Archive for the ‘Motherhood’ Category

September 23, 2009

“Moms’ Crying Need” for Better Maternity Care

Women’s eNews currently features a piece, Black Infant Mortality Points to Moms’ Crying Need, which outlines the health disparities and systemic forces that stand between Black women and their babies and health. Author Kimberly Seals Allers argues that “If African American, Latino and Native American babies are too often in jeopardy, that means that this country is miserably failing women of color, and black women in particular, in the process of birthing healthy babies.”

She explains:

African Americans have 2.3 times the infant mortality rate as non-Hispanic whites, according to the Atlanta-based Centers for Disease Control, or the CDC. In 2000, the United States had a national average of 6.9 deaths per 1,000 live births, but the rate among blacks was 14.1 deaths. Compared to non-Hispanic white infants, black babies are four times as likely to die as infants due to complications related to low birth weight, the CDC also said.

Compounding this problem, she writes, is “what isn’t known about black maternal health” including ob/gyns “who aren’t aware that their black patients are at a greater risk during pregnancy, regardless of their socioeconomic status,” and “a woeful lack of research on the racial and ethnic differences affecting certain diseases and their treatment.”

The entire essay is well worth a read.

In addition to the moral or social justice argument for eliminating health disparities, a recent report on the economic burden of these disparities makes a money-saving argument for eliminating them, estimating that doing so “would have reduced direct medical care expenditures by $229.4 billion,” money that some suggest could be used to pay for health reform. HHS Secretary Kathleen Sebelius reportedly responded to the findings: “There is no question that reducing the health disparities can save incredible amounts of money. But more importantly it saves lives and it makes us a healthier and more prosperous nation.”

The agency released it’s own brief report on health disparities earlier this year, “Health Disparities: A Case for Closing the Gap.


July 27, 2009

Double Dose: The Reproductive Health, Rights and Technology Edition

Before I start a week-long vacation Aug. 3, I’m attempting to clear out my bookmarks by posting several theme round-ups this week.

An Abortion Battle, Fought to the Death: The New York Times takes an in-depth look at the life and work of Dr. George Tiller, and the longstanding battle against him and his abortion clinic that ended with Tiller’s murder in May.

David Barstow writes about Tiller’s committed stance — quoting the doctor as having said: “If a stake has to be driven through the heart of the anti-abortion movement,” he said, “I want to have my hand on the hammer” — and what his death has meant to the abortion debate:

Scott Roeder, an abortion foe with the e-mail name “ServantofMessiah,” awaits trial in the murder. In a jailhouse interview, Mr. Roeder did not admit guilt but told a reporter that if he is convicted, his motive was to protect the unborn, a goal seemingly advanced when the Tiller family closed the clinic. But in the weeks since the killing, supporters and opponents of Dr. Tiller have been measuring the larger ramifications. Implacably divided for so long, they now agree on a fundamental point: Dr. Tiller’s death represents an enormous loss for each side.

PlusIAmDrTiller.com is still collecting stories. Visit the site or follow on Twitter.

Also, here’s another New York Times story, “The Deadly Toll of Abortion by Amateurs,” which presents these startling statistics:

Worldwide, there are 19 million unsafe abortions a year, and they kill 70,000 women (accounting for 13 percent of maternal deaths), mostly in poor countries like Tanzania where abortion is illegal, according to the World Health Organization. More than two million women a year suffer serious complications. According to Unicef, unsafe abortions cause 4 percent of deaths among pregnant women in Africa, 6 percent in Asia and 12 percent in Latin America and the Caribbean.

this_lonely_life Born Too Soon: Vicki Forman, author of “This Lovely Life: A Memoir of Premature Motherhood,” writes in her new book: “My husband and I had tried for two long years to conceive these twins, had lived through miscarriages and fertility treatments to bear them. When I learned they were coming so early and so fragile, I had only one wish: to let them go.”

Salon interviews Forman about her reaction to delivering twins at 23 weeks, how her wishes conflicted with hospital policy, and the joy and heartache that resulted. Read her story.

Surrogate Pregnancies, the Update: “Much has changed in surrogacy in the two decades since the high-profile Baby M case, in which the surrogate was the baby’s biological mother and unsuccessfully sought custody after the birth,” writes Jane Brody in The New York Times.

“The legal proceedings in that case markedly changed the conversation about the validity of surrogacy contracts. Some states have laws that protect the commissioning parents in surrogate pregnancies. And in a vast majority of surrogate pregnancies today, the surrogate has no genetic link to the baby.”

A Victory, of Sorts: National Advocates for Pregnant Women reports on a New Jersey case involving a question of consent for pregnant women:

Last week, a mid-level court of appeals in NJ avoided deciding the question of whether or not a pregnant woman’s decision-making during labor and childbirth may be the basis for a finding, under state civil child welfare laws, of abuse and neglect. While the decision is a victory of sorts, it nevertheless reveals how extraordinarily unsettled and contested pregnant women’s rights are.

In this case, called New Jersey Division of Youth and Family Services v. V.M. and B.G., In the Matter of J.M.G., (view a pdf of the decision) a woman’s refusal to sign a consent form for cesarean surgery led to hospital interventions and a report of abuse to child welfare authorities. This resulted in a child welfare investigation, the state’s decision to remove the child from her parent’s custody at birth, and a court finding that both parents had committed medical neglect. Ms. M., by the way, would have consented to cesarean surgery when and if it became necessary, never in fact needed cesarean surgery and delivered a health baby, vaginally.

Repeat C-Section, or Vaginal Birth?: Amie Newman reports on the safety and costs of having a vaginal birth after a previous c-section, instead of having a repeat c-section.

“What we know is that, making allowances for the overuse of medical interventions during childbirth, vaginal birth in the United States carries inherently less risk to the mother than c-sections do and can lay the foundation for more choices for future childbirth options as well,” writes Newman. “Now, with this new study, the evidence also suggests that babies born via c-section have poorer health outcomes than do newborns born vaginally.”

Protect Pregnant Prisoners: In May, the New York State Legislature passed an anti-shackling measure prohibiting correctional authorities from using restraints on a pregnant inmate who is in labor and is being transported to the hospital. It’s time for Gov. David Patterson to sign the bill into law.

Here’s one woman’s story, as reported in The New York Times earlier this month:

One day last November, the first shudders of childbirth woke Venita Pinckney before dawn. She was well into her ninth month of pregnancy. She was also incarcerated at Bedford Hills Correctional Facility, a state prison.

Before she left for the hospital, Ms. Pinckney said, a corrections officer wrapped a chain twice around her waist and handcuffed her to it. Then he covered the handcuffs with a locked black box to further limit her range of motion. Finally, her ankles were shackled.

“You can’t walk like a normal human being,” said Ms. Pinckney, 37. “When you’re pregnant, you have a hard time keeping your balance to begin with.”

At least once a week, somewhere in one of New York’s prisons or jails, a pregnant women goes into labor. Nearly all of them, including Ms. Pinckney, are behind bars for drug offenses. Even so, they are often as severely restrained in the final hours of pregnancy as the most nimble and dangerous of criminals. While their bodies heave toward childbirth, they become walking, clanking jail cells.

Continue reading

Later in Life: This Detroit Free Press story about fertility problems and increased health risks for children born to older mothers and fathers quotes Dr. Kristen Wuckert, an ob-gyn at Mission Obstetrics and Gynecology in Warren, Mich., who has seen an increase in the number of older mothers over the years:

“It makes sense that women are waiting longer to start families — college, careers, not meeting the right person earlier in life [...] Another reason women wait is because they can. We have a lot more options, albeit expensive ones, to help in getting pregnant. It has also become more the norm than the exception.

“We see celebrities in their 40s and older doing it — why not us?” she adds.

Why not, indeed — the story presents a sidebar feature on at least seven celebrity “mature mommas.”


July 16, 2009

New Anthology on Mothering & Hip-Hop Culture: Call for Papers

mother_knows_best_anthologyDemeter Press, the publishing division of the Association for Research on Mothering, is seeking submissions for an edited collection on mothering and hip hop to be published in 2011. The editors are Maki Motapanyane and Shana Calixte.

Previously published anthologies by Demeter Press include “Mothering and Blogging: The Radical Act of the MommyBlog,” and “Mother Knows Best: Talking Back to the “Experts.”

Additional upcoming titles focus on intersections of mothering and disability, adoption and identifying as Latina/Chicana. One collection due out in 2010 that I definitely won’t miss: “The Palin Factor: Political Mothers and Public Motherhood in the 21st Century.”

