30 July 2021
‘Like tripe on a slab’: women’s accounts of reproductive healthcare provision in Spare Rib magazine are now available through the Library’s digital map.
A guest post by Alice O’Driscoll
Find out more about the letters and listings made available via the Library's Spare Rib magazine digital map.
Spare Rib 6 December 1972 p. 27 © Sue Coe, courtesy Galerie St. Etienne
When Jo Evans from Bristol was diagnosed with an ovarian cyst after a visit to the hospital in late 1981, her (male) doctor gave her the ‘stark and unsettling ultimatum’ of either having a baby straight away, or a hysterectomy. A third option was available, he conceded, but it was expensive.
Evans was incensed, not just by the lifechanging decision she was being faced with, but with how her doctor had presented the dreadful choice in a ‘jocular fashion’ while several of his medical students awkwardly looked on. ‘He should stop whipping the wombs out of the women of Bristol and resign’ she wrote, ‘so that more women can rise to the top of the gynaecological profession’. (Letter from Jo Evans, ‘Hospital Confrontations: Taking on the “Big Man”’, Spare Rib 115, February 1982, pp. 24-5.)
Evans wrote into Spare Ribmagazine shortly after this experience to vent her frustration. She also wanted to express her gratitude to the magazine for their timely publication of an article about hysterectomies, written by Kath Cape with the aid of the Sheffield Women’s Health Group and Sheffield Radical Nurses. (Kath Cope, Sheffield Women’s Health Group, and Sheffield Radical Nurses, ‘Womb Loss’, Spare Rib 112, November 1981, pp. 6–8, 38.)
Complete with diagrams and patient testimonies, the piece, called ‘Womb Loss’, aimed to inform and, consequently, empower. In the case of Evans, it worked. She also consulted friends in the medical profession, and the classic feminist tome on women’s health, Our Bodies, Ourselves.
Her letter, which opened with an account of her degrading treatment at the hands of hospital staff, ends with an assurance that she ‘will return to the hospital and tell the consultant how outrageous his suggestion is’. Her determination to become an active and assertive recipient of healthcare is clear, this transformation catalysed by her poor treatment and facilitated at least in part by the informative contents of Spare Rib.For scholars interested in the history of women’s healthcare, the form and function of feminist publishing, or the women’s liberation movement more broadly, there is much material to work with here.
First UK edition of Our bodies ourselves, Harmondsworth, Penguin, 1978 (X.319/18521)
Another ‘jolly consultant’ was the object of Abigail Mozley’s ire, a Spare Rib reader from Falmouth who wrote of her humiliation at being surrounded by a ‘small horde of medical students’ during childbirth. (Letter from Abigail Mozley, ‘Epidurals’, Spare Rib 4, February 1973, p. 4.) She felt the same impotence as Evans in the face of an inconsiderate medical profession: ‘they discussed my interesting case as if I wasn’t there, then had me stripped naked’.
A reader named Kathryn Woodward from Sheffield similarly reported having a ‘group of staring students’ standing round her hospital bed as she was giving birth. (Letter from Kathryn Woodward, ‘Epidurals’, Spare Rib 4, February 1973, p. 4.) She too considered herself relegated during the experience, feeling ‘superfluous’ at her own labour, since ‘all congratulations at the end were for the doctor… my only role was being that of a nuisance’. A mother, she said, ‘is often still regarded as an object – a stupid one at that’.
All of these letters are searchable on the interactive Spare Rib magazine digital map of women’s liberation movement networks and activities. The Spare Rib letters pages are littered with accounts such as these, which relay the distress of women made to feel passive and irrelevant, ‘like tripe on a slab’. (Letter from Paula Harmer, ‘...And Choosing Women Doctors’, Spare Rib 115, February 1982, p. 25.)
The rise of the epidural
Many of those who wrote into the magazine perceived the problem to stem not from the attitude of the physicians themselves, but in the limitations of their empathy because of their gender. The solution offered by Evans - that more women become gynaecologists - alludes to this, as does Mozley’s memory of being told her epidural would not hurt (‘it did bloody hurt actually’). Paula Harmer from Knottingley asked ‘can we insist on a female doctor, who will perhaps be more thoughtful and understanding?’ (Letter from Paula Harmer, ‘...And Choosing Women Doctors’, Spare Rib 115, February 1982, p. 25.)
