Category Archives: Pregnancy and parenting

Sunday spam: muesli bars and gummy snakes

Muesli bars and gummy snakes are what I ate at about 7am before my recent 9am childbirth… thus thematically appropriate for this small collection of links, some of which I’ve had sitting around for a while.

Using WOC in the Natural Childbirth Debate: A How-To Guide.

If you are a progressive in the Natural Childbirth Movement (or any other, for that matter), use Africa City women to promote the idea that “natural is better.” Talk about women who toil in the fields, squat down to give birth and return to picking rice. Or peanuts. Or anything else that can be picked. After all, the women of Africa City are resilient! Strong. So strong that they do not even require support from the other women of Africa City. Or medication. Or comfort. This example–of giving birth in the field–illustrates how over-reliant “we” have become on useless technology. Of course, you don’t expect “us” to be quite that strong. We are not beasts of burden, after all…

If you oppose the Natural Childbirth Movement (or any other, for that matter), use Africa City women to remind “us” of how bad “we” used to have it, before all of our live-saving medical advances. If women die in childbirth in Africa City, it is only because they lack the Modern Technology we should be grateful that every last one of “us” has unfettered access to. Use infant mortality statistics from the most war-torn countries to argue why a healthy woman from Portland shouldn’t give birth in her bathtub with a midwife who carries oxygen and a cell phone. Redact all mentions of Africa City women who are not hopelessly impoverished. Ignore those who are systematically abused with Modern Technology, sacrificed as Guinea pigs on its altar. All bad outcomes in Africa City are due to the lack of Medical Technology, never unrelated to it, and certainly never caused by it.

Early Labour and Mixed Messages

The emphasis on hospital as a place of safety whilst also encouraging women to stay away results in some very contradictory messages and ideas (please note these statements do not represent my own views)[…] We are the experts in your labour progress, our clinical assessments can predict your future labour progress… we will send you home if you are found to be in early labour… if you then birth your baby in the car park it is not our fault as birth is unpredictable[…] This is a safe place to labour…. but you can only access this safety when you reach a particular point in your labour… preferably close to the end of your labour i.e. you should do most of it on your own away from safety.

Warning for discussion of pregnancy loss. The Peculiar Case of Miscarriage in Pop Culture

Miscarriage is a tricky cultural thing, pop culture or not. It’s a deeply forbidden subject, much like many other things deemed ‘mysteries of womanhood,’ like menstruation, like pregnancy itself. People don’t talk about miscarriages and that discouragement means that many people aren’t aware of how common they are, let alone how devastating they can be. When people lose a child, they can reach out to their community for help and they are given space and time for healing. When they lose a fetus, they’re expected to keep it to themselves.

Sadly, sometimes pro-choice people can be the most vehement about this, concerned about blurring the lines between fetus and child, and saying that claiming a fetus is morally or ethically equivalent to a fully-developed, extrauterine human being could be dangerous. This makes the mistake of applying broad strokes to the issue, though. Legally, of course, a fetus should not be equivalent to a child. Personally, however, losing a wanted pregnancy is an intensely emotional experience and it can feel on some level to the parents like losing a child, with the added burden of not being allowed to acknowledge it, talk about it, or ask for help.

Sunday spam: French toast with bacon

The Myth of Looming Female Dominance

[One] should always be wary of raw numbers in the news. In fact, when you look at the trend as published by the Census Bureau, you see that the proportion of married couple families in which the father meets the stay-at-home criteria has doubled: from 0.4% in 2000 to 0.8% today. The larger estimate which includes fathers working part-time comes out to 2.8% of married couple families with children under 15. The father who used the phrase “the new normal” in [the NYT story] was presumably not speaking statistically.

Miley Cyrus haircut shocker: Short hair isn’t a cry for help

So just to remind you: A young woman changing her look in a way that doesn’t scream, “Please, world, love me because I am a Victoria’s Secret model,” right now, in the year of our Lord 2012, freaks people out. It actually makes them wonder if she’s lost her mind.

