Tuesday, December 4, 2007

Babies In and Out of the Womb

I read the Q & A below (only the beginning of the answer) on the web page for Mothering Magazine, here. I find that it raises some interesting points about the personhood of the infant in the womb--or, rather, it indicates a latent assumption that the infant in the womb is indeed a person, something that much pregnancy literature does--while at the same time suggesting that the infant outside of the womb is still so closely linked to the mother that they remain a single unity--suggesting a continuity with the existence in the womb. This is the language of carrying and bearing children, but there are actual pieces of evidence alluded to (though not cited) that support this claim. They can be contradicted, of course, with and without evidence, but they ring so true! I often wonder how these things can be denied.

When I was in the hospital (a Catholic hospital run by a religious order) and my husband and baby were in the room, too, a member of the order entered my room unannounced, asking if we were Mr. and Mrs. Hernandez. We were not. So she went over to the little clear bassinet and admired the baby, giving her a blessing, and then said with a sigh that these little ones are so precious, it is hard to imagine that anyone could want to harm or kill them. I wondered what specifically was on her mind. It was kind of a surreal moment, and comes back to me sometimes, especially when I read horrible news stories about children being killed by their parents, or when I read things like this that stress the connection between mother and unborn/newborn child (do note how the author of the response gently corrects the term "abandoned"):

I have two questions that may be seen as sides of the same coin: how does being abandoned as an infant effect the emotional growth and stability of a person? What are the lasting repercussions on a single mother, or father, who chose not to raise their child, and hence, gave their baby away?

When you say "abandoned," I'm going to assume that you mean, "How does it affect an infant to be permanently separated from his biological mother?" (Usually in this situation the infant isn't technically "abandoned"—as in the fairy tales of babies left alone in the woods—but has other caring adults around to care for him.) Certainly a newborn already has a potent connection to his birth mother at birth; we know this from lots of research into fetal learning, etc. And there is an actual biological process already in place for laying down important circuitry in the brain of the baby (and of the mother, too!) in the hours and days following birth. So when this process is disrupted by separation (for adoption, but even for the shorter periods virtually mandated by standard hospital protocol, to "clean the baby up," and do all the other unnecessary things like pricking, prodding and testing), the baby does suffer at a psycho-biological level (as does the mother.) The cascade of pleasure hormones (including oxytocin, the "hormone of love") that nature designed to make mom and baby enraptured with each other when they remain in skin-to-skin contact in the hours following birth may also play an important part in establishing lifelong "set-points" for feeling pleasure, satisfaction, and contentment. But when separated, and this does not occur, levels of cortisol (stress hormone) rise in the baby's blood, which—depending upon variables such as the infant's temperament and upon any protective factors in the baby's environment—can impact the level of growth hormone and even negatively impact immune function. (As an adopted infant, I contracted pneumonia as a six-month-old—definitely not normal!!) This kind of cascade of stress hormones (especially when it is happening instead of the cascade of pleasure hormones) is suspected to contribute to the baby growing up with a decreased tolerance for stress. And though there may be other caring adults around, we do know that newborns know who their biological mothers are, and who they are not—via pheromones, voice quality, heartbeat, "vibe"—and it is their mothers they want, and need. In fact, from the newborn's perspective, he or she is not differentiated from the mother: they are a mother/baby dyad, at the levels of neurobiology and physiology—a single unit. So for a baby to be made prematurely "an individual" in his or her earliest hours, days or even months does indeed present a challenge for that individual's future growth and stability.

What do you think?

(Read the whole answer, it's well worth it!)

17 comments:

mrsdarwin said...

Having had a home birth after two hospital births, I can definitely attest that it's so much better to be able to hold your baby as much as you want after birth, without worrying about nurses whisking her off. (Darwin held the baby while I was being sewed up [ugh] but at least she was in loving arms with a voice she knew.) And no one tried to make me put her in a bassinet to nap!

LilyBug said...

