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Confessions of Choice

How did I miss this on Sunday?

One woman, now in her 40s, tells the story of her reproductive life: Two unintended pregnancies, one abortion, three births. I like this essay because it blurs the lines between “women who have abortions” and “women who have babies.” More often than not, they’re the same women.

Her essay also emphasizes the shame that women still feel about the choice to terminate pregnancies, and the shame that they feel about getting accidentally pregnant in the first place.

I had neglected to use birth control only once, one unexpected and regrettable night, but there it was: I was pregnant, just like the girls I had presumed stupid for being shocked that they were pregnant “after just the first time!” This predicament had no happy answer for me, and I hurried anonymously past the line of screaming protesters outside Planned Parenthood. “You made your bed, now lie in it” resonated strongly as I lay in the recovery room, limp and exhausted. Raised Protestant, I felt the pain was deserved, for my irresponsibility.

I hear this over and over again from educated, pro-choice women who feel they “should have known better.” And this shame isn’t problematic just because it makes women feel unnecessarily guilty — it can have very real medical consequences when women aren’t comfortable sharing their history with their doctors.

On medical forms in the next years, I confessed my abortion when asked. But after I had my first child, I stopped. What doctor could tell how many times I’d been pregnant? Why have to stand in that shadow over and over? When my husband and I moved to a small, rural, conservative town after our second child was born, I had a new reason not to tell: the fear that I might be judged on moral grounds. At the only OB-GYN practice in town, there were Bible storybooks in the waiting room, and one of the doctors, a woman, wore a large gray metal cross.

How many young women do you think would feel comfortable asking that doctor for birth control pills?

But the soul of her essay comes at the end, where we walk away with the necessary reminder that this is all very, very complicated:

The second time I was pregnant when I didn’t want to be, I was 40 years old. Two kids in school, a teaching job I loved, my life all set. Condoms weren’t perfect, apparently, and so much for the diminishing fertility of the older woman. There were so many reasons not to have another child: my first two childbirths were hard, with two babies in intensive care. They emerged healthy, but I didn’t want to test my good fortune again. Not having planned to be pregnant, I hadn’t taken the right vitamins, with folic acid to prevent spina bifida, and I had wine at Thanksgiving. I was older now, at a higher risk for genetic problems. And I felt empty and tired, having spent the preceding six months trudging through life after my sister-in-law’s death from breast cancer. This just couldn’t be happening. I couldn’t tell anyone.

I cried and made appointments for an abortion in two different cities (the procedure was not available in our town). The first clinic was so crowded that my husband and I finally gave up — we had to pick up our children from school. The next week, when I thought I was miscarrying, I felt relieved. But the ultrasound technician said it must have been a twin, “because you’ve got a live one in there.” Later, in the second city, feeling both dread and happiness, I decided to be pregnant: at the mall, I bought a soft cap for the new baby.

Over the next few months, other mothers in town came to me and whispered their “so sorry”‘s and their stories of crying alone in their cars when they were pregnant with the third one. They pointed quietly at their toddlers as we all swooped in and out of the elementary schools to help serve breakfast or carry in the science-fair projects, or to pick up children for swimming or piano. A small tribe welcomed and comforted me with their stories as I came to accept my secret and commonplace plight.

Of course I love our third child, who arrived safely and won the prize for the least amount of time spent in intensive care (three hours) and most months of being breast-fed (20). And he loves me back. Life is never sweeter than when we peel an orange together, or when he grabs my hand and points to the couch. “Want to snuggle?” he says, and we do, his arms around my neck, both of us perfectly content.

If I’d had a second abortion, almost no one would have known. I would just be the college professor with two kids, lipstick on and library books returned on time, and, however much I might have to say, I wouldn’t tell the story.


8 thoughts on Confessions of Choice

  1. In a society where you get the evil eye for deciding one beloved child is enough, it takes a brave woman to publicly discuss her abortion. For what it’s worth, God bless her, every time I read a story like hers I think of a girl somewhere dropping some of the culturally imposed shame off her shoulders.