Scientists Claim To ‘Block’ Heroin, Morphine Addiction: One Skeptic’s Reaction

THe “one skeptic’s reaction” is actually along the lines of “this is very interesting research, that appears to have not much application to blocking existing addiction, but might to making opiates more effective for pain while being less addictive.”

Tribalism and locavorism

Why does the idea of “food miles” bug (some) freemarketeers while (some) environmentalists resist evidence that it’s not environmental friendly? This appears to be against both their stated ideological positions.

Why Aren’t Female Ski Jumpers Allowed in the Olympics?

Dating to the 2010 Winter Olympics.

The International Olympic Committee (IOC) says the women’s exclusion isn’t discrimination. President Jacques Rogge has insisted that the decision “was made strictly on a technical basis, and absolutely not on gender grounds.” But female would-be Olympic competitors say they don’t understand what that “technical basis” is. Their abilities? They point to American Lindsey Van, who holds the world record for the single longest jump by anyone, male or female.

The foibles of flexibility

Since the average age of those studying for a PhD is 37 most of you will have some kind of family commitment, and yes – pets count. I find it mystifying that so many of the ‘how to get a PhD’ books offer precious little advice on how to cope.

Am I Black Enough For You?

I watched this case unfold with particular interest. Why? Because I am married to an Aboriginal man and I have an Aboriginal daughter (they are of the Ngarigo people and the Gunditjmara people). And my daughter has fair skin, dark blond/light brown hair and very blue eyes. She is one of these “white Aboriginals” that Andrew Bolt decries.

We’re not here for your inspiration

And there’s another one of a little boy running on those same model legs with the caption, “Your excuse is invalid”. Yes, you can take a moment here to ponder the use of the word “invalid” in a disability context. Ahem.

Then there’s the one with the little girl with no hands drawing a picture holding the pencil in her mouth with the caption, “Before you quit. Try.”

I’d go on, but I might expunge the contents of my stomach.

Let me be clear about the intent of this inspiration porn; it’s there so that non-disabled people can put their worries into perspective. So they can go, “Oh well if that kid who doesn’t have any legs can smile while he’s having an awesome time, I should never, EVER feel bad about my life”. It’s there so that non-disabled people can look at us and think “well, it could be worse… I could be that person”.

Sunday Spam: bagels, lox and smoked salmon

In belated honour of my breakfast in New York, Sunday July 8.

Baby Loss and the Pain Olympics

Warning for baby loss discussion.

I really have to question why seeing someone else processing their emotions is her pet peeve.

Do I believe a miscarriage and neonatal death is the same thing — of course not. If they were the same thing, they would share the same term. But just because I see them as apples and oranges doesn’t mean that I don’t also see them as fruit. They are both loss.

The deadly scandal in the building trade

Readers would not guess from the “national conversation” that the construction industry is sitting on a story as grave in its implications as the phone-hacking affair – graver I will argue. You are unlikely to have heard mention of it for a simple and disreputable reason: the victims are working-class men rather than celebrities… The construction companies could not be clearer that men who try to enforce minimum safety standards are their enemies. The files included formal letters notifying a company that a worker was the official safety rep on a site as evidence against him.

On Technical Entitlement

By most measures, I should have technical entitlement in spades… [and yet] I am very intimidated by the technically entitled.

You know the type. The one who was soldering when she was 6. The one who raises his hand to answer every question–and occasionally try to correct the professor. The one who scoffs at anyone who had a score below the median on that data structures exam (“idiots!”). The one who introduces himself by sharing his StackOverflow score.

Puzzling outcomes in A/B testing

A fun upcoming KDD 2012 paper out of Microsoft, “Trustworthy Online Controlled Experiments: Five Puzzling Outcomes Explained” (PDF), has a lot of great insights into A/B testing and real issues you hit with A/B testing. It’s a light and easy read, definitely worthwhile.

Selected excerpts:

We present … puzzling outcomes of controlled experiments that we analyzed deeply to understand and explain … [requiring] months to properly analyze and get to the often surprising root cause … It [was] not uncommon to see experiments that impact annual revenue by millions of dollars … Reversing a single incorrect decision based on the results of an experiment can fund a whole team of analysts.

