Eternal Maternal?

Some things are just not said, just not considered. They fall so far outside of our Weltanschauung they are inadmissible. And we take such comfort in their ubiquity that we no longer feel a need to discuss them. They are so self-evidently true, so axiomatic to our understanding of existence that they seem indispensable. Crucial… Even transcending the need for sentience.

Maternal instinct, for example -the irrevocable compulsion of a mother to protect her offspring even at the expense of her own safety. Characterized as selfless and incorruptible, it often escapes the genetic prison of species boundaries. It is one of those rare attributes that has such survival benefits that it blossomed under the rigorous pressures of evolution. It really is, at least in hominid terms, sacrosanct.

Or is it…? Sometimes there is a need for stepping back from the forever-yawning abyss of unquestioning acceptance. After all, what is instinct? Is it just an under-examined behaviour whose pervasiveness has convinced us of its Darwinian utility? Or is it something else –a hope, maybe? A tachistoscopic view of that which we would like to believe has survived the rigours of the collapse of Eden?

A rather obscure article in the Guardian newspaper –one of many, once I discovered it- attempts a more dispassionate analysis of the universality of maternal instinct: https://www.theguardian.com/commentisfree/2017/may/30/detach-myth-motherhood-from-reality-future-generations?CMP=share_btn_link

It’s addressing the expected attitude of the mother to her baby and the seemingly global societal requirement of her self-effacing altruism towards it –and usually the offspring of others, as well. It’s not attempting to comment on whether or not the woman chose to become a mother –or indeed, whether that might play a major role in her subsequent attitude towards the responsibilities involved. It’s more concerned with the fait accompli.

I have discussed the issues and deeply-rooted cultural assumptions around the decision whether or not to become pregnant in the first place in a separate essay in June 2015: To Have, or not to have ( https://musingsonwomenshealth.wordpress.com/2015/06/02/to-have-or-not-to-have/ ).

No, the Guardian article questions not so much the concept of maternal instinct, as its expanse –or perhaps more accurately, its inexhaustibility. Its sempiternity… ‘[…] maternal instinct is not a switch that exists in every woman, ready to be flipped as soon as she smells a baby. Relationships between mothers and their children are frequently far more fraught than the myth leads us to believe. It shocks us that mothers can be selfish. […]There is scientific evidence to suggest that the maternal instinct may even be contingent on a woman’s circumstances.’

In fairness, I suspect that the article may be a sort of authorial apologia: ‘I myself have had to face down questions from family, friends and even strangers who don’t understand my wish to have only one child. The thought of having more children terrifies me, and has nothing to do with the love I feel for my son. […] a similar argument can be made that maternal instinct may sometimes depend on whether a mother has the support she needs. We’re not a species designed to cope alone. Indeed, we’re at our most social when it comes to parenting, often recruiting many people around us to help. It really does take a village to raise a child. Without any help, it can be desperately tough.’

The author feels that the ‘reasons why women feel the way they do about children is under-studied’ and I certain agree. ‘[…]motherhood is not always an against-all-odds epitome of selfless caring. Sometimes it can involve emotional calculation, weighing the needs of both parent and child. We all assume that a mother always wants the best for her child, above her own needs. What we seem to deliberately ignore is that a child’s welfare can also depend heavily on the mother’s own needs being met.’

Near the end of her essay, I think she makes it clear why she felt it necessary to discuss the topic: ‘For the sake of both mothers and children, we need to begin detaching the myth of motherhood from the reality. It’s unfair of any society to expect women to be the best mothers they can be without economic or emotional support, just because they should love their children.’

I would like to think that as an obstetrician I am not a completely disinterested party in all this –although, of biological necessity, I approach the subject as a non-participant. And now, in retirement, perhaps even more so -I watch from the shadows, as it were, but I’m nonetheless attentive to the roiling milieu. It’s hard to ignore.

I was sitting in the corner of a coffee shop recently, enjoying the relative solitude, when two women sat down at the table next to mine.

“My daughter keeps foisting the kid on me whenever she wants to go out,” one of the women said to her friend.

Emily, you mean?” the friend said with a slow, disapproving shake of her head. “And Jacob…” It was obvious that she objected to a mother –not to mention a grandmother- talking about her family as if they were nameless burdens. Then her expression softened. “My Louise used to do that, I remember. She’d show up at the door unannounced and put Andrew in my arms…”

The first woman took a sip of her coffee and shrugged. “I suppose they all do it, eh Joyce?”

Joyce smiled at the thought. “I used to enjoy the challenge of working Andrew into my day.”