Here’s the call for papers for the new book on mothering and hip hop. Contact information is at the bottom:

Motherhood is an experience that has been ever‑present yet invisible in the global music genre of Hip-Hop. Yet this aspect of women’s experiences within the movement has garnered little or no interest from journalists, writers and scholars of Hip-Hop culture. Nor do we have any understanding of how mothers who remain Hip-Hop enthusiasts negotiate their relationship to the culture of Hip‑Hop and its music with their children.

What are the spaces that motherhood occupies in Hip-Hop? Are there ways of understanding mothering in Hip-Hop along a historical continuum? What are some of the ways that motherhood complicates the very masculinist discourses around hip hop? How can we create an empowered and feminist Hip-Hop mothering, what would it look like and how would it challenge the status quo? How are mothers engaging with Hip-Hop, both locally and globally?

The aim of this collection is to give motherhood within Hip-Hop culture an intellectual point of entry into an existing field of academic debates. Themes that submitted proposals engage may include:

* Hip-Hop histories
* Masculinity
* Misogyny and violence
* Consumerism and capitalism
* The globalization and/or transnationality of Hip-Hop
* Cultural appropriation
* Political subversion
* Cultural diversity
* Feminist mothering
* Heterosexualities
* Queer identities and sexuality
* Aesthetic continuity and change
* Representation and the marketing of identities
* Other themes not mentioned here

We seek both creative and academic submissions that tackle the complex ways in which motherhood and Hip-Hop frame these and other discussions. Abstracts are welcome from a variety of academic disciplines and perspectives.

SUBMISSION GUIDELINES:
Abstracts: 250 words in length.
Deadline for Abstracts: August 1, 2009
Papers: 15-18 pages
Deadline for Papers: January 7, 2010

Please submit proposals to: Maki Motapanyane (maki AT yorku.ca) and Shana Calixte (scalixte AT laurentian.ca).


June 16, 2009

Juno’s Alternative Reality: MTV’s “16 & Pregnant”

16_and_pregnantMTV’s new documentary series “16 & Pregnant” makes its debut Thursday, June 18, at 10 p.m. (EST).  The episodes are also available online.

I watched some of episode one; Maci, the mom shown here with her boyfriend, Ryan, and their son, Bentley, is amazing. She basically gives up everything to take on this new responsibility, with little help from Ryan. I was a bit surprised, though, to read her update describing her life now in far more upbeat terms. I’m thrilled for her, of course, but I do wonder if some teenage viewers will be conflicted.

Baltimore Sun critic David Zurawik highly recommends the series and praises the realism: “Parents who don’t go out of their way to see or record this six-week series of profiles of pregnant teenagers are making a big mistake. If you have no other involvement in your kids’ media lives, make them see this.”

Plus: When it comes to sex-ed, who’s the voice of reason?


May 19, 2009

Oprah is Not Your Doctor and Much, Much More

The Double Dose/Political Diagnosis catch-up edition …

Taking Medical Advice From Oprah: In a word, don’t.

Blogging the Common Ground: CNN’s “blogger bunch” discussion on abortion, following President Obama’s speech at Notre Dame, includes our fave Ann Friedman of Feministing and The American Prospect.

Supreme Court Rules 7-2 Against Women Workers: Women whose pension payments are reduced because they took pregnancy-related leave in the 1960s and 1970s, when pregnancy discrimination wasn’t illegal, aren’t entitled to full pension benefits now, the Supreme Court ruled Monday. The women lost an appeal aimed at forcing AT&T to grant compensatory service credits to boost their pensions.

Motherhood, a Discussion: A new Centers for Disease Control and Prevention report released this month found that the percentage of children born to unmarried women rose to nearly 40 percent of births in 2007, up from 34 percent in 2002. The New York Times invited five experts to weigh in: Silvia Henriquez, National Latina Institute for Reproductive Health; Stephanie Coontz, Council on Contemporary Families; Corinne Maier, author; Mark Regnerus, sociology professor; and Libertad González Luna, economics professor.

FEMA’s Healthier Housing?: From NPR: The Federal Emergency Management Agency has unveiled new models of temporary housing designed to provide shelter for people displaced by natural disasters. A serious plus: They have been built with as little formaldehyde as possible, unlike the trailers FEMA provided to Hurricane Katrina victims.

New CDC Director: President Obama on Friday appointed New York City Health Commissioner Thomas Frieden as director of the Centers for Disease Control and Prevention.

“Dr. Frieden, a 48-year-old infectious disease specialist, has cut a high and sometimes contentious profile in his seven years as New York’s top health official under Mayor Michael R. Bloomberg,” reports The New York Times. “He led the crusade to ban smoking in restaurants and bars, pushed to make H.I.V. testing a routine part of medical exams, and defended a program that passes out more than 35 million condoms a year.”

Medicaid as a Platform for Heath Reform: Kaiser Family Foundation released a package of research papers last week that examine opportunities for expanding Medicaid to cover more low-income and high-need people in ways that would enable the program to serve as a platform for larger national health reform efforts. The papers were released at a public briefing on Medicaid as a Platform for Broader Health Reform. A webcast of the briefing is available.

Plus: Also from Kaiser — an expert panel examined the global health aspects of Obama’sFiscal Year 2010 budget, including allocations for the President’s Emergency Plan for AIDS Relief (PEPFAR) and the President’s Malaria Initiative (PMI). The panel, part of KFF’s new “U.S. Global Health Policy: In Focus” live webcast series, also discussed what the next steps are for the budget with Congress. The webcast and podcast is available.

Max Baucus is for Health Care Reform: But Democrats aren’t entirely sure which side the Montana senator and Finance Committee chairman is on, reports Politico. “Baucus puts a premium on bipartisanship, and if he insists on winning more than a handful of Republican votes, the final product could look vastly different than a bill passed through the Senate with only a simple majority.”

Meanwhile, centrist Democrats have raised concerns with House leaders over a health reform bill that includes a public insurance plan that competes with the private insurance market … Hospitals and insurance companies want to reduce the growth of health care spending, but not like that … James Ridgeway wrote earlier in the week at Mother Jones that “the underlying purpose of this PR stunt is to slow or block any meaningful health care reforms, which could actually improve care while reducing the price tag by a lot more than 1.5 percent.” … The Washington Post deconstructs the White House email on health care reform … And Covering Health, the blog of the Association of Healthcare Journalists, asks: Have reporters written off single-payer system?

Single Payer Would Have Been Nice, But …: If the country were building a health care system from scratch, a single-payer system would be the way to go, Obama said in response to a question about single-payer health care at a town-hall style meeting in New Mexico last week. But at this point, with a tradition of employer-based health care already in place, the goal is simply to improve the current system. Here’s the discussion:


January 10, 2009

Double Dose: House Passes Bills Improving Access to Equal Pay; Blogging for Lesbian Health; Is There an Easy-Bake Oven in Your Vagina?; Nine Easy Steps to a New You (Ha!); And Much, Much More

Job Bias Bills Pass the House: The House on Friday passed two bills related to sex discrimination and workers’ pay. From The New York Times:

One, approved 247 to 171, would give workers more time to file lawsuits claiming job discrimination.

The bill would overturn a 2007 decision by the Supreme Court that enforced a strict 180-day deadline, thwarting a lawsuit by Lilly M. Ledbetter, a longtime supervisor at the Goodyear tire plant in Gadsden, Ala. Three Republicans voted for the bill.

The other bill — passed 256 to 163, with support from 10 Republicans — would make it easier for women to prove violations of the Equal Pay Act of 1963, which generally requires equal pay for equal work.

President Bush threatened to veto both bills, saying they would “invite a surge of litigation” and “impose a tremendous burden on employers.”

The sentence that follows the Bush quote is the best: “Congress will not give him the opportunity.”

That’s because in less than two weeks there will be a new president in town who is enthusiastic about signing both bills.

Plus: Jill Miller Zimon has a good wrap-up and points to this NWLC page, from which you can contact your senator and urge support for these bills.

Health Issues at the Top of the List: Women’s eNews looks at the to-do list of the Congressional Caucus for Women’s Issues. In addition to reintroducing a bill to address heart disease in women, the Caucus intends to focus on human trafficking, sexual and domestic violence against women, women in the military and the backlog of DNA evidence in rape cases.