When Bing had a bug in an experiment, which resulted in very poor results being shown to users, two key organizational metrics improved significantly: distinct queries per user went up over 10%, and revenue per user went up over 30%! …. Degrading algorithmic results shown on a search engine result page gives users an obviously worse search experience but causes users to click more on ads, whose relative relevance increases, which increases short-term revenue … [This shows] it’s critical to understand that long-term goals do not always align with short-term metrics.

Angels & Demons

One of the various Longform collections, and like many of them, a crime piece:

On June 4, 1989, the bodies of Jo, Michelle and Christe were found floating in Tampa Bay. This is the story of the murders, their aftermath, and the handful of people who kept faith amid the unthinkable.

On Leaving Academia

As almost everybody knows at this point, I have resigned my position at the University of New Mexico. Effective this July, I am working for Google, in their Cambridge (MA) offices.

Countless people, from my friends to my (former) dean have asked “Why? Why give up an excellent [some say 'cushy'] tenured faculty position for the grind of corporate life?”

Honestly, the reasons are myriad and complex, and some of them are purely personal. But I wanted to lay out some of them that speak to larger trends at UNM, in New Mexico, in academia, and in the US in general. I haven’t made this move lightly, and I think it’s an important cautionary note to make: the factors that have made academia less appealing to me recently will also impact other professors.

Ethics, Culture, & Policy: Commercial surrogacy in India: A $2 billion industry

Since its legalization in 2002, commercial surrogacy in India has grown into a multimillion-dollar industry, drawing couples from around the world. IVF procedures in the unregulated Indian clinics generally cost a fraction of what they would in Europe or the U.S., with surrogacy as little as one-tenth the price. Mainstream press reports in English-language publications occasionally devote a line or two to the ethical implications of using poor women as surrogates, but with few exceptions, these women’s voices have not been heard.

Sociologist Amrita Pande of the University of Cape Town set out to speak directly with the “workers” to see how they are affected by such “work.”

On opting out

Captain Awkward has a thread on lateness and keeping in contact with people who are constantly late or no-shows. Her answer is worth reading, because she takes both sides seriously: the way being late feeds into anxiety or depression disorders sometimes (and has for her), and the way to structure social engagements with people who are in that place (whether due to mental health issues or not, it doesn’t require disclosure).

She’s specifically asked that people who are good with time and todo lists (I am, relatively) not drop in with “handy hints”, which is fair enough, but now I’m finding some of the”just loosen up, I have rejected our culture’s terrible clock ticking obsession, and I think that makes me a better person” (uh, paraphrased) comments irritating. I’m posting here rather than there because of the relative privilege of being good with my culture’s approach to time, though.

However, opting out is also a pretty privileged thing to do, honestly. Here’s the big clock related things I can’t opt out of, right now: my son’s childcare, who (like most) fine about $1 a minute for late pickups. Moreover, those people also have children to pick up and errands to run, so a significantly late arrival from me would ruin at least three families’ evenings. (Two staff members are required on premises at all times, so one late parent is two late workers.)

Parenting is by no means the only type of problem here too (look at some writings on spoon budgeting some time: what happens when you are an hour late for someone who set aside spoons to see you?) but it’s a pretty typical set of examples. So are people who work in a great number of jobs, especially low pay and insecure jobs.

You can be over-scheduled in a privileged way (racing from piano lessons to dinner parties), but you can be over-scheduled without that (racing from end of shift to the hard childcare deadline to the hospital’s visiting hours to the mechanics for the 6th car repair this season), too. So, I find it difficult to respond to a fairly simple analysis of “I figure that half an hour doesn’t matter that much, or shouldn’t! We all survived before mobile phones [or clocks]! Just say no!” When your needs are dictated by other people armed with clocks and mobile phones, there may not be an exit sign visible.

There are a lot of living cultures with looser time constraints than the one I live in. (People talk about a “polychronic-monochronic” axis of cultures, which Wikipedia tells me is due to the anthropologist Edward Hall.) There are ways to systemically structure things so that half an hour doesn’t matter that much. But, when you don’t live in such a culture or can’t stay in one, it’s just not that easy. But when is “just say no” ever the solution to anything serious?

