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I have become public property. Nine months ago I could not imagine that a stranger would smile at me, then reach out to tenderly pat me on my abdomen. But now strangers do, with no obvious sense of reticence or embarrassment – instead they just ask whether I know if it is a boy or a girl and am I resting enough?
I have come to realise that this typifies the experience that noticeably pregnant women can expect from people they know – and people they don’t. I can’t imagine asking a stranger much less intimate questions, such as what their mortgage repayments are, or what they earn. Even the question of whether or not you had “planned” the conception seems to be socially acceptable.
I might be tempted to write this off as just another irritating side-effect of pregnancy. But the ease with which individuals and institutions give out advice – and cause alarm about pregnancy – doesn’t stop with patting your tummy and asking how long you have been trying. There have been enough scare stories in the press over the past month about the “risks” of pregnancy that it is difficult to imagine how women ever managed to give birth before we had all this “advice”.
Take sunshine. Recently the Royal College of Obstetricians and Gynaecologists (RCOG) deigned to advise pregnant women that we should not sunbathe lest we overheat the foetus. As a GP, I read this and have no doubt that it is important – to women who are toasting themselves during sunny hours or living half-submerged in a hot tub.
To be fair to the RCOG, its advice concerns what to do in a heatwave. But the majority of those of us who are pregnant are tired and large. Melting in the throes of a tropical sweat does not float my pregnant boat. To keep myself comfortable I have to sit under a massive umbrella with ice on tap and someone kind to fan me. Isn’t keeping cool a matter of common sense? Is issuing guidelines to scold pregnant women into the shade when they are in a heatwave terribly useful?
I can’t but help feeling rather picked on, especially when much of the press translated the story into a general warning about the dangers of the sun in pregnancy.
The problem is the sheer amount of bad information about risk that pregnant women are meant to absorb happily (along with their folic acid and recommended antenatal exercise classes). Pregnancy is presented as a major feat to get “right”. Don’t drink (more of that later); don’t eat liver (too much vitamin A; no problem, it’s disgusting); don’t drink too much coffee/tea (caffeine), or eat too much chocolate (more caffeine); don’t eat unpasteurised cheese; don’t eat pâté; don’t eat coleslaw; don’t change your cat-litter tray; don’t eat raw meats or sushi; don’t gain too much weight; don’t put on too little. In case that lot is not enough to worry about, you also shouldn’t get stressed (it lowers the baby’s IQ, apparently).
I agree, some things do come with risk. However, the danger of most of the above is pretty small. Whereas the risk of becoming a nervous wreck at the thought of all the rules is, for me, quite large.
Let’s take a look at that list again. Caffeine: lots of people refused to make me coffee once they knew I was pregnant. Makes the baby small, they’d say, loudly. It made me feel like a criminal mother in the making. In fact lots of research suggests that you can have caffeine in doses of up to 300mg a day without undue concern, which is three cups of instant coffee, or six cups of tea, or eight cans of Coke, or eight bars of chocolate. Exceeding this is unlikely to be recommended for the nonpregnant, either.
Now the coleslaw risk: the man behind the till in the hospital canteen eyed me rather suspiciously when I tried to buy some with my baked potato. The reason is the risk of listeria infection. This bacteria can cause miscarriage and premature labour.
The Health Protection Agency says that in 2006 there were 25 cases of listeria in pregnant women in the UK. However, listeria does not just occasionally come in coleslaw, or soft cheeses, that we are advised to avoid, but has been found in sandwiches, chilled foods, cold meats and smoked fish.
If you want to try to abolish all risks in pregnancy it would seem a difficult if not futile task, especially if you want to eat.
Instead of treating women like sensible people who can think for themselves, we are in the midst of a feast of dramatic warnings about the risks of pregnancy. Do not forget the melodramatic recent announcement by not only the Department of Health but also the British Medical Association (BMA) that alcohol in pregnancy was to be avoided absolutely. (I am a member of the BMA and now thoroughly ashamed of it.)
The American prerogative of it being “acceptable” to tell a pregnant woman supping beer in a bar that she is a bad and undeserving mother will no doubt soon be happening here. No one thinks that binge drinking or getting drunk or imbibing every day is good for a healthy pregnancy – or for anyone else. But I have gone from being generally off alcohol on the grounds of heartburn and nausea to a profound feeling that I am fed up with being preached at – and want a half of Guinness. There is no research basis for saying that a little alcohol will do the baby harm; it’s the heavy intake and the binge drinking that is the problem (and are pregnant alcoholics going to listen anyway?).
