At the Context and Variation blog (one of the best sources around for solid information on the science of ladybusiness, btw), an anonymous guest post recounts the story of a woman's recent miscarriage, how she ended up deciding to end the pregnancy with surgical dilation and curettage, and what that experience and its aftermath were like. It's powerful, moving, and very much worth reading. (For context, I wrote about my own miscarriage here at BoingBoing last year, and that post is referenced in this article.) Read the rest

Kate Clancy is one of my favorite bloggers. An anthropology professor at the University of Illinois, she studies the evolution of female reproductive anatomy. Her blog covers science I don't see anywhere else—the human evolution, cultural anthropology, and behavioral science behind ladybusiness.

So Clancy's blog was one of the first places I looked yesterday after reading about Missouri Rep. Todd Akin thoughtful commentary on female biology. In a long, well-written, and (fair warning) rather graphic post, Clancy talks about what we know about rape—think of it this way, you know way more people who have been raped than who have a gluten intolerance—and the way that emotional trauma affects conception and pregnancy.

First off, there is absolutely no difference in the rate of conception between women who have been raped and those who had consensual sex. Clancy breaks this down nicely in her blog post, and even offers a surprising tidbit from the research literature that all people should consider—at any given day in a woman's cycle (even days when she is supposedly "infertile") there's about a 3% chance of unprotected sex leading to a pregnancy.

The impact of stress on miscarriage is a lot messier. I've mentioned here before that we know very, very little about miscarriage, relative to a lot of other medical issues. To paraphrase my family practice doc, when you start talking about conception and miscarriage you very quickly wander past the small amount of hard evidence and straight into voodoo. And also into the counter-intuitive nature of reality. Read the rest

About a month ago, I wrote here about my struggle to decide what to do after I found out that my pregnancy wasn't going to be viable. This morning, I went on New Hampshire Public Radio's Word of Mouth to talk about that decision, miscarriage in general, and some of the ways that this issue connects to larger discussions in the public realm.

Word of Mouth doesn't have embedding available, but you can go to their website and listen to the full interview. One of the key things that I got to talk about today that I didn't mention in my previous post is the way that anti-abortion laws have huge (presumably unintended) consequences for women who miscarry. Case in point: Fetal personhood. If you give a fetus all the rights of a living human from the moment of conception, how do you deal with the fact that some 50% of conceptions end in miscarriage? Today, if a living human being dies and we don't know why, there's an investigation into the nature of their death, to make sure it wasn't caused by foul play. Under some of these proposed laws, women like me would have to spend the incredibly painful weeks after a miscarriage attempting to prove that we didn't cause it. That gets doubly difficult when you consider the fact that, quite often, nobody knows why a specific woman miscarried. Around 50% of miscarriages are caused by random chromosomal mutations. But we have no idea why that happens (or why it happens to some women multiple times), and that also leaves a big, hard-to-diagnose group of women who would have no way of proving that they didn't cause their miscarriage. Read the rest

As I write this, it is 1:17 am on Wednesday, June 20th, 2012.

I am lying awake in bed, trying to decide whether or not to have an abortion.

Of course, we don’t call it an abortion. We call it “a procedure” or a D&C. See, my potential abortion is one of the good abortions. I’m 31 years old. I’m married. These days, I’m pretty well off. I would very much like to stay pregnant right now. In fact, I have just spent the last year—following an earlier miscarriage—trying rather desperately to get pregnant.

Unfortunately, the doctors tell me that what I am now pregnant with is not going to survive. Last week, I had an ultrasound, I was almost 6 weeks along and looked okay. The only thing was that the heartbeat was slow. It wasn’t a huge deal. Heartbeats start slow, usually around the 6th week, and then they speed up. But my doctor asked me to come back in this week for a follow up, just to be sure. That was Tuesday, yesterday. Still my today. The heart hasn’t sped up. The fetus hasn’t grown. The egg yolk is now bigger than the fetus, which usually indicates a chromosomal abnormality. Basically, this fetus is going to die. I am going to have a miscarriage. It’s just a matter of when.

Because of these facts—all these facts—I get special privileges, compared to other women seeking abortion in the state of Minnesota. Read the rest