Joyce was a happy person I thought, as I tried to pretend I was reading my book, unaware of their presence. She was probably in her fifties, dressed casually in a grey sweatshirt and dark green track pants, and looking for all the world as if she was enjoying her life.

The woman beside me, however, was tense. I could hear the frustration in the timbre of her words.

“It’s just not fair, though,” she said to Joyce, her voice almost whining.

Joyce’s eyes twinkled even in the soft light of the corner where we sat. “Mothers have to have a break, Mary…”

“Break?” Mary interrupted angrily, “I never got a break, Joyce! I had to bring up two kids all by myself after Ralph left… By myself!”

I could almost feel the exclamation mark slamming onto the table in front of her.

It clearly upset Joyce, and I could see her taking a deep breath before responding. “Wouldn’t you have loved it if you’d had someone to leave them with every once in a while?” Her eyes were spotlights focussed on Mary’s face.

Mary shrugged again. “But I didn’t, Joyce… That’s the point.”

A tenderness suddenly appeared on Joyce’s face and she extinguished the angry glare as she  recalled her eyes. “But Emily does, Mary… And that’s the point,” she said, almost in a whisper.

I’d finished my coffee by that point, so I thought it might seem rude to continue to sit there and listen. But as I l pushed back the chair to leave, I couldn’t help but notice the smile that had finally surfaced on Mary’s face. And something deep inside me smiled, as well; the course of true love never did run smooth

 

 

 

 

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Menstrual Taboos

Culture shapes behaviour, attitudes and beliefs -or is it the other way around? The chicken or the egg? This has puzzled me since I was a child wondering why everybody I knew wore jeans but in pictures the people living in, say, India did not. And the members of my family –uncles, aunts, grandparents, cousins- all went to church and sat in seats. None of them prostrated themselves on little rugs on the ground. Did each of us have to be Protestant? Was there a choice? Or, was there something about my family that made them that way? I don’t remember choosing.

Why do we end up believing or doing something that seems arbitrary when compared with other parts of the world? Why do we often think that only the way we do things is appropriate? Correct? How many correct ways are there..?

Could imitation be something akin to an infection? If everybody we know does the same thing, why would we even suspect it? Maybe it’s contagious and causes a psychological compulsion to fit in –like fashion, or expresssions in language that identify us as a member of a group or region. We seldom question it, but then again, there is no reason to: everybody around us is doing the same thing so it infrequently rises to a conscious concern. It’s an outrageous thought experiment of course and yet such curious congruity does give one pause for thought.

But in our islands of similarity we do notice difference; it makes us feel uneasy –as if perhaps there was a choice. Another way to do something. Another way to be in the world. And depending on the status of the innovator, we may see the novelty as interesting but peculiar –perhaps even something we should adopt for ourselves- or we may consider it simply wrong. Strange. Evil. Something to be shunned, avoided at all costs -even at the expense of the defector. Even if the apostate is tolerated under other circumstances when seemingly adhering more closely to the accepted norms.

I use the word apostate advisedly. Society is a religion, and one that is often disdainful of heretics, aberrations that tug at the pattern in the fabric. Anomalies. Discrepancies sometimes strain cohesion and make us question who we are and why we have come to behave the way we do. We are creatures of custom.

Of course I realize it is difficult, if not impossible, to apprehend difference without judgment. Even curiosity suggests analysis: comparison and evaluation. Some things, however, seem difficult to assign merely to custom; the difference is more appropriately attributable to fear. Unintended ignorance. Naivete.

The menstrual taboo is a case in point. There have been some recent articles in both the BBC News: http://www.bbc.com/news/world-asia-29727875?print=true and the Huffington Post:   http://www.huffingtonpost.ca/sabrina-rubli/menstrual-education_b_5689072.html that discuss problems surrounding menstruation and how it interferes with education for young girls especially. Menstruation is a natural process for renewing the uterine lining every month: shedding the old cells to make way for new ones that may be required to grow a baby. But natural does not necessarily mean acceptable or discussable for everybody.

Culture deems some things embarrassing, things best kept private or at least not shared outside a family or circle of friends. Bodily functions and intimate relations probably top the list. And yet necessity sometimes trumps personal feelings; where adequate facilities do not exist, an accommodation, a compromise usually springs up to fill the need. So while communal ablution may never rise to the level of a societal norm, a variation of it may be tolerated under some circumstances. Safety and vulnerability constrains many compromises, with strict gender separation often necessitating extreme measures such as waiting until the relative safety of darkness for a woman to relieve herself. Even this atrocious compromise is fraught with danger, as recent reports of rape and sometimes murder in parts of rural India attest. That the practice should even need to exist is unconscionable to most of us; that those with the authority and power to change it in the region have not managed to remedy it is worse.

