Blog

A Case For Comprehensive Pregnancy Education

TK Pritchard (they/he)
Executive Director
SHORE Centre
shorecentre.ca
Honouring sexuality, diversity and choice.

Think back to your experiences of sexual health education. What did you learn about pregnancy? Perhaps you learned how to prevent it – although I would hazard a guess that the information didn’t go far beyond “Wear a condom,” “Don’t have sex,” or “Birth control exists but we aren’t going to tell you much about it.” Maybe you learned about sperm and eggs, but I imagine few learned about emergency contraception or about pregnancy options including parenting, adoption and abortion. Perhaps you were taught nothing at all – and you wouldn’t be alone in that reality, either.

When we learn about pregnancy, it is often romanticized as a key journey in life-a milestone-which you will embark on only when you are older, financially stable, and in a heterosexual, cisgender marriage. You will create a pregnancy easily via sex involving a penis and vagina, being pregnant will be beautiful and uncomplicated, and you will naturally know what to do once the baby arrives.

But this is so far from the lived experiences of many. We don’t talk openly about the myriad of ways families can be formed and when we do, we create hierarchies about the best ways to do this. LGBTQ2S+ people are commonly left out of pregnancy and parenting education all together. We still leave little room for the possibility that people may not want to get pregnant or parent at all, and we don’t talk about pregnancy options such as abortion. Many people who do want to get pregnant will struggle with infertility, miscarriage, and pregnancy loss. Additionally, countless will be coerced into continuing a pregnancy and others will have no financial, material, or emotional support systems in place.

We don’t talk nearly enough about the physical, emotional and social changes and realities of being pregnant, giving birth, and parenting. We set people up to struggle by not offering all the information, by glossing over how and why people may need support, and by painting a surface level ideal which all people are expected to successfully achieve. When we uphold a societal expectation that pregnancy and parenting are expected, manageable, and uncomplicated we are directly impacting people’s social, emotional, and mental health and well-being. This romanticized narrative provides such little information about what actually happens to people’s bodies when they are pregnant that the various changes and effects can be overwhelming and scary. When someone is struggling (which is common), the real lack of transparent information, and the normalization that pregnancy/parenting is purely wonderful and innate can leave them feeling helpless, alone and like a failure.

What if we stopped framing pregnancy as a beautiful mystery or life goal for when you are married, or as a punishment for having sex? What if we just talked about it honestly? Imagine a world where all people receive age-appropriate education which prioritizes choice and autonomy in every sense. Where young people learn that there are many different ways to create a family. Where we speak openly about the complexities of pregnancy, being clear that a person with a uterus gets to choose if they wish to be pregnant. Where education includes the idea that some people want to get pregnant and are unable to, and that pregnancy loss is common.

We could live in this world. We could build real, comprehensive information about pregnancy and all of the social, emotional, mental and physical components into the health and physical education curriculum. We could ensure it is also provided to people of all ages through healthcare providers, prenatal/parenting classes and more. This would allow people to make truly informed choices and provide vital and realistic information and expectations. Information is powerful both at an individual and collective level. If more people had a complex understanding of pregnancy it could shape so many important aspects of our communities. For example, it could dismantle stigma around needing support during pregnancy, after giving birth and after pregnancy loss, or change our healthcare system to better care for people experiencing pregnancies or provide more funding for inclusive, client-centered community services There is so much that we could do better.

It’s more than time that we recognize we need real, honest and inclusive education from the start. You are not broken or a failure if your experience does not look the way your schoolteacher or prenatal/parenting class described it to you. There is room for your story here, and in fact it’s our collective stories which can help make space for others. Pregnancy and parenting can be many things and your experiences are valid. You are not broken or alone, we just don’t talk about it.

SHORE Centre logo in green, red, blue circled by words Sexual Health, Options, Resources, Education.

Meet Lisette

Photo ID: Photo of Lisette in glasses, on a blue background. Words say Meet The Leaders: Lisette Weber

I am a full time mom, doula, and perinatal mental health activist. Before having kids, I worked in museum programming. After having my daughter, I have been active in the postpartum community. With the dawn of the pandemic, I began investing more time learning about perinatal mood and anxiety disorders. I am active with Postpartum Support International as a Climb Leader and Local PSI Coordinator. I am completing my Full Spectrum Doula training through Birthing Advocacy Doula Trainings.

From Lisette, “I always thought I would be great at having my own children. It was a dream I always had. It was so earth shattering to my identity when it didn’t go as I had planned. We were so excited when we found out that we were having a baby. We got into the midwives we wanted, we took the prenatal classes. My daughter was born five days before Christmas in 2017. Her birth was an induction that lead to a fast and furious labour. For reasons I still don’t understand my new baby was taken to NICU. And days before Christmas, all the supports we needed in those early days were closed for the holidays. It was traumatic and the start of my journey with perinatal mood and anxiety disorder. I honestly don’t remember a lot of her newborn life. What I do remember was the sadness, irritability, the feelings of failure. I knew something was wrong but struggled when I sought help. I saw my family doctor and started on medication to help with my anxiety.
I don’t want anyone to go through the experience I had so I began my education about perinatal mental health. The Climb is my big step towards bringing change to the region.”

Meet Catherine

Photo ID: Photo of Catherine smiling on a blue background. Words say Meet The Leaders: Catherine Mellinger

Catherine Mellinger (she/her) is a mixed media collage artist who’s works have been exhibited across North America and published Internationally. She is lead artist and installation manager of the inter-arts exhibition called Post-Part, along with Pazit Cahlon, Nat Janin and Adam Harendorf. Catherine has over a decade of experience working as an arts educator, arts outreach facilitator, and is a certified Expressive Arts Therapist, having graduated from the CREATE Institute (Toronto) in 2011. She is a mental health and perinatal mental health advocate for all birthing people. She currently provides programming through the Kitchener-Waterloo Art Gallery, as well as self-directed inter-arts and community initiatives. Catherine is currently completing her necessary hours to complete her Perinatal Mental Health Certificate exam through Postpartum Support International, and has taken additional trainings in anti-racism and in trans masculine birthing. Visit her website at catherinemellinger.com.

From Catherine: “My path to Perinatal Mental Health Advocacy came from my personal experience, as it does for most. When I was pregnant with my first son, I was not prepared in any way for how my pregnancy, giving birth and raising my son could erase all of my previously hard won coping strategies. Having been diagnosed with Obsessive Compulsive Disorders at 10 years old, I had many experiences of therapy and was very aware of my own disorder. I was asked for my mental health history. I was asked if I was doing well. But no one told me what could happen. No one told me I was at high risk of either an explosion of my OCD or any other of the Perinatal Mood and Anxiety Disorders and that consult during pregnancy would have helped me navigate it all from the start. I couldn’t see the line between healthy worries expecting your first child, and the worries that were in fact creeping high anxiety rearing it’s ugly head. It was only after I had my son, and with the very meaningful help of a supportive full spectrum doula that I realized I was not OK, and I had not been OK through much of my pregnancy. Thankfully they helped me to call my midwives and tell them everything before my postpartum care ended and I was able to be treated not only after my first son’s birth, but also supported through my second pregnancy, as well as learned how to advocate for myself and plan in advance for all that might happen the second time around. As I have grown into my role as an advocate, and moved from Toronto to Kitchener-Waterloo, I have had my eyes opened to the large gaps in Perinatal Mental Health services – between urban settings and rural settings, for marginalized communities, for BIPOC birthing parents who experience the impacts of systemic racism during the perinatal period, and the discrimination faced by birthing parents of all genders. I can’t close my eyes anymore.”