[This and the ensuing sequels are from a Chapter from Placenta Wit: Mother Stories Rituals, and Research, edited by Nané Jordan, Demeter Press, 2017, pp. 142-155.]
I did not set out to learn about placentas. The afterbirth was an afterthought in my birth and mothering experience, grassroots work, and theory making. I became an avid and early student of what was the lay midwifery movement in Canada (Shroff), after attending the homebirth of my little brother in 1980s Toronto. I worked as a homebirth midwife’s assistant, a hospital birth doula, and a postpartum home caregiver. We used the word “lay” to denote midwives in Canada and the United States who practised through community-based efforts and grassroots activism, from at least the 1970s onwards. Without legal status, women trained themselves in the art and science of midwifery through various means, including studying obstetrical textbooks, working with supportive doctors, travelling to birth clinics in other countries, doing apprenticeships with experienced midwives, and learning from birth itself. Through attending mothers giving birth at home, this movement restored natural, physiologic, low-tech birth giving to mothers and families.
My aims are multiple but interconnected in this chapter. I move from birth practice to maternal social theory and activism as I speak to the power of midwifery and woman-centred and mother-centred birth. I describe placenta structure and function, and share placenta practices from my early birth-study days. Finally, I play with ideas for what I am calling “placental thinking,” as related to the maternal gift economy as theorized by philosopher Genevieve Vaughan. I explore the birth-gifting relations of mother-centred birth care, which is (by nature) at the heart of placental thinking. I suggest that mother-centred care is always possible, no matter the place and manner of birth gifting.
As a woman-centred philosophy of care, midwifery holds mothers and babies at the centre of birth, which supports women’s power, rights, choices and self-sufficiency, through honouring and loving women and babies. Pregnancy and birth are understood to be normal lifecycle events. Support from an experienced midwife can help mothers to holistically navigate the experiences of pregnancy, birth, and postpartum and to maintain optimal health and wellbeing not only in the physical dimensions of birth but in the mental, emotional, and spiritual ones as well. “Holistic,” thus, refers to the whole person as a multifaceted being. With available medical backup as needed, midwifery care is possible for most healthy women. I became an early promoter of home and natural childbirth, and the amazing physiology that is inherent in birth. I witnessed over and over the courage of mothers, and the self-empowering, healing, and even ecstatic spiritual potentials of giving birth (Buckley; Young).
In particular, North American mothers and midwives were discovering and recovering from the intervention-focused, paternalistic, and hierarchical limitations of the medical system in regards to holistic and woman-centred care (Arms). One limitation—only fully realized after others, such as episiotomy, lithotomy position, and strapping of limbs)—was the lack of connection between birthing mothers and their babies’ placentas. Umbilical cords were and still are cut quickly, and once born, placentas were and are immediately removed from mother and baby to be disposed of. Mothers may not be fully aware of this organ, which has been an integral part of the growth of their own baby. Or there may be an aversion to or disinterest in its mysterious, blood-filled mass. It is true that the bloody placenta is the only organ that willingly exits a human body once its life-giving purpose is fulfilled, still attached to the human it sustained. Yet the placenta as a real, physical, ritualistic, and meaningful aspect of pregnancy and birth was and is undervalued. This was and is not well understood in mainstream medical economies of birth.
The most common treatment of the placenta is as blood waste or as medical property for research purposes. For many mothers, the placenta may appear as the final byproduct of birth—as refuse or something left for others to use or dispose of at an institutional level. As theorized by anthropologist Robbie David-Floyd, this kind of birth practice is a form of ritual. Ritual can be any continuous action or sociocultural practice that establishes key orders and regulations of thought, materials, or services. In this case, the medical ritual disconnects mothers and babies postbirth from each other and their placentas. Mothers and midwives, in what was the midwifery and homebirth movement, were vicariously rediscovering and learning about babies’ placentas. They were also discovering birth-giving powers and strengths that had been disparaged or hidden, much like the humble placenta itself.
(To be continued)
(Meet Mago Contributor) Nane Jordan.