Today is the 6 Year Anniversary of My Later Abortion

Today is the 6 year anniversary of the day I had an abortion.

It’s a big day for my husband and me. It’s something we still grieve, and will for the rest of our lives. It is an anniversary and time of year that we feel acutely. This year, like the year that it happened, the anniversary falls on the day before Thanksgiving.

Here is what it was like on the day 6 years ago when we said goodbye to Grace:

We arrived at a hospital in the pre-dawn hours of the morning and grimly walked into its labor and delivery ward. I had been warned that this might be especially hard emotionally by our doctors, but we opted for the hospital over Planned Parenthood because of my advanced stage of pregnancy: I could get more anesthesia there and would have more privacy, and as it turned out they recommended, an epidural. The doctors were the same at both places, so there was no advantage there. I was also grateful for the lack of protesters as I walked into the hospital; I had heard (and had seen) people protest Planned Parenthood. I wondered what they’d say to me if they knew our story, not that it mattered. My reason wasn’t more ‘valid’ that someone else’s.

After changing into my gown and having IVs administered, I was given a pill to tuck into my cheek that would further the softening of my cervix. My doctors and nurses checked on us frequently advised that I get an epidural over full anesthesia for my safety (I agreed), and assured us that they’d do their best to get hand and footprints from Grace, and asked if we wanted to record her heartbeat. I had done so badly on my phone about a month prior using my home Doppler, so I declined this – I just didn’t think there was any way I could emotionally handle it. My home recording would be sufficient.

After a few hours, it was time to go to the operating room and have the procedure done. I was so nervous going into it that I started dry heaving and was sent down the room with a bucket in case I did throw up. Once we were in the room they had me sit on the edge of the operating table, hunched over while they administered the epidural, and I noticed a man sitting in the far corner. I asked if he was the doctor that would be doing the procedure (he was the only one we hadn’t met yet), which he confirmed he was, and right then the IV of relaxants, for lack of a better term, started. I remember gushing out to the operating room that I had wanted my daughter, that we were doing this out of love. They promised again that they would cut her umbilical cord before doing anything else, and they were tender and compassionate.

I was in and out of consciousness for the procedure, which only took 15-20 minutes. I found myself wishing they had fully knocked me out, but also feeling grateful that I could be somewhat present for the end of Grace’s time with me. I had been advised to bring headphones and music, and I got through 4 songs of her playlist: I think they were “Born To Run”, “Sittin’ On The Dock of the Bay”, “Let’s Spend The Night Together” (which I always thought was a hilariously awkward choice, but also what we’d do for many nights of her newborn and baby life) and “Superstition”. I loved the idea of Grace and I listening to the same songs at the same time, and her heartbeat ceasing while in the warmth of my body, literally enveloped in love, hearing music tenderly chosen by her father to say goodbye.  

The next several hours were a blur of being freezing cold, being heaped with heated blanket, sleeping, and brief moments of doctors checking on me, pressing on my now empty abdomen. I felt around for Grace, and mourned for my now missing baby bump. It had never been big – we later learned because of the lack of amniotic fluid and how tightly curled up she was, but I was still acutely aware of what was gone. A chaplain came in and Jim had a long talk with her about God, Grace Pearl, and our decision while I slept. We were given the hand and footprints (both of which I realized looked just like Jim's which simultaneously filled and broke my heart), and a little bracelet Grace never got to wear that said "BABY".

It was hours later when I was discharged to go home after I had crossed off all of the checkboxes that the hospital required. We left in much of the same way we’d arrived: the sun was again tucked away, and Jim and I quietly and awkwardly stepped through everyone else’s lives as they continued on with the laughs, smiles, plans, and jokes while we wondering how the world hadn’t stopped after such a terrible blow. As we drove off into the dark, back down to a family of two, I wondered how we’d get through Thanksgiving the next day, and then the day after that, and again after that, without Grace.

