Doing The Hardest Work For One’s Self

This really does make me think of my mom’s life with her adoptive mother . . . and then there is that painting of me . . . the story below is not my own, though at the bottom is a snippet about me as well.

It took a near death experience (21 days intubated for covid pneumonia while pregnant) and the loss of my 3 year old the very day I came home from the hospital for me to admit I even needed therapy. Though the therapist accepted me based on my grief trauma, most of our time has been spent discussing my childhood.

So many pieces finally fell into place this week. It’s like I wasn’t even aware I HAD all the pieces I needed, much less did I know where to put them. I did some sleuthing to try to get a clearer picture of my very early childhood, because my story was withheld from me and only presented in a very fragmented way.

The messages and calls to the courthouse, the man listed as father on my birth certificate, my sister, her stepmother, and finally the man who raised me yielded little in the way of real answers. The woman who physically abused me caught wind that I was digging and contacted me. She sent FOUR PAGES on bullshit which started off as a sideways apology and ended with her basically saying it was my fault she tortured me. I was 2.

“Dad” (guy who raised me, my sister’s uncle) came the closest to answering my questions of them all. We hadn’t talked for 3 years prior to this. Even when I nearly died, he wouldn’t reach out to check on me. He included in his message a sappy story about how much he sacrificed for me. He insinuated I didn’t care about my sister’s pain, and he closed with a reprimand about how I should feel sorry for HIM because he lost a grandchild. He only met my son once, by his own choice.

My first few years with them were a fantasy. “Mom” hand made my clothes. I looked like I belonged in a magazine. My hair was brushed and arranged until it was glossy ringlets. There were ribbons, bows, ruffles, tights, pinafores, and patent leather shoes. My bedroom was fit for a princess. There was a 4 post bed with a canopy. It was white with burnished gold accents, as was the matching vanity and stool. The bed covering was white and pink ruffles, and the canopy was tailor made to match. Christmas, Easter, and birthdays looked like the toy store exploded into our living room. I had it all.

Once I reached that awkward, gangly phase, it was over. By then they had their own daughter and son, and I was a nuisance. No longer a doll they could dress and pose. I could sense their disappointment. Their delight in me was gone. So I tried harder. I won more awards, I practiced music longer, I earned higher scores in school. The more I tried, the more disgusted they seemed.

I looked back over all the big milestones that mark the transition from childhood to maturity. In my high school graduation photos, he looked angry. In my wedding photos, he looked sick. When my children were born, he didn’t want to see them. When I chose a path for how I would spend my life, it wasn’t good enough. When I chose to move to a new state with better opportunities, I was being foolish. When he finally came to visit my first house, he literally became ill and vomited all over my bathroom.

I failed them. By growing up, I failed them. They treated their children like people, and they celebrated them appropriately in both youth and adulthood. I finally put it all together this week and realized I’ve intentionally kept myself small in my mind, because somewhere deep down I knew that only as their little princess could I feel their love.

I dug through my old pictures and found so many of me paraded in beauty pageants. But this is the one I settled on. It was taken the month after they got custody of me, in their home. I told her – little Sandi – that her work is done. It was never her job to make me palatable to the parents who stole me. I understand why she did. Her life was an exercise in terror, and these white knights were her ticket to salvation. But it was never her job to earn their love, and that isn’t her job now. So she has my permission to rest peacefully. I grew within the soil where they planted this little seed. It’s my turn to do the work of deciding who is worthy of my best efforts. 

From the blog author – As a young child, my mom’s adoptive mother dressed and arranged me for a large oil painting portrait she wanted to do of me but now having read today’s story, it speaks volumes. And my mom did have a princess bedroom with a four poster bed. I know that my mom had a very “challenging” relationship with her adoptive mother. She really didn’t share many details of her childhood with me. That probably means something significant as well.

