Extremism can make you very shortsighted. I know. I've been there. I've spent many years in conventional medical practice, where studies and statistics rule and people are often forgotten. I've also been steeped in the woo.
After seeing cracks in the medical model of childbirth firsthand, I wanted something different for my own babies. I read Ina May and Dr. Sears and La Leche League. Pam England, author of Birthing From Within, was my childbirth instructor. My views became solidified after delivering my first vaginally, unmedicated, with a nurse midwife in the hospital. It was a powerful, life-changing, woman-affirming, goddess moment. But it was incredibly painful, (and I didn't realize the fear it instilled until number two).
Yes, I became judgey. Never verbally with others and not with patients, but in my mind. There was a "right" and "wrong" way to birth. That extended to parenting--breastfeeding, baby wearing, cosleeping, 100% mama all the time. I wanted others to have the same experience of birth and mothering, and somewhere along the way, I forgot that we are all different.
But life has a way of changing us. A few friends with frightening experiences, some harrowing situations of mothers of my patients, two more babies of my own, more clinical experience... I found myself mellowed, humbled, and realizing that the older I get, the less I probably know.
Every woman is different. She will have her own goals for mothering and parenting. She will have her own history and needs. And she must be respected. Not ashamed, whether she chooses a homebirth or a repeat c-section. Whether she nurses her baby or gives formula. She needs providers who will listen, make an individual assessment of HER needs, be knowledgeable and skilled, and show compassion--regardless of their sex. This is the least we should expect.
Yes, there is a role for evidence, best practices, and discussing harm reduction. There is also the incredible complexity of comparing populations, healthcare systems, and even providers. (For example, in the US, there are different types of midwives. Most homebirth midwives have nowhere near the education and training of midwives in the UK and Europe.). The US is a highly litigious place, where physicians constantly live in fear of lawsuits. (Many practice decisions are made because of this reason alone.) And yet there are still many wonderful physicians and midwives, even as attested to in this thread.
If feminism centers women, it should include ALL women. Those who want only female care providers, those who want the right pedigree in a physician or midwife, or those who just want a caring and skilled birth attendant. Each preference is valid; reproductive choice really is a much bigger issue than we've framed it to be. I hope it's something feminists will continue to discuss with an open mind, sharing and listening to the experiences of many women.
That's what I call a good chat.