6 Years Ago: The Consents I had to Sign to Get My Abortion

I wrote yesterday about what it was like to go into a routine anatomy scan for a very wanted pregnancy, and instead of getting a quintessential ultrasound picture… instead receiving the news that the pregnancy isn’t viable. Yesterday marked the 6 year anniversary of having that exact experience.

Immediately after learning this devastating news, I also learned that the state of Missouri had a set of legally mandated hurdles that I’d have to clear in order to have an abortion to terminate the pregnancy and spare my daughter a brief, agonizing life upon birth if she made it that far. 

Today marks the 6 year anniversary of when my husband and I had to clear our schedules (still processing and sharing the information we’d received the day prior) to go into Planned Parenthood at 10 am to review and sign legally required abortion consents. 

We were brought back to a conference room, where we were met by Dr. Caitlin Bernard, the physician made famous over the past several months for providing an abortion for a pregnant 10-year-old rape victim. State laws at the time mandated that a doctor had to walk us through the consents, despite them not being medical in nature, and I remember thinking that she surely had more important, specialized things she should have been doing. Why were they wasting her time like this?

She immediately prepared us for how hard what we were going to do would be. She said ‘the forms I’m about to go over with you aren’t medical, and they’re designed to make you feel bad. But that’s not how we feel about you.” I braced, but it didn’t sufficiently prepare me for what was coming. 

The consents (which you can see below) asked if I had been given a chance to hear my daughter’s heartbeat, or see an ultrasound of her, as if I hadn’t listened to her heartbeat at home on a home doppler, or hadn’t had nearly three hours of ultrasounds the day prior in order to diagnose her with her fetal condition. 

They told me about the overblown medical risks of abortion, but not of pregnancy or childbirth, which are particularly bad for Black people who are three-to-four times as likely to die in childbirth in Missouri. They gave me alternatives for abortion but didn’t talk about what Grace’s experience would be like upon birth or the risks to my health by continuing the pregnancy. I felt misunderstood, judged, and frustrated. 

Then the consents required that I be given an Informed Consent packet, which started off with:

I was furious and heartbroken. How could the state where I have lived all my life, where I work and pay taxes and vote in every election be so willfully spreading propaganda when I was trying to attempt medical care? Not only was I aware that the idea that human life starts at conception is based on religion, not medical science, but it wasn’t even helpful: I had received the worst news I could fathom about my pregnancy. When the state legislators thought life began (or not) was irrelevant. I had a medical issue I needed to address regardless of their opinions. 

I was incensed. What about the separation of church and state? What about my circumstances? If they misunderstood or dismissed mine, surely no one deserved this treatment. Dr. Bernard calmly and tenderly reassured me that I didn’t have to read the packet any further and that I could throw it away like the garbage it was, but I was furious for her that she had to ignore her medical training and provide such biased information to me because of a law clearly designed to demean and judge me.

But I signed the consent saying I had received it. I had to - I couldn’t get my abortion without doing so. But the light of my fury had been ignited, and it would go on to form who I am today, and why I am writing now. The contrast between the calm, comforting and competent care that Dr. Bernard gave me in comparison to how tone-deaf and callous the consents were was further radicalizing. I fully understood that the hoops I had to jump through to get my abortion were all about controlling and shaming me, not in any way about ensuring I received safe medical care. 

And I’m a white upper-middle-class woman whose privilege has so often made me immune to this sort of interference. I realized how lucky I was to be able to get my abortion at all: at the time there was one abortion clinic left in Missouri, and I lived near it. I had a good job with health insurance and was able to take off at the last second to sign these awful consents. I had been able to get my emergency follow-up scan the day prior the same day as my anatomy scan and hadn’t had to drive hours to get to the appointment or the site to sign the consents. I had the financial means to cover the significant costs associated with the abortion. I didn’t have to find childcare or transportation or risk losing my job by taking off. The realization of these abortion requirements’ impact started settling into my consciousness. I realized what people meant when they said that abortion bans were all about control: they made the process so onerous, I could see how it would be nearly impossible for many people to do it. 

