What Black Women Should Know About Childbirth & Being Their Own Advocates
By now, I'm sure you've heard all the reports circulating about black mothers dying.
Black women are dying at astronomically high rates compared to their white counterparts. In fact, the maternal mortality rate is three to four times higher among black women. And if you are a black woman that's never given birth, you're probably absolutely terrified at the thought of pregnancy and childbirth for that reason.
Those initial feelings of joy when we find out that we are expecting are now replaced with anxiety and a fear that nearly paralyzes us. Our concerns have shifted from whether or not we'll deliver a healthy baby to questions of if we'll make it out of the delivery room alive.
When I heard the story of Serena Williams' near-death experience after giving birth, it didn't surprise me. It also didn't surprise me that she knew exactly how to identify an epileptic embolism and notify her doctors before it was too late.
She's an athlete who has undergone multiple surgeries and faced multiple injuries. She knows her body at its best and she knows when it is momentarily failing her. But Serena's relationship with her own body served as a life-saving reminder that knowledge of self is most important kind to have. Right now, the narrative is that no one knows why black women are dying during childbirth. But for Serena and any other black woman who has been pregnant and seen a doctor, we know exactly why.
Doctors are not pregnancy advocates.
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They see patients, assess risk, and prescribe a course of action. If you're Black, they tend to see you quicker, assess you without investigation and prescribe courses of action that minimize our options and influence you to make risky choices. Epidurals, induced labor, fetal monitoring - all things that are suggested by doctors as normal procedure but are actually linked to a host of complications that put women and their baby at risk. When it was me in the stirrups, I was shocked by how quickly my desire to have a natural childbirth was laughed off by my doctor.
I can remember having not one but two seperate male doctors tell me that having a child is "risky" and painful and I would do best to give birth in a hospital in case of emergency. It was in that moment that I realized had I not already read three books about pregnancy and childbirth and spoken to half a dozen midwives that I might have even believed them. Instead, I walked out of their office both times insisting that I knew my body better than that did. I've read Serena's birth story over and my biggest takeaway is that we are capable of anything we put our mind to - but we do have to put our mind to it.
If having children is anywhere on your list of life plans, arm yourself with as much understanding about birth as you can - it could save your life.
Pregnancy and Childbirth Are a Marathon
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My midwife told me this and it always stuck with me. "You're training for a marathon," she said after advising me to pack on the protein. This is something I think a lot of women tend to forget or not be told. Childbirth is not a test you can cram for, the preparation begins as soon as those two lines show up. Talk to a nutritionist to design a meal plan for the duration of your pregnancy. If you can't afford a nutritionist, read up on what foods support your body during each trimester.
The "eating for two" approach to prenatal nutrition might be fun, but it can also land you on bed rest. But gestational diabetes isn't the worst side effect of bad eating. Giving birth is a very athletic process. It involved pushing and breathing and incredible stamina. Being strong and energized could be the difference between an easy birth and a difficult one. Stay fit now and through your entire pregnancy.
The More You Know
One of the best decisions I made was taking a birthing class with my partner. Checking in every week with a midwife and interacting with other expectant couples eased a lot of my stress and answered all of my "how does labor feel" questions. It was also a chance for my son's father to get educated on how to support me during the entire process. If the dad isn't in the picture, choose a friend or family member to be your partner - the point is to have a support system.
Look online for birth plan templates and fill it out with every detail of how you want your birth to play out. Filling out this plan will help guide you to questions you ask your doctor or midwife. Learn as much as you can about pregnancy so you have a full understanding of what to expect, what's normal and what signals a problem. My favorites were A Thinking Woman's Guide to a Better Birth by Henci Goer, The Mindful Mom-to-Be and Birthing Justice: Black Women, Pregnancy and Childbirth.
Don't Believe the Pain Hype
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Does childbirth hurt? Of course it does. But so does motherhood and there's no epidural for getting through 4 am feedings or potty training. I consider the pain I endured to be the prerequisite for raising a human person. Especially when I came to learn the realities of epidurals. For example, an epidural will cause your blood pressure to drop suddenly. After an epidural is placed your ability to move around is severely limited which can put your baby in distress as it tries to make its way through the birth canal. As I went through the stages of delivery I moved from place to place - bed, bath, squatting on the floor - whatever helped my son safely get himself into position.