Lesbian Health Day & Summit: Jan. 5 was Blog for Lesbian Health Day. In response, Jane, a community health nurse and nurse practitioner student who blogs at Fallacy Findings, wrote an excellent post that includes discussion of “lesbian neglect” — which “refers to the fact that many lesbians fail to get Pap smears, do not get them regularly, and/or do not think they need to get them” — and lesbian health as a much-needed topic in nursing and medical schools.

The blogging event was organized as a lead-up to the National Lesbian Health Summit 2009 taking place March 6-8. Organized by the Lesbian Health & Research Center at the University of California, San Francisco, among other groups, the summit “approaches health issues from the perspective of those who face disparities and discrimination and who also generate health and resilience everyday. We will engage in deep thinking and extended discussion to create new responses and innovative programming that reflect our lives.”

Should a TV Doctor be Surgeon General?: Well looks at what health and science blog are saying in response to the news that Sanjay Gupta, a neurosurgeon and CNN’s chief medical correspondent, is Obama’s pic for U.S. surgeon general. Rachel weighs in with some concerns. Here are more links from Shakesville.

The Easy-Bake Oven in My Vagina: Over at Womanist Musings, a reflection on motherhood, race and class includes this gem:

How many of you have run across the vagina equals Betty Crocker syndrome? If you have not, then you probably soon will.  The education system seems to think that this is still 1950 and that mothers are at home with tons of time on their hands to participate in bake sales.  This request is never gender neutral, even though Daddy has two perfectly good hands himself.  Why is this still the norm when most women work a double day?  Even if a woman is a stay at home mother how does a vagina translate into the ability to bake? Do I have an easy bake oven stashed somewhere in my vaginal opening that I was not aware of?

Pull Up a Chair: On my to-do list was to write about the blog The Kitchen Table, a dialog between Princeton University professors Melissa Harris-Lacewell and Yolanda Pierce. Miriam beat me to it and sums up why it’s an essential read.

In this post, Harris-Lacewell discusses violence against gays and lesbians, in the context of the movie “Milk” and the brutal gang rape of a woman who may have been targeted because she is openly lesbian. She writes:

As much as I appreciated Milk, the story has the unfortunate effect of reinscribing an image of gay identity as primarily white, male, urban, and childless. The American imagination of “gay people” as childless, white, men living in cities can render invisible lesbian mothers of color like the woman attacked in Richmond. [...]

Harvey Milk understood that “straight folks” needed to feel our interconnections with gay men and lesbians. We have to know that our destinies our intertwined. We cannot be a great and free country while we sanction violence against and degradation of our neighbors. I consider it a sacred and politically necessary task to speak out for the rights and equalities of others, because they are not truly other. We are all one.

Information on sending contributions or cards of sympathy and solidarity is also provided. Four suspects in the case were arrested last week.

Eye-Rolling Quote of the Week: Ann Coulter refers to single motherhood as “a recipe to create criminals, strippers, rapists, murderers.” Remind me again why she is considered a suitable interviewee?

The Deeper Truth: A new study that looked at the five most popular women’s magazines in Canada found that articles commonly portray cosmetic surgery as an empowering option that improves women’s emotional health, even though there’s no scientific consensus that it does anything of the sort. Here’s Reuters’ take, and the abstract:

Content analyses show the articles tend to present readers with detailed physical health risk information. However, 48% of articles discuss the impact that cosmetic surgery has on emotional health, most often linking cosmetic surgery with enhanced emotional well-being regardless of the patient’s pre-existing state of emotional health. The articles also tend to use accounts given by males to provide defining standards of female attractiveness.

Inside the Medicine Cabinet: Chicago Tribune health writer Julie Deardorff lists essential items to keep in your medicine cabinet (courtesy of the American College of Emergency Physicians) and chemicals found in personal care products that you might want to consider keeping out.

Look Your Best in the New Year: Writing in The New Yorker, Amy Ozol reveals her secrets to “a trim and attractive physique” in just nine easy steps. She spent years perfecting this system, as you can tell. A sampling:

Step 5: Surround yourself with thin people. This will naturally encourage you to emulate their healthy habits. Weigh your friends on a regular basis, then weigh yourself. Do you have a friend who weighs less than you? If so, consider gastric bypass surgery.


November 28, 2008

Double Dose: Surrogacy, Adoption and Privilege; Terror’s Many Forms; Can Some Breast Cancers Go Away on Their Own?; Meet the 5-Year-Old Dribbler …

Her Body, My Baby: Here’s an article sure to spark some discussion about class, privilege and maternal desire. Writing in the Sunday New York Times, Alex Kuczynski explains why – and how — she chose a surrogate mother and describes the relationship that developed between them.

Feminist Lens on Adoption: More on reproductive rights and who has access to those rights … Katie Leo, who was adopted from Korea, writes in Minnesota Women’s Press that her personal story and research on adoption inform her perspective on international adoption: “Could I call myself a feminist and social justice advocate and still adopt? I realized that for me, the answer was no.”

What is Terror for Women?: The fall issue of On the Issues magazine is about violence against women in all its forms. Included are stories on how anti-immigrant fervor translates to terror for women; the violence and stigma that continue to drain abortion patients and providers; and the dangers of giving birth in Somaliland, where maternal mortality rates are high and access to safe care is limited.

There are some inspirational stories as well. Ariel Doughtery looks at how women are using media to tell their own stories and as a vehicle for finding peace and reconciliation.

“To counteract these war horrors, media women armed with video cameras and other media tools have taken up the struggle to bring the women’s stories to larger audiences. They serve as a means of healing, and also as witnesses to the crimes against women,” writes Doughtery.

Plus: Jessica E. Slavin has thoughts about violence against trafficked women, specifically the weaknesses in, and under-utilization of, the T visa program, which was created to provide protection for victims of human trafficking.

Woman Sues Radio Station After “Prize Date” Assaults Her: “A Lake County woman who won a date with a man a radio station called a ‘great’ catch is suing the station for promoting the man, who had a criminal history and allegedly sexually assaulted her on the date she won,” reports the Chicago Tribune. Here’s more from the Daily Herald.

According to the civil suit, Travis Harvey, 46, drugged and raped the 23-year-old woman. Harvey didn’t confess to the rape, but last week pleaded guilty to a criminal sexual abuse charge last week in connection with the assault. He received 24 months probation. According to the woman’s attorney, she didn’t seek medical attention right away so there was no physical evidence to pursue more serious charges.

It’s amazing that the radio station didn’t do a basic background check of Harvey, who had prior felony and misdemeanor convictions for violating domestic violence orders of protection, according to the civil suit. As one friend put it, it’s also amazing that Harvey initiated the contest himself by emailing the station for help getting a date. Hope no one else gets the idea.

A Closer Look at the Healthiest Cities: CDC survey results put Burlington, Vt., at the top of the list of healthiest cities, but a number of other cities are statistically tied for the honor. This L.A. Times story looks at the rankings, as well as the regions where pressure to be thin is tied to looking good (think California) and where there’s a culture of being active (think Boulder, Colo.).

Rate of New Cancer Cases Declines: The rate of new cancer cases is on the decline among Americans for the first time. Less smoking and an increased use of preventative measures is credited.

The findings come from the annual report on cancer produced by the American Cancer Society in conjunction with the National Cancer Institute, the Centers for Disease Control and Prevention, and the North American Association of Central Cancer Registries. Here’s an excerpt from NPR’s coverage:

Part of the decrease in cancer incidence is due to the fact that lung cancer rates among women have leveled off in recent years. Lung cancer incidence among men has been decreasing for several years.

“Everybody’s been waiting for the lung cancer incidence and death rates in women to begin to go down,” says Dr. Michael Thun of the American Cancer Society.

Experts see signs that this is beginning to take place. It might have happened earlier, Thun says, except for something that occurred more than three decades ago: the advent of cigarette brands targeted to young women.

“The big marketing of Virginia Slims that caught the people who were passing through adolescence in the ’60s really boosted smoking rates in that age group,” Thun says.

The decline in the number of  menopausal women taking hormone replacement therapy is partly responsible for the decline in the number of new breast cancer cases. A leveling off the number of mammograms may also be contributing to the decrease, said Thun.

Dr. Tim Byers, a cancer epidemiologist at the University of Colorado, tells NPR the “most striking thing about lung cancer in this report is the enormous variation between states in getting lung cancer and dying from it.”

“One of the questions that this observation raises in my mind is whether or not we should be thinking about the control of tobacco as more of a federal or national program,” said Byers. “Up to now we’ve left it to the states, which is why we’re seeing this enormous state-by-state disparity.”