Having had my baby whisked away and put in Neo-natal ICU for a first six hours of her life, I felt that I had missed out on a very important moment after baby's birth and that she would forever suffer for those that missed moment with mommy. For me, this lead to depression. It is taken me many months to realize that bonding with a child does not occur in one moment; it starts in the womb and continues over a lifetime. That is why babies can be adopted out and why babies who develop pnemonia after six months as a result of early detachment is shaky reasoning at best. So though I did miss a precious moment in the life of my little daughter, I'm pretty sure that she suffered no adverse emotional effects but that I did suffer adverse emotional effects because of the pressure that the "mystical magical" birth myth places on women. I felt that I was a failure as a mother and I hadn't even started yet.

This has got me thinking, believe it or not, about the pro-life moment in general. If women are lead to believe, during pregnancy, that every pregnancy and birth experience must be some kind of mystical experience, aren't we setting some women up for disappointment and disillusionment? Couldn't this lead them to consider that awful alternative? Perhaps if we were more realistic about what pregnancy and birth is really like, a first-time pregnant mom might be more willing to see the pregnancy through rather than terminate because of feelings she may not necessarily be feeling at the moment. Just a thought.

Literacy-chic said...

I really think you should read this in the spirit in which it was written. The author I quote was adopted herself. There's nothing particularly mystical--more chemical, as I read it. Perhaps those hormones contributed to your depression. Just a thought... I personally like the acknowledgment that there is a person in there more than the denial of that personhood, but that's where it starts getting political or religious, depending on how you look at it.

No one is saying that everything has to be perfect, but that's frequently how any treatment of childbirth, newborn care, etc., gets read by those who have had negative experiences or view things differently, perhaps because there is so much emotion invested in the topic. Rarely is this what the author intends or even implies. And Mothering is not particularly pro-life. Only really naive people assume that there is a "perfect" childbirth/newborn experience. I think you've been reading me long enough to know I'm not that naive--and neither are all or I'd venture to say even most pro-life people. I hesitate to characterize the "movement."

Literacy-chic said...

Another thought... I was acquainted with babies from a young age, and knew not to expect perfection. Childbirth, I did not know so much about, but I was told by my lamaze instructor to expect the unexpected. I think of myself as somewhat of a perfectionist, but not in this (though I didn't want the same scenario to play out for my most recent delivery that I had for the first two, that's hardly striving for perfection!). So perhaps we really need to analyze what makes women want to be perfect in this--as in EVERYTHING physical. A few months of reading childbirth literature?? Doubt it. And I'm not sure women considering abortion are reading childbirth literature, so how would they be affected by it? My point is actually that the literature that supports abortion has a totally opposite representation of the baby in the womb. Or didn't you know your baby was a person? I feel a bit guilty from time to time that I didn't really "bond" with my baby when she was in utero. Not that that's really "bonding"... ANxiety was more prevalent than warm & fuzzy thoughts. I did, however, "claim" her as my baby. I like the thought (articulated later in the article) that the birth mother can "claim" the baby in her womb, if only for a limited time, as her own, and that that will help her own healing after the baby is adopted. This has powerful implications for the pro-abortion movement, which instead tells the mother either to reject the baby's personhood, to claim and then to kill, or to reject outright rather than claiming at all. "Claiming" the baby in this case is not to claim as a baby that one will raise, if the circumstances do not permit. I'm not sure how to characterize it, but it is an acknowledgment of personhood and connectedness. I would not know, but the author of the article suggests that this makes the healing process easier. I am reminded of the Post-Abortive Stress syndrome that is so controversial in some circles. It appears that adoption can inspire similar feelings, as more turbulent adoption cases indicate.

LilyBug said...

