Lean into this with me, because I watch conversations about this topic unfold in birth work communities constantly and the way it's discussed puts me deeply in my feelings. I want to start with the bottom line.
Bottom Line: “Safe, high-quality, respectful care through pregnancy, birth, and postpartum should be readily available and accessible to all families regardless of income, race, ethnicity, language, gender or sexuality.” Deep breath. “Unfortunately, this is not currently the case in our medical system.” Final sentence, now. “As a birth worker, I best serve parents and all those around me when I recognize this, learn more about this, and advocate for a better system."
It’s incredibly important to talk about injustices parents face when navigating the birth world, and not try to treat them all the same.
I always talk to my clients about their rights — like how they can ask someone in the birth room to leave or be replaced, from family to nurses to doctors. I learned to do this quickly because, sadly, I have heard insensitive and ignorant comments made in birth spaces, and I have had parents reach out to me to talk through a situation in which they felt they may not have been treated fairly by medical providers.
It is good to talk about these things. As their birth doula, parents know that I can’t change the system we are engaging with, but they also know that I can be their safe space when that system misses that mark, that I can be an advocate and buffer that tempers the effect of the system’s shortcomings, and that they will never be alone in it. That can make a world of a difference.
And what does it mean working with parents with more privilege? No one should feel ashamed for being able to navigate the world smoothly. Everyone should learn that having a kind of privilege reveals an opportunity. Privilege is a kind of currency! You can spend it on yourself, or you can share it. When it comes to financial privilege, I know birth workers who work with higher-paying clients, who go, “You know, I'm fine with making $X but I’m going to make my fee $Y and donate the difference to an organization that supports folks who can’t afford my services.”
I think that is beautiful! Everyone deserves the same safe, quality, respectful care! We should all look for ways we can help bear each other's burdens in getting there.
There are A TON of other deeply important spectrums that we navigate our pregnancy, birth, parenthood, and general life journeys within. Here are just a few:
Faith and spirituality,
weighing our decisions and practices according to these compasses
Culture,
identifying with various pieces of our biological or regional ancestries
Personality traits,
drawing upon our sense of ourselves as intuitive or sensing, feeling or thinking, introverted or extroverted, planners or changeable, or anything else to guide our birth preferences
I am so grateful for the folks in my life who have open-heartedly gotten to know me on all these different levels. The only way they could have shown me they cared is by putting in the work.
So that's what I strive to do with the folks I work with, and everyone else in my life too. Put in the work to show that I care.