It’s OK to Ask for Help

It may be rough going but it is OK to ask for help. Today’s story –

When I was first pregnant, I was terrified and reached out to an adoption agency! I just turned 20 weeks (today) and have mostly changed my mind but still unsure.

Today, the adoption coordinator has been harassing me! It’s been a few weeks since I have decided to reach out but I haven’t felt the need, have been busy working (I work 3 jobs to save up for birth, etc) and also need space! I also HAVEN’T signed anything. Today, she sent me a text, had the prospective Mom send me a text, called and sent an email. I’m feeling a little trapped at the moment, already feel guilty.

I have most things ironed out, other than my living situation and expectations and arrangements with the dad (we’re not together and he was emotionally abusive when together) which also weighs on why I don’t have a solid decision yet.

Some encouragement from someone who has been there and made it work –

I was homeless and moved 4 times while pregnant and 3 times since having my son – I was a waitress during Covid (he was born in 2021) and my hours were very low/tips were bad. We had a 1 room basement bachelor apartment. I didn’t have a car until I was over 20 weeks along.

We managed to make it. He is 2 now and thriving with me. I do think that a lot of people, had they known the extent of my situation, would’ve absolutely pressured me to put him up for adoption or called Child Protective Services on us. But I was determined to be his mom.

A lot of my success was due to the kindness of other people – who passed down hand me downs, baby clothing, furniture, etc. Don’t be afraid to ask for help and accept free stuff.

It’s Not A Couch

I’m in a natural birthing group and a woman who’s 30+wks pregnant has been married for over 5 years. Both the woman and her husband come from a conservative community where procreation is expected, even though neither of them felt drawn to parenthood. They decided to give it to God. After so many years of marriage, they are expecting and neither is excited nor do they feel connected to the baby.

The amount of COMMENTS FOR ADOPTION in that group were INSANE. She didn’t come for that suggestion. She asked if anyone else had issues before delivery with feeling attached to their child – if anyone wasn’t really a kid person – if those feelings changed when they delivered their own child, etc. She was looking for emotional and mental support from a group THAT DOESN’T UNDERSTAND THE HORMORMAL AND BONDING PROCESS and YET, people were STILL SUGGESTING IF SHE DOESN’T FEEL IT, JUST GIVE THE BABY AWAY! The poor mother hasn’t even had the bonding chemicals come into play yet. This “give the baby away” suggestion was WELL LIKED .

(blogger’s note – what is written above and below this is NOT my own story but because adoption is encouraged in evangelical circles, the above really does NOT surprise me.)

The woman writing about this incident is a former foster care youth and adoptee. She continues – Y’all I freaking LOST IT. I told them to NOT suggest TRAUMA to a mother, which will last throughout her LIFE as well as impact their baby, when the couple just needs the TOOLS TO HELP THEM PARENT.

Boy did I get attacked. I was actually quite nice about it all, and people told me I was shaming her (I didn’t, I actually told her I also struggled with bonding and attachment due to the ADOPTION AND FOSTER CARE INTERFERENCE) and wasn’t being harsh with the woman at all. I was harsh with the insane notion that before birth, these folks who are supposedly seeking to help, are just like – “oh, don’t feel attached ?, oh well, just give it to someone who wants it.”

It’s not a couch that you got that didn’t fit though the door and you’re pawning it off on your neighbor. It’s a child, who will look for you one day (most likely) and wonder why they weren’t wanted.

Messy Complicated and Beautiful

The joy and heartache of friendships. We love our friends and they can break our hearts – just being the messy, complicated and beautiful human beings we all are. That said, some lives are much more challenging than ours. And when our dear friend has such a life, out of love, we do our best with the reality. This is one such story.

I’ve adopted two little girls from a childhood friend. They are ages 5 and 3. The five year old, I brought home when she was born, her mom was very ill at that time. The 3 year old came to me through the foster care system, when she was 9 months old at her mom’s request. My friend had stage 4 cirrhosis during both of the pregnancies, as well as substance abuse and varying illnesses and had been homeless most of her life, was suicidal and with a history of violent behavior. She was in and out of jail. She passed unexpectedly in December two years ago.