Find Your People
A lot of us received our first education about having babies from our mothers. Usually, whatever route our mothers took with childbirth is the same one we are inclined to take as well. My mother, who also have a natural birth for me and my sister, told me, "Eh, it's not so bad" when I asked her what labor felt like. Thanks, mom.
I was so thankful that I lived in the information age and could easily find a little online community of women who were going through exactly what I was. Websites like Baby Center allow you to join micro-communities of women who share your due date. Find support among other women who have similar goals so you can encourage each other through the process. Support makes a world of difference.
Hospitals Are Not the Best Option
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I tell every black woman that will listen to me, do not have your children in a hospital unless you have known complications. Not only are hospital births more expensive than home births or birth centers, they also carry a higher risk.
Most hospitals have a C-section rate that far exceeds what it should. Surgery should be a last ditch effort to save mom and baby but instead it tends to be the go-to move as soon as there is a sign of trouble. I encourage women to consider remaining under the care of a midwife and doula, as opposed to an Obstetrician to receive one-on-one, personalized informed prenatal care. A midwife essentially takes the role as your primary caregiver throughout your pregnancy and can even provide postpartum gynecological care. I saw my midwife instead of an OB-Gyn once I was under her care. She could refer me to a specialist, send me for bloodwork or tests as needed and she constantly offered me words of empowerment and helped me make informed choices.
Our appointments were as long as they needed to be and I never felt rushed. The doula takes a different role, she's more involved in the actual birth process. She was an emotional and mental support to me, provided advice, and was more hands on during the birth.
While I was in labor with my son, my midwife told me that I had to resist pushing for about 45 minutes. She said despite my intense contractions that my son's head wasn't far down enough. Just hearing that made my heart race. Trying not to push was the hardest part of the entire experience.
But my doula came in, rubbed my back and told me to take in deep breathes and let out low baritone moans and I was able to relax. When laboring women are told there's a problem, we panic and when we panic we are giving the hospital the perfect excuse to offer up drugs and surgery in our most desperate moment. Websites like Midwife.org and ZocDoc can help you kick off your search and most midwives can recommend doulas once you're under their care.
As black women, we know the world is constantly trying to give us the short end of the stick. It's a reality we take with us into boardrooms and classrooms. We have to be just as diligent when planning for pregnancy and birth. The numbers we see dancing across headlines and on television screens paint a grim picture of what black childbirth looks like.
But understand this - the system is failing us, our bodies are not.
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Featured image by Shutterstock
Originally published on January 23, 2018
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Ashley Simpo is a writer, mother and advocate for self-care and healthy relationships. She lives in Brooklyn, NY. Follow her on Instagram and Twitter @ashleysimpo. Check out her work and her musings on ashleysimpocreative.com.
ItGirl 100 Honors Black Women Who Create Culture & Put On For Their Cities
As they say, create the change you want to see in this world, besties. That’s why xoNecole linked up with Hyundai for the inaugural ItGirl 100 List, a celebration of 100 Genzennial women who aren’t afraid to pull up their own seats to the table. Across regions and industries, these women embody the essence of discovering self-value through purpose, honey! They're fierce, they’re ultra-creative, and we know they make their cities proud.
VIEW THE FULL ITGIRL 100 LISTÂ HERE.
Don’t forget to also check out the ItGirl Directory, featuring 50 Black-woman-owned marketing and branding agencies, photographers and videographers, publicists, and more.
THE ITGIRL MEMO
I. An ItGirl puts on for her city and masters her self-worth through purpose.
II. An ItGirl celebrates all the things that make her unique.
III. An ItGirl empowers others to become the best versions of themselves.
IV. An ItGirl leads by example, inspiring others through her actions and integrity.
V. An ItGirl paves the way for authenticity and diversity in all aspects of life.
VI. An ItGirl uses the power of her voice to advocate for positive change in the world.
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When discussing the topic of raising children, discipline is often the first thing that comes to mind. Children need discipline. Full stop. But what is discipline? And how do we draw the line between discipline and revenge?
The origin of the word "discipline" can be traced back to the Latin word "disciplina," which means "instruction" or "teaching." Over time, however, discipline has come to be synonymous with punishment, with parents relying on shame, fear, and/or physical pain to curb undesirable behavior.
