Support for Reproductive Rights

Tim Walz with wife and children

After Roe v. Wade was overturned, Tim Walz was the first governor to codify abortion access into a state constitution. In January 2023, Walz signed into law Minnesota legislation that includes no limitations on when a woman may end the life of her unborn baby. He has said, regarding reproductive freedom – “There’s a golden rule: Mind your own damn business!”

The Democratic governor’s kids, Hope and Gus, are now 23 and 17. He and his wife, Gwen, had been married for eight years, no children but they wanted children. Tim and Gwen Walz’s journey to parenthood was made possible through In Vitro Fertilization (IVF). We got Hope because of this type of stuff,” Walz said regarding assisted reproduction.

Walz had campaigned on popular Democratic policies and actually implemented them.

A Very Mixed Bag

Angelina Jolie with all 6 of her children

I recently saw LINK>Angelina Jolie in the movie The Bone Collector. I was fascinated by what has been defined as her “bee-stung lips.” I remembered she had adopted children from several countries. So I thought, as I had never written in this blog with her circumstances in mind, I would give it a go. I wondered about her ethnicity and did a deep dive down the rabbit hole of her parentage. It is no wonder she is a humanitarian because her mother, LINK>Marcheline Bertrand was. Her mother was involved with the activist John Trudell at the end of her life. It is worth spending some time looking into the Wikipedias for both Jolie and Bertrand for more insight. I was never a huge fan, though I have seen more than one movie that she acted in.

Today, I will focus on her children and an intersection with her humanitarian work – Maddox Chivan Jolie-Pitt who was born in Cambodia, Pax Thien Jolie-Pitt who was born in Vietnam, and Zahara Marley Jolie-Pitt who was born in Ethiopia, are all adopted. Shiloh Nouvel Jolie-Pitt was born in Namibia. Her twins – Knox Léon Jolie-Pitt and Vivienne Marcheline Jolie-Pitt were born in France. Her twins were conceived via in-vitro fertilization and she gave birth to them via caesarean section at the age of 33.

In an article at LINK>Harper’s Bazaar, Angelina Jolie discusses her adopted children. There is more at the link but here are a few quotes attributed to her – “All adopted children come with a beautiful mystery of a world that is meeting yours. When they are from another race and foreign land, that mystery, that gift, is so full.” She has also been quoted as saying – “They are not entering your world, you are entering each other’s worlds.”

Regarding Maddox, she has said “Cambodia was the country that made me aware of refugees. It made me engage in foreign affairs in a way I never had, and join UNHCR. Above all, it made me a mom.” Jolie has said that “Each (adoption) is a beautiful way of becoming family. What is important is to speak with openness about all of it and to share. ‘Adoption’ and ‘orphanage’ are positive words in our home. With my adopted children, I can’t speak of pregnancy, but I speak with much detail and love about the journey to find them and what it was like to look in their eyes for the first time.”

She has been heavily involved in humanitarian work, something her mother was known for. She has created with her wealth various foundations – the Maddox Jolie-Pitt Foundation which created Millennium Villages in Cambodia and Kenya as well as funding schools, roads, and a soy milk factory in Kenya. Some of the employees in Kenya were former poachers who are now employed as rangers. She is also a patron of the Harnas Wildlife Foundation, a wildlife orphanage and medical center in the Kalahari desert. She established the Shiloh Jolie-Pitt Foundation to support conservation work by the Naankuse Wildlife Sanctuary, a nature reserve also located in the Kalahari. She has also funded large-animal conservation projects as well as a free health clinic, housing, and a school for the San Bushmen community at Naankuse.

I have read more than one op-ed by Jolie in Time magazine related to her United Nations work for refugees and the welfare of people living in conflict zones. I don’t intend to judge her for anything related to her very public life, including her marriage to and divorce from Brad Pitt. Whatever one thinks of her and her life, they also cannot deny she has made a difference in the world.

Which Was It ?

Recently, more than one woman, as the nuances are parsed out, has come to realize that what they thought of as a miscarriage was actually a type of abortion. Truth is the definition means that both result in a similar outcome.

Medically, an abortion is the termination of pregnancy by the removal or expulsion from the uterus of a fetus or embryo prior to a viability allowing it to continue living. Many doctors now prefer to refer to this event as a termination rather than an abortion (for obvious reasons). This can happen either spontaneously or it can be induced. Generally, the more spontaneous is referred to as a miscarriage and this can occur even rather late in a pregnancy. When the event is induced, it is referred to as an abortion. Often, when a D&C is performed, medical personnel don’t really know for certain, if an embryo is present. I remember having to have a D&C when I was receiving reproductive assistance between the births of my two sons due to my lining not developing well enough and being asked directly if I was or could be pregnant. Since I was experiencing secondary infertility due to age and had not had any embryos transferred, I could be confident in my answer. With recent laws at some state’s level, this kind of situation could risk legal ramifications for the medical personnel and the woman.