I can relate to the feelings of anxiety. Though I don't know when I acknowledged the baby inside me as a separate person, I don't think I ever denied her connection to me (if that makes any sense). In fact, the warm and fuzzy thoughts didn't come in until the baby was well on her way to being born. And that's kind of what I was talking about...this idea that the warm and fuzzy thoughts may not be experienced for quite awhile. Anxiety over a pregnancy (expected or unexpected) is okay. Anxiety over a pregnancy or newborn now does not mean that a mother will never be able to bond with her child. Hmmm...on second thought maybe that does sound more pro-life than anything else.

I'm coming from the position of a person who was pro-choice before baby and find myself now moving to the pro-life side. That said, I am trying to reconcile the two (in my mind). You're right in that the pro-choice side of the debate tries to communicate that if a woman feels anxiety over her pregnancy, she will always feel anxiety and should therefore consider an alternative. Horsefeathers!

I'm still thinking, but I did enjoy the article and have always found Mothering to be an interesting read. I'm just not sure that I buy the idea about the importance of the biological mother when one who is not interested in caring for and nurturing the child.

Literacy-chic said...

There are extremes, of course (I could cite some recent news stories of mothers who should have "abandoned" their children), but the baby is not aware psychologically that the mother is not willing to nurture--when this is the case. I find it interesting that the baby could be "aware" by sensing it chemically--and be stressed by it. That doesn't mean the baby cant' overcome--but those are 2 things that fascinate me: the mind-body connection and the human capacity to overcome difficulty!

Literacy-chic said...

In the interest of clarity, stress for the newborn would be physical rather than psychological.

John said...

Okay, I just read the rest of the article rather than your abridged version (though it was a wonderful abridgement). I like what the author followed up with which was how to act based on this knowledge. She mentioned that this separation stress could be the cause of colic and fussy babies. That rings a bell for me - LilyBaby cried for the first three months of her life.

But, something still bothers me. What's a mom to do when she is separated from her baby through no fault of her own? And, what does this mean for working mothers who only have six weeks of maternity leave? Do I sense a "stay at home" motherhood argument coming about or am I going down a slippery slope?

-C

Melanie Bettinelli said...

It's an interesting article.

I had a c-section and so didn't get to hold Isabella right after she was born. My husband held her next to me so I could see her and then accompanied her when she was taken to the nursery. Even with the drugs, I experienced anxiety at not being able to hold her.

At first it was physical, I felt an odd pressure in my chest while they were sewing me up, like I was having trouble breathing. The anesthesiologist reassured me that I was fine. And I prayed for a while and started to feel better. In fact I didn't connect this at the time to the anxiety of not being with my baby; but I think there probably was a connection.

Afterward in recovery I was so impatient. I wanted nothing in the world except to have my baby NOW. It took all my self control not to start barking at the nurse who was sitting with me; but I knew that throwing a fit wouldn't make things any better.

I know I felt a huge relief when they finally brought her in and I could hold her.

You know she never could fall asleep unless someone was holding her. Usually not unless I was nursing her. Is that just a matter of personality, or did she need extra reassurance because of that time apart from me at the beginning? There's really no way of knowing, I guess.

Literacy-chic said...

Now, they did plop the baby on me for a little while and told me to rub her to get her to cry--which didn't work, and wasn't very conducive to bonding. Then they took her away to the little station where they perform mystery procedures that I'm generally too tired to worry much about (this time was different--more adrenaline!). Then they said that because she hadn't expelled all the fluid in her lungs, she had to be taken away. I was able to hold her and breastfeed 4 1/2 or 5 hours later. With my first, I held him, but was too nervous to breastfeed. With my second (the toddler), I did breastfeed her immediately after birth, but we were very rushed. I can't say I really noticed any significant difference in their temperaments. Perhaps the length of separation wasn't sufficient? I did notice that this one was more alert in the hospital overall, which I thought might h ave been the absence of anaesthesia, but the pediatrician pooh-poohed that.

I can totally relate to wanting the baby NOW, Melanie. When they were observing Lit-chiclette (or the moosette) I would periodically say, "Okay, I want my baby now!"