Should you give birth privately?

A few people have been researching their options over the last few years about giving birth in Australia, and have asked me what I think about having private health insurance or giving birth in a private hospital.

Background: maybe you shouldn’t ask me! I’m not a health professional, I’m a mother of one, and he was born in a public hospital, in which I was a public patient.

And now, crucial fact about private hospital cover: it pays much of your hospital stay fees and some of your doctor’s in-hospital fees. It does not pay for private consultations with a doctor in an outpatient/private room setting.

You know what obstetricians charge a lot for? The “pregnancy management” fee, to cover your outpatient care in pregnancy. If I recall correctly, the Medicare rebate for this is on the order of $400 to $500. In Sydney, private obstetricians may charge upwards of $4000 for this fee. Who covers the difference? You do. (OK, full disclosure, the Medicare Safety Net may help too, I don’t know the details except that MSN actually cut benefits specifically for obstetricians a few years ago because they’d all upped their fees to incorporate the MSN rebate. So, mostly you do!) Also, anaesthetists in the private hospitals usually end up with a decent gap fee, if you have an epidural or Caesearean.

So, private system birthing is expensive regardless of insurance.

Finally, tests like ultrasounds are usually Medicare plus out-of-pocket too.

Now, birth choices in Australia.

Homebirth. There are some very small number of hospitals in Australia that will allow their midwife staff to attend some homebirths. It’s very easy to get disqualified from such a program. I would be on several grounds (some more legit than the one I’m about to give you), including the simple fact that my son’s birthweight was over 4.0kg.

You might also birth with a privately practicing midwife, or, in theory, with a private midwife collaborating with an obstetrician as backup (there are very few such arrangements so far). Most, although not all, private midwives will also only work with pretty low-risk women (singleton pregnancies, head-down, no high blood pressure or diabetes, that sort of thing, about 80% of pregnancies get a low-risk classification IIRC).

Is private insurance useful? Some private health funds provide some limited cover for this, I believe, on the order of $1k to $2k of the midwife’s fee, which is around $5k last time I looked. In the collaboration setup Medicare contributes too, I think?

Birth centre These are midwife-only maternity units attached to public hospitals. (Sometimes at some physical distance, eg Ryde Hospital only has a birth centre, with transfers to Royal North Shore several suburbs away.) You need to be assessed as low risk and if that assessment changes (and this isn’t uncommon, eg, your baby is breech or you get diabetes or pre-eclampsia) you get summarily transferred to the doctors and your whole care team often is suddenly switched out from under you. (Also they usually don’t do epidurals, I think? So the transfer rate for pain relief is not insubstantial I believe.)

Is private insurance useful? No, this is publicly funded.

Public hospital, midwife’s clinic If you go to a public hospital, and are assessed as low risk, almost all of your pregnancy management will be by midwives. Often they “caseload” now, meaning you see the same one each time. Again, if you become high risk, swish, off to the doctors.

Is private insurance useful? No, this is publicly funded.

Public hospital, doctor’s clinic. If you aren’t low risk, this is you. (This was me.) Chronic health problems or pregnancy complications (like pre-eclampsia) put you here. For your appointments, or at least most of them, you see an OB registrar or staff specialist. On high rotation, often, that is, you won’t usually see the same one many times. If you have a vaginal birth it may still be midwife-only, or largely midwife managed.

Is private insurance useful? No, this is publicly funded.

Public hospital, private doctor’s patient. In this case, you choose your doctor, see them mostly in their own clinic, birth in a public hospital (with you or your private insurer paying for the facilities) with the doctor of your choice attending. This is subject to gap fees for the doctor.

Is private insurance useful? Yes, pays for your accommodation and some of the OB’s and anaethestist’s (if needed) gap.

Public hospital, private midwife’s patient. This depends on a midwife/obstetrician collaborative practice. As I said, rare, but there’s at least one that allows a public hospital birth (private admission) with the midwife of your choice: Melissa Maiman in Sydney.

Is private insurance useful? Yes, pays for your accommodation. Not sure what happens if an OB and/or anaethestist are needed.