In separate news, a study published Tuesday in The Archives of Internal Medicine found that breast cancer rates increased in four Norwegian countries after women began undergoing mammograms every two years instead of every six, suggesting that some cancers might have gone away on their own had they not been discovered and treated. Here’s the press release summarizing the study.

Not everyone is convinced by the results, reports The New York Times, but Robert M. Kaplan, chairman of the department of health services at the School of Public Health at the University of California, Los Angeles, said the implications are enormous:

If the results are replicated, he said, it could eventually be possible for some women to opt for so-called watchful waiting, monitoring a tumor in their breast to see whether it grows. “People have never thought that way about breast cancer,” he added.

Dr. Kaplan and his colleague, Dr. Franz Porzsolt, an oncologist at the University of Ulm, said in an editorial that accompanied the study, “If the spontaneous remission hypothesis is credible, it should cause a major re-evaluation in the approach to breast cancer research and treatment.”

Plastic Surgery Procedures Are Down: “Half of plastic surgeons report their practices were down last year,” writes Margaret Morganroth Gullette at Women’s eNews. ”That was before the worst of the recession, so it’s not just a matter of cost or insurers who only cover operations that fix ‘deformities’ or improve healthy functioning.”

From 2004 to 2005, liposuction was down 5 percent; eyelid surgery down 20 percent. Even less-invasive procedures such as microdermabrasion and chemical peels were down in that same time period, by 7 percent and 50 percent respectively, according to the American Society for American Plastic Surgery.

It’s also a matter of growing cultural aversion toward the results. “Scary” is emerging as an increasingly common adjective for the surgeons, procedures and — more frequently — the results.

Meet My New Hero: Milan Simone Tuttle. She plays basketball. She’s 5 years old. And she’s awesome. Milan appeared on the Ellen Degeneres Show on Thursday. Be sure to check out the video below (via Because I Played Sports).


September 20, 2008

Double Dose: Know Any Great Leaders?; Comment on HHS “Conscience Clause”; It’s Not Just About the Rape Kits; Journal Issue Looks at Abstinence-Only Education Programs; World Wide Web of Pesticides; The Price of Beauty …

Nominate a Great Leader: Know an advocate for women who deserves worldwide attention? Women’s eNews has issued a call for 21 Leaders for the 21st Century. Send your nominations to 21leaders@womensenews.org. The deadline is midnight on Oct. 6, 2008. Learn about past award recipients here.

Countdown to Conscience Clause Regulation: You’ve heard about the proposed Health & Human Services regulations that would allow federal health officials to withdraw funding from medical providers and services receiving HHS support that do not let employees opt out of providing basic health care — and information — they find objectionable. Now’s your time to act.

Rachel has written extensively about HHS Secretary Michael Leavitt confusing the public (and health experts) with his justification for the regulations — which would affect not only abortion and contraception, but a whole range of health care services — and she wrote a terrific analysis this week at RH Reality Check on the roadblocks Leavitt and HHS have imposed, making it difficult to get information about the rule and delaying the posting of comments for public viewing.

Sen. Hillary Clinton and Cecile Richards, president of the Planned Parenthood Action Fund and Planned Parenthood Federation of America, joined forces this week to write a great op-ed in The New York Times that asked: “The Bush administration argues that the rule is designed to protect a provider’s conscience. But where are the protections for patients?”

The public comment period ends Sept. 25. You can submit your comments directly (although as of this morning the site was done for “planned system maintenance,” scheduled to return at 1 p.m.). Planned Parenthood and the ACLU have both set up customizable comment forms.

And, while you’re at it, you might nominate HHS Secretary Leavitt for Ellen Goodman’s annual Equal Rites Awards.

It’s Not Just the Rape Kits: On the subject of Alaska Gov. Sarah Palin approving billing sexual assault victims for the cost of forensic rape examinations when she was mayor of Wasilla, Amie Newman writes: “There is good reason to hunt down the facts about the rape kits.  But the larger issue — of rape, sexual assault and how we deal with violence against women in this country — has been overlooked.”

Stop Me if You Think You’ve Heard This One Before: The September 2008 issue of Sexuality Research & Social Policy reviews federally funded abstinence-only programs and finds — surprise — that such programs don’t delay teens from having sex and their continued use is not warranted.

The articles in this special issue were selected from research presented at a January 2007 conference, “Human Rights, Cultural, and Scientific Aspects of Abstinence-Only Policies and Programs,” sponsored by the Heilbrunn Department of Population and Family Health at Columbia University, with the support of the William and Flora Hewlett Foundation.

From the introduction:

Taken as a whole, these articles build a strong scientific and human rights case against AOE. Together, they find that the very idea of an abstinence-only approach to sexuality education is scientifically and ethically flawed. Such programs reflect a religious and cultural belief system of socially conservative groups who have attained considerable political leverage at both state and federal levels. AOE programs not only fail the usual public-health standard of program efficacy but also actively restrict lifesaving information and promote misinformation about scientifically accepted public-health strategies such as condom use.

As the articles in this special issue show, science should drive public-health decision making — which, in turn, should inform public policy on health promotion and disease prevention (Koplan & McPheeters, 2004). In the case of AOE, politics and ideology have influenced public health policy and undermined scientific evidence about the best approaches to preventing unwanted outcomes regarding adolescents’ sexual behavior. Science, not ideology, should shape the future of public-health prevention policies for youth.

Plus: Kaiser Family Foundation has released a new fact sheet (the first update since 2006) on sexual health topics facing teens, including general sexual activity; sexual partners and relationships; sex, substance abuse and violence; pregnancy; contraception and protection; STDs; and access to health care services.

World Wide Web of Pesticides: The Center for Public Integrity’s latest investigation, “Wide Web of Pesticides Can Endanger Consumers,” looks at the practice of selling pesticides over the internet, which allows consumers to circumvent regulations meant to protect the public from harmful chemicals.

The dangers of online pesticide sales are many: little accountability on the extent of the practice; lack of training for those who purchase professional grade chemicals online; overexposure to dangerous chemicals and whether they are being properly used. For most states, the lack of resources prevents them from effectively monitoring online pesticide sales. While Colorado, New York, Michigan, Minnesota, California, and Nebraska are recognized as states working consistently to stem illegal Internet sales, many argue that the EPA should be doing more, highlighting the challenge regulators face of trying to control an online global marketplace where buyer and seller often never meet face to face.

This is the second article in the Center’s new series The Perils of the New Pesticides. The first, “A Checkered Past,” looks at the EPA’s flawed efforts to monitor poisonings by pesticides deemed safe. In addition to the excellent coverage, visitors can search pesticide incidents on file with the EPA by state and by year.

“The EPA’s pesticide incident-reporting system has not been public until now. Called one of the ‘Ten Most Wanted Government Documents‘ by the Center for Democracy and Technology, the database was released under the Freedom of Information Act to the Center for Public Integrity in early 2008,” according to the introduction.

Going Greener: “Innovations in designing green chemicals are emerging in nearly every U.S. industry, from plastics and pesticides to toys and nail polish. Some manufacturers of cosmetics, household cleaners and other consumer products are leading the charge, while others are lagging behind,” writes Marla Cone in the L.A. Times.

Part 2 of the series on a greener future looks at industries that remain dependent on hazardous substances.

The Price of Beauty: Having trouble getting a medical appointment with your dermatologist? Have you mentioned that you’re interested in Botox?

“Like airlines that offer first-class and coach sections, dermatology is fast becoming a two-tier business in which higher-paying customers often receive greater pampering. In some dermatologists’ offices, freer-spending cosmetic patients are given appointments more quickly than medical patients for whom health insurance pays fixed reimbursement fees,” writes Natasha Singer in The New York Times.

“In other offices, cosmetic patients spend more time with a doctor. And in still others, doctors employ a special receptionist, called a cosmetic concierge, for their beauty patients.”

Doctors Have Babies, Too: “For the growing number of women entering medicine, becoming a doctor increasingly includes a complication: pregnancy,” writes Liz Kowalczyk in the Boston Globe.

In the last 10 years, most teaching hospitals have adopted maternity leave policies for residents. Even so, new moms face a range of difficulties beyond exhaustion, from time limits placed on maternity leaves by boards that certify physicians in their specialties to resentment from fellow residents who must shoulder extra work while they’re gone. Academic medical centers also feel the pressure when a resident gets pregnant, because they depend on these physicians-in-training to provide most of the round-the-clock care to patients, especially in Massachusetts with its large number of teaching hospitals.

