Birthing an Ancestor

This was a project I completed as part of my Environmental Humanities and Global Health course with Prof. Kimberly Theidon. I was also featured on the Fletcher School’s Gender and Intersectional Analysis website. I share the complete project here.

 

Part 1: Bringing Home An Ancestor

This infographic guide is intended to help birthing parents and their support people create the environment needed, regardless of medical intervention, to reduce the instance of trauma in childbirth, and to frame the entire process of childbirth in an ancestral frame.

Part 2: Birth Plan Page

This is intended to distill preferences and priorities in a way to share with the nurses, doctors and other care providers involved in a birthing parent’s care. For those able to work with a doula, this would be a great resource to create together. For those who will have a support person in the delivery room with them, it is important to make sure that person is equipped to advocate for the birthing parent on these points, too.

Part 3: Postpartum Sanctuary Plan

NOTE: I did NOT write this, but I wanted to include it as an important element in the toolbox to give to birthing parents.

This guide is intended to help birthing parents reflect on their physical, mental, social and spiritual needs surrounding the process of bringing new life into the world. So much of the childbirth process centers only on the child, but the agency of the birthing parent has to also be centered. No healthy intergenerational experience can be created in reducing one of the generations only to a machine.

This template on Canva was adapted from “The Fourth Trimester.”

Part 4: Affirmation Cards

These were adapted from the same Canva template mentioned above. Many remain unchanged, but some of the language has been adapted to align with the language choices I have made throughout the project.

Part 5: Reflections

Here, I reflect on how I approached the project.

Thank you for engaging with my work!

Topic:

Birth plan for an ancestor

Background:

Throughout this semester, I have been reflecting on one of the earlier discussions about a reframing of our responsibilities to our communities and environment that looks beyond the living generations and instead as all we have being borrowed by generations we will never meet. If we raise ancestors – then the choices we make will surely be informed by the stories of our ancestors. As I look to my own family, there are stories of ancestors who have characteristics I wish to emulate in their way of caring for each other, centering education, and so on. Other elements are less desirable when they are extractive of people, natural resources, environments, etc. Looking at my children, they have extracted ancestors in their father’s side who survived slavery and Jim Crow America. While they should be proud of the strength it took their ancestors to survive these horrors, it is our project in raising them as future ancestors to heal those wounds so the harms of extraction are not passed on further.

This thought framework, inspired by indigenous traditions, including the concept of the seventh generation, as well as models like the ‘evolved nest,’ laid the groundwork for my approach to creating a birth plan.[1] I recognize that the resources I assume are at the disposal of whomever would utilize this plan denote a certain level of privilege and access, but I attempted to include as much gender diversity, family diversity and cultural diversity as possible.

As we have centered care throughout the semester, I wanted to imagine it more explicitly in the context of welcoming a new child into the world. This is for a few reasons, which are largely rooted in my own experience. Before exploring those, I want to be clear that this project is rooted very much in the lessons of reproductive justice. Pregnant people should not only have access to choice regarding the decision to bring children into the world, and so this resource I made is for those who wish to expand their families with a child and are able to do so. In the frame of reproductive justice, too, choice is not enough – and a hope of this resource is that it will encourage all involved in the childbirth process to center justice and care in their relative capacities.[2] Additionally, many resources and birth plans assume that everything will go exactly as planned. Even when there are no negative health outcomes, that is often not the case. I wanted to create a positive and hopeful birth plan, but one that fully acknowledged that childbirth is dangerous and scary at times, and all outcomes are not desired.

This is where trauma awareness comes in. Many people who give birth will have experienced trauma at some point in their lives, and the experience of childbirth is frequently a traumatic one in and of itself. This can be due to health issues and pain, but it can also be due to abuse inflicted by providers.[3] I argue that all involved in healthcare at any level should be required to have robust training in trauma-informed care, and my experience is that it is shockingly lacking in obstetric care. Patients should not have to disclose traumatic experiences and fight for trauma-informed care – it should be a given. Given childbirth’s role as a potential source of trauma, and the understanding we have of how trauma can be passed down to future generations, it is shocking how lacking this care is. In order to raise the ancestors we wish to have, it is in all of our interest to break these cycles of trauma – and there is a real opportunity to do so in the pregnancy, childbirth and postpartum phases.

Another set of balances I wanted to express in this project was in the context of pregnancy, childbirth and breastfeeding that are often considered the most ‘natural’ of human experiences, and the medical context. There are some jarring experiences and opportunities for some real improvements without sacrificing medical integrity. First, any assumption of instinct should be thrown out the window. Through doulas (unfortunately, I have no personal experience to draw from here), lactation consultants, nurses and other providers, as well as the community around us as birth parents who have also had these experiences, there is a tremendous need for honest and supportive information-sharing. Too often this does not occur because it is so laced with judgment. Reducing the judgment on choices for how to feed one’s child or what pain relief to use or not during labor would help birthing parents make informed, safe and supported choices.