I knew the girls had 3 older sisters who were adopted out by the state years ago. I had promised their mom I would look for them but today, they found me. They are 16, 18 and 19. They were looking for their mom. They asked me point blank if their mom was still alive. I answered that and a few questions. I did let them know that she loved them and missed them and thought of them every day and wondered how they were doing. She had hoped to connect with them again. I let them know they had little sisters We exchanged photos.

I just don’t know how to navigate this. I don’t want to give them a negative image of their mom. I’m thinking of just letting them know that she had had a lot of trauma that led to her addictions and illnesses, kind of a negative spiral she got caught up in but that she was a beautiful, amazing person with a big heart and a brilliant mind who was funny and creative and one of a kind….

Some responses to this sad story about life’s more difficult realities.

You tell those sisters that she was a human being that battled a war. With her self, her world, and still loved her children. Even while she fought. There’s something terribly strong and loving about that.

Let them know the truth as much as age appropriate for them to grasp. The real truth is people are messy & complicated & beautiful all at the same time, and that’s something they can grasp at any age, regardless of depth of details.

Please tell the older girls everything – the good, the bad, the ugly. They can handle it and it’ll be valuable information as they navigate their own trauma and mental health issues (and questions about their lives).

The woman replied – I’ve talked to two of the older girls and answered their questions. I sent them videos of their mom telling her life story, about her paintings and stuff.

When It Feels Like No One Cares

A birth mother story about what it is like when the entire deck is stacked against you.

I placed my daughter for adoption back in 2017 when I didn’t have custody of my 3 older kids. I was homeless, depressed and struggling. The adoption process was very traumatic for me. Although my daughter is very loved and happy, I wish I would have been encouraged or supported to keep her.

I got my life back together and fought my family for custody. I have my older two children back in my care but my third child is with a different family member. I had been doing much better in life, until …

I had just moved into a big house the couple weeks before I found out I was pregnant, was working, making great money. And then I found out I was pregnant. Everything has gone downhill from there. I have severe morning sickness – so severe that it’s classified as hyperemesis gravidarum. I was constantly in and out of the hospital, so I quickly fell behind on bills and the baby’s dad became obsessed with a stripper and left us at the time we moved into the house. I wound up losing my job due to missing so much work and was facing eviction.

The baby’s dad stepped in to try and work things out. We were all staying in a motel. I don’t make nearly the money I did at my job doing side gigs and he makes minimum wage. The cheapest motels around here cost about $2,000/month. Realizing we didn’t really have many options, we decided to sign on with an adoption agency that would pay our motel expenses. He was there for me when I gave up my daughter for adoption, even though he is not her birth father. We viewed this decision as staying strong and doing it for the baby.

I am getting closer to my due date. I can’t help but to feel like I’m only choosing to do this as we are technically homeless. We have no plan or anywhere to go after this baby is born. Does this mean I’m not good enough to parent my other children, if I can’t take care of this one? I haven’t told them about the adoption because I don’t know how to explain “I want this baby to have a better life than the crappy one I can provide for you guys.”

I feel like not only does nobody care about this baby, nobody cares about what’s going to happen to my other kids either… it’s so depressing. I don’t know what to do/where to turn anymore. I started using hard substances a couple months after I placed my daughter for adoption to numb that hole in my heart. Deep down I fear if I go through this again, I’m going to want to go back to numbing that pain, except I probably won’t survive it this time around. I have no family, not many friends, no support. Baby’s father and I are on better terms now but it’s not the way I pictured any of this unfolding, especially when my life was going so well before this pregnancy.