Private hospital, private doctor’s patient. There’s no midwife-managed option. If you’re birthing in a private hospital, you need a doctor of your choice attending. Again, pre-birth consultations in their own clinic, and subject to gap fees.

It’s definitely worth noting that while your private doctor will be an obstretrician and can manage higher risk pregnancies, for really serious stuff like prematurity earlier than a certain point, pregnancies with more than 2 babies on board (I think) and similar, they will actually refer you into the public system!

Is private insurance useful? Yes, pays for your accommodation and some of the OB’s and anaethestist’s (if needed) gap.

Public hospital, high risk clinic. I don’t know much about this, I’m told it’s the next level up in risk, and it well might be my next pregnancy. Joy. This is where you end up with OBs with a high risk interest, maternal-fetal medicine specialists (OBs with a formal subspecialty in very high risk pregnancies), renal physicians, endocrinologists, etc. This often involves referral to a tertiary hospital. (Sometimes specialists can consult without you being in one of these, like, an endocrinologist might monitor diabetes or thyroid hormones with you in the regular doctor’s clinic or seeing a private OB.) Birth choices guides don’t talk about this option very much, because you don’t really have a choice at this point (except birthing unattended or with a very risk-tolerant private midwife).

Is private insurance useful? I’m not sure, to be honest. It probably depends on the risk profile of your actual birth, I guess? If your birth is able to be attended by a regular private OB, maybe they let you do this? But you can do this publicly too.

Further reading on birthing choices

My Birth has a lot of information on birth procedures and the outcomes of different birthing providers, from a low intervention advocacy standpoint. One thing of note which gets picked up a lot by low intervention advocates is that despite the private birthing system referring all their hardest cases back to public, and despite the public patient profile being poorer with less good preventative health care and so on, private hospitals have much higher intervention rates.

Conclusion

It really depends on where you want to birth and with who attending. If the idea of the same doctor doing your pregnancy management and attending your birth appeals, that’s tending towards private birthing and thus private health insurance. But it has high out of pocket costs on top of the insurance premiums. (Note also that private health insurance policies are expensive if you include obstetric coverage, and will always have a 12 month waiting period for it, so you must obtain it before pregnancy.)

I was reasonably happy as a doctor’s clinic patient for my first birth. If I was low-risk I’d probably likewise go public, ideally with a birth centre or caseload midwife pregnancy+birth.

Nannies and flexibility

Liam Hogan tweeted:

Further on rebates for nannies: if they’re a response to family-unfriendly working hours, flexible childcare is solving the wrong problem.

Here’s some systemic problems with childcare as it currently stands that one might hire a nanny as a possible solution to:

availability (strong form) For under 2s in Sydney, you simply might not get a childcare place accessible to you, by your scheduled return to work. Full-stop.

availability (weaker form) You have 2 or 3 children under 5, not uncommon. If you do get childcare places for them all, they (a) start to approach the price of a nanny and (b) are often not at the same daycare centre. So you can add 2 to 3 drop-offs to your commute run, 2 to 3 infection sources to your health problems, and when your children do all end up at the same daycare centre, you can enjoy four to six weeks of emotionally resettling them with the new centre. Or hire a nanny.

commuting in general Family unfriendly work hours are common. Family unfriendly commute hours are even more common: either a really tight schedule where you hope for no breakdowns/signals failures, or just total impossibility of getting to the centre in time. (Or you can have your kids in care near your work, and have them commute with you. Fun for the whole family. Plus you cannot use the centre when you are sick, which is one of the times when you really want to.)

illness I had four bouts of gastro and eight respiratory infections in the four months after my son began daycare. A nanny is an expensive way to avoid this, but that night I considered calling the police because we couldn’t lift him up to feed him? Maybe that’s worth $200 a day to people who can pay to avoid it.

throughout the day contact a privilege of (partial) telecommuters and (partially) at-home business people, and in theory daycare centres allow drop-ins if children are well-settled there and can handle two separations in a day (so, probably not in the first several months of care). For these people, a nanny may be one way of allowing the parent and child to have throughout-the-day contact without the parent needing to be first contact point for the child’s needs.