This was six years ago. Roe v. Wade was still the law of the land. I started to understand why people said it was the floor, not the ceiling. If Missouri could still legally enact these hurdles, was abortion access even a reality? 

This is a reason that I believed correctly that Roe would fall. I had already seen how transparent conservatives were in their desire to control and punish pregnant people firsthand. Banning abortion entirely was an easy choice for them once it was legally available after the fall of Roe.

And please believe me now when I say: they’re just getting started. Organizers here in Missouri fully expect that even more punitive laws will be filed and ultimately pass the next legislative session (which runs from January to May of 2023). 

More on that soon.


The Informed Consent Checklist:

Download

The Informed Consent Packet:

Download

6 Years Ago Today, We Decided To Have A Later Abortion

6 years ago today, I was nearly 21 weeks pregnant with a very wanted daughter, Grace Pearl. My husband Jim and I had done IVF twice and had done 3 embryo transfers (one resulting in a miscarriage) to become pregnant with her.

Jim and I walked into the appointment for our anatomy scan full of hopes and expectations…. and that’s not how it went. Our ultrasound technician grew quiet as she rubbed the wand over my pregnant belly. She asked me to lay on my side, hoping Grace would move to provide better views, and went to talk to my doctor. She came back and after trying again, said there wasn’t any amniotic fluid, and that she was sorry - that she knew that that wasn’t what we wanted to hear - and sent us to see my doctor.

The short walk to the examination room was one of the longest of my life. I quickly chatted with two friends, whose responses (based on fast Googles) set a somber tone. I did my own search and saw “80 to 90" percent fatal”.

My doctor tenderly advised us that our daughter very likely had a kidney disease that wasn’t survivable. She sent us

to a follow-up ultrasound an hour and a half later, and after hours of ultrasounds conducted by murmuring technicians, and somber discussions with medical professionals, it was official: our daughter had bilateral Multicystic Dysplastic Kidney Disease, and given her young gestational age and how advanced the condition was, it was fatal. We could terminate the pregnancy (an abortion), or continue it knowing she’d suffer and die upon birth.

Our doctor told us that we didn’t have much time to decide what we wanted to do. The state of Missouri, where we live, didn’t allow abortions after nearly 22 weeks of pregnancy at the time. I was nearly 21 weeks pregnant on this day, 6 years ago. But the state of Missouri also required me to sign non-medical consents to get the abortion. I had to get those scheduled. Then signing they required me to wait 72 hours after those consents. Then it was a two-day procedure to get the abortion.

We had to act very fast. We decided we needed to terminate the pregnancy. We couldn’t fathom letting her suffer. But at if we had wanted more time to decide?

My doctor telling me we didn’t have much time due to state laws - laws that didn’t match the circumstances that we were medically facing - was the first spark of why I am writing today. When she said that, my shock and grief were nterrupted by indignation and confusion. I knew that Missouri’s per-majority of conservative politicians was anti-choice, but where s the common sense for how these laws actually impacted people? I felt like the point was to punish me. I wanted my pregnancy and was receiving new medical news - why were they doing this to me? My immediate next thought was: no one deserves to be punished for wanting an abortion, no matter what. If they didn’t understand my circumstances… maybe they didn’t understand anyone’s circumstances.

I spent that evening fielding calls from care coordinators that helped get us scheduled to sign the consents the next morning in order to meet the deadline, all while trying to inform friends and family about our devastating personal news.

The contrast between the care that our doctors, friends, family, and loved ones gave us - no matter what their religious or personal beliefs - compared to how callously and judgmentally the state treated us started my radicalization. It would increase over the next few days as we trudged through the process of getting an abortion in Missouri in 2016 as well as over the past 6 years as I have attempted to use my experience to reduce abortion stigma and improve laws and policy.