And C, while Mothering does tend to advocate stay-at-home parenting, it does so in a way that seems, well, less threatening to those who are not inclined or able to do that than other venues I have seen. I do think, though, that because the time frame is so limited to the moments and days after birth, perhaps extending to the early months, there is really no need to fear the extension of the argument. Because of the limited scope of the article, which is actually an answer to a very specific question about adoption, the involuntary separation (which many of us have experienced in some form, it seems!) is not addressed. But it seems to me that there is no reason to feel guilt or blame oneself. We trust our doctors to do what is necessary for our health and that of our infants. Not all of their procedures may be absolutely necessary, but we enter into a contract of sorts that says that we listen to their recommendations and follow their procedures. Our ability to resist is rather limited. It's a tough balance to achieve. I've already been exiled from one whole pediatric clinic...

Literacy-chic said...

Incidently, Melanie, your description of the pain in your chest/difficulty breathing sounds like a panic attack to me! Perfectly understandable! I probably would have had one, too. I had little ones during the pregnancy for one reason or another. Isn't anxiety wonderful? :P

Literacy-chic said...

Something else occurred to me based on C's question... Baby humans aren't hardwired to accept their mother's return to work. This is something we make them accept and hope for the best. But then, there's a line of argument that men are not really wired to like the kind of work away from home that contemporary society requires, either. However, we condition ourselves--and our children--to accept the absence of one or more parent for variable hours of the day. Not trying to imply judgment, just thinking anthropologically.

John said...

Very good point, Literacy-Chic. So what are the implications of this article then? Are babies of working moms doomed to suffer? Maybe they are; maybe that's why our whole society is messed up ;).

Oh, and Melanie, the pain in your chest could also have been a result of the anesthesia. I had an itchy nose; that wasn't necessarily anxiety.

-C

Literacy-chic said...

All I had from the anesthesia were cold feet! I'm not sure you could extrapolate about babies of working moms from this article. But you don't have to! There's plenty out there to support either side of the coin! ;)

LilyBug said...

Love your Meez by the way. Isn't it a shame though that you're only allowed one baby?

Anonymous said...

As one of the "girls who went away", I had my baby forcibly taken from me without even having had the chance to lay eyes on her much less hold her.

I cannot begin to describe for you the endless, lifelong pain this has resulted in. It is unfixable, uncurable, I will never "heal", the world will never be a good and safe place for me.

The damage done by destroying the natural mother-child bond is unfathomable, irreparable and has lifelong effects.

I suppose babies are better able to overcome the damage and adapt, and I suppose women who voluntarily chose to allow other women to raise their children may be stronger (although I don't believe for a minute that anyone makes this choice without being pressured into it by society, family and people with a vested interest in her doing so -- if the Church could still get away with baby-stealing and re-selling, they would, IMO).

But for those of us who were not willing parties to these adoptions -- to the out-and-out theft of our children -- the author is correct -- the physical symptoms are real and are serious -- I still often fight to take a breath in decades after the fact, and I live with stress levels that would probably kill your average, healthy Olympic athlete.

As the author says, nothing will ever be "right" for us again, whether we have other children or not. Nothing fixes this. Nothing.


BTW -- "adopted out" is a truly offensive and insensitive term, and doesn't even make sense grammatically. Just so you know. These babies didn't grow in a greenhouse somewhere. Real women carried them, loved them secretly, and have suffered endlessly as a result of the bond that was broken against their will.

Literacy-chic said...

Nina,

Thank you for sharing your experience and I am sorry for what you have had to go through. I am not sure exactly where the offensive term occurred, but I am sure it was not meant to cause offense. I don't believe that anything in the article, or my own comments on the article, conflict with your experience, except that your experience represents the most regrettable type of adoption circumstance. I am not going to say any more, because this is this type of situation in which trying to sympathize can stray into offense, since the territory is so foreign. Thanks again for visiting and sharing. Best, L-C