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July 26, 2010

Parenting Imperfecta

Every mom has limitations. Mine are just easy to see.

"World's Smallest Mother Risks Life for More Babies" blared the headline. Stacey Herald, whose 2-foot 4-inch stature qualifies her for the “smallest mom” superlative, recently gave birth to her third child. Despite significant health risks associated with pregnancy, Stacey and her husband, Wil, are open to having more kids. This openness, along with the couple’s enthusiasm for parenthood and insistence that they have faith in God’s ability to care for their family, have made Stacey and Wil favorite subjects of tabloid-style media ever since their third baby was born last November.

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Stacey’s short stature is due to osteogenesis imperfecta (OI), also known as brittle bone disease. I have the same condition, although in a less severe form (at 4-feet 8-inches tall, I am a giant by OI standards). OI complications include frequent broken bones, pain, mobility limitations, and respiratory problems due to spinal and rib-cage deformities. Like Stacey, I have three biological children, two girls and a boy. Like Stacey, I had to contemplate the risks of childbearing, although her more severe form of OI potentially brings more serious complications. Like Stacey’s children, my children each had a 50 percent chance of inheriting OI. One of my children did; two of hers did. Like Stacey, I made my decisions about motherhood in the context of my Christian faith.

Our similarities accounted for my growing outrage as I clicked through dozens of articles written about Stacey and her family, many of them on sites devoted to “odd” and “weird” news. Most, including the ABC News article, used hyperbolic, inaccurate language. Stacey doesn’t just have OI; she “suffers” from it. She doesn’t just use a wheelchair; she is “confined” to one. A doctor asserts that pregnancy in OI women can have “disastrous consequences.” I am privileged to know many women with OI who have had children. While some of those children also have OI, the most disastrous consequences of these mothers’ fecundity are that they can’t remember how it feels to sleep through the night yet know every word of Barney’s clean-up song. A spokesperson for the national OI Foundation provided a more accurate assessment: While women with OI face increased risks during pregnancy, those risks can often be managed.

The articles made me mad, but the comments made me sick. Readers called Stacey and her husband selfish, cruel, and stupid. They said that OI is a “horrible disability," that she is “sentencing her kids to suffer.” Online comment boards do not provide the most accurate snapshot of society, but so much vitriol directed toward people with disabilities offers a pretty bleak picture.

Choosing to have children despite health risks raises important moral questions that people of faith need to engage seriously. Stacey and Wil’s faith was central to their decisions, but their interviews did not go into much detail about how. I don’t know if their citing of God’s providence stems from thoughtful reflection or a superficial belief that success in any endeavor is a sure sign of God’s favor.

I will stick to what I do know:

Avoidance of suffering — ours and our children’s — is not our highest moral duty. Our God, incarnate in Christ, knew bodily pain and a tortured death. Jesus’ suffering does not mean we should seek pain or that suffering is a good thing in and of itself. But it does suggest that suffering is not the ultimate disaster. The Great Commandment was to love the Lord your God with all your heart, soul and mind, and to love your neighbor as yourself — not to make sure everyone is healthy, happy, strong, and pain-free.

While the physical and emotional pain of OI can be terribly hard, pain is not the hardest thing about being a mother with OI. The hardest part is knowing that I don’t measure up to cultural ideals of the competent mother. I could not pace with my children when they were fussy infants. I cannot kneel down to look them in the eye. I cannot carry an exhausted child to the car. I can’t ride bikes or practice soccer kicks. My inability to run and carry anything heavy would make me useless in a true emergency. Day after day, I have to relearn the truth: I am the best mother for my kids simply because I am theirs. No mother is perfect; every mother has limitations. Mine are just easy to see.

Everyone who has babies subjects themselves and their children to risks, some of them known, most of them unknowable. If we judge those whose risks are obvious, we open ourselves to the same judgment. All of us carry genetic risks (and technology is increasingly able to tell us which ones). All parents bring children into a world where disaster, illness, injury, and pain can bring “normal” life to a screeching halt. All of us are dependent on others to make it through the day. “Judge not, that you be not judged” (Matt. 7:1).

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Comments

Just thought I'd point out that, coincidentally, today is the 20th anniversary of passage of the Americans with Disabilities Act. I think acceptance and understanding of parents with disabilities is an area where we still have a lot of work to do. A friend who has OI and recently gave birth to her first baby was in a baby supply store when she was visibly pregnant, and a clerk, noticing my friend's wheelchair, asked, "Can you have kids of your own or will you adopt?" Lisa Belkin's Motherlode blog told the story a few months back about a quadriplegic mom whose uninvolved ex-boyfriend was suing for custody of their child, even though the mom was caring for the child very well with help from family and an aide. Much work to do...