Teaching takes time, so nipping it in the bud in whatever fashion parents deem necessary (within reason) has become the norm. But is this what’s best for children? And when does it become less about curbing undesirable behavior and more about getting our licks back for offenses we feel our children should know better to do?
In my work as a parenting coach, I’ve often heard parents say, “I asked him nicely three times before spanking him. He didn’t stop doing it until I did, so clearly talking doesn’t work.”
And the parent isn’t wrong. Talking often doesn’t work the first, the third, or the even the 10th time. And the reason is directly tied to brain development.
Children cannot and do not process information the way an adult can. Auditory processing is not fully developed until a child is 14 or 15 years old. And even then, if a child has auditory processing delays or Auditory Processing Disorder (APD), they may always struggle with processing auditory commands. According to Susie S. Loraine, MA, CCC-SLP, the term auditory processing refers to how the brain perceives and interprets sound information. Several skills determine auditory processing ability—or listening success. They develop in a general four-step hierarchy, but all work together and are essential for daily listening.
Without this understanding, discipline can easily become revenge because parents will then view their child’s misdeeds as a personal slight. Instead of teaching them to do better, parents now want to show them the consequences of not doing better. This is why it's imperative for parents to discern between discipline and revenge to maintain healthy relationships with their children.
5 WAYS TO DISTINGUISH BETWEEN PARENTAL GUIDANCE AND RETALIATION:Â Â
​Understanding The Intent
Discipline is rooted in love and concern for the child's well-being. It focuses on teaching lessons and helping children understand the consequences of their actions. Conversely, revenge-driven actions stem from a desire to inflict pain or punishment as payback for perceived slights or disobedience. Parents should reflect on their motives before taking disciplinary actions. Ask yourself whether your intention is to help your child learn or to make them suffer for upsetting you.
Example: If a child accidentally breaks a valuable item, a disciplinary response would involve discussing the importance of being careful and working with the child to come up with a way to replace or fix what they’ve broken. On the other hand, a vengeful reaction might involve yelling, harsh punishment, or bringing up past mistakes to intensify guilt.
​Maintaining Emotional Regulation
Effective discipline requires parents to remain calm and composed, even in challenging situations. It's natural to feel upset or frustrated when children misbehave, but responding with anger or resentment can escalate the situation and blur the line between discipline and revenge. Before addressing the issue, take a moment to breathe and collect your thoughts.
Example: If a child cannot follow instructions, a disciplined response would involve calmly explaining why their cooperation is necessary in working with the child to accomplish the goal. Conversely, a retaliatory response might involve shouting, name-calling, or resorting to physical punishment out of anger.
​Promoting Growth and Learning
Discipline should always aim to promote growth and learning. It involves guiding children toward making better choices and understanding the impact of their actions on themselves and others. Effective discipline strategies include positive reinforcement, setting clear expectations, and providing opportunities for reflection and growth.
Example: If a child repeatedly forgets to complete their chores, a disciplinary approach would involve discussing the importance of responsibility and finding solutions together, such as creating a chore chart or setting reminders with Siri or Alexa. In contrast, a revenge-driven response might involve imposing overly harsh punishments or belittling the child, which can undermine their self-esteem and hinder their ability to learn from their mistakes.
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Building Trust and Communication
Trust and open communication are essential components of a healthy parent-child relationship. Discipline should strengthen this bond by fostering trust and encouraging children to confide in their parents without fear of judgment or retaliation. When children feel safe and supported, they're more likely to accept discipline as a form of guidance rather than punishment.
Example: If a child admits to breaking a rule or making a mistake, a disciplined response would involve listening to their perspective, discussing the consequences of their actions, and working together to find a solution. Conversely, a retaliatory response might involve accusations, blame, or shutting down communication, which can erode trust and damage the parent-child relationship.
Seeking Professional Guidance
Parenting is a learning journey, and, disciplining children is a delicate balance between guiding them toward responsible behavior and nurturing their growth. By understanding the intent behind our actions, maintaining emotional regulation, promoting growth and learning, building trust and communication, and seeking professional guidance when needed, as parents we can help our children built on love, respect, and understanding.
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