“As far as we’ve come, there still are significant barriers to parenting during residency,” said Dr. Debra Weinstein, vice president for graduate medical education for Partners HealthCare System, the parent organization of Mass. General and the Brigham.

Ain’t I a Mommy?: Great piece at Bitch by Deesha Philyaw, who wonders why with so many motherhood memoirs, so few of them are penned by women of color.

“The absence of black mommy memoirs mirrors the relative absence of black women’s voices in mainstream U.S. media discourse about motherhood in general,” writes Philyaw. “The abundance of ink and airtime devoted to a vocal minority of women promotes the idea that this minority’s experience is somehow universal. Low-income and working-class women, black women, and other women of color don’t see their mothering experiences and concerns reflected in the mommy media machine, and we get the cultural message loud and clear: Affluent white women are the only mothers who really matter.”

Motherhood, Activism and Politics: Writing at The American Prospect Online, Kara Jesella looks at maternalist politics, which have a long history in American culture.


June 13, 2008

Double Dose: Life Expectancy Hits Record High; Motherhood, the Elephant in the Laboratory; Politics, Media and “Baby Mamas”; Strawberry Shortcake’s Slimming Makeover; John McCain’s Record on Women’s Health …

Life Expectancy Hits Record High: “Americans’ life expectancy reached a record high of 78.1 years in 2006, with disparities among ethnic groups and between the sexes generally narrowing, according to government data,” reports the Washington Post.

The overall U.S. life expectancy of 78.1 years was up 0.3 years from 2005. Life expectancy for women was 80.7 years, and for men, 75.4 years. The disparity between the sexes — 5.3 years — has been declining since it peaked at about eight years in 1979.

White women had the longest life expectancy, at 81 years, followed by black women (76.9 years), white men (76 years) and black men (70 years). The gap between men and women is markedly greater in blacks (6.9 years) than in whites (five years).

Plus: Read our previous look at declining life expectancy rates for women in some regions of the United States.

Women Scientists Contribute to New Book on Motherhood: “Motherhood, The Elephant in the Laboratory: Women Scientists Speak Out,” is a newly published collection of essays about science and motherhood, written by 34 women scientists. There’s also a related blog, designed to serve as an ongoing forum for discussion, organization and hopefully change. Via Women’s Bioethics Blog.

This is What We Have to Look Forward to: An on-screen description during a Fox News segment on conservative attacks on Michelle Obama read: “Outraged Liberals: Stop Picking on Obama’s Baby Mama.” In the Understatement of the Month, Fox News conceded that a producer “exercised poor judgment.” See Pam’s House Blend for great commentary and more links.

Plus: The women behind What About Our Daughters have launched Michelle Obama Watch to keep track of the media coverage.

Strawberry Shortcake’s Slimming Makeover: Because even cartoon characters can never be too thin or too young …

Prevalence of Hysterectomies Questioned: “One in three women has a hysterectomy before her 60th birthday. Yet treatment for life-threatening illnesses — uterine and ovarian cancers — accounts for only 10% of the procedures,” writes Anna Clark at RH Reality Check, in this look at the frequency of hysterectomies and the health implications.

Shooting Holes in Protective Gun Bans: From Women’s eNews: Landmark laws passed in the 1990s aimed at keeping guns from abusers have fallen short of their mark, say law enforcement personnel and advocates. Marie Tessier’s story on protective gun bans is the latest in the WeN series on “Dangerous Trends, Innovative Responses.”

“It seems like a great idea, to take guns away from batterers,” says Merril Cousin, executive director of the King County Coalition Against Domestic Violence in Seattle. “It’s more complicated than it sounds, because it depends on finding out that a firearm is involved, it often requires a court order, and then you have to get the order enforced.”

Guns are used to kill most victims of intimate partner homicides, though the proportion has been falling, according to the Bureau of Justice Statistics.

In recent years, about 1,200 women have died annually in intimate partner homicides, according to the U.S. Department of Justice. About a third of female homicide victims in the United States are killed by a partner or former partner. Women ages 25 to 49 are at higher risk, as are African American women and Native American women.

Help Write the History of the Pill: Feminist historian Elaine May is seeking men and women who would be willing to talk about their experiences with the PIll, as well as people who work in fields that relate to its use and availability.

“The Pill is often considered one of the most important innovations of the twentieth century. As I investigate this claim for a new book set for release on the 50th anniversary of the Pill’s FDA approval (Basic Books, 2010) I’m looking to include the voices and stories of real people. I hope yours will be one of them. I’m eager to hear from men as well as women, of all ages and backgrounds,” writes May in her author’s query, published at Feministing.

Speaking of Birth Control …: The question of the day is, “How well do you know John McCain’s views on women’s health?” It’s time get out the facts. Planned Parenthood is launching house parties next week (June 14 – June 20) to help spread the word about McCain’s record not only against abortion, but also against funding for family planning, comprehensive sex education and prescription coverage for birth control. Check out this video from Planned Parenthood:


June 1, 2008

Double Dose: Neither Superwomen Nor Supermoms; Cigarette Taxes Inrease in NY; Screening for Domestic Abuse; The EPA, Percholate and Your Drinking Water …

New York Governor Faces Suit Over Same-Sex Marriage Order: “An Arizona-based conservative Christian group said on Friday that it planned to sue Gov. David A. Paterson to block his directive to state agencies to recognize same-sex marriages performed outside New York,” reports The New York Times.

The group suing is the Alliance Defense Fund, which was founded by the Rev. James C. Dobson and others, all of whom are for limiting marriage to heterosexuals. The story also discusses how Senate Republican leaders plan on responding to the governor’s directive. Read our earlier post about plans in New York to recognize (but not yet allow) same-sex marriage.

The Rest of Us: In today’s Boston Globe Sunday Magazine, Rebecca Steinitz describes how mothers without an army of nannies and who have not “opted out” make it through summer vacation.

[I]t’s neither superwomen nor supermoms that I see when I drop my younger daughter off at school. While the first-graders zoom around us, I strategize about summer vacation with the preschool teacher and the nurse, the freelance film producer and the nutritionist who’s currently managing her husband’s plumbing business, the law professor and the stay-at-home moms — not to mention the dads. And, tales of mommy wars notwithstanding, we’re all talking to one another.

Do I live in some anomalous corner of working motherhood? I don’t think so. Despite frequent sightings of weekday-morning stroller-pushing moms and the much-ballyhooed dip of about a percentage point in the rate of women in the workforce between 2000 and 2004, statistics show that more than two-thirds of mothers work.

The story is chock-full of good statistics. Give it a read.

Do All Women Have the Right to Become Mothers?: “In many ways, access to and the affordability of infertility treatments speaks to our society’s view of who is considered worthy of motherhood,” writes Pamela Merritt at RH Reality Check.

Decades after eugenics was debunked and fell out of favor as a movement to “improve society,” the residue lingers: there is a strongly held belief that pregnancy and income should be connected. President Reagan tapped into that sentiment with his infamous comment about a “welfare queen,” but the core belief is as old as the American Dream: people who are poor are considered lazy, deserving of poverty and undeserving of anything it takes money to buy. Low-income women who are faced with infertility and seek treatment are suspected of trying to work the system and defraud society.

Plus: On Tuesday, June 3, RH Reality Check and Americans for UNFPA will host an online forum at 1 p.m. on global women’s health and the Republican and Democratic Party platforms. “Are the World’s Women Part of Our Political Agenda?” kicks off with a video statement from Anika Rahman, Americans for UNFPA president, and the insights of Democratic and Republican activists about their parties’ treatment of women’s issues. Rahmam will monitor the comments section through 4 p.m. to follow the discussion and respond to ideas on how to prioritize women’s health internationally.

Two Kinds of End-Of-Life Care: “There are two starkly different paths toward death in New York City’s hospitals, one for patients at elite private institutions, another for those at public hospitals, according to new data compiled as part of a consumer rating system,” reports The New York Times. Anemona Hartocollis and Ford Fessenden write:

Most elderly patients in their last two years of life have more intensive treatment, more tests, more days of hospitalization — and more out-of-pocket costs — at private teaching hospitals like N.Y.U. and Lenox Hill than their counterparts at Bellevue and the city’s other municipal hospitals, which have historically served the neediest New Yorkers. [...]

