Over at Feminist Midwife, the eponymous author writes about the nature of midwifery and why they see it as inherently feminist. In 2014, they also addressed the well-known (by bioethicists) issues with whether informed consent really takes place or whether, realistically, health care providers often constrain and limit autonomy rather than building and supporting it. The author lists 12 easy ways for any healthcare provider to humanize care. You can read more about them at “12 Ways to Be A Feminist Healthcare Provider.” I am just listing them here as a quick reference:
- Radically listen (hear, focus, don’t judge)
- Intrinsically trust (the pregnant woman’s judgment and experience)
- Remove assumptions (about food access, partner status, language, sexuality)
- Actively consent (it’s an ongoing process)
- Recognize power (never push open a woman’s legs in the name of healthcare, etc.)
- Practice language (have language prepared in scripts for difficult situations)
- Sensitively screen (for high-risk situations)
- Enforce #cliteracy (educate providers to not touch the clitoris during digital vaginal exams)
- Refer intentionally (find another provider that suits the patient’s individual needs for language, LGBTQ sensititivity, etc.)
- Read purposefully (include feminist approaches in your continuing education)
- Expedite treatment (closest pharmacy for meds; expedited partner therapy for STDs if allowed in your state)
- Advertise yourself! (as a feminist provider)
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For anyone with interests in epistemology as it pertains to the patient-provider relationship, or informed consent and refusal, or autonomy, or childbirth, this should be an interesting read. The FM blog also has recent entries on midwifery roles, scripts for feminist discussions of contraception options, scripts for discussing a positive pregnancy tests, and how to make gynecological exams more empowering. I recommend them for your consideration. If you’re not familiar with this blog, there is also a rich archive of prior material on a variety of subjects.
For peer-reviewed scholarly international research on safety, quality, outcomes and experiences of pregnancy, and birth and maternity care for childbearing women, their babies, and their families, see the journal Midwifery.
