midwife

Sandra Daley-Sharif on “granny” midwives, maternal mortality, healthcare inequities, and AMMA’S WIT

Sandra A. Daley-Sharif

When medicine advances, what gets left behind? How much of what midwives knew have we lost as modern medical practice sidelines them? In AMMA’S WIT, Sandra Daley-Sharif puts the lives and experiences of Black “granny” midwives centerstage as she tells the stories of two generations of midwives in early twentieth century Alabama: what they knew, what they suffered, how they coped.

AMMA’S WIT will have its first public reading this Thursday, June 6 at 3:00 PM at the Ensemble Studio Theatre as part of the 2024 EST/Sloan First Light Festival. The reading is free and reservations are encouraged.

Sandra kindly took the time to answer our many questions about the play.

(Interview by Rich Kelley)

What inspired you to write AMMA’S WIT?

The inspiration behind AMMA'S WIT is deeply rooted in my personal connection to the sacred art of midwifery and a profound reverence for the forgotten legacies of the granny midwives – those extraordinary Black women who embodied the divine power of bringing new life into the world.

I was born in my great-grandmother's house and having witnessed the empowering experience of both my daughters being delivered by midwives, I have always felt a profound connection to the God-given strength that lies within every woman's body. This connection fueled my desire to explore and honor the stories of those who came before us, the women who dedicated their lives to nurturing and supporting mothers during a time when hospitals were inaccessible to the poor, both Black and White.

Through my research, I discovered the narratives of trailblazers like Onnie Lee Logan, Mary Francis Hill Coley, Margaret Charles Smith, and countless others. These granny midwives were more than just birth attendants; they were family counselors, breastfeeding consultants, postpartum doulas, nutritionists, and advocates. Highly respected within their communities, they viewed their work as a sacred calling from God, a privilege to usher new life into the world.

Yet, despite their invaluable contributions, these women were ostracized and erased, victims of a society that sought to disempower women over their own bodies and choices. Their stories resonated with me on a profound level, igniting a desire to give voice to those who have been systematically silenced, to reclaim the narratives that have been suppressed, and to celebrate the resilience, spirituality, and unwavering dedication of these remarkable women.

In AMMA'S WIT, I have woven together these narratives, creating a tapestry that honors the legacy of the granny midwives, while also serving as a powerful reminder of the ongoing struggle for reproductive rights and autonomy. It is a tribute to the enduring strength of those who have fought to reclaim control over their bodies and their destinies, and a call to embrace the divine power that resides within every woman.

From left: Midwives Onnie Lee Logan, Mary Francis Hill Coley, Margaret Charles Smith

Why this play? Why now?

I think AMMA'S WIT is a timely and poignant reminder of the granny midwives' legacy. The play sheds light on their vital role in providing holistic healthcare and championing reproductive autonomy for women, especially in underserved communities. As the reversal of Roe v. Wade threatens to restrict access to safe and legal abortions, this play serves as a powerful reminder of the ongoing struggle for body autonomy and the importance of trusting women's ancestral knowledge and instincts.

Moreover, with Black women experiencing disproportionately higher rates of maternal mortality and preventable childbirth complications, AMMA'S WIT underscores the need for culturally competent and comprehensive maternal care. By honoring the granny midwives' approach to pregnancy and birthing, this play advocates a shift toward a more holistic healthcare model that empowers women and prioritizes their well-being.

What research did you do to write the play?

To write the play, I conducted extensive research by reading biographies of granny midwives, watching films/documentaries like All My Babies (about midwife Mary Francis Hill Coley) and Why Not Home?, interviewing current midwives, drawing from my personal experiences, and consulting with a liaison who works on bridging the tenuous relationship between hospitals and midwives. I also examined articles on women's experiences with the medical system, global childbirth practices involving midwifery, and the history of childbirth. This comprehensive approach informed a play that, I would say, is grounded in movement, text, and music to authentically capture the full-body experience of birth through dance and the rhythms that define time and space. 

Did you encounter any surprises as you researched the stories of different midwives in twentieth-century Alabama?