I started to tell my story. I started a website to capture all of this called DefendingGrace.com I was published in the Washington Post, which was mentioned by Senator Dianne Feinstein in her opening remarks of the Gorsuch Supreme Court Senate confirmation hearings. I have told the story of my experience obtaining my abortion as a Moth Mainstage Storyteller, which has been featured on their podcast twice, most recently as part of a special episode on bodily autonomy after the Alito brief leaked. I have been featured in Al Jazeera, BBC NewsHour, NPR’s 1A and All Things Considered, and more.

I have told my story to countless legislators. I have testified against abortion bans of all sorts at the local state level, as well as lobbied federal representatives. I have volunteered extensively with local and national reproductive rights organizations, including serving as a board member for Missouri Abortion Fund for multiple years.

I have never had someone of sincere intent say we shouldn’t have been able to make the choice we did. Even legislators have muted their microphones to me that they’re so sorry for my loss, but then voted to enact an abortion ban that would have hurt me, and in turn, Grace. And that is why I write today. We need policies to match our life circumstances. And I have learned that all abortion bans are harmful to pregnant people.

A lot has changed in 6 years. Missouri was the first state to ban abortion after the fall of Roe v. Wade on June 24, 2022. I have struggled with how to process this and where to go next. But I have learned a lot of lessons as an advocate, and have met some incredible fellow advocates that continue to teach me a lot. I’ll be writing about all of that here with the goal of informing and continually learning. We all have to start where we are, and for me, I started when I learned my desperately wanted daughter was very, very sick 6 years ago today.

You can listen to my Moth Mainstage about that day and what followed here.

The End of Roe v Wade

Hi friends.

Today, the news of the Supreme Court’s decision to end constitutionally protected access to abortion by overturning Roe v. Wade.

I am gutted. Ever since learning the news of Grace’s diagnosis and having my abortion later in pregnancy, and being subjected to the ill-fitting, draconian laws, I have wanted to make the experience for other pregnant people better. Fairer. Less judgmental.

This is a massive blow to the rights and dignity of pregnant people everywhere, and the consequences are truly devastating, especially to minorities. As usual, they will bear the biggest brunt of this.

For now: I grieve. With many of you.

Tomorrow: we rise and fight, in solidarity and strength, building something far better and more equitable than what we had before. We are each other’s path forward.

My Story is on The Moth "Bodily Autonomy" Episode Today

My Moth story is part of a special episode dedicated to bodily autonomy in anticipation of the upcoming SCOTUS announcement later this month.

Listen and share here: Link


Brought to you by

Please allow yourself to consider that if you feel compassion towards my reasons for my abortion, you can extend that to anyone seeking an abortion - we're all making the best decisions for ourselves and our families, with our own special sets of circumstances and realities.

When Roe is overturned, Missouri will outlaw abortion immediately - a trigger law is already in place. I should not have to leave the state I have lived in my entire life to obtain medical care. Many won't be able to do that, and as a result, our country will have more later abortions.

Please see my recent post on how you can help.



Roe v. Wade: What You Can Do

Hi again, friends and family.

On May 2nd, Politico published a leaked draft opinion from the Supreme Court overturning Roe v. Wade. To be clear, at the moment, abortion is still legal and clinics are still open, it is not a final opinion. But this is really bad.

I am sending love to all of my pregnancy-capable friends, family and loved ones. I am also scared for our LGBTQIA friends whose marriages, healthcare and safety are also called into question by this draft opinion. It's bad and it's going to get worse.

You may want to know how to help. I am sharing some good information and resources here for those who are interested, with permission from a dear fellow advocate and ally who shared this with me.

What Will Happen Legally

If the Court's final decision looks anything like the leaked draft opinion, they'll overturn Roe, and abortion will be no longer protected at the federal level. States will be able to criminalize all abortion care.

26 states are then certain or very likely to completely ban abortion (see map below). This will result in an unprecedented public health crisis, on top of the one we already had going on, along with a rapid expansion of the criminalization of pregnant people.