The rise of the epidural – touted in one Spare Ribarticle as enabling painless childbirth – is undoubtedly a remarkable moment in the history of women’s reproductive healthcare. For the author of this piece, journalist and author Kathleen Tynan, it was a feminist victory, facilitating her own ‘thoroughly unnatural’ labour which defied the ‘Puritan hand-me-down that, to be rewarding, childbirth must also be an agonising process’. (Kathleen Tynan, ‘Epidurals’, Spare Rib 6, December 1972, pp. 6–7.)
Woodward’s letter, however, inserts a poignant qualifier into this triumphant narrative, one which expands the definition of labour pains by taking into account her dismissive treatment at the hands of the medics around her. Following the epidural, she conceded that she ‘felt no pain’, but she ‘was frightened and humiliated’, leading her to conclude that ‘drugs are just part of the answer’.
Despite the ‘ultimate lack of pain during the delivery I hated the experience and only remember it with horror’ she said, ‘I felt like a failure’. The contractions which had caused her to be in ‘excruciating’ agony before the epidural kicked in were not to be overlooked either.
A screenshot of the interactive Spare Rib digital map
Breast vs Bottle
One letter, written by reader Jane Cottingham and published in 1981, offers a root cause for the problem with the medical profession which would perhaps appeal to the women above whose reproductive healthcare was so distressing: ‘concern is almost always with the infant and rarely with women’. (Letter from Jane Cottingham, ‘Breastfeeding - How Men Brandish the Bottle’, Spare Rib 103, February 1981, pp. 4, 22.)
Cottingham wrote on behalf of ISIS, the women’s international information and communications service based in Geneva and Rome, and her letter therefore not does feature on the Spare Ribdigital map of the UK and the Republic of Ireland. The map offers an easily searchable sample and visualises the location of women’s health groups and related events, such as a ‘spiritual midwifery’ tour in 1982, but does not include international letters and listings.
The matter at hand in Cottingham’s case was the recurrent debate between advocates of breastfeeding and bottle-feeding. She had contacted the magazine after having become aware of companies exploitatively promoting their formula to poor women who were then forced further into poverty once their own supply of breastmilk ceased and bottle-feeding became the only option.
Cottingham’s anger was not wholly directed at the market-driven brands, although she was stung by the acute irony that they were ‘capitalizing (literally) on the ideas of the early women’s movement – that our oppression stemmed from our biology and thus we had to get away from reproduction, motherhood, and everything to do with child care in order to be liberated’.
She reserved some of her frustration for the ‘male government delegates, World Health Organisation experts, industry representatives and consumer advocates’ who weighed in to ‘argue about breast or bottle as though the two were interchangeable commodities’ with little regard for the difference forms of parental labour required of the two.
Cottingham’s aim was to problematise the fact that these conversations about ‘breast versus bottle’ were led, at least in the public arena, by the medical profession and corporate stakeholders in childcare. The exclusion of mothers’ perspectives facilitated the commodification of women’s bodies. The fruits of women’s maternal labour, she concluded, were consequently rendered products and services akin to any others in the capitalist system.
While this letter takes a different tone to other, highly personal accounts of their healthcare, Cottingham’s description of the erasure of women’s experiences at a policy level might still have resonated with those who felt invisible during their own treatment, and is part of a larger conversation within the movement that took place through a network of talks and conferences on childbirth, searchable on the Spare Rib map.
The subject and the provenance of Cottingham’s letter speak respectively to the magazine’s international outlook and reach. Regarding those letters about reproductive healthcare which stemmed from within the UK, however, the map can serve as an extremely valuable resource for scholars. It is a wonderful tool for those interested in writing local or geographically-sensitive histories: a full postal address is supplied by many readers and printed alongside their letter, meaning that it is possible in many cases to pinpoint exact hospitals, GPs, playgroups and nurseries.
The map is also searchable by category, allowing researchers to identify relevant material across the two decades the magazine was in print – for instance, ‘Health, Sex & Therapy’. A more specific keyword search allows users to search for, e.g. ‘childbirth’. The cases above are just a fraction of those which have been plotted so far, but their candour and detail hopefully indicate the potential benefits of this resource for scholars of feminist publishing in modern Britain.
Alice O’Driscoll is a PhD student in History at Jesus College, University of Cambridge. Her thesis focuses on women and warfare in seventeenth-century Britain and Ireland, but she is interested in all aspects of gender and violence.