A sobering discovery from my research was the persisting false beliefs among some healthcare providers about biological differences between Black and White people, such as Black people having "less sensitive nerve endings, thicker skin, and stronger bones." These harmful beliefs have led to medical providers today underestimating Black patients' pain levels and recommending inadequate relief measures. And, here’s the kicker, shockingly, the disparities exist regardless of education or income level: Black women who have a college education or higher experience a pregnancy-related mortality rate over five times higher than White women, and 1.6 times higher than even White women with less than a high school degree. This stark reality underscores the urgent need to address systemic biases and inequities in maternal healthcare. 

Aunt Sally, midwife May 1939 Gees Bend, Alabama Photo: Marion Post Wolcott (1910-1990) Farm Security Administration. Library of Congress. Public Domain

While much of the play’s action focuses on the experiences of a fictional midwife, Amma Hagar Clark, a second plot line follows Billie Jean, a young woman, just shy of 16, pregnant by her father. Why was it important for you to include her storyline? 

It was crucial to include Billie Jean's storyline as a pregnant teen, impregnated by her father, to confront the complex and controversial issue of abortion rights head-on. Drawing from the real-life stance of a midwife I researched, who refused to perform abortions due to her personal beliefs and experiences, this parallel plot line forces the audience to grapple with the profound ethical dilemmas surrounding body autonomy and reproductive choices. By bringing in this narrative, I invite what I believe is a vital and necessary conversation about the very body empowerment issue society is grappling with today. 

What’s next for Sandra Daley-Sharif?

As a storyteller for Theatre and TV, I am driven by a passion to illuminate the stories of marginalized people with resilient spirits that have shaped our world, especially featuring women of color. My current projects are a testament to this mission.

With my new play (still researching) "Carved from Stone, Cast in Resilience," I am embarking on a journey to breathe life into the extraordinary legacies of Edmonia Lewis, Meta Warrick Fuller, and Augusta Savage – three groundbreaking African American sculptors whose triumphs and enduring influence have often been obscured. Through a blend of drama, visual storytelling, and the omniscient narration of the Goddess of Perseverance, I aim to depict the challenges and triumphs of these remarkable women, celebrating their indelible mark on the art world.

In "We Shall Overcome," a limited series for TV based on the novel The Cigar Factory, I am weaving together the parallel narratives of two working-class families, united by their shared struggles within the harsh confines of a cigar factory. As segregation initially blinds them to their common plight, the pivotal 1945 Tobacco Workers Strike ignites a powerful realization – that by joining forces, they can harness the strength of solidarity. "We Shall Overcome” not only captures a profound moment in labor history but also traces the roots of the iconic protest song that would later become the Civil Rights anthem, "We Shall Overcome.” Pitch deck available.

And then there's "Say It Loud," another limited series for TV; a vibrant exploration of the cultural revolution that swept through Harlem's iconic Apollo Theater in 1964. Here, I follow the fearless journey of a young production manager nurturing the greatest acts in the history of soul music, navigating a world in the throes of transformation with unwavering determination. Pitch deck and pilot script available.

Through these diverse narratives, I strive to amplify the voices that have been muted, to shed light on the extraordinary resilience that has paved the way for progress, and to inspire audiences to embrace the power of perseverance in the face of adversity.

AMMA’S WIT is one of six readings of new plays in development as part of the EST/Sloan Project in this year’s First Light Festival, which runs until June 17. All readings are free, but reservations are encouraged. The festival is made possible through the alliance between The Ensemble Studio Theatre and The Alfred P. Sloan Foundation.