My issues with the glut of advice being given about pregnancy are twofold. Instead of pregnancy being one of the happiest times of life, it is instead filled with well-meaning but mismatched advice that can seriously damage your health. And second, what happens next? Pregnancy results in a baby. The Children’s Society has quite rightly recently condemned the risk-averse attitude of parents who want to keep children wrapped in cotton wool and not allow them to work out or take risks for themselves. This risk-averse mentality is now starting in utero.
This is, of course, what you can expect of a society that regards the pregnant woman as its collective property. It is entirely logical – as well as nuts – that society should extend the same overinflated dangers of pregnancy and sentimental public ownership of the pregnant to a risk-averse way of regarding the newly born child.
I am rather afraid that a cheese-eating, Guinness-drinking pregnant doctor will be attracting the attention of her midwife – for all the wrong reasons, which is why I am writing this under a pseudonym.
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I am pregnant again (oldest is 15mths), I totally understand this article! We will have approx 19mths between babies which people feel gives them the right to ask a) did we plan it b) are we stupid! I recently experienced a lecture in Starbucks queue before ordering my decaf latte! I ignore them!
Sarah, Bracknell, UK
Thank you so much for this!!!
It's such a relief to hear a balanced and sensible approach from a medical professional!
I'm six months pregnant at present- have followed all the guidelines as much as possible but find the "holier than thou" attitude to be intensely annoying.
I've had about 3 glasses of wine in total over the past 6 months and thanks to BMA's new guidelines will feel guilty having a single glass of champagne on my 30th birthday next month- how utterly bonkers!!!
I've had experience of children with foetal alcohol syndrome and have seen how ill babies whose mothers have been addicted to heroin etc are and it's truly appalling.
But lecturing those of us who are already being responsible will ultimately lead to the advice being ignored altogether.....
Jenny, Yorkshire, UK
Well said!
Pregnancy inthe US is even more rigid than the UK (I know, hard to believe). The "No Alcohol" advice has been in place for years but I just ignored it when I felt like a glass of wine. I recall my mother rolling her eyes at the "advice" I was given and how paranoid it was making me, and telling me the only things she'd been told to avoid were soft cheeses (which were rare in '60s & '70s Britain anyway) and rare beef.
My friends described me as the "Pissed-Off Pregnant One" because I was so rude to strangers who made unsolicited remarks, but at least no one ever tried to pat my tummy: perhaps it was the "You Come One Inch Closer And I'll Deck You" vibe I gave out?
Rebecca, Seattle,
Thanks for writing this. I'm pregnant now and due in about three months. I have had it up to here with what I hope are well-meant comments about what is best for me and the baby. I haven't had a sip of alcohol - - but not because I am expressly avoiding it; just because the thought of the taste right now seems horrid. And I don't think for one second a half a glass every so often will induce mental development issues, etc, in my baby. One last thing: Enough with people telling the horror stories of their labors. Enough. I know it isn't easy and there very well may be some scary bits, but I trust my doctor to guide me to what's best. I think some people get a sick thrill from sharing their near-death stories...
Kells, American in London,
Think I'm the only Guy to reply to this one, and think all the replies are wonderful, as in "miracle off life in your arms" (W Garvey), and "common sense and instinct"( Mary Bienfait) and "celebrating the miracle that is happening " (Emma London)
We are praying to get pregnant one day,9years trying now, but my wife recently had a false pregnancy but she did look about 4months pregnant, and you do get noticed, the odd smile, wink, comment etc, but we loved it while it lasted! maybe the "wishful thinking helped", however I don't think the "pats on the "tummy" would of gone down well!
I would never dream off, touching with a pat, a pregnant mums tum, (unless it was my wife with her approval) for one it could be classed as "assault", but one thing I do, do is treat them as special, as in, be carefull not to "bang them with a trolley" and give any assistance, if you see them struggling, although pregnant or not, I would do the same, "BUT" I make a special kinda effort if the Woman is P
Charles Linskaill, Edinburgh, UK
I think the 'anything in moderation' principle applies. The pregnant body also has its own way of telling you what to eat and drink and what not to - just listen to it. Cravings are a way of the pregnant body letting you know it needs more of something. If you fancy a glass of wine, have one! I'm sure there will be plenty of times when you feel it's the last thing you want, so listen to the messages then also. My doctor recommended a glass of guinness here and there to help fortify me when I was breastfeeding a very hungry baby - not well received by the 'you must not drink alcohol when breastfeeding' brigade. It's the same with weaning - we are all 'told' what foods to introduce when (now at a minimum age of 6 months), but I was guided by my baby and her needs and capabilities. Today's parenting culture is so much about 'rules', 'experts', and 'targets', when in reality parenting is the most natural thing in the world, and should be done with common sense and instinct.