What Will Happen In Your Communities, to People You Love

Abortion is a sensitive issue for a lot of people. There are strong feelings about what others should and shouldn't do, what's "reasonable" or too far in terms of laws. But we're not talking about feelings. This is about sending doctors to prison, about the government forcing people to submit to pregnancy and childbirth against their will.

We will not be returning to a pre-Roe scenario with "back-alley" abortions and coat hangers. Many abortion seekers will be able to self-manage their abortions using safe and effective FDA-approved medication abortion pills, even in hostile states. BUT, we also now have a much larger, more sophisticate law enforcement infrastructure that will surveil, prosecute, and punish people for abortions and pregnancy outcomes like miscarriages. In 2022, the risks are largely legal, not medical.

A lot of people will travel out-of-state, often hundreds of miles, to obtain an abortion in a clinic. Because 50 states worth of people will be trying to access care in the remaining half of states who haven't banned it, people will have to wait weeks or even months for an appointment. Everyone everywhere will have difficulty accessing timely abortion care. To put it in perspective, friends working at last-stop clinics are already reporting 3-5 week wait times just because of the ripple effects of a 6-week ban in Texas.

Most (75%) of abortion seekers are poor or low-income. Most (59%) are already parents. 1 in 4 pregnancy-capable people will have an abortion in their lifetime. You know and love people who have had abortions. If they haven't told you, consider whether you seem like a safe person to tell. Take that to heart and care enough to change.

What Can You Do?

The most impactful thing you can do at the moment is to donate money. I know, I know. If that isn't an option or if you want to do more, organize other people to donate money. The coolest among you will become monthly donors–even of a smaller amount, because it provides a stable cash flow for organizations which are largely volunteer-run.

Here's where it can go (bonus points if you do them all):

  • Give to local abortion funds in your state who help abortion seekers pay for procedures, made by the Abortion Link Fairy @helmsinki.

  • Give to practical support organizations, who help abortion seekers with travel, childcare, and other logistical needs.

  • Give to independent clinics, who are not affiliated with Planned Parenthood, but provide 6 in 10 abortions in the U.S., including all abortion care later in pregnancy.

  • Our current fave: Give to a new clinic in MD being started by two badass ladies, an OBGYN and a midwife, who will provide safe and compassionate care throughout pregnancy. They will be one of the closer clinics to the Southeast, and be a critical destination as bans sweep across those states. They need $$$!

  • Share This: a cool guide @alisonturkos made with more ideas, options and info

  • Offer to volunteer at a PSO, Fund, or your local clinic: Recently, someone I am close to volunteered to help a stranger from Texas traveling hundreds of miles away for care. They desperately needed someone local to check them in and out of a clinic. They were traveling alone and the clinic required a companion. It amounted to driving across town twice, not a big lift, but it meant that person could get the care they needed–it was potentially life-changing.

You'll note that none of the recommendations include giving to well-funded orgs like Planned Parenthood, starting your own thing when these networks exist or fighting with people on the internet. The informed advice is to prioritize mutual aid through local organizations.

Sure, But Then What?

You may be wondering what we can do to fix all of this? Surely somebody has a plan!

There's not much that can be done in the short-term other than helping people get care. There is no immediate political or legal solution due to the composure of the court, the makeup of the Senate, and GOP control of state governments. This will be our reality for a while.

The best we can do is really engage in state-level efforts, where abortion will be regulated (banned or protected): support the election of good state representatives, local prosecutors and judges who don't want to criminalize abortion care or pregnancy outcomes. Support efforts to protect voting rights. Encourage prosecutors not to go after pregnant people. To be clear, there is something to do in every state and not enough people doing it.

And finally, don't despair.

Get mad, get engaged, get organized, but focus on constructive actions.

In the words of the PIC abolitionist, Mariame Kaba:

"Let this radicalize you rather than lead you to despair."

If ever we need to have each other's backs, it's now.