Originally Posted by ~pi
I invite you to actually do a little digging into the economics of food supply. There is plenty of research to support the idea that it is significantly more difficult for many low income people to find decent (or any) produce, partly because grocery stores have moved out of low SES areas, leaving behind mainly convenience stores.
And sure, a pregnant, urban, single mom of two could make the trek out to the grocery store in the suburbs. On the bus. After her shift at her second job ends. Then she could bring home her pound of apples and feed that to her children while she educates herself about birth options.
What good does that feeling do when it isn't actually true
? Have you read some of the posts made here by women who were well-educated and had interventions applied to them against their will?
Just out of curiosity, do you have any clinical criteria that would preclude a woman from being accepted as a potential client? How about financial criteria? Do you offer free classes?
oh ~pi, a woman after my own heart.
I didn't realize how bad the situation was until I read a booklet by a Detroit midwife, Melva Craft-Blackshear. She detailed precisely what you are talking about for inner city Detroit women. But what she researched and wrote applies to most rural areas and certainly to the urban areas.
However, it also has a trickle down effect to other things related to pregnancy and childbirth. The chronic stress of lack of money, lack of jobs, lack of reliable transportation. It begins to effect the immune system and then you start to see the great inflammations of pregnancy like PTL pPROM, short cervix, pre-e. All of these problems are pretty directly related to poor diet.
As midwives we tell women that they need "x" amount of protein and lots of fresh (organic, if possible) fruits and veggies. Most of them agree that this is what they should be doing, but do we ask the questions about whether this is financially possible? It is a very hard subject to discuss sometimes, but it is analogous to McDonald's situation. Telling women to eat this way w/o helping them to find the resources to be sure it happens is another story.
I always keep smoothies, juice and other healthy snacks available at my office. There are moms and kids that I know come in hungry for lack of resources. Everyone knows that this stuff is available and they make use of it.
Whenever I suggest protein powder or other supplements, I always ask if it will be financially feasible. If not, then we try to find other alternatives.