When Nothing Bad Happens: Miranda July’s ‘All Fours’ Captures the Importance of Understanding Infant Health

When November’s announcement by the CDC that our infant mortality rate remains abysmal did not make even the tiniest of dents in the post-election news cycle, my thoughts pivoted from the patient’s I’ve lost as a doctor who cares for critically ill newborns to Miranda July’s blockbuster summer novel All Fours.

As I read, I could not help but wonder how to help parents like this narrator, the same parents I care for daily, feel in real time that NICU stories are a mainstream part of comprehensive reproductive healthcare.

Hospitals Gave Patients Meds During Childbirth, Then Reported Them For Positive Drug Tests

Across the country, hospitals are dispensing medications to patients in labor, only to report them to child welfare authorities when they or their newborns test positive for those very same substances on subsequent drug tests.

Amairani Salinas was 32 weeks pregnant with her fourth child in 2023 when doctors at a Texas hospital discovered that her baby no longer had a heartbeat. As they prepped her for an emergency cesarean section, they gave her midazolam, a benzodiazepine commonly prescribed to keep patients calm. A day later, the grieving mother was cradling her stillborn daughter when a social worker stopped by her room to deliver another devastating blow: Salinas was being reported to child welfare authorities. A drug test had turned up traces of benzodiazepine—the very medication that staff had administered before wheeling her into surgery.

American Maternity Care Is in Crisis. Abortion Bans Are Making It Worse.

Since the Dobbs decision, antiabortion Republicans are putting their resources not into expanding care for the women they’re forcing into motherhood, but into enforcing abortion bans—including those that make women risk their lives and health in pregnancy, drive up maternal injury and mortality, and push healthcare providers out of the workforce or out of state.

State budgets are limited, and how lawmakers spend the money they have tells us a lot.

Racism in Maternity Care Has a Global Impact

Addressing obstetric violence requires enduring solutions rooted in cultural transformation. In 2002, Alyne da Silva Pimentel Teixeira, a 28-year-old Afro-descendant woman in Rio de Janeiro, sought medical help for severe abdominal pain during pregnancy. Despite her critical condition, she was left unattended for hours and mistreated, ultimately leading to her tragic death.  Some might believe […]

War on Women Report: Infant Mortality on Rise Post-Roe; Want a President Who Isn’t Accused of Rape? ‘Request Denied,’ Tweets Andrew Tate

U.S. patriarchal authoritarianism is on the rise, and democracy is on the decline. But day after day, we stay vigilant in our goals to dismantle patriarchy at every turn. The fight is far from over. We refuse to go back, and we refuse to let the incoming Trump administration quietly dismantle the progress we’ve made. We are watching. This is the War on Women Report.

Since our last report…
—Since the Dobbs decision, U.S. infant mortality rates were higher than usual, with hundreds more infants dying than expected. Abortion bans can hurt access to broader healthcare for both babies and mothers, including reducing a state’s number of maternal healthcare providers as bans lead to OB-GYN exoduses.
—Seven women, including three in Texas, have died after receiving inadequate miscarriage and abortion care.
—Trump’s win, after being accused of sexual assault by 27 women, sends a disheartening message to victims of sexual assault and advocates.

… and more.

Rest in Power: A Running List of the Preventable Deaths Caused by Abortion Bans

Porsha Ngumezi.
Josseli Barnica.
Yeniifer Alvarez-Estrada Glick.
Nevaeh Crain.
Amber Nicole Thurman.
Candi Miller.
Taysha Wilkinson-Sobieski.

Today, 21 states ban abortion or restrict the procedure earlier in pregnancy than the standard set by Roe v. Wade. These states are failing women and their families, causing preventable deaths and irreparable pain and heartbreak for their families—leaving children without mothers, parents without their daughters, and spouses without their partners.

The ‘Pro-Life’ Party Has a Funny Way of Respecting Women

Tony Hinchcliffe’s categorically unfunny appearance at Donald Trump’s recent rally in Madison Square Garden leaves me wishing that whoever discovered him left him sleeping in his car behind The Comedy Store in Los Angeles. (It’s how he opens the 12-minute set.)

Most of the ensuing backlash targeted Hinchcliffe’s puerile reliance on racism as humor. But another underreported moment that caught my attention was Hinchcliffe’s “joke” about Kansas City Chiefs tight end Travis Kelce becoming “the next O.J. Simpson,” referencing Nicole Brown Simpson’s murder, widely believed to be the responsibility of her known abuser.

The joke hinges on the idea that Kelce might murder his girlfriend, Taylor Swift. Hinchcliffe referenced Swift’s political endorsement of Kamala Harris immediately after this joke. His punchline: If a woman voices her opinion, intimate partner violence is a hilarious solution. It’s an interesting stance for the so-called pro-life party to broadcast publicly.

The Ripple Effects of Restricting Abortion Access

Just this week, we learned of at least two pregnant Texas women who died after doctors delayed emergency care. And last month, we learned that at least two women died after they were unable to access legal abortion care in their home state of Georgia.

Even still, legislators across the country are willing to continue denying care to the people who need it, prioritizing political extremism over medical realities. 

A Texas Woman Died After the Hospital Said It Would Be a ‘Crime’ to Intervene in Her Miscarriage

Josseli Barnica grieved the news as she lay in a Houston hospital bed on Sept. 3, 2021: The sibling she’d dreamt of giving her daughter would not survive this pregnancy. The fetus was on the verge of coming out, its head pressed against her dilated cervix; she was 17 weeks pregnant and a miscarriage was “in progress,” doctors noted in hospital records. At that point, they should have offered to speed up the delivery or empty her uterus to stave off a deadly infection.

But when Barnica’s husband rushed to her side from his job on a construction site, she relayed what she said the medical team had told her: “They had to wait until there was no heartbeat,” he told ProPublica in Spanish. “It would be a crime to give her an abortion.”

For 40 hours, the anguished 28-year-old mother prayed for doctors to help her get home to her daughter; all the while, her uterus remained exposed to bacteria. Three days after she delivered, Barnica died of an infection.

Michelle Obama to Men: Take Our Lives Seriously

In her first appearance on the campaign trail since her electric speech at the Democratic National Convention, former First Lady Michelle Obama pleaded directly with men to take women’s lives seriously this election.

“To the men who love us … I am asking you from the core of my being to take our lives seriously. Do not put our hands in the lives of politicians—mostly men—who have no clue or do not care about what we as women are going through.”