Now, I fully agree that funding nannies is less good ultimately than, say, free and freely available childcare, predictable work hours, widespread onsite/neighbourhood childcare with liberal allowance for parent drop-in, redesigning work and cities so that 1+ hour commutes aren’t the usual case, or… I don’t even know what you do about the illnesses, because I once saw my 9 month old licking another baby’s face and getting a good licking back. But there’s a raft of reasons why nannies are attractive. We may turn to one after our next child on cost alone. So that’s the context of nannies, for me.

The practical reality of contraception, Australian edition

Background the first: The practical reality of contraception: A guide for men, by Valerie Aurora, about contraception in the US

Background the second: A layperson’s intro to paying for healthcare in Australia which I wrote as specific background to this post.

Things that are the same in Australia

Contraception works the same way! The side-effect risks are the same:

Let’s start with estrogen-based hormonal birth control and health. I know women who get life-threatening blood clots on estrogen birth control (if the clot gets lodged in a blood vessel, effects range from loss of a limb to death). Others have mood swings so bad that their partners threaten to break up with them and their boss calls them into their office to ask why they’re so mean and bitchy all of a sudden. Don’t laugh – losing your partner or your job is serious shit, and many women decide to risk pregnancy and an abortion rather than the certainty of being abandoned and broke. Another side effect is feeling like you’re going to barf, which usually goes away after a few weeks, but not for everyone. More side effects and health problems abound, but those are the ones I know about offhand.

The mechanism is the same:

Now let’s talk failure rates. You have to take the birth control pill every single day, within a few hours of the same time, to get that 98% or 99% effective rate. Big whoop, you may think. I take my blood pressure medicine every day. Usually. Actually, it’s pretty hard, even with those little day-of-the-week labels on the pills.

Those are specific to the combined pill, but there is no special magical Australian version of contraception. Same risks, same side-effects, same administration, same failure rate.

Valerie’s description of providers withholding prescriptions to force a patient to have a pelvic exams is also true here, although they usually aren’t called pelvic exams: they’re called Pap smears, even though the bimanual exam is often performed too. However, they’re done slightly less often: every 2 years in Australia for low-risk women.

I believe doctors and pharmacists in Australia can refuse the prescription and the supply based on personal moral considerations, and that really sucks. However, it doesn’t seem as common except for the (sometimes publicly-funded!) Catholic hospitals, ew. (See Lauredhel’s “Pro-life” Archbishop Hart’s murderous misogyny and Catholic Church says “Thalidomide-analogue cancer trial? No contraceptive advice for you!”)

Things that are different

Cost

Very important! Many many many brands of the pill are PBS medications, and cost about $30 for 4 months’ supply, so, getting close to Valerie’s mythical $8 a month mark.

Moreover, other contraceptive mechanisms (except condoms, which probably cost about the same) are cheaper too. For example, in the US I understand that I would be out of pocket at least $500 to have a Mirena IUD. In Australia, I had the insertion performed in a public hospital (being elective, I had to wait about 10 weeks), and bought the device from a pharmacy for $35 as it is a PBS medication. Total cost: $35! Length of contraceptive effectiveness: 5 years! (Downside: needs to be shoved into uterus. However, this is easier to do if you’ve shoved a baby the other way.)

Trouble at the doctor

As in Valerie’s entry, scripts for regular hormonal contraception do need to be re-done once a year or so, and given the side-effect profile of the Pill, I can see why. (If your blood pressure is up, you probably won’t notice, but you should be off the Pill.) At least in major metro areas, getting a non-essential appointment to get a script re-issued seems less of a pain though: a few days notice and your clinic will get you in for the required 15 minutes. Also, most doctors will prescribe the Pill to a brand-new patient after a short verbal medical history (at least, if you mention a Pap smear within the last two years) and a blood pressure check, so you can pop into a bulk billing clinic if you have one handy.

In addition, very recent law changes apparently will allow pharmacists to directly supply a small amount of contraceptives (and blood pressure meds) to patients to tide them over to their next doctor’s appointment. (I heard this on the radio, so, sadly, no citation.)