I can't really relate to your experiences, but I don't think it is fair for you to believe the worst of people who don't agree with your childbearing decisions. Disagreement is not necessary vitriol, so I would encourage you to also "judge not, lest ye be judged."

I also have OI with my severity being similar to Stacey's. (I'm 3 foot five and have had 200 fractures) Although I am male so that's a difference on this issue.

I agree I was rather sickened by how the comments went and how the article was framed. It wasn't a neutral "let's look at this pro and con" it was a bit of "let's look at how this freak defies doctors who obviously know better than her." Considering many doctors don't know zip about OI, and have shown that to me in my life, it was rather infuriated. Than the comments that said "those three kids should have never been born" were even more disturbing.

That being said I think I can understand some concern about a woman her size with her severity of OI considering a fourth children. I wouldn't tell her "no" but I think there could be a legitimate way to express concerns. They didn't really do that though.

What a lovely story. Your point is extremely relevant in today's culture that puts so much pressure on parents (especially moms) to be perfect. None of us is perfect, but, if we are believers, we can rest in the grace of God.

I would like to add that I respect the author's decision to have children. And I would EQUALLY respect her decision if she had chosen NOT to have children. I feel that needs to be said in light of the comments on the previous post regarding "How many kids should we have?"

Thank you for a touching article. And here's to non-vitriolic commenting!

Ellen, you have such a wonderfully thoughtful way of writing. I have enjoyed all of your posts and this one is no exception. The paragraph about our avoidance of suffering, though, was particularly convicting to me. Ultimately, we must invite God into every area of our lives and trust that His call on our lives is best. It might not *seem* like the best but it will glorify Him in the end. @Muse, I did not feel that Ellen was judging anyone by calling out the people making comments on the ABC site. It sounds as if you did not read the comments. I did and I agree that many of them were more than judgmental and vitriolic. As a woman who had the privilege and challenge of making the decision whether or not to carry children when she has OI, Ellen has the right to challenge the detractors who were not faced with such a difficult choice.

Thank you all for your supportive comments. I'm glad that so many of you understood that this article was not merely a mother with OI writing about another mother with OI, but that I was using my/her/our experiences to question cultural pressures on parents to be perfect in so many ways--physically competent, able to prevent our children's suffering, able to do everything independently without help, etc.

@Muse: I welcome disagreement. Right now, my writing work focuses on reproductive ethics--a pretty poor subject to choose if I'm going to be intolerant of disagreement! But the comments were not thoughtfully saying, "Hmmm, I have some concerns about someone with a severe disability having many children, and here they are..." (And, as Thomas pointed out in his comment, there are certainly significant medical issues at stake with severe OI that could be addressed constructively.) Rather, most of the comments lobbed insults such as "stupid." People seemed to portray this couple primarily as freakish, foolish risk-takers, and I think it's fair to label such responses "vitriol." I mentioned that I'm privileged to know many women with OI who have had biological children; I'm also privileged to know women with OI who have adopted children or decided not to have children. I'm proud to know all of them.

Interesting article, but a poor choice for picture. Throwing a baby in the air like that is dangerous, and should not be encouraged.

Ellen, thank you for your article. I do not have OI, and found it insightful to read about some of the challenges those that do have OI face.

Scripture says we are fearfully and wonderfully made (Psalm 139: 13-16) and reminds us that it is the LORD who made man's mouth, made the mute, the deaf, the blind, the seeing (Exodus 4: 11). This is inclusive of those with OI and other lifelong physical challenges.

Sometimes I don't fully understand how God leads me to certain decisions, and cannot even begin to understand how God leads others to make their choices. That is between them and God.

I have friends who have 8 children; the oldest is 11, the youngest 2. The mother has hemophilia and two of their children inherited the disease. I don't know what it is like to have that many children and admire them for how well run their family is, how they are teaching their children all the things they need to know as they rear them in the nurture and admonition of the Lord. Sometimes I am shocked at the comments I hear ranging from are they crazy? to don't they know what causes it [babies]? The greater shock is not that the comments are made, but at who makes them.

Cultural standards are more often than not, completely unrelated to Scriptural values. Sometimes Christians have standards that are just as unrelated to God's as those of the world. Each of us, I am first on this list, must guard our hearts and minds from the constant assault from our present culture and trust the One who gave us life and, through His Son, eternal life.

I think of the cultural assaults on Jesus when He walked on earth, and must remember that He remained obedient and true to His Father's plan and completed the work His Father had given Him to do (John 4:34). This is not easy for any of us, regardless of our physical problems or the race God has set before us (Heb. 12: 1).

I cannot even imagine what it is like for you, Ellen. I pray that God will strengthen your faith and comfort you and your family as only He is able. I pray those who would be so quick to criticize someone's decision would remember they do not know all the details nor do they know the heart of that person.

We all would do well to remember that words can either wound deeply, or bring comfort and blessings to others. The choice is ours.



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