DNA Traveler

Tim Curran

I feel a kinship with this man’s DNA Roots journey. In fact, my family just finished watching the original Roots series based on the book by Alex Haley. I had my own roots journey and like this man, Tim Curran, 23 and Me and Ancestry DNA did help me on my way only I didn’t leave the US in search of family – yet. I’d love to travel to Denmark – from where my paternal grandfather immigrated to the US.

Tim’s story comes to me by way of CNN Travel. LINK>I used DNA analysis to find my birth family and it sent me across three continents. California connects Tim’s story to mine and like me, he found the impenetrable walls of sealed records and tight-lipped officials in that state. Only he was born in 1961 and my dad was born there in 1935. From what I know of my own father’s story, this part of Tim’s story seems to be very similar – “On opposite sides of the world, they had both butted heads with difficult parents and left home at the first opportunity. They both wound up in one of the most free-thinking places on Earth: San Francisco.” On my paternal side, it was San Diego.

I don’t think my paternal grandfather actually butted heads in his family but opportunities in that country for siblings other than the first born were limited. My grandfather was the 5th of 10 children and several of his siblings had already migrated to the US – mostly into the Illinois and Wisconsin areas. My grandfather chose to take a train from NYC, where he landed, and on that train met a woman, much older than him and a private duty nurse, who agreed to marry him. It was mostly a marriage of convenience. When we don’t really know the accurate story, like Tim, I filled in the gaps. I suspect he may have eaten dinners, while his wife was on duty with some person, at the restaurant on the beach where my grandmother was employed by her aunt and uncle. She had a truly evil step-mother and so yes, she fled them and refused to return to Asheville North Carolina, after they traveled to visit her grandfather in California.

Like Tim, I have found my mother’s and father’s families welcoming me – even though they hardly, if even, knew I existed before I made contact. Some were vaguely aware that one or the other of my grandmothers had given a child up for adoption but really didn’t know any more than that. Sadly, it does not appear that my grandfather ever knew he had a son, being the married man having an affair with a much younger woman. But resourceful as she was, she simply handled it ending up employed by the Salvation Army after giving birth in one of their homes for unwed mothers.

Back to Tim’s story (which you can read in full at the LINK at the top of this blog) – his father worked as floor installer in the city’s North Beach neighborhood — where she was a cocktail waitress and dancer. I pictured them meeting while he installed floors in a nightclub where she was working. By all accounts, it must have been a very brief affair. My father was living with a girlfriend, and my mother’s sister says she never once heard my mother discuss my father in any way. Other than the sister and her mother, no one else in her family was told she was pregnant. (I was lucky enough that my grandmother had a photo album with a head shot and the name of my grandfather on the back.) My father’s family says they are 100% certain he was never told. (And my Danish relatives likewise, never knew my grandfather had a son.)

Tim has a large Moroccan family who own a set of neighboring summer homes just yards from the beach. The houses are built on property his grandfather bought nearly a century ago (when the land was thought to be worthless). It is a place where they go to escape the summer heat of Casablanca. In that family, he was able to recognize that many of their personality traits and quirks – how boisterous, curious and sly they are – just like he was as well. When I met a cousin on my paternal line, her appearance could have made her my youngest sister’s twin. That obvious physical appearance connection between our families seems to have mattered greatly to her.

Touring the country of Morocco, the sites he saw were beautiful and awe-inspiring, alien yet weirdly familiar. He experienced the country in a unique and very personal way thanks to his DNA journey: as a son just one generation removed from his father’s homeland. Though Alex Haley was further removed from his own African roots, it must have been deeply emotional to experience the native culture, which was so different from the modern life in the United States that he became a successful author in.

Like Tim, I bravely went looking. I was not content with the not knowing that my parents died with. I had the wherewithall to seek answers and with determination found success. Just as Tim and Alex both did. It is a journey well worth taking and many have written about similar adoptee root journeys that they have taken. Not every effort succeeds. Tim’s parents were both deceased and my grandparents were all deceased. For Alex, the stories lived on, passed down orally from one generation to the next.