Rebecca Tannenbaum, Debra Pascali-Bonaro, Chiara Atik and Robin Marantz Henig on Midwives, Doulas, Colonial Home Births, Birthing Positions, Medical Devices, and BUMP

From left: Robin Marantz Henig, Debra Pascali-Bonaro, Rebecca Tannenbaum, Chiara Atik

From left: Robin Marantz Henig, Debra Pascali-Bonaro, Rebecca Tannenbaum, Chiara Atik

Following the May 26 matinee performance of BUMP, Chiara Atik's lively new comedy, EST/Sloan assembled a panel to discuss several of the compelling issues about childbirth the play addresses. Joining playwright Chiara Atik for this discussion were Rebecca Tannenbaum, Senior Lecturer in History from Yale University, and doula trainer Debra Pascali-Bonaro. Journalist Robin Marantz Henig moderated the talkback.

BUMP explores women’s evolving understanding of and control over the birthing process through three stories: a young first-time mother giving birth in colonial New England with the help of an experienced and peppery midwife; five women sharing quips, gripes and observations on an online message board; and a grandfather-to-be getting inspired to invent a device that could revolutionize how infants in difficulty get delivered (a storyline inspired by the experiences of Jorge Odón).

What follows are some of the highlights from the discussion. (Recap by Rich Kelley)

On the inspiration for the play

Robin Marantz Henig: What I love about this play is that you chose this emotional topic. It was very moving and very beautifully done.  What made you want to write about this?

Chiara Atik: Pregnancy and childbirth are things that a lot of my friends are going through right now. I'm at the age where people are starting to have kids or certainly starting to think about having kids, so it's a topic that comes up a lot. I was inspired by the article in The New York Times in 2013 about Jorge Odón, the real-life inspiration for Luis in the play. Odón invented this fabulous machine to assist mothers in deliveries. I thought that would make a great Sloan play — Sloan supports plays about science — then I incorporated the other stories.

Robin: What about the colonial story? Did you put that in there to give us a longer view of the history of childbirth?

Chiara Atik

Chiara Atik

Chiara: For me, it was an exercise in imagining what it would be like to be pregnant without Google, without a message board, without constant information at your fingertips, or even, in the case of our story, family support, which I think was rare even for the time ... In those days, most people likely had a lot of family, had big support systems; Mary doesn't. I wanted to show the opposite extreme. The Internet really influences the other two storylines and, thematically, just how much information you have: whether you have too much, whether you have too little, how it influences the experience.

Robin: So, Chiara, the message board: How did that come to you? Did you want all good feelings, or sort of a combination of old wives' tales and natural information?

Chiara: Yeah, definitely a combination. The message board, it's less about the specific kernels of information, which sometimes can be helpful and sometimes can be the least helpful thing in the world, and more about the feeling of community and feeling like you're not in this alone. You're a team: They're going through this experience at the exact same rate at the exact same time and I think that even pre-Internet groups like that were very helpful. I wanted a sort of a Greek chorus of the whole experience, or aspects of the experience. So, again, it's less about "Well, I got this information," and more about other people.

Robin: Sharing

Chiara: Sharing, yeah.

On the historical accuracy of the colonial storyline

Robin: Rebecca, is that how the birth would have gone in colonial times? The character had so little information: she thought she was going to have a pain and then have a baby. And she had no interaction with her midwife before she arrived that night... It was interesting that she was sitting in a chair when she was actually giving birth.

Rebecca Tannenbaum: Yeah, I thought that was actually quite accurate. We have this image of the woman today — many of us who have given birth did it this way ourselves — you lie on a table on your back, but that's not how women have given birth for a long time.  Certainly, in the colonial period, many midwives had birthing stools: special chairs with a hollowed-out seat and a lower seat for the midwife to sit on and catch the baby. Giving birth upright would've been the standard practice for that time and right up until the nineteenth century when physicians started performing a lot of births.

Rebecca Tannenbaum and Chiara Atik

Rebecca Tannenbaum and Chiara Atik

Another thing that struck me as very accurate was the walking because the walking was definitely something that midwives would encourage women to do: to keep moving; to not lie still because movement helps encourage the contractions as well. But one of the things about birthing in the colonial period, which came out in the play as well, was this idea that it was meant to be painful; that women were meant to suffer in birth. The biblical references that the midwife gave to Mary were very much the way birth was understood in the seventeenth and eighteenth centuries: that this is part of woman's lot for being a daughter of Eve and that the fear and pain was just something you had to accept as punishment for Original Sin.