During in vitro fertilization, it is common to fertilize more eggs than will be needed as the goal is to increase the woman’s chances of a successful pregnancy. Those excess fertilized eggs are commonly frozen, disposed of or donated for scientific research (which will then cause their destruction) – none of those choices are thought of as abortion. Some couples, as we did, will donate their frozen embryos to another couple – though in our case – the couple whose effort initially was successful and joyous, ultimately failed to develop after that point. All reproductive assistance patients want their pregnancy to be successful. In my mom’s group, only about half of the woman who started off in the group with us ended up with a pregnancy and ultimately, a child or children (we had quite a few twins and even a set of triplets in our group).

Often tens of thousands of dollars have been invested in the effort. Though this effort may initially appear successful, the pregnancy can still end and a decision must be made to remove those cells and the lining. Technically, this would be defined as an abortion. I read today about one case where a patient was carrying triplets. The pregnancies created by through in vitro fertilization, each implanted but stopped developing at different stages: one at six weeks, one at seven and one at eight. Therefore, none of these embryos were going to be successful in producing a child. Her doctor had to remove that tissue. It is not healthy and serves no purpose in remaining.

There is a kind of miscarriage that will be referred to as a missed abortion. The pregnancy actually ended, even though no symptoms of that had occurred. The contents of the uterus have not been naturally expelled. Sometimes, there may be some brownish discharge. The fact that the embryo has died is often discovered during a routine scan by her OB. The patient will be given Oxytocin, antibiotics and a D&C (a complete uterine evacuation – abortion). This is a situation where new laws could become problematic, especially if this occurs after 6 weeks and a positive indication of pregnancy.

Michele Tafoya Pro-Choice Adoptive Mom

Michele Tafoya with son, Tyler and daughter, Olivia

Michele Tafoya was on the panel discussion for Real Time with Bill Maher last Friday night when she admitted to two details about herself. She is pro-Choice and she adopted her daughter from Columbia. She said she was grateful Olivia’s mother had not aborted her. The panel discussion on abortion was honest, diverse and varied, though remaining pro-Choice throughout.

Today, I learned that Michele and I share some things in common. We both discovered the female age factor while trying to conceive. Her husband, Mark Vandersall, is seven years younger. She says after the second miscarriage, “I remember apologizing to my husband, because I felt responsible. I’m seven years older than he is, so I felt like my age was a factor. And it was — the science will tell you. There are biological reasons for it, and it’s as simple as that.” I remember crying at my wedding site, regretting that my husband married such an old woman that when he wanted children, it was no longer possible for me.

At Michele’s suggestion, the couple pursued infertility treatment, and in vitro fertilization. Tafoya managed one good embryo during the first in vitro process. Incredibly, the embryo split and the couple was excited to be expecting identical twins. Then she lost the twins. The heartbreak was devastating for both her and her husband. So, in the spring of 2005, they began exploring donor eggs.

I have a friend in St Louis who had a similar experience as Tafoya of receiving the surprise news of a positive pregnancy after I sent her to see my own Gynecologist. I remember her having me rub her pregnant belly when I was trying to conceive our second son “for luck.” I guess it worked. Her son is right in the middle age between my two sons.

While in Hawaii on business, Michele felt overly exhausted. When she returned home to Minnesota from her trip, she took a pregnancy test. It was positive. Later that year, Tafoya and her husband welcomed a miracle, their baby boy. The pair decided they wanted to have more children and so adopted an infant girl from Colombia. This Mother’s Day her son is 16 and her daughter is 12.

Pioneering A New Way

I remember clearly in 1978, when Lesley Brown made reproductive history delivering the first baby conceived by in vitro fertilization. I had become a mother myself in 1973. While good news of medical capability for a lot of infertile couples, never did I dream at the time that these developments would become significant in my own life. The technique raised moral and medical alarms 42 years ago but is commonplace today.

When my husband of 10 years wanted to have children, we diligently tried using ovulation prediction to enhance our chances. I was devastated to learn via a news report that our odds of conceiving were very low because I had grown too old, my eggs had aged along with me. I remember going to the witness tree where my husband and I were wed in 1988 and cried. He should have married a younger woman.

The nurse practitioner at my general practitioner’s office was counseling me about my cholesterol levels when I mentioned that we were trying to conceive. I remember her words clearly, “I’m not saying you are infertile, but at your age, you don’t have time to waste.” She referred me to her own OB/Gyn as a specialist in such issues.

We saw my very last “viable” egg on ultrasound at our first appointment with him. He tried a hormonal boost but it failed to produce a pregnancy. He also told us there was another way. I began to research that way. I found online groups for support and information.

When we discovered I was positive for hepC in a routine series of pre-conception lab tests, that doctor dropped me. However, my OB/Gyn said my co-existing with that virus should not preclude me having children (he had experience with hepatitis in Asia during his early intern training).

We found a donor for ourselves and she has been a gem for serving couples to become parents, participating in the conception of both of our sons. Happily, they are 100% siblings with common genetic foundations. It isn’t perfect, genetically she is their mother and I am not. That has taken some getting used to. No one else could be more their mother either as they grew in my womb and bonded with me there and during breastfeeding for the whole first year of their life afterwards.

Because of divorce and being a financially struggling single mother, I lost physical custody of my genetically related daughter to her father and step-mother to raise. I really thought of myself as a terrible person for not raising my own child. Because of my sons, I now know that is not the truth about me. Since learning about the trauma related to mother-child separations in adoption, I also realize what my husband and I did to overcome infertility was the next best choice for conceiving our family.