The rankings, compiled by Consumer Reports from a 15-year research project based at Dartmouth College, have huge implications for administrators, doctors and patients as they consider which model of care is best for those suffering from chronic, fatal illnesses like cancer, congestive heart failure, lung disease and dementia.

The study does not address the question of whether longer stays and more intervention prolong patients’ lives, and the Dartmouth researchers argue, in general, that less-aggressive treatment does not change.

Holy Smokes!: New York state on Tuesday will almost the double the tax on cigarettes — to $2.75 from $1.50, putting the price of a pack of cigarettes in New York City to around $8.50 (that also includes a $1.50 city tax).

From City Room: "It’s not clear whether the messages will have much effect on die-hard smokers, but social scientists have concluded that raising the cost of cigarettes has been a strong factor in bringing down the smoking rate. The city believes that cigarette-tax increases in 2002 helped bring about a 21 percent drop in adult smoking and a 52 percent drop in smoking among public high school students in the city."

Plus: World No Tobacco Day was May 31. Here’s more from the World Health Organization.

Did You Have an Abortion in Iowa?: If so, and if you experienced financial barriers at any point in the process, the Emma Goldman Clinic would like to hear about your experience. The information (which can be kept anonymous) will help the clinic in their work to provide assistance to women in similar situations.

Insight and Action: The website of the International Center for Research on Women is a terrific resource for background, research and advocacy information on issues such as HIV/AIDS, poverty reduction and violence against women.

The organization also features a special section on child marriage, which includes this photo exhibit as well as this six-minute video with images taken by award-winning photojournalist Stephanie Sinclair that depict the lives of girls in Afghanistan, Ethiopia and Nepal who marry as children.

Screening for Domestic Abuse: Erin Marcus, associate medical director of the Institute for Women’s Health at the University of Miami Miller School of Medicine, writes in The New York Times about the need for better methods to screen patients for domestic abuse.

"Those who support routine questioning say domestic violence is as or more common in women than many diseases for which doctors regularly check, including breast and colon cancer, and its health risks are well documented," notes Marcus. "Despite these recommendations, screening for domestic abuse in seemingly healthy women is nowhere near as widespread among doctors as testing for breast cancer or high cholesterol."

Who is the EPA Protecting Again?: Here's a story I meant to highlight earlier — an Environmental Protection Agency official told a Senate committee hearing in May that there’s "a distinct possibility" the EPA would not limit the amount of perchlorate, a toxic ingredient of solid rocket fuel, that is allowable in drinking water. Percholate is found in food crops, as well as human breast milk and baby formula. The L.A. Times has coverage of the EPA sitting on its hands:

State officials and water suppliers across the nation have been waiting for the EPA to set a standard for several years because perchlorate has contaminated the water supplies of at least 11 million people. Last
year, California, impatient with the EPA’s indecision, set its own standard.

Benjamin H. Grumbles, the EPA’s assistant administrator for water, said the EPA would decide by the end of the year whether to regulate perchlorate. Scientific studies have shown that the chemical blocks iodide and suppresses thyroid hormones, which are necessary for the normal brain development of a fetus or infant.

Sen. Barbara Boxer (D-Calif.), who chairs the committee, is understandably ticked:

"Congress will not sit idle while EPA fails to adequately protect our children. We must step in to require action that will ensure that our children and families can turn on their taps and be assured that what comes out is safe to drink," Boxer said.

Much of the water contamination comes from military bases and aerospace plants, as well as fireworks companies.

The Pentagon and its contractors for years have been lobbying against a federal standard, saying there are no proven health effects at levels to which people are exposed, and that cleaning up perchlorate could cost billions of dollars.


May 9, 2008

Double Dose: A Reporter Writes About Her Own Rape; Are Doctors Shilling for Drug Companies on Public Radio?; NPR on Women Waiting to Have Children and the “Clash” Between Cuture and Biology; Books Challenged for Sexuality Content; and More

Beyond Rape – A Survivor’s Journey: Cleveland Plain Dealer reporter Joanna Connors has written a five-part story about being raped 24 years ago when she was on assignment for the paper.

The story is notable not only for Connors’ reach in describing how her life (and by extension her husband and children) was affected by the rape, but she also sets out to learn more about her rapist — and in doing so peels back the layers on a family trapped in a cycle of violence and abuse toward women. While exploring the related race and class issues, Connors raises many questions as she sets about trying to answer them.

All the sections to the series are available here, along with an introduction by the paper’s editor and resources for victims of rape.

Plus: Editor & Publisher looks at responses to Joanna Connors’ story.

Are Doctors Shilling for Drug Companies on Public Radio?: Check this out — as Shannon Brownlee and Jeanne Lenzer write at Slate:

A few weeks ago, devoted listeners of public radio* were treated to an episode of the award-winning radio series The Infinite Mind called “Prozac Nation: Revisited.” The segment featured four prestigious medical experts discussing the controversial link between antidepressants and suicide. In their considered opinions, all four said that worries about the drugs have been overblown.

The radio show, which was broadcast nationwide and paid for in part by the John D. and Catherine T. MacArthur Foundation, had the air of quiet, authoritative credibility. Host Dr. Fred Goodwin, a former director of the National Institute of Mental Health, interviewed three prominent guests, and any radio producer would be hard-pressed to find a more seemingly credible quartet. Credible, that is, except for a crucial detail that was never revealed to listeners: All four of the experts on the show, including Goodwin, have financial ties to the makers of antidepressants. Also unmentioned were the “unrestricted grants” that The Infinite Mind has received from drug makers, including Eli Lilly, the manufacturer of the antidepressant Prozac.

Continue reading ….

For Prospective Moms, Biology and Culture Clash: Just before Mother’s Day, NPR’s “Morning Edition” looks at the rising age of first-time mothers and the “clash” between culture and biology.

The average age of first-time mothers in the United States has been rising steadily over the past four decades — up from 21.4 in 1970 to a little over 25 in 2005, the National Center for Health Statistics reports. [...]

“Women are no longer marrying the boy they met in high school,” [Rutgers anthropologist Helen] Fisher says. “They’re concerned with getting a career before they marry. This takes time.”

But this is time on the biological clock that cannot be recaptured. …

I appreciate that the story includes a couple sharing household duties while both work, and Fisher notes that businesses are recognizing women want to keep their careers, but there’s still a tone of women should know better — and should get on with making babies.

A story on, say, the glacial speed of government and business to provide adequate paternity and maternity leave and to accommodate breastfeeding moms returning to work — along with the lack of access to quality childcare and the advocacy work of groups like Moms Rising — would be a more welcome and appreciated “Mother’s Day” story.

Plus: This Wall Street Journal’s Heath Matters column focuses on unplanned pregnancies later in life. Close to 40 percent of pregnancies among women over 40 are unplanned, according to a 2001 survey by the National Center for Health Statistics in Atlanta, the most recent data available.

Public Citizen Calls on FDA To Withdraw Ortho Evra Patch From Market: Public Citizen’s Health Research Group called on the FDA this week to withdraw the birth control patch Ortho Evra from the market, citing studies that found an increased risk of dangerous blood clots, reports Reuters.

“The considerable safety concern of high-dose, variable estrogen exposure tips the balance of risks and benefits against the availability of Ortho-Evra as a contraceptive,” wrote Sidney Wolfe, head of the research group.

A Better Method for Handling Rape Kit Evidence: Jessica Voorhees Norris, a Ph.D. candidate in forensic chemistry at University of Virginia, has created a method for handling rape kit evidence that reduces part of the DNA analysis time from 24 hours to as little as 30 to 45 minutes and improves the sperm cell recovery rate by 100 percent, according to this university release.

If her method was to be adopted by forensic labs — and the results accepted by courts — the backlog could potentially be reduced within months.

“There is an overwhelming demand for DNA analysis of sexual assault evidence, but laboratories have neither the funding nor the manpower to handle the caseload in a timely manner,” Norris said. “Juries have come to expect DNA evidence in sexual assault cases, but forensic labs are not able to perform in a timely and efficient manner due to limitations in the currently used technologies.”

“Homosexuality,” “Sexually Explicit” Most Common Reasons for Challenging Books: For the second year in a row, “And Tango makes Three,” a children’s story by Justin Richardson and Peter Parnell about two male penguins caring for an orphaned egg, was the most “challenged” book in U.S. public schools and libraries, according to the American Library Association.