  2. I also have a “complicated OB history” (this is my doctor’s euphemism, not mine). I too have considered leaving out some information on my medical chart so that my care was not affected by judgment of my past choices but always opted to disclose everything. This didn’t seem to be a problem until my last pregnancy when my doctor just seethed with contempt to the point that he overlooked a serious complication (luckily I switched doctors before this became a real problem.)

    I have one friend that I discuss my choices with, because she too has “been there, done that”. Pretty much I don’t speak of my past to anyone else, although I will speak in general about the right for a woman to make her choice.

    For me, my silence is not because the pro-lifers shame me (I mean, its their position so its expected), its the pro-choicers who will say, “well, I support your right to make a choice, but its not something I would do.” I have heard that many, many times over the years.

    To that statement, I always want to add a big fat “…YET”.

    Or this one always makes me cringe, “well, I support a woman’s right to choose, but she should make better choices before she needs to”. (Okay, yeah, I agree with the fact that using good birth control methods would prevent having to have an abortion but anyone who has had to have an abortion doesn’t need to be chided that she put herself there to begin with.)

    This type of conditional support from the home team is what has always kept me from talking openly about my experiences.

  3. I also have a “complicated OB history” (this is my doctor’s euphemism, not mine). I too have considered leaving out some information on my medical chart so that my care was not affected by judgment of my past choices but always opted to disclose everything. This didn’t seem to be a problem until my last pregnancy when my doctor just seethed with contempt to the point that he overlooked a serious complication (luckily I switched doctors before this became a real problem.)

    Isn’t that something you could file a complaint about? I mean, their job is to treat your physical body, not sit in judgment. And if they’re so blinded by their desire to sit in judgment that they *miss major medical problems*, well, that’s a big problem with their diagnostic skills. Not to mention the likelihood that a less confident woman might end up witholding information from her doctors in future because she’d been judged by this doctor.

    If they don’t want to treat you, they can tell you they don’t have any openings and recommend you find a different doctor. Opting to treat you, but to give you substandard medical care and a lecture on your morals, well, that’s trying to have their cake and eat it too.

  4. For me, my silence is not because the pro-lifers shame me (I mean, its their position so its expected), its the pro-choicers who will say, “well, I support your right to make a choice, but its not something I would do.” I have heard that many, many times over the years.

    To that statement, I always want to add a big fat “…YET”.

    Wow do I hear you on this, Kat.

    The idea that anyone, pro-choice or pro-life, knows what they’ll do with an unintended, troubled or doomed pregnancy before it happens is complete bullshit. And I wish that pro-choicers would quit using that line. It just adds to the shame, and ridiculous — they don’t know what they would do unless they’ve been there.

  5. I think I do have to apologize Kat, because I am one who does this a lot. The fact is that abortion is a really hard issue for me and growing up in an extremely anti-abortion household where anyone who was pro-choice was called “pro-baby killing”, it’s hard for me to say I’m pro-choice without throwing in the caveat that it’s not a choice I feel I could comfortably make. It never occurred to me that it would upset women who had made that decision, so for that I apologize.
    That aside, I don’t know that adding “yet” to that statement any time it’s made is anymore fair. There are those of us who have been there (I had an unplanned pregnancy in college where I found out I was 3-5 weeks pregnant and the I had been seeing the father for 4 weeks…. and I also had a pregnancy where I was told at 21 weeks my son would not survive more than 10 minutes outside the womb) and who haven’t made the decision to have an abortion. Not that I feel like I’m morally superior to anyone who has…. I just know myself and my beliefs well enough at this point to say with reasonable confidence that I wouldn’t have an abortion. Now that aside, both situations above did teach me things about myself… the first one I mentioned taught me that abortion was something I would consider. Before that I had always said “I wouldn’t even consider it” and that was bullshit… I was scared, I didn’t want to be pregnant, my father makes Dr. Dobson look downright reasonable and my boyfriend didn’t want me to be pregnant. So, I thought about it. I decided it wasn’t for me, but I looked into it a lot harder than I ever thought I would. The second situation showed me that no one but myself and my husband were more qualified to make a decision about our son than us and it was the beginning of my “conversion” to being pro-choice. I respect other women’s decisions and I would be the first one to offer an ear, a hug, etc… to anyone who needed one. I’m glad that you posted that because it really does make me think more about automatically adding “but I wouldn’t have one” to any statement I make about supporting the right to an abortion. And I’m very sorry about the doctor you encountered… what a jerk. It really never ceases to amaze me when people act like that.