Robin: Was it typical to bring a midwife in? Because the way she said, "We're paying you a lot for this; why are you going away?" almost seemed like it was a mark of being different from her neighbors.

Rebecca: Women certainly counted on having a midwife there: someone who was experienced; someone who could help them. So, it wouldn't have been unusual at all. What would've been unusual would've been having a male physician attend the birth. And as time passed, and as you got into the late eighteenth century and early nineteenth century, having a male physician actually became a status symbol. You start to see it first in urban areas among wealthy clientele. Part of it was just, like, "I have this doctor who was trained in Europe," and that's better news, but part of it also was that it was true that, beginning around the 1780s, 1790s, physicians could offer technology, like the forceps, that midwives could not. The fear the mother in the play showed was also pretty accurate for the colonial period, so having the reassurance that you had a practitioner who could offer this new technology that could pull a baby out without danger to the baby or the mother was something that people who could afford it really wanted.

Robin: Did this midwife pull out forceps?

Rebecca: Yes, I know noticed that she had forceps.

Chiara:  Yes.

Robin:   Why did she ... Was she really going to use it on the baby?

Chiara:  Yeah, they were there as a measure. And that was more of a dramatic choice than . . .

Robin:   But perhaps not historically accurate?

Rebecca: Yeah, not historically accurate. It would have been a formally-trained physician who used forceps.

Chiara:  Right.

Rebecca: It became kind of controversial, whether you would allow a man in the birthing room, seeing a woman in this intimate way, and one of the titles of one of the pamphlets that was actually advocating for midwife birth was "Hands of Flesh vs Hands of Iron."  "What do you want touching you: hands of flesh or hands of iron?"

Chiara:  Wow.

From left: Robin Marantz Henig, Debra Pascali-Bonaro, Rebecca Tannenbaum, Chiara Atik

From left: Robin Marantz Henig, Debra Pascali-Bonaro, Rebecca Tannenbaum, Chiara Atik

On the evolution of how babies are delivered

Adriana Sananes (who plays Maria in the play and who joined the audience for the talkback): Did I hear correctly that when physicians started doing the births, that's when women started lying down?

Rebecca: Yes, because it's easier for them to see what's happening ... easier for them to use their forceps ...

Adriana:  And that's more or less what time?

Rebecca: The late eighteenth, early nineteenth century, so between 1780 and 1820.

Debra Pascali-Bonaro:   Isn't that phenomenal to know? Whose comfort? The doctor’s? Not the person giving birth. How crazy is that? And that we have all the data to say it's actually harmful to lay down and push your baby out, and yet we're still doing it against the best science.

Adriana: That’s the reason for my question. I went through 27 hours of intense contractions in labor. And a lot of the time, I was laying down with all these things and the doctor kept telling me, "The baby's fine. The baby's fine." And it's like, "But I'm the one ..."  [laughter] So I was wondering when that whole aspect of the physician telling me ...

Rebecca: Well, the reason you had to be lying down is because you had all the monitors attached.

Adriana:  Exactly, exactly. I wasn't dilating, but still, it was incredible to just ... Your instinct is to walk. Breathe and walk and breathe and walk.

On home births, birth centers, and hospitals

Audience member: In the play the colonial mother has a home birth and Claudia wants to have a home birth. What is your feeling about having home births today?

Debra: I attend many home births in the New York/New Jersey area, and we have wonderful qualified licensed midwives for home birth. I think home birth is growing, and there is misinformation out there, but home birth for low-risk women is quite safe, and that's the midwife's role: to keep that safe and transfer, when needed, to a hospital. So as long as you're here in New York you're always thirty minutes from a hospital, but as long as you can transfer in time if you need extra care, home birth is very safe.

Robin:   And how about birthing centers? Is that a big midway thing?

Debra:  They are wonderful. The sad thing here in New York is we don't have many of them. Due to different regulations and licensing. But other states do have more birth centers, and birth centers are growing around the U.S. In the U.K. they have many birth centers. Good home birth rate, birth centers ... ultimately, that's what we need so people have the choice of where you feel safe, whether that's home, birth center, or hospital.

