Tag: reproductive health

Amid the Wait

This personal essay, appearing in JAMA’s regular “A Piece of My Mind” feature, details a health care provider Cia Merin Bishop’s experience of going through unsuccessful infertility treatment while practicing medicine and caring for patients in a pediatric intensive care unit. The essay poignantly portrays the emotional experience of undergoing infertility treatment. It also speaks to what it is like to be both physician and patient and the coping, support, and resilience she marshalls in order to continue to function at work while dealing with the physical and emotional impact of her own medical treatment. The author points out that this experience is not uncommon, citing studies that suggest about a quarter of female physicians experience infertility and 31% of female oncologists reported infertility requiring counseling or treatment. As she says, “I write this piece in solidarity with other women physicians. I write this piece as an anthem of our strength. And I write this piece to acknowledge the suffering within us, as we tend to the suffering around us.”

The dual focus of this moving and readable essay would make it equally useful for discussions of infertility and reproductive health as well as physician stress and resilience. It could also be a useful in a course or unit on narrative medicine as an example of how physician’s writing their own stories helps to humanize medicine.

Dying to be Competent

“Dying to be Competent” details Cottam’s experience with healthcare discrepancies in her experience giving birth attributed to the fact that she’s a woman of color. Cottom describes having her physical pain be completely dismissed by healthcare professionals and claims that this resulted in the tragic consequence of her daughter dying shortly after birth. Through her personal story, Cottom illustrates the inequalities within healthcare due to structural racism, and the grave lack of care women of color too often receive. This essay could be used in classes to further investigate the structural forces within our society and how they are subsequently intertwined with healthcare as well as how it creates marginalization and lack of care within the healthcare system. Additionally it could be used to discuss the role of unconscious biases and stereotypes within the medical field.

Poetry for Sexual and Reproductive Justice

Sexual and Reproductive Health Matters (SRHM) is an organization compiled of researchers, activists, writers, as well as other experts devoted to negating ideologies and other harmful policies, philosophies, laws, etc. against sexual and reproductive health. They are dedicated to procreating programs and policies that are focused on social justice as well as human rights, including through their journal. One of the journals, “Poetry for Sexual and Reproductive Justice,” is a collection of 57 poems, some in Spanish, all written by individuals outside of the organization and relating to sexual and reproductive health. Some examples of the topics addressed in poetry are stigma around menstruation, sexual violence, contraceptives, and misogyny to name a few. This anthology could be used as a resource in a syllabus focused on women’s, reproductive, or sexual health. It could additionally be an aid within a creative writing class.

Eight Lives – United Nations Population Fund

From the website: “UNFPA is the United Nations sexual and reproductive health agency. Our mission is to deliver a world where every pregnancy is wanted, every childbirth is safe and every young person’s potential is fulfilled. This publication, Eight Lives: Stories of Reproductive Health, relates the tales of eight women who have endured the challenges of poor reproductive health.” The anthology includes stories about breaking the cycle of female genital mutilation, family planning, HIV prevention, sexual violence, becoming a teen mother, maternal health, midwifery, and obstetric fistulas. “Each story gives a voice and a face to those most affected by the failures of a dysfunctional health system — and by gender inequality, violation of their human rights, blatant disregard for their social and cultural circumstances, and abject poverty.” This source could be utilized in a class focused on global perspectives on reproductive and sexual health. Discussion could be focused on marginalized communities within the healthcare system as well as differences between healthcare systems across countries.

I Walked off Alone to get my Tubes Tied

In this informative essay, the author retells the stories of Gopli Gameti and Parvati Meghwal, two women in rural Udaipur from the Gameti community. Women in this community are often left behind as their husbands migrate for work. This story highlights the challenges faced by women in these rural areas in making health and life decisions independently.For example, women must seek healthcare (which can often be far away, expensive, or logistically difficult), navigate maternal choices like tubal ligation, and advocate for their own reproductive care on their own. Gopli also describes the sense of empowerment and liberation that comes with taking control of one’s own health when possible. This narrative can be incorporated into a class focused on gender studies, public health, or sociology. It provides real-life examples of how women in rural settings navigate healthcare decisions and family planning, specifically in the context of male migration. It can facilitate discussions on the intersectionality of gender, migration, and health, allowing students to analyze the socio-cultural factors influencing women’s choices.