Trouble at the pharmacy

Like other meds in Australia, this just isn’t as much of a pain. The PBS contribution, if any (Nuvaring isn’t covered, say), goes on before you ever go anywhere near the pharmacy, you pay the remainder yourself usually. So the fighting with one’s insurer step is gone. Moreover, while pharmacies do only fill scripts towards the end of the previous supply, the “towards the end” test is more generous: you have two to three weeks at least.

Summary

I think Australia really wins here, especially on cost.

Childcare

I just got a call from a childcare centre who has had my son’s name down for nineteen months. I’m not even sure if they were offering him a place, most likely they are just culling their waiting list in preparation for the 2012 enrolment season. Nineteen months long waiting lists, on the very edge of the metropolis.

I’m sure there’s plenty of info out there already about the economic inefficiencies generated by private childcare in countries like Australia and the US where supply doesn’t meet demand and there’s little government intervention in the market. One of the most noticeable for us is geographic lock-in. If it takes a year or more to get our son care at a new location, we can’t move, until, oddly enough, all of our children are school age and thus likely to be badly disrupted academically and socially by a move. The next most obvious is all the mother-work in this. Applying to 20 centres (… many of which ask for a $20 waiting list fee). Ringing them all once a month or more just to keep a tick next to our name as “really wants a place”. (It likely doesn’t advance you up the list, what with all the other mothers ringing monthly too, and they certainly don’t give us any actual news until a place actually appears.)

I should put in a little bit of background for people from countries with at least some government provided childcare. Childcare in Australia for children 8 weeks to 5 years is provided by for-profit and non-profit suppliers in a private market. Waiting lists for first born children in Sydney (younger siblings of an enrolled child often receive some preferential treatment) who aren’t in certain disadvantaged and at-risk groups are somewhere in the realm of nine to twenty four months. (Employers are supposed to keep permanent jobs open to a returning mother for a year.) Costs are in the realm of $70 to $110 dollars per day for infants (median maybe $90?) and $60 to $100 per day for children over age two. There are government subsidies on a sliding scale that for some families might halve this cost.

The alternatives are local government certified “family carers” caring in their own homes, who have similar waiting lists, nannies at around $200 per day, or family. I don’t see a lot of solutions aside from nationalisation: the private market obviously sees no need even for centralised waiting lists and for whatever reason it certainly doesn’t see the need to create enough places to meet demand. All I have is a couple of lessons:

#1 you do not put your child’s name down at birth you put it down when you are pregnant, if they let you, and if they don’t, take the forms to the hospital with you and post them from there within hours of your child’s birth. (Sydney hasn’t quite reached the stage that I am told New York City is at, of ringing them all to give them notice that you have stopped using contraception, and might therefore require their services at some point in the next two years.)

#2 most childcare places open up in January and February, with enrolments in October. It’s obvious why when you think about it: (southern) January is when the five year olds leave to start kindergarten, so it’s the time when by far the most vacancies are created. That doesn’t mean put the kid’s name down in October for a place the following January, it means putting them down as early as possible and then concentrating your phone calls in October.

This can be frustrating depending on your child’s month of birth. Born January or February? You may well have to keep them out for a full year. Born November or December? You may have to enrol them much younger than you would have been comfortable with if you are lucky enough to be offered a place (although only for a day a week, already enrolled children almost always get the pick of newly opened spots on other days).

For the record, my January-born first son got a place that July, in a centre that had recently re-opened after bankruptcy and was taking immediate enrolments. That same centre, whose youngest enrolment at the time was a child 9 weeks old, is a year later asking us to re-confirm 2012 enrolments four months ahead because of their enormous waiting list. They currently have no children born in 2011 enrolled, implying a waiting list of 9 months at the very least We’re ourselves presently awaiting results of the 2012 enrolments closer to the city, to see if we get to move closer to my husband’s work in the next 12 months, or if we’re staying out here for the foreseeable future.

Sunday Spam: hot banana bread

These are, largely, in reverse order of reading, that is, most recent first. Interesting that that tends to be a thematic ordering too.