Secrecy v. Privacy

I belong to a group that almost 20 years ago divided into a “tell/don’t tell” perspective. I often wonder how that has worked out for the don’t tell group. And if it has served, at what point might their offspring do a inexpensive DNA test and thereby learn the truth – that they were lied to their entire childhood. I’m glad we never thought to go in that direction.

My blog today is inspired by an article in Psychology Today LINK> Secrecy v. Privacy in Donor Conception Families, subtitled Walking the fine line between privacy and secrecy is inherent in donor families. Some of the differences – Privacy is the choice to not be seen, while secrecy is based in fear, shame, or embarrassment. Privacy involves setting comfortable and healthy boundaries. Carrying a family secret is a heavy burden. Donor families based in honesty and transparency have more meaningful and deep relationships.

In that group I mentioned, we each recognized a right to privacy for each other and honoring their right to privacy demonstrated our respect for their choice and was a foundation for trust among us. Withholding information for fear of the consequences implies a negative kind of secrecy. Secrets require a lot of emotional energy and are a heavy burden to carry. Secrecy undermines trust and is therefore harmful within relationships. Privacy, which includes creating healthy boundaries is generally beneficial. Learning when and how to create boundaries is a good lesson to teach one’s children, especially in this age where information seems to flow so readily and once out there, can’t be taken back.

The stigma of infertility is still very present in society and is often the reason why a couple may not want to be open about how they were able to conceive their children. Yet there is also a sense of social responsibility that has mattered to me from the beginning. Women are generally NOT fertile beyond a certain expiration date. When someone conceives at such an advanced age as I did (46 and 49), that could give the wrong impression to another younger woman that they have more time in which to begin their family desire fulfillment than they probably do. There are always exceptions to anything age related but that is a general rule. Much harder to conceive after the age of 40. I conceived very easily in my 20s.

Many children not told the truth about their origin – whether it was adoption, a donor facilitated conception or an illicit affair – still feel that there was something being withheld from them. When they discover the truth, they often feel anger. Even with the more modern openness, such origin stories are still not the norm. Many who are aware of their status may have little opportunity to talk about it to others who understand. Some may not have the language to speak about their experience.

I have given my children the gift of 23 and Me testing and accounts. Both their egg donor and their genetic father are there. This has led to questions from relatives of the donor to one of my sons. My advice to him as tell them to ask their donor about whatever they are curious about. When one donates genetic material, they must be aware that questions may arise in the future. It is only natural. Still, it was my perspective it is up to her as to what or how much she wishes to tell one of HER own relations about the circumstances. Having the 23 and Me channel gives my sons a method of privately communicating with their donor. I also frequently show them photos of her and her other children, so they are more aware of these persons with which they are genetically related. Distance prevents closer, in person relationships at this time, though they have met her in person more than once. I have an interestingly close, psychic and emotionally connected, relationship with my sons. My belief is that it comes from a combination of carrying them in my womb and breastfeeding them for over a year plus being in their lives pretty much 24/7 for most of their childhood (though there have been brief absences for valid reasons).

No Big Deal ?

Because LINK> Rebecca Solnit says it so well in her essay in The Guardian . . .

Being a parent is expensive. Being a criminal is also expensive, whether you lose economic opportunities to avoid apprehension or spend money on your defense if apprehended or go to prison and lose everything and, marked as a felon, emerge unemployable. Abortion is an economic issue, because when it’s not legal, those are the two remaining options, leaving out being dead, which you could argue is either very expensive or absolutely beyond the realms of money and price. And being dead is also on the table because women have all too often died from lack of access to reproductive healthcare, including abortions (to say nothing of being unable to leave an abuser, to whom pregnancy and children can bind you more tightly). They are facing more of that now.

