correct the bodies of the people born. We do not stand in the way of racism in our native culture of five races in the US, and seven to twelve in New York City, is more likely to die than a white person. We have failed to acknowledge or accept that there is something called reproductive violence done under the name of “proper care” and that the language and expectations we place on childbearing are judicial and less likely to be some form of oppression.

We hear from government officials, NGOs, relatives, doulas and hospital administrators, but caregivers (midwives, nurses and doctors) remain silent. The obvious shortcoming of this will be a problem from those who really are provide care for middle-aged people they give permission to the rest of the world to go beyond another senseless and unplanned maternal death in haste and unaware of the magnitude of the problem.

And while the aforementioned parties have the right to speak out and hold us accountable, they do not have the medical mindset that can adequately address the spread of the problem; this reduces the size of the responses. It is easy for all other people born to evaluate and judge the decisions that providers have made because they have not made life-saving decisions and have the weight of the decision; and we have let their words and thoughts be heard.

I agree that it is impossible to speak as a donor. There is a misconception that comes from all other places of birth, the fear of admitting our mistakes, the second hurt to endure and the threat of lawsuits that we have to sue for all of this. I have heard of him being portrayed as careless, indifferent, unhappy and evil, caregivers who hurt the sick, which shocked and embarrassed me. However, I cannot remain silent as women continue to suffer because of our birth in America.

Some caregivers remain in a state of shock or indifference to the problem of women and vary in their level of acceptance that the system is wrong, discriminatory, prejudiced, oppressive and dangerous. We work with women to improve the health of women in accordance with current laws and regulations. Some days, just doing our job hurts more than we help the people we want to take care of. But we cannot continue to accept silence and indifference: We cannot accept the situation of ignorance, traditional conflicts, racial decline and a broken system that also causes problems. We will continue to exacerbate this problem if we do not accept our responsibility to speak and act well for the people we serve.

I will not protect people who are careless, racist, prejudiced, who refuse to acknowledge and express their preferences, or who do not think there is anything wrong with our care system. I am prepared to consider, however, that the mothers who entered the profession as healers, do not show up on a daily basis to injure pregnant women intentionally or intentionally, but the attitudes we all have and the racism that occurs in this system. and injuring middle-aged people. Total bias is true. Prejudice is real and especially since modern OB / GYN systems have been established. Misogyny, patriarky and hierarchy are real in this system of birth — I have seen it with my own eyes.

Providers want to take good care of people and put a lot of energy, effort and emotion into keeping our patients safe and healthy. It should be noted that good intentions and being “kind” to patients are not a function of anti-discrimination, and it is not enough to deal with the dangerous nature of a system built on racism, misogyny, patriarchy and hierarchy. The problem with the providers is that our power is compromised in terms of the pitfalls of how “safe” and “well” are described here in the natural environment, the principles and practices of our current, oppressive system. We are committing ourselves to wrong beliefs and practices and the stress we see as a sign of a failing system, which perpetuates the origins of reproductive violence and the pressures we did not want to commit.

We must be zealous and blameless. Our good intentions should lead us to work harder; heart function. A job that requires us to recognize our bias, uneducated and create others with the system so that it will respond better so that we can better care for the people born in our communities.

One of the cure is to be honest about the past challenges we have been facing without letting the fear that surrounds us guide our actions. I can start with the pressures I have to deal with in order to be a good provider to start conversations: being a midwife — humiliated, disrespectful, neglected and considered a “doctor extender”; any person whom I feel I have offended in the name of “doing what is good for them and the child”; to be active in racism; Be white, carpenter, gay or lesbian; being judged and feeling inadequate by other caregivers; weakness.

Now, what’s yours?

I urge all of us to be honest in our actions and those that prevent us from showing our patients the way they should. I understand, especially with the reduction of the global epidemic on our shoulders, it seems impossible to sacrifice yourself, but our mothers and the health of our mothers want us to do this.

Ask yourself, “If the system were to be both effective and secure, what if we were working so hard just to fail the people we care about?” The strangest thing about this congenital problem is that it has been a major epidemic for generations, yet we have not experienced it as quickly and effectively as the epidemic we are currently experiencing. Why? What about women, especially black people, who die less traumatic than COVID-19? Why have we not experienced the problem of maternal disease so quickly and the realization that we are all here?

There is no single solution to the problem of childbirth and the problems we face. Discussions about responses are often biased, myopic and multifaceted: midwife compared to a doctor, birth at home against hospitalization, female birth control against miscarriage, epidural versus pain medication, and so on. has an answer ”because we need the courage to think seriously about the problem and the answers to the problem. And make no mistake, I am not saying that the shortcomings of our machines are our own, but I want to make it clear that this system and its failures will not completely solve problems if we can expect a birth defect and silence in production.

So let’s start talking and encouraging our patients in another group and through our honesty, self-disclosure and unwavering commitment “without injury.” We are part of a variety of natural phenomena that surround the expectant, and when we remain silent after the death of a loved one in our care, the process of healing, accountability, action and answers die with them. And while I don’t understand that births, for the most part, are on the brink of hospitalization, we should learn from the examples described in the middle of the epidemic that, as caregivers, our healing, our work and words, story. Instead, using the power of our words is probably the only thing that can save the lives of our mothers — people we have dedicated, wholeheartedly, to serve.



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