Similarly, care during pregnancy treats the baby and pregnant person’s bodies as very connected (as they undoubtedly are). However, this is essentially ignored as soon as the baby is born. However, whether breastfeeding or not, there are continued connections and significant changes in hormones and the like – the impacts of pregnancy do not disappear overnight. Pediatricians, gynecologists and others involved in baby and parent care would do well to continue to understand how both people are doing at postpartum visits to identify how they are impacting each other physically (if the baby is not gaining weight and is breastfed, does the breastfeeding parent have a physical issue that needs to be addressed? Rather than judge them for having an underweight baby, providers should try to identify any issues and then collaborate with the parent(s) to find solutions for the both the parent and child’s health).  

Of course, there is the issue of mental health care for birth parents.[4] Any parent eagerly and excitedly awaiting the arrival of a new child wants to have a positive experience. No matter how desired a pregnancy and child are, these experiences are full of intense hormonal shifts, tremendous physical discomfort, disruption, physical pain and more. And yet, there is a persistent pressure to be happy at all times about this process. Again, removing judgment and pressure of this kind would allow expecting and new parents to be more open about challenges and gain access to the supports they need.

Some seemingly small details can have a huge impact. Medical providers who deal with childbirth day in and day out are clearly expert, but they are not the ones experiencing the symptoms and going through this potentially terrifying process personally in that moment. Birthing parents should be considered experts in their own bodies and experiences, and therefore listened to as such. I struggle, therefore, with many of the birth plans you can find online. They are, quite frankly, pretty ridiculous (I did not have one for either pregnancy – I just shared with the team my preferences if possible, and asked that we keep an open door of communication (lesson learned from my first) to check-in on how I was still feeling about any given preference when the decision point arrived). Continual monitoring and certain medical policies exist as best practices or even required, but are presented to expecting parents as choices or options. I think it is important for medical providers to communicate openly where choices exist. The more detail a birth plan includes, the more opportunity there is for disappointment and anger. So, my approach in this project is to center communication and care. Communication includes expressing how best to communicate, and when those preferences might change – level of detail, with whom, etc. Care includes the medical and physical care involved, but also attending to the environment including privacy for partners to prepare themselves for this new life and encouragement through those moments when it seems impossible to continue through the pain and fear.

In the end, I think the exercise of centering communication and care with a trauma-informed approach, while pondering one’s family’s past and imagined future, will help people bring in a stronger and more caring next generation and help break cycles of harm. And, in bringing such thoughtfulness into the fabric of the family and community of caregivers, we can raise ancestors who are not extractors but nurturers.   

What is included:

Birth plan page: As I mentioned, I have an uneasy relationship with these, as many templates include options that are not always options, and they not lend well to changing realities. This as a sole resource could do more harm than good. I also find that many templates are infused with a baseline level of judgment or pressuring to have unmedicated births, for example. My main takeaway is included at the bottom of this page – from the birthing parent to the provider: “I trust you, please trust me”

Affirmation cards: These are intended to help the birthing parent get through the process of labor pain and delivery. I personally cannot imagine a time in my labor where I would have pulled these out, but they could be helpful for a partner or support person who wants to be able to help the birthing parent.

Bringing home an ancestor: This is where I spent the bulk of my energy in this project. This is where, at each stage of expecting and welcoming a baby, I include ‘points to ponder’ and ideas for care, as well as encouragement for how to approach communication between all those involved in bringing a new life into the world. At each phase, I set the stage with how the baby’s nest is impacted, along with these recommendations and questions to ponder.

(Postpartum sanctuary plan: I did not write this – and most of this is adapted from another author mentioned on the title page. However, I want to include it as it is a decent tool for a pregnant person to think about the care infrastructure they need and be equipped to have conversations with their partner, their family, their village, their providers and/or anyone else involved in supporting them through the pregnancy, childbirth and postpartum processes.)

Conclusion: 

I really enjoyed going through this exercise. I recognize the limitations based on personal experience and assumptions of access and resources. In continuing to extend this project, I would love to see this adapted in more culturally-specific ways, and really used as a tool for justice. Ultimately, being able to make these decisions should not be dependent on privilege.

Additionally, I want to recognize that not all people can have the families they wish to have, and sometimes that is due to tragic events during the pregnancy, childbirth and postpartum phases. Whether the birthing parent or the child, unspeakable loss is a reality. I conclude this project by extending care by giving space for this grief and loss.


[1] https://www.7genfoundation.org/7th-generation/, https://www3.nd.edu/~dnarvaez/EDST.htm, https://evolvednest.org/

[2] https://harpers.org/archive/2020/09/a-litany-for-survival-black-maternal-mortality/ - a beautiful sharing of how essential reproductive justice is

[3] Some examples: https://www.npr.org/sections/goatsandsoda/2019/10/14/769065385/why-are-midwives-and-nurses-slapping-and-yelling-at-mothers-during-childbirth, https://www.vice.com/en/article/pa7mv8/obstetric-violence-childbirth-women-allege-doctors-abused-them, https://www.statnews.com/2019/11/08/new-parents-providing-feedback-difficult-childbirth-experiences/

[4] https://www.nytimes.com/2020/03/26/us/coronavirus-pregnancy-maternal-health-system.html