Having no options but to be dead, criminal or a parent is not a sane or moral argument for parenthood, and it’s also pretty different than having certain inalienable rights, including life, liberty and the pursuit of happiness. Also, now that abortion is unavailable under almost all circumstances in Texas and other states, it’s an economic justice issue in that those with the financial capacity to take time off, travel in search of care and pay for it out of pocket are not affected the way those who cannot do so are. And those who can afford to get an abortion under these circumstances are also those who can afford to defend themselves against possible criminal charges.

All of which is to say, abortion is an economic issue and a labor issue, as well as a human rights and healthcare issue, as the AFL-CIO and other labor unions have recognized. So it’s been confounding to see some supposedly progressive men say that people should talk about economics instead of abortion, as if the loss of reproductive rights isn’t a huge economic blow to anyone facing the possibility of an unwanted pregnancy. The last days before the midterm elections should include robust Democratic conversations about defending rights and pursuing economic justice, with access to abortion central to both.

Access to birth control and abortion laid the groundwork for US women to begin to claim financial, professional and educational equality – a goal still far from realized, overall, but reproductive rights flattened the mountains and filled in the chasms a little. Taking that away pushes women back into the grim era when an unplanned, unwanted pregnancy could upend a life, stop an education, stymie a career, force unwanted dependency on the person who caused that pregnancy – an era when self-determination was an aspiration, not a given.

The Dobbs decision striking down Roe v Wade on 24 June was cavalier about all this. The majority opinion pretends that bearing a child no longer has significant social and economic impact. It cites among its justifications that “attitudes about the pregnancy of unmarried women have changed drastically; that federal and state laws ban discrimination on the basis of pregnancy; that leave for pregnancy and childbirth are now guaranteed by law in many cases; that the costs of medical care associated with pregnancy are covered by insurance or government assistance; that states have increasingly adopted “safe haven” laws, which generally allow women to drop off babies anonymously; and that a woman who puts her newborn up for adoption today has little reason to fear that the baby will not find a suitable home”. In other words, there is no reason not to have an unplanned or unwanted child; doing so is no big deal.

All of which are callous lies. The right not to bear children isn’t just about respectability for the unmarried, and to frame it that way while ignoring the profound and lasting emotional, psychological and physical as well as financial impact of carrying a pregnancy for nine months and giving birth is outrageous. Discrimination against people who may get pregnant or are pregnant continues despite those laws; many pregnant people continue to lack access to healthcare; and the fact that a baby can be handed over is no justification for being forced to bear it. Furthermore, as another branch of the US government that the supreme court could have consulted reports: “The number of children waiting to be adopted also fell in fiscal year 2020 to 117,000”; the number in foster care was over 400,000.

One of the striking things about the conversation in defense of abortion rights in recent months is the testimony by those who’ve undergone pregnancy, miscarriage and childbirth about how physically grueling and even life-threatening they can be. Pregnancy can incapacitate women for months, which is obviously economically devastating to a poor person working in the gig economy or, say, in a nail salon or a fast-food restaurant. It can be an overwhelming experience, interfering particularly in the ability to perform physical labor: the judge may be able to toil on when the janitor cannot. And a lot of people are making a living through work that is physically demanding.

Another striking new note has been the insistence that we need to stop defining abortion as a stand-alone right and look at the criminalization of pregnancy and motherhood, especially for poor and nonwhite women. “More than 50 women have been prosecuted for child neglect or manslaughter in the United States since 1999 because they tested positive for drug use after a miscarriage or stillbirth,” reported the Marshall Project, while noting that miscarriages are common under all circumstances. “Sentences have ranged from probation to 20 years in prison. Women prosecuted after pregnancy loss are often those least able to defend themselves, the investigation found. They typically work low-paying jobs, are often victims of domestic abuse, have little access to healthcare or drug treatment and rely on court-appointed lawyers who advise them that pleading guilty is their best option.” Too, some women die from pregnancy and childbirth, and thanks to unequal medical care, Black women have the highest incidence of such deaths. Pregnancy and childbirth can also cause permanent physical changes, including lasting pain and disability.

