Midwives of the Revolution

Explorations, analysis, and reflections on reproductive health, birth, and midwifery from a feminist, marxist lens

A year in the life of a queer midwife

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Over the last year, this CNM has found myself in the midst of needing to make, and then executing, some major personal life changes. While I welcomed 2018 with a fire in my belly around gender and sexual liberation from a political angle, and while countless issues impassioned me throughout the dumpster fire of this year in politics (though, most notably, the global and national war on immigrants and refugees), I learned that my ability to focus on, read about, and articulate my response to these was severely diminished by a need to take care of myself and my child above all.

I am making peace with this, and I don’t feel as though I’ve missed out on, say, a major social movement, or that some action I could have personally done would have changed some feature of the year in a fundamental way, outside of myself. But I will say participating in some kind of way in the so-called resistance (proudly proclaimed on car bumper-stickers but otherwise apparently a bit anemic these days) is usually quite therapeutic and makes me feel more connected. I also just want to be that guy that speaks up, that has something to say, a way to make sense of things, a way to connect people to social justice activism, to revolutionary politics, to communities that are organizing. I had hoped that this forum I created, however modest, could serve as a way to work through what it means to be a Marxist midwife throughout my own clinical experiences, and applying that lens to local and world events. (To be fair, I did make a few significant contributions at a national level on some things I quite care about; they just didn’t make it to this space.)

Instead, I’m apparently sometimes just an annual blogger! Living my life and more quietly and modestly thinking through things, reflecting on them to a smaller audience in my real life and adjusting to a new professional identity in the home birth world. It’s been a long year, and certainly not the one I quite anticipated, though it was likely somewhat inevitable that my commitment to and recent deeper explorations of the politics of queer and trans/gender liberation would eventually lead me back to wrestle with my own queer desires and identity. So, while this process started with identifying and attempting to address a series of political questions about the connections between queer and trans liberation and the feminist movement (a la The Women’s March), abortion rights, and birth justice, it seemed to culminate in finding my way back to my own, and yet somewhat newfound, queerness.

Molly Costello’s work kind of says it all. http://www.mollycostello.com

And so here I am, over 20 years since coming out as bi, reconciling my truth with the discomforts of coming out *again* to my Evangelical family who has had the ability to ignore my sexuality as long as I was partnered with a straight cis man. While it’s not easy to navigate divorce– let alone parenting throughout it– I feel somehow so much lighter and clearer in my heart and mind than I have for years, soberly deciding to end a relationship that did not work, and navigating a new, queer love in my freedom.

While this midwife closes the year looking forward to lots of loveliness for myself, my kiddo, the families I’m privileged to call my clients, and my gorgeous community in 2019 — I also dream big, for open borders, and queer and trans liberation, and a free Palestine, and an end to militarism and imperialism, and for reproductive justice, and climate justice, and housing justice, and loads of love, grace, and joy.

P.S. These changes could not have gone nearly as well as they have without the love and support and graciousness and political collaboration of a lovely bunch of humans in my life, especially my kiddo, my dearest comrades, my ex, the Blossom group, my forever friends, my Mama, and my sweetheart.

Author: queermarxistmidwife

I am a nurse-midwife practicing in full-scope (reproductive health and birth care) in a community birth setting in the Midwest. My clinical practice is an extension of my longtime commitment to social reproduction (a close cousin and friend to intersectional -- perhaps synonymous to, depending on who you talk to!) marxist feminism and reproductive justice activism. I write anonymously to protect my job security and make clear that these are my personal opinions, and to make clear that I am also a professional whose personal opinions can also be separate from the care I provide. (While I personally believe in abolition of the prison industrial complex, I still have clients that are cops/married to cops [etc.] and maintain respectful, compassionate clinical relationships with them.) I was called to midwifery circuitously, through my love for reproductive rights and an interest in providing abortion care. Then I met midwives and learned about the intertwined legacy of midwifery and abortion, and I fell in love with birth. In my practice, I have worked as a primary care midwife in a Federally Qualified Health Center and campaigned fiercely for true midwifery in a hospital setting rife with obstetrical violence (and lost that fight!). I have learned how to bring midwifery care from the belly of the beast in a large teaching hospital that functions in many ways as an assembly line of medicalized birth. I have also had my heart broken by my own midwife when I realized that my dream job in home birth was actually a nightmare in many ways. I have found healing through communities of midwives that work to support each other through the traumas of toxic healthcare workplaces. I am constantly learning, working on my personal and professional growth, and striving for accountability, particularly as an anti-racist that benefits from white privilege. Midwives of the Revolution is meant as a nod to Marx and Engles's writing on the process of social revolution, as well as an aspiration to be among the midwives fighting to transform the perinatal health system in the context of the struggles for reproductive justice. The social revolution it will take to win reproductive justice will have to involve birth workers, other health workers (unionized, and not; professionals and not), educators, abolitionists, environmentalists, and of course childbearing people and families. I love the way that Marx's collaborator Engles (a brilliant philosopher and activist in his own right) describes the dialectical process of childbirth, which, for me, also undergirds my commitment to bodily autonomy and reproductive justice. To paraphrase, some of the events that midwives are called to may be "violent" or forceful, like childbirth -- not unlike revolution and social struggle: The fetus is negated by the neonate, who can only be brought about by the force of childbirth. The midwife facilitates that transition, as force (or social struggle) facilitates the transition from one form of social relations to another. Scolding the philosopher Duhring, Frederick Engles defends the social force required to fundamentally transform society: "Force, plays yet another role in history, a revolutionary role; that, in the words of Marx, it is the midwife of every old society pregnant with a new one, that it is the instrument with the aid of which social movement forces its way through and shatters the dead, fossilised political forms." (Anti-Duhring, found here: http://www.marxists.org/archive/marx/works/1877/anti-duhring/ch16.htm#087)

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