  6. its the pro-choicers who will say, “well, I support your right to make a choice, but its not something I would do.” I have heard that many, many times over the years.

    To that statement, I always want to add a big fat “…YET”.

    I’ve been puzzling over this one for the past couple days, since reading Anne Hathaway say as much in this month’s Jane. I *don’t* know what I would do if I got pregnant tomorrow, I’m inclined to think I’d abort, but I do.not.know.

    But, um, word.

  7. Well, as someone who does know what she’d do (my daughter is six), here’s why I use the line: to emphasize that this is a human rights issue, not a “personal choice” issue. That even though most of us (and let’s face it—most women faced with the “do I or don’t I have a abortion” question don’t have an abortion, statistically speaking) wouldn’t choose an abortion personally, that the right to have one is still necessary in order to save women’s lives. And that it’s still the responsibility of those of us who wouldn’t make that particular choice to speak up for the rights of those who would.

    ‘Nother words, that even if a human rights issue doesn’t affect you personally, ally work is still the right path to take. The enemies of reproductive rights are actively trying to use women’s emotional feelings about motherhood as a wedge in the campaign to make abortion illegal. They are trying to cast women who are vocal about abortion remaining legal as childless, radical, “fringe elements”. That’s why I think its a good thing that mothers who have had abortions, and mothers who haven’t had—but support the right to have—abortions be just as vocal. Treating abortion as the ethical equivalent of blowing one’s nose is the tactic our enemies would place upon us. We need to be adamant that this is a human rights issue, a bodily integrity issue, and a private medical decision. Period.

    I see the dividing tactical line here as “this could happen to you.” Statistically, unplanned pregnancies do happen to a lot of women, most of whom don’t choose abortion. So, appealing to their sense of “this could be you” isn’t going to go as far as another tactical line—“these are your sisters. these are other women just like you.” See?

  8. they don’t know what they would do unless they’ve been there

    Exactly. And each time you find yourself pregnant, your circumstances are different. What you would choose to do with an unplanned pregnancy today is not necessarily the choice you will make 5 or 10 years from now, or would have made 5 or 10 years ago. Your circumstances may change, you just never know what the future holds. Some women who had abortions have gone on to have children. Some women who have had children go on to have abortions. I had an abortion in college, when I had no good options, no money, no support from boyfriend or family. But then 5 years later my life had turned around, I was financially stable, married and made a choice to have a baby and then 5 years later another. But if I was to find out today (now a 39-year-old single mother, one child with special needs) that I was pregnant I would be in a panic. I can’t say what I would do, but I certainly can say that I would consider my options.

    Isn’t that something you could file a complaint about? I mean, their job is to treat your physical body, not sit in judgment.

    Absolutely. And I did. And although I was not privy to what came of my complaint, I do know that my new doctor was shocked when she read my file and saw that certain tests that should have been conducted in my case (and that I had asked for) had not been conducted. The problem is, its hard to get proof that the medical decisions made were a result of his feelings about my history, its just a feeling you have. So while I’m sure he was reprimanded for not doing the correct procedures, I’m not sure anyone took to heart that I felt it was from my ob-gyn history.

    For some women in this same situation, having to complain just adds to the indignity of it all, which may be why they don’t.

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