Mary Bienfait, St Albans, England
Hear hear. Nine months pregnant and counting the days... The one that gets me is people I hardly know asking if I am planning to breast feed. I don't want my breasts and where I may or may not be stuffing them to be any of their business. In fact I don't want them thinking about my breasts at all!
Its like asking a moderate stranger if they're circumcised and if they plan on asking for oral sex from their wife later.
OK, breastfeeding isn't sexual and I may sound like a prude but do you know what? Its not just men who think of breasts as being sexual, and we're not all born earth mothers. This whole breastfeeding thing takes a bit of getting your head around. Unsolicited advice - or worse - horror stories are invariably unhelpful.
Bella T, Smethwick,
I am so glad someone put all those thoughts into words - yes its amazing how much we get preached to whilst carrying for 9 months !! and the endless questions ... do you know what you are having (a baby..!!), have you picked a name yet, where are you having it, are you sure its not twins/triplets ...!! I swore I would get a Tshirt with all the answers printed up front if we had another baby !! And the belly patting always drove me crazy but good upbringing makes you bite your tongue... We have been blessed with two amazing daughters and my daily half a Guinness attributed to their well being (and a great head of hair!) and my nerves being calmed ! I salute all you pregnant Mommys - hang in there - nothing compares to the miracle of life in your arms !
W Garvey, Doha, Qatar
AMEN!!!
Now pregnant with my second child, I am fed up of being verbally slapped on the hand if I so much as take a celebratory sip of champagne.
Thank you for presenting a more reasonable attitude towards pregnancy.
Anita, Brisbane, Australia
All the advice given to pregnant women these days is, as the writer points out, well meaning, and usually given in good faith. If we were all perfect we would follow all advice to the letter, eat a strictly regimented diet, never drink alcohol, and generally seal ourselves away from reality.
In the real world, we are all human, and we do our best.
Surely the real point here is not that pregnant women occasionally have a glass of wine or some cheese, but that people feel absolutely within their rights to paint these women as criminals for doing so.
Society should be looking for ways to help and support women during what can be a very testing time, not looking for ways to castigate them. Most of us are hard enough on ourselves, without others weighing in.
Jo, London,
I was smiling while reading this - and delighted that a normal person has written such truth about pregnancy!
I was lucky enough to have a beautiful baby girl 5 months ago and had to focus on the end product all the way through my pregnancy as I felt exactly the same as the lady writing this article!
Pregnancy can often be made to be such a drag due to all the advice that people freely hand out to you, instead of celebrating the miracle that is happening - and yes, celebrating with the odd glass of alcohol here and there!
I was even asked if I was suffering from some of the embarassing side effects of pregnancy by complete strangers - that was after they had been tutting at me when I had been working out in the gym!
Emma, London,
This sounds so familiar. When I was pregnant with my first baby 11 years ago, I felt like I had become public property. I only had to stand at a bus-stop to be offered "advice" by total strangers, asked if I knew the sex, what kind of birth I was going to have (I am NOT a clairvoyant) and all the rest of it. When i was pregant with my twins it was even worse.
This may appear mildly amusing to those who have never been pregnant. It isn't. It's rude and invasive and demeaning. I sometimes felt a non-person. My father-in-law asking my husband (in my presence) whether I should really be drinking that odd glass of wine made me want to throw the entire contents of said glass in his face.
Enjoy the Guinness !
AMY SMITH, WIRRAL, ENGLAND
This is the first sane article about pregnancy I have read since I got pregnant. That was seven months ago. I am only appalled that the 'let's pick on pregnant women' culture has developed so far that a responsible and well informed adult feels she has to write under a pseudonym.
Kate Bodsworth, London,
It is interesting that different countries advise different things: here in Brussels the only thing my gynaecologist told me to avoid was raw meat. Consequently I ate everything except including oysters and soft cheeses and would you believe, have had two healthy pregnancies and two healthy babies!
Carol Miller, Brussels, Belgium
How true these words are - and yes, even in France. Not only do people ask quite freely if it was an accident, but the doctor doing the scan asked if I intended to keep it !
I'm now pregnant with my fourth child and have to admit that I gave up listening to all prenatal advice after my first. I've smoked and drunk during previous pregnancies and my two secondary school aged children are normal height and intellectually above average. Now please excuse me while I finish my coleslaw...
Lux, Nancy, F
I think this attitude towards pregnant women is just another sign of society blaming mothers for all that goes wrong with kids.
And for someone patting you on the abdomen... what the hell? Though I've never seen this sort of behaviour in France, if it happened to me I'd probably slap their hand off.
Max, Paris,