The laws making the most intimate conditions of a body and life subject to legal intrusion are reportedly already preventing pregnant people from seeking healthcare and spreading well-founded fear. Making the administration of an abortion a crime is frightening medical caregivers and interfering with their ability to provide care. Some of the proposed abortion bans would include life-saving abortions, and we have already seen cases in which medical care was withheld until a woman’s life was actively in danger. Women are already being denied prescriptions when those drugs can be used in abortions, another way that taking away abortion rights is turning into a broader loss of rights.

The financial and professional impact of parenting in heterosexual relationships still mostly falls on women. The majority of women who have abortions are already mothers raising kids; we are in a childcare crisis that has, along with the long months schools were shut during the pandemic, crushed a lot of women’s working lives and financial independence.

As Congresswoman Alexandria Ocasio-Cortez noted in late September, “When the powerful force people to give birth against their will, they trap millions in cycles of economic setback and desperation. Especially in a country without guaranteed healthcare. And desperate workers are easier to exploit.” The supreme court majority pretended it was undermining access to reproductive rights because they have no significant impact, but of course the court’s agenda was the opposite: to impose the conditions that make women subordinate in rights and economic status.

The Brigid Alliance

St Brigid of Kildare

Learned about this non-profit organization today – The Brigid Alliance. I wish things were different but here we are. You might be surprised if you’ve not been listening to as many adoptee voices as I do every day, to learn how many will say plainly – I wish I had been aborted. Beyond that, many do not wish to have children themselves. Here’s one example –

I’m an adoptee, former foster youth and former kinship foster youth. I do not want to be a parent. I have multiple reasons some of which include severe mental health issues, cost, responsibility, dysphoria etc… I am on long term birth control and am in a long term serious relationship. Abortion access is not limited in my state currently but could definitely become restricted. If I were to become pregnant, my first choice would be abortion. However due to limited access, I know that might not always be possible. My question is what advice would you give to someone who is pregnant but doesn’t want to be a parent and can’t access abortion?

Clearly, pregnancy prevention should not be all on the woman in a committed relationship. Agreeing to a vasectomy, which is a form of male birth control that cuts the supply of sperm to the man’s semen. It’s done by cutting and sealing the tubes that carry sperm. A vasectomy has a low risk of problems and can usually be performed in an outpatient setting under local anesthesia. The man can opt to have a vasectomy reversal in the future. This is a surgery to undo a vasectomy. During the procedure, a surgeon reconnects each tube (vas deferens) that carries sperm from a testicle into the semen. After a successful vasectomy reversal, sperm are again present in the semen and a man may be able to once again get his partner pregnant.

In the case presented in this blog today, the male was not willing – so what else ? Pre-emptive preparation can help. Research what pharmaceuticals can be accessed online and know what the resources are in your state before you need them. The LINK> National Women’s Health Network has a fact sheet on safe and effective FDA-approved abortion pills (aka medication abortion) which are now available by mail in several states — without an in-person clinic visit.

Lastly, today I learned about LINK> The Brigid Alliance, a referral-based service that provides travel, food, lodging, child care and other logistical support for people seeking abortions. They prioritize clients who are beyond 15 weeks of pregnancy and for whom it’s generally more expensive and harder to find a provider near home. They are part of a growing ecosystem of support organizations propping up abortion care access in the US due to an increasingly hostile environment post-Roe.

The group takes their name from a story about St Brigid of Kildare who ministered to a nun who had failed to keep her vow of chastity, and became pregnant. Based upon a 1987 translation of the story: “A certain woman who had taken the vow of chastity fell, through the youthful desire of pleasure and her womb swelled with child. Brigid, exercising the most potent strength of her ineffable faith, blessed her, causing the child to disappear, without coming to birth, and without pain. She faithfully returned the woman to health and to penance.”

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.