Tamara: an Abortion Story

Tamara shares her story of seeking an abortion in the state of California shortly after finishing graduate school and starting a new job. Despite being a former pregnancy options counselor and health educator, she faced challenges in accessing abortion care within the university system and encountered stigmatization from protesters outside the clinic as well as from fellow patients. She also experienced complications from the procedure. Her narrative emphasizes the importance of supportive environments during the abortion process as well as the emotional and financial aspects of the experience. She also addresses the impact of restrictive abortion laws, such as those seen in Texas, on individuals seeking timely and safe procedures. In courses focused on reproductive health, women’s studies, or public health, Tamara’s story provides a firsthand account of the difficulties individuals may encounter in accessing abortion care, including navigating legal restrictions and facing societal stigma.

My Abortion is Not a Sad Story

Ebony Wiggins shares her personal experience of having an abortion at 22. She provides insights into the circumstances, decision-making process, and emotional aspects surrounding the event. Growing up in a politically aware household, the narrator emphasizes the importance of choice, destigmatizing abortion through storytelling. The narrative discusses the impact of restrictive abortion laws, particularly on women of color. This narrative can prompt discussions on individual autonomy and the influence of societal and political factors on reproductive health care. Wiggins’ story also shows the importance of diverse perspectives in understanding reproductive health issues. It serves as a case study for examining the intersectionality of reproductive rights and the potential impact of legislation on different demographic groups.

The Immortal Life of Henrietta Lacks

This book is a biography of Henrietta Lack, a black woman who died of cervical cancer in 1951. Before her death, Henrietta Lacks’ cells were harvested from her cervical tumor without her knowledge or consent. The HeLa cell line originates from these cancerous cervical cells, and it is the cell line most used for any study on human cells. Neither Henrietta nor her family were consulted nor informed about the mass distribution and use of her cells until decades later when her cells were already the cause of many medical discoveries and breakthroughs. This book was the first to paint the whole picture of the human behind the most famous cell line.

This book might be used in courses on research and medical ethics, on health (in)equities, or on narrative medicine. For example, it sheds light on all of the factors, both medical and societal, that led to a lack of adequate or ethical care. Her story shows the importance of health stories for humanizing medicine. It allows for reflection on the history of healthcare as it relates to women and people of color (specifically black people and black women).

Y Si Ya No Puedo, ¿Qué Hago?: Un Relato De Infertilidad

This story (10 minute read) describes the reality of being infertile when a woman yearns to have children. Patricia Cruz Pineda is a rare case (currently one in a million) who cannot have children naturally or using IVF. She and her husband divorced because his frustrated desire to be a father led to him start drinking heavily. She will never have children, and focuses on advice for women in her situation: focus on family, friends, and the community, and avoid events like children’s parties and baby showers for a while. Most useful for a community group focused on women’s health issues. Written in Peninsular dialect and very directive, which might draw mixed reactions from Latinx/Latin American readers.

Promises Like Dolls

“Promises Like Dolls” is a very short story (123 words) about the experience of multiple miscarriages. The story refers to various objects (dolls, books, flowers, t-shirts, stuffed animals) as a way of reflecting on expectations of motherhood (her own and those of others and of society) and on the grief of miscarriage. It also represents the limits of social support for miscarriage.

The story is short enough to be read together in class, both as a reflection on how the experience of medical events is shaped by cultural norms and social experiences and as a prompt for discussing how the author utilizes specific imagery and description to convey (and imply) complex emotions in a very short work.