Other books in the top 10 cited as “sexually explicit” include “The Color Purple” by Alice Walker; “It’s Perfectly Normal,” by Robie Harris; and “The Chocolate War,” by Robert Cormier.

“Overall, the number of reported library challenges dropped from 546 in 2006 to 420 last year, well below the mid-1990s, when complaints topped 750,” reports the Associated Press. “For every challenge listed, about four to five go unreported, the library association estimates.”

National Women’s Health Week: We here at OBOS like to think of every week as Women’s Health Week, but next week it’s official: National Women’s Health Week runs May 11 – May 17, and the push this year is to encourage women to make their health a top priority and take simple steps for a longer, healthier and happier life.


May 3, 2008

Double Dose: Bush White House – “Where All Good Public Health Protections Go to Die”; Afghanistan’s High Maternal Death Rate; The Disney Hypocrisy; Divorce Tied to Professor’s Job Loss; Amy Richards on “Opting In”; and More

Federal Agencies Can Now Offer Secret Input on EPA Chemical Reviews: The Washington Post reports on changes the Bush administration has made to Environmental Protection Agency reviews of chemicals — changes that officials with the Government Accountability Office say will delay scientific assessments of health risks and open the process to politicization.

Richard Wiles, executive director of the Environmental Working Group, called the EPA process a “bureaucratic quagmire,” adding, “With these rules in place, it’s now official: The Bush White House is where all good public health protections go to die.”

Death in Childbirth a Health Scourge for Afghanistan: Reuters takes a close look at the staggering maternal death rate in Afghanistan, where about 1,600 Afghan women die in childbirth out of every 100,000 live births.

“In some of the most remote areas, the death rate is as high as 6,500. In comparison, the average rate in developing countries is 450 and in developed countries it is 9,” writes Tan Ee Lyn. “Virtually everyone in Afghanistan can recount a story about a relative dying in childbirth, often from minor complications that can be easily treated with proper medical care.”

Plus: Read our previous posts on Afghanistan and maternal health — and how the United States has mismanaged funding and programs intended to improve hospital conditions.

The Disney Hyprocrisy: From Slate: Forget Miley Cyrus. Check out Disney’s Chinese underwear ad. Just go.

Plus: There’s a new book out on the sexualization of ‘tween girls: “The Lolita Effect,” by Gigi Durham, a University of Iowa journalism professor.

“I’m criticizing the unhealthy and damaging representations of girls’ sexuality, and how the media present girls’ sexuality in a way that’s tied to their profit motives,” said Durham in this release. “The body ideals presented in the media are virtually impossible to attain, but girls don’t always realize that, and they’ll buy an awful lot of products to try to achieve those bodies. There’s endless consumerism built around that.”

Divorce Leads to Job Loss: So imagine you’re a professor and you’re going through a divorce. Your college requires that you talk with a staff member to see whether the grounds for divorce meet Biblical standards. If you don’t, you’ll lose your job. Yep, that’s what happened to a popular English professor who has taught at Wheaton College in Illinois for 20 years. From the Chicago Tribune:

Many theological conservatives say the New Testament permits divorce only in cases of adultery or desertion. Wheaton requires faculty and staff to sign a faith statement and adhere to standards of conduct in areas including marriage, said Provost Stan Jones.

Still, every year, the college has dealt with several cases in which it must evaluate the divorce of a job applicant or a staff or faculty member and consider whether it matches the exceptions laid out in Matthew 19 and the writings of the Apostle Paul.

I admit I’m not up on Bible readings, but what about, say, domestic abuse — along with a host of other very good reasons?

Genetic Link to Osteoporosis: “Researchers have identified two common genetic mutations that increase the risk of osteoporosis and related bone fractures, according to a study released Tuesday,” reports Reuters.

U.S. Federal Funding for HIV/AIDS: The Kaiser Family Foundation has released a new fact sheet on federal funding for HIV/AIDS in the President’s Fiscal Year 2009 budget request, and comparisons over time, with key funding highlights for domestic and global HIV/AIDS programs. It also includes additional information on federal funding for global TB, malaria and other global health efforts.

Can I Get A May Day for Immigrant Women’s Health?: “May Day, May 1st, has come to hold the promise of rallies for immigrant rights staged across the United States. And this year is no different. But with McCain’s more-of-the-same health care plan having just been released, it’s a perfect time to focus on why women’s reproductive health care must be a crucial part of any discussion about immigration reform,” begins Amie Newman’s essay at RH Reality Check.

Rescue Us From Our Bodies: Here’s a nice round-up of responses to Midol’s new “Reverse the Curse” campaign.

Stop the Mommy Madness: Salon talks with feminist activist Amy Richards, whose new book is titled “Opting In: Having a Child Without Losing Yourself.”

Plus: Rachel Fudge reviews “Opting In” for Mother Jones.

More Mothers Breast-Feed, in First Months at Least: “About 77 percent of new mothers breast-feed their infants at least briefly, the highest rate seen in the United States in more than a decade, according to a government survey released on Wednesday,” reports The New York Times. Enthusiasm, however, was tempered.

Breast-feeding experts said that they were cheered by the report’s numbers but noted that rates of breast-feeding at 6 months of age have remained unchanged and are significantly lower than goals set by government agencies. The most recent C.D.C. survey did not report breast-feeding rates at 6 months because of a lack of data. [...]

In the most recent survey, breast-feeding rates increased among non-Hispanic black women to 65 percent from 36 percent in 1993 and 1994. Eighty percent of Mexican-American infants and 79 percent of non-Hispanic white infants had been breast-fed.

The age and income of mothers played important roles. Just 57 percent of poor mothers and only 43 percent of mothers under 20 breast-fed their infants, the survey found.

Dr. Barbara L. Philipp, associate professor of pediatrics at Boston University, said the C.D.C. survey had not asked mothers whether they breast-fed exclusively. “One sip was positive, so they set the bar very low,” Dr. Philipp said.


March 8, 2008

Double Dose: International Women’s Day; Annual State of Black America Report; Legislation on Drive-By Mastectomies Stuck in Neutral; Maternal Instinct Wired?

Celebrate International Women’s Day: Happy IWD to everyone! Here’s the 100-year history and hundreds of events taking place in more than 50 countries.

Lucinda Marshall has reflections on the importance of IWD — and plenty more at Feminist Peace Network. Women’s eNews’ weekly Cheers & Jeers focuses on equality gains and disappointments around the world. Carolyn Byerly writes about the lack of U.S. media coverage.

State of Black America: The State of Black America report was issued this week by the National Urban League. The 2008 edition is subtitled “In the Black Woman’s Voice” and includes essays on the economic, social, psychological and medical challenges that black women face. An executive summary, abstracts and order form can be found in the Urban League’s publication section.

This AP story describes some of the essays. Julianne Malveaux’s “The Status of African-American Women” was republished in Diverse: Issues in Higher Education.

Legislation on Drive-By Mastectomies Stuck in Neutral: “Despite an online petition with 20 million signatures supporting federal legislation that could prevent insurance companies from covering only these so-called drive-through — or outpatient — mastectomies, Congress has been slow to act,” reports the Chicago Tribune. “But after more than 10 years of proposing similar legislation, proponents of the Breast Cancer Patient Protection Act are hoping that with Democrats controlling Congress, the measure might finally be approved.”

Conflict of Interest Much?: “A dispute over food industry influence has resulted in the resignation of the incoming president of the Obesity Society,” reports The New York Times. It seems that Dr. David B. Allison came under fire after the society, which represents obesity doctors and researchers, learned Allison had written an affidavit “as a paid consultant on behalf of the restaurant industry, which is trying to block new rules in New York City that at the end of March will require fast-food and other restaurant chains to list the calories of menu items.”

Plus: “According to some experts whose views are public health heresy, the jury is still out on how dangerous it is to be fat. ‘The obesity epidemic has absolutely been exaggerated,’ said Dr. Vincent Marks, emeritus professor of clinical biochemistry at the University of Surrey,” reports the AP.

Maternal Instinct Wired into the Brain: That’s the headline, anyway, on this incomplete New York Times summary of a study that appeared in Biological Psychiatry. On the upside, it’s a great example of the added-value of commenters, who smartly question the lack of context and potential implications.

Texas Twofer: Rachel points to two Texas stories — the first about a woman kicked out of a mall’s salon for breastfeeding (a violation of company policy and a state statute), and the other about a mother pushing for a policy change after the teenager who raped her now 12-year-daughter was allowed to return to school.

