Ashlee Hernanz Alvarez was 18 when she had her first daughter, Mimi. She was on Medicaid, and went to the only public hospital in Southern Nevada. She was not treated well. The labor and delivery nurses were understaffed, her doctor was not around, and when a fill-in doctor walked in, he treated her as if she was disturbing his night. Ashlee describes the birth as "savage." For her second birth four years later, Ashlee turned to a midwife. Her experience was far better. She got to watch comedy when her labor started, so she would be distracted by laughter. She got to use her oils and her birthing ball. And she caught her baby herself, as the midwife was cupping her hands as a back-up.
These choices are not ideal for everyone, but birthing at home used to be the norm. Until professional medicine took over. We talk to Ashlee, her midwife, Jollina Simpson, and sociologist Alicia Suarez about the history of home birth, and why and how it's making a comeback.
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American Dreams: Reproductive Justice is co-executive produced and hosted by Erika Washington, powered by Make It Work Nevada. The podcast is co-executive produced, written, and edited by Carrie Kaufman of Overthinking Media LLC. Music by Wil Black of Black Gypsy Music, with The Flobots. Artwork by Brent Holmes.
What is American Dreams: Reproductive Justice?
As 2023 dawns, women in the U.S. look back on the last year and see one glaring issue: 2022 was the year their right to have an abortion was severely curtailed.
But many women did not have access to abortions even before the Dobbs decision. Women on Medicaid, in the same states that are outlawing abortion now. Women who live in rural areas. Women who don’t have access to good doctors, and good advice.
One thing the popular press doesn’t seem to talk about is how many women and trans men (anyone with a uterus) want to have children, but find that the systems as they are set up in this country mitigate against them.
You read that right: women want to have children, but don’t because it is so hard to do so.