Gravida 5
I’ve been pregnant five times. Three times, I had babies, and twice I had abortions because the pregnancies weren’t viable.
My body didn’t get it. The people around me didn’t know. I had hope one day and the next day I just felt wretched, swallowing vomit on the subway and wishing my boobs didn’t hurt.
I’d been trying to feed myself because even though my body disgusted me and mostly, then, I threw up everything I let myself eat, I’d been trying to believe I deserved a bagel in the morning, another at lunch, now that I was eating for two. After the ultrasounds where I learned there wasn’t a baby — just my stupid fat body that never got anything right — I started vomiting with an intensity I hadn’t experienced in years, puking my throat raw in subway bathrooms and trash cans, showing up for work and pretending to be okay because what else do you do. Programs still need to be run, patients cared for. The first and truest rule I learned growing up — no one has time for your shit, Amanda — was never truer than it was then.
I just needed this to be over, because I didn’t know what came next, but it would be something different than this. I had wanted those imagined babies, and I was grieving them now that I had just, you know, decaying products of conception lodged in the parts of my body I’d always suspected of being somehow shameful. Now I knew they were, because that’s the feeling I remember most clearly: shame. This was the only good thing I felt I’d ever done; I’d believed for a minute that although I had always suspected I was ruined and unlovable, something worth loving might come from me, somehow.
I felt stupid for believing that now. But I thought, if I can get this out of me, maybe there’ll be room for something besides this immense failure.
It’s not important to this story why I feel this way about my body, or why I turned on myself so violently in the wake of my lost pregnancies that every single morning I woke up, remembered I had a dead baby in my body, and started eating and throwing up so ferociously that by the end of the day I could barely remember my way home from work.
What is important is this: that I know a lot of people, and I knew a lot of people then, and none of them — not my husband or my doctor or the strangers who ultimately performed my abortions and cared for me when I woke up — none of them knew how impossible it felt for me to have these pregnancies in my body, and how the only reason it was possible was because I was throwing up over and over again, on the way to work, in the bathroom at my job, over and over again when I got home. The morning of surgery, I was supposed to have been NPO to prevent aspirating under anesthesia. I woke up, ate a box of pop tarts, threw them up, and lied to the nurse who prepped me so I could still have my d&c.
No one knew any of this. No one knew, or needed me to prove, how ill equipped I was to be dealing with a miscarriage or how badly I needed an abortion or how badly I was hurting myself in order to get through the day. I didn’t have to prove anything or find the words to convince anyone that my abortion was “necessary”. I did not want to continue this pregnancy, which in my case entailed watchfully waiting to see if I eventually passed clumps of dead fetal tissue in my bathroom or got septic and had it removed in a hospital or collapsed on the street from a cardiac arrhythmia, and from the moment I said that to my doctor, no one asked me anything else.
Instead, I was treated like the most important thing, the only consideration, was my well being. This is a basic act of humanity that I attempt to extend to each of my patients now. What would be best for you?
In my entire life, the best example of where I learned this was from the caregivers who scheduled, arranged, and performed my abortions.
It’s less important to me that people can understand what it feels like to be carrying a pregnancy in your body and want it out, or the various horrible situations that might lead a woman to schedule an abortion, than it is for people to understand what it’s like to feel like your life had been made into something you hated, something you didn’t want to live, and then to wake up and realize it’s been handed back to you.
For a person for whom pregnancy is not desired, or for whom a particular pregnancy is no longer possible, abortion can feel like hope. That hope is worth fighting for.
We have to keep fighting, not because what’s happening right now is so horrible (although it is; if you’re confused on this point, it obviously can’t be said enough that people are going to die as a result of forcing them to carry unwanted pregnancies).
We have to keep fighting because access to abortion is a fundamental good.
It’s not an unfortunate reality; it’s one of the best things to come out of the twentieth century. I love that no one has to have a baby they don’t want the way I love that SSRIs and corrective lenses allow me to work and drive and not hurt myself over things I can’t control.
Every person who wants an abortion and gets one is something to celebrate. And I think if that’s what we hold up in our line of vision — women able to leave their abusers without a pregnancy to be held over their heads, children able to heal from rape without carrying its evidence in their bodies, human beings able to enjoy the basic right of physical autonomy, to live the lives they want, to travel and work and exist unimpaired by the random unsolicited feelings of strangers about their bodies — then that will give us the strength to keep fighting.