What’s in a Name?: Last month, the Rape Crisis & Abuse Center in Ohio switched back to its old name – Women Helping Women, with the added tagline “Serving Women & Men Who are Victims of Domestic Violence, Sexual Assault & Stalking.”

The change was originally made because the agency also helped male victims of domestic violence, but the new name was considered too off-putting and fundraising dropped, reports the Cincinnati Enquirer. “It was the word,” said Executive Director Ann McDonald. “The word rape scares people.”

An editorial in support of the agency’s decision reads in part:

Besides clouding the fact that the center also works heavily with victims of domestic violence, the old name created distance – the very thing a victims’ advocacy group can’t afford. “We need people to hear us,” McDonald says.

Critics may say the center should have maintained its name on principle, that refusing to back off the word is one way to shatter the stigma. But in this case, a challenge to semantics isn’t as important as keeping a vital service viable and alive.

Call for Abstracts: The Black Women’s Health Imperative invites abstracts from individuals interested in presenting a workshop at the national black women’s health conference, June 20, 2008. The abstract must address topics within one of the three conference tracks: mental health, HIV/AIDS and overweight and obesity. The deadline is March 28.


January 7, 2008

Considering the Implications of Paid Surrogacy

Recent reports have noted a booming business in India for women who are paid to act as gestational surrogates, who receive compensation many times a normal salary in the region to carry out a pregnancy for women in other countries (including the United States).

In the U.S., we have an uneasy relationship with anything that smacks of paying people for their bodies – prostitution is generally illegal, payment of egg donors has inspired much ethical debate (including suggestions that payment is okay, but only up to a point), adoptions must be carefully conducted to avoid the appearance of “buying babies,” and an organization offering financial incentives to drug-using women to be sterilized has been widely criticized. State laws in the U.S. on surrogacy vary, but several prevent compensation of the surrogate. While each of these issues has its own special considerations, the overarching concern tends to be whether payment for the use of a body can ever be anything but coercive when women in disadvantaged situations are the ones being paid for their bodies.

What, then, can we make of U.S. families skirting those rules to pay women in another country to serve as surrogates? One woman interviewed for the Marketplace piece on the issue notes the creepy kind of control that can be had over the surrogates (which she sees as an advantage), stating, “The legal issues in the United States are complicated, having to do with that the surrogate mother still has legal rights to that child until they sign over their parental rights at the time of the delivery,” and, regarding the surrogate’s behavior while pregnant, “…there’s no one policing her in the sense that you don’t know what’s going on.”

Judith Warner points to the language of empowerment being used by supporters of this trend and the conflict of that viewpoint with generally accepted rules of body-selling in the United States, observing:

“In the United States, lip service has long been paid to the notion that women can’t be instrumentalized as baby-making machines. Indeed, one of the ways that surrogacy survives here is under cover of the fiction that the women who bear other women’s babies do so not for the money – which would be degrading – but because they ‘love to be pregnant.’ But our rules of decency seem to differ when the women in question are living in abject poverty, half a world away. Then, selling one’s body for money is not degrading but empowering.”

Jill at Feministe comments on how this news fits into a larger narrative about race, class and labor:

“Addressing surrogacy as one service industry among many wherein the bodies of poor women of color are used to further the wants of wealthier white people would require us to look at the systematic racisms and inequalities that prop up the entire global economy. And that definitely does not go over so well. And so instead we get a story about entitled, selfish white women, and brown women who are doing the work we wouldn’t do, but who maybe should consider themselves lucky for getting scraps.”

This story, then, is not just about the strange news of women in India earning unexpected sums for completing a pregnancy – it is about outsourcing work and the conditions in which that work is performed in general, questions of coercion, “racisms and inequalities” (including the double standard in paying others to do what we will not allow our “own” to be paid to do), the control of bodies, and the ethics of payment for the use of those bodies. What’s your take on this issue?


December 9, 2007

Double Dose: “Push Presents”; Report on Environmental and Occupational Causes of Cancer; More Doctors Offer Online Services; “Juno” Delivers

FDA Panel Rejects Breast Cancer Drug: “A Food and Drug Administration panel dealt a sharp blow to biotech giant Genentech Inc. on Wednesday by refusing to recommend approval for the company’s high-profile drug Avastin as a treatment for breast cancer,” reports the L.A. Times. “The cancer drugs are controversial: They extend patients’ lives in some cases only by several months, and they can cost as much as $100,000 per patient per year. In recent years, federal regulators have been willing to approve drugs even if the benefits were only marginal. But that may be changing.”

Health Care Debate Needs to Include Women: “As Gov. Arnold Schwarzenegger and the Democratic leadership in the Legislature negotiate a health care proposal that they hope everyone can agree upon, it’s important to consider a California constituency that hasn’t received enough attention during this debate: women,” writes Carlina Hansen, executive director of the Women’s Community Clinic in San Francisco, in an op-ed published in the Sacramento Bee.

The op-ed was co-signed by other representatives of the Women’s Working Group on Universal Health Care, a California-based organization that focuses on educating and involving women and women’s organizations in state and local health reform efforts. Check them out.

The Doctor Will Email You Now: “Unlike the banking, restaurant and travel industries, the medical profession has been slow to embrace the Internet’s potential customer service benefits,” reports the Chicago Tribune. “But despite concerns about patient privacy, costs and time constraints, a growing number of physicians are encouraging patients to go online to do things such as check lab results and immunization records, request refills and appointments, and e-mail their physicians with non-urgent medical questions.”

What Says Love Like Diamonds in the Delivery Room? In another example of All The News That’s Fit for Wealthy Heterosexual White Women, the New York Times turns attention to “push presents,” given to the mother following childbirth. Art commemorating the baby’s birth — I get that. I also understand, as one commenter points out, the desire to celebrate the birth with something that can be passed down for generations. But the materialism depicted in this story is disturbing. What’s nine months of pregnancy and labor worth? How about at least six months of paid maternity leave — now that’s priceless.

Plus: New word association game — read the word “push,” visit Pushed Birth.

Environmental Toxin Can Collect in Breast Milk: “Scientists have discovered the mechanism by which a chemical known as perchlorate can collect in breast milk and cause cognitive and motor deficits in newborns,” reports HealthDay News. “Used since the 1940s to manufacture explosives and rocket fuel, the contaminant is still widely present in the water and food supply, experts say.”

The study by scientists at the Albert Einstein College of Medicine of Yeshiva University appeared in the Dec. 3-7 advance online issue of the Proceedings of the National Academy of Sciences. Here’s more from the EPA on perchlorate.

A Special Delivery: “‘Juno’ is the only film in recent history in which the protagonist seriously considers termination,” writes Jennie Yarbroff in Newsweek. Of course if you’ve read any of the reviews (which are almost uniformly stellar) you know that consideration is as far as it goes.

EW’s Lisa Schwarzbaum writes in her review: “The old-school feminist in me wishes Juno spent more time, even a tart sentence or two, acknowledging that the options taken for granted by this one attractive, articulate teen are in fact hard-won, precious rights, and need to be guarded by a new-generation army of Junos and Bleekers, spreading the word by text message as well as by hamburger phone. Separate but equal truth: This movie is so delightful and good-hearted a portrait of the kind of new-generation army I’d like to hang with that I accept the admonition ‘Silencio, old woman.’”

Plus: NPR’s “All Things Considered” interviews crush-worthy Ellen Page, and critic Bob Mondello finds this season’s films are where the girls are.

Environmental and Occupational Causes of Cancer: Scientists at the University of Massachusetts Lowell & Boston University last month published an updated scientific review, Environmental and Occupational Causes of Cancer: New Evidence, 2005-2007. According to the Collaborative on Health and the Environment, the report concludes that “mounting evidence linking unintentional exposures to toxins in our workplaces and general environment contribute to the nearly one and a half million new cases of cancer in the U.S. in just 2007 alone.”

The report synthesizes the recent peer-reviewed scientific literature and finds compelling new evidence linking cancer with specific exposures, namely:

* Breast cancer from exposure to the pesticide DDT before puberty;
* Leukemia from exposure to 1,3-butadiene;
* Lung cancer from exposure to air pollution;
* Non-Hodgkin’s lymphoma from exposure to pesticides and solvents;
* Prostate cancer from exposure to pesticides and metal working fluids;
* Brain cancer from exposure to non-ionizing radiation; and
* A range of cancers from exposure to pesticides based on early findings from the Agricultural Health Study

Here’s the executive summary and the full 45-page report (PDF).