Right-wing memes ahoy – “pregnancy is not a disease”

Right wing argument: pregnancy isn’t a disease. Therefore contraception shouldn’t be among funded medical services.
Response: pregnancy is [affiliated with/causes] illness for some women. Therefore contraception should be among funded medical services!

Uh, don’t buy the framing, responders! Says Tiger Beatdown. The end.

7-Year Old Transgender Child Refused Proper Bathroom Visits in School

Child identifies as boy. Parents, doctors and peers recognising child’s gender identity. School superintendent knows better. Unhilarity ensues.

This is what I said a feminist mother looks like:

  • Part One: the questionnaire, demographics, key themes and becoming feminists
  • Part Two: the impact of motherhood on their feminism
  • Part Three: being surprised by motherhood
  • Part Four: defining their feminist parenting
  • Part Five: the difficulties with being a feminist parent
  • This is a summary of a conference presentation Blue Milk gave on her long running 10 questions about your feminist motherhood series. I know that I keep going on about Instapaper, but these were handily divided up into bite-sized blog entries and I was still too lazy to read them before.

    Pink Scare

    A roundup of a series of incidents in which a huge comment storm has been created around a boy dressing as a girl or in girl-marked clothes. Not really novel if you read about this stuff a lot, a good summary either way, particularly the historical context about when and where young children have been expected to be strongly gender-marked.

    What revolution? Why haven’t women pushed harder for caring work to be valued?

    Blue Milk again, on the not-always-perfect marriage of patriarchy and capitalism, summarising Nancy Folbre. Of particular note Higher paid women benefit from their ability to hire low-wage women to provide child care and elder care in the market.

    Film review: “The Help,” a feel-good movie for white people

    The Help has become such a by-word for race fail in my circles that I hadn’t even heard what the basic plot was. Consider this a useful primer: what the plot is, what the problems are. Now you don’t have to see the movie.

    Gaddafi Should Be Tried At The Hague

    Not a surprising opinion for Geoffrey Robertson, but perhaps not everyone has read Crimes Against Humanity. Actually I haven’t read it all the way through either, because I have it in the cheap Penguin edition with teeny tiny writing and a stiff spine, and it’s still too heavy to hold in one hand. Must look into Kindling.

    Anyway, back in to Gaddafi: British Prime Minister David Cameron made a serious mistake this week by insisting that the fate of the Gaddafis should be a matter for the Libyan people. That was the line George Bush took after the capture of Saddam Hussein, as a rhetorical cover so that the death penalty could be imposed on the Iraqi despot by politically manipulated local judges.

    Australians don’t fully understand what is being done in their name

    While we’re in the thematic section marked unsurprising opinions from lawyers active in human rights, Julian Burnside. Why do we do this? What is it about our national character that explains such cruel, illogical behaviour? Simple: the politicians do it for political gain, and most Australians do not fully understand what is being done in their name.

    I’m worried he’s wrong.

    Why Political Coverage is Broken

    Jay Rosen’s keynote address at New News 2011, focussing on the marketing of news to politically interested readers. We’re all insiders, considering how this will play to the voters, as if they aren’t us.

    How the World Failed Haiti

    Well, partly it’s a Wicked Problem (high stakes, one chance to solve it, no good model, no correct solution, no or little ability to fix things after the fact, etc), but one focus of this particular article is that while Bill Clinton himself is potentially a good advocate and ally for Haiti, the people the Clintons tend to hire aren’t so much, perhaps. They tend to be experienced political operatives, not experienced disaster relief workers. (Also, even people specialising in development aren’t the same people who are good at disaster relief.)

    Learning to love my baby

    Jessica Valenti’s daughter was born extremely premature after a traumatic emergency Caesearean following pre-eclampsia and HELLP. She doesn’t think it’s a problem that her feelings towards her daughter were complex and that loving her was scary. She condemns though, factors that made her feel that this made her a terrible person.

    Review: The Red Market by Scott Carney

    The Red Market is the market in bodies, body parts and blood. This is a book review, not the book itself (The Red Market: On the Trail of the World’s Organ Brokers, Bone Thieves, Blood Farmers, and Child Traffickers), which goes on the to-read list.