But let’s not allow the unreasonable social diminution of women in one area blind us to an even more pervasive inequity in many developing nations around the world: the cultural taboo about menstruation. Femme International has documented some of the more egregious offenders in its website http://www.femmeinternational.org/the-issue.html

Culture is a tricky thing. Both intriguing and covert, it exerts an inordinate amount of influence on thought and action. The sources of its traditions are often historical, bound in a delicate weave with myth and legend, and are at best opaque. To question it, therefore is difficult and usually seen as insulting and provocative –it is what separates us from them, precluding further analysis, further understanding. “It’s just how we do things,” is the usual response to questions from foreigners. “You wouldn’t understand.”

The menstrual taboo is like that… and not. Attitudes are seldom fodder for experimental investigations, and yet occasionally there are aspects that are historically discoverable. The enforced seclusion or restrictions on the activity of menstruating women are usually ascribed to ignorance –lack of education about the function and meaning of menstruation- or fear of some theological punishment.  And yet Femme International, political correctness notwithstanding, has intimated there may be a more obvious, historical reason for the concern, albeit uncomfortable to state.

Traditionally, menses have been a source both of embarrassment as well as inconvenience for a woman –especially if she is required to be in public places such as the market -or school in more modern days- for any extended period of time. How to cope with the menstrual blood? Only recently have effective measures been available, but even these are priced beyond the means of many girls in isolated villages. In Kenya, for example, the BBC article reveals that the cheapest package of sanitary pads costs almost half the average daily wage, so they may be seen as more of a luxury item than a necessity. ‘As a result, girls will resort to using alternative methods of menstrual management, such as rags, leaves, newspaper, bits of mattress stuffing, even mud.’ The Femme International again: ‘Menstruation is the number one reason why girls miss school. Sometimes girls will attend school on their periods, but will refuse to sit down, or once seated, refuse to move. Many schools do not have appropriate latrine facilities, and girls are unable to wash themselves during the day. When latrines are shared between boys and girls, they are teased and mocked during their period.’ Indeed it has been suggested that because of some of these practices, the odour alone may have given rise to some of the fear of contagion and restrictions placed on the menstruating woman.  For example, the BBC reports than in ‘regions of Kenya, girls are forbidden from touching livestock, preparing food or consuming animal products for fear of contamination.’ And in India ‘there is generally a silence around the issue of women’s health –especially around menstruation. A deep-rooted taboo feeds into the risible myth-making around menstruation: women are impure, filthy, sick and even cursed during their period.’

Femme International has suggested at least one acceptable option: menstrual cups. ‘Menstrual cups provide an affordable and sustainable solution to menstrual health management. A menstrual cup is made of medical grade silicone and is worn inside the vagina during menstruation to collect fluid. Menstrual cups are more cost-efficient and environmentally friendly than tampons as they can be washed and reused for up to 15 years. Unlike [expensive] pads and tampons, the cups only need to be emptied every 12 hours. Thus girls can attend school without worrying about the availability of private washroom facilities, or revealing their period to peers.

There are other remedies of course and they, too, need to be pursued. Once again the Femme International: ‘Young women who lack the knowledge and resources to safely and effectively manage their periods not only miss school but face stigma and shame from their male and female peers. When girls do not understand why their body menstruates each month, they easily believe that it is something to feel shame about, something to keep hidden and something that is a source of humiliation. This type of behaviour is strongly influenced by the widespread stigma that surrounds menstruation in the majority of communities. When women are unable to manage their periods, they are less able to participate in daily life. Addressing the issue of menstruation through health education, positive reinforcement and the provision of management materials reduces these gender specific barriers.’

Yes, it’s a step to be sure, but one that may require a generation to succeed. We must not give up because the progress seems slow and the task insurmountable. Attitudes do shift, cultural mores and folkways change, governments fall. And with the almost ubiquitous availability of social media, one hopes the results might be noticeable even in our time. The curtain of mystery that has always separated the two sexes need not be rent asunder, though –mystery, after all, can be a source of awe and wonder. And not all mysteries have to be solved -sometimes just acknowledged and appreciated for their charm and excitement. No, the fabric need not be torn -merely parted enough to reveal that what differences do exist between the sides -between males and females- are nothing to fear. We were made for each other, after all.