Audience member: What do you recommend women do in a hospital scenario?

Debra Pascali-Bonaro

Debra Pascali-Bonaro

Debra:  First, have a doula because a doula is really trained to navigate that, and doulas facilitate communication between the person giving birth and the team. We don't speak for anyone, but we amplify their voice. So we don't let anyone do anything that isn't really engaging them and ultimately, we need to bring home birth into the hospital. I teach at medical schools and midwifery schools, and I'm teaching bringing back the wisdom of our great grandmothers that knew how to do all these comfort measures. We've got to overhaul the system so that this is available. But in the short term where our system is still dysfunctional, bring a doula with you and get educated! A lot of people, like the message board, are passing some good information, but also some misinformation. And a lot of people that think they know a lot about birth that are pregnant actually don't always know what they think they know. I’m an advocate that, especially first-time mothers, get into a really good childbirth class ... not in most hospitals though, because hospital classes ... Sorry, I'm biased, but I think a lot of them are for patient compliance: They really teach you what they want you to do to be a good patient, and they don't really teach you your options. Then again, you're being led onto the assembly line of industrialized childbirth, and it's not about you. It's about getting you through the system.

On the difference between a doula and a midwife

Robin: Debra, you’re a doula, not a midwife. Can you explain what the difference is?

Debra:  Chiara, you mentioned "doula" in the play. I loved that. I lit up. So looking "herstorically," women had other women that were around them.  A doula really is reconnecting that circle of support of females. Sadly, we don't attend each other's births anymore. We would've known how to do that back then, but now we have to go to a workshop and relearn those skills. So a "doula" isn't really new; it's really rediscovering the role of women supporting women. Just like women's menstrual cycles come together when they live or work together, we're starting to learn that women have a physiology among each other. And the studies show that even the most wonderful, loving male, sorry to say, but he doesn't make labor any easier or less of an intervention.

When you bring another woman, who's trained in the natural comfort ways, labor actually is shorter and with less interventions. A doula is just offering that emotional, physical support. If there's religious or spiritual practices, they're integrating them, but doulas don't do any medical skills. And the midwife is really the keeper of that, making sure mother and baby are healthy and well. A doula is really like a sister, your best friend, being at the birth with you.

On the potential usefulness of the Odón Device  

Robin: Debra, can you talk a little bit about this device that sort of yanks the baby out?

Robin Marantz Henig and Debra Pascali-Bonaro

Robin Marantz Henig and Debra Pascali-Bonaro

Debra: I have this double-edged kind of look at it: On one side, I think that we've gone so far that we just keep making mothers lie down today to give birth. We have a fascination with getting the baby out in positions that don't work, so we are doing too much assisted birth. I'd hate to see us, now, create another technology that just again indulges our fascination with how we can get a baby out without physiology. But I am kind of interested in it because it sounds like it's gentler than the alternative, if we use it appropriately.

Audience member: Debra, I hear your reservations about the Odón device. But you've had so much experience in attending so many childbirths around the world ... Do you think something that's as low-tech as the Odón device could make a difference in low-resource environments?

Debra:  Oh, I do. And that's why I said it's double-edged: I think when you truly have a baby that's having trouble getting out you need to change positions a lot ...  A baby being born is — it may be a bad analogy but it may help explain — it’s like a lock and key. If you put the key in upside-down, it doesn't matter how long you push: you won't open the door. You'll eventually cut the door down. So all around the world, we always say "four to five pushes in a position" and if we're not making movement, we change again. In some places in the world, we're moving and moving and moving, because you move the mother, and it moves the baby. And we get all the babies out! So when we put people in a hospital and put them on their back, and then we're going to randomize a trial, you are going to have babies that are going to get stuck because we're not using gravity and we're not moving the mother, then I think we are just using more technology without really needing to. But if really just use it in the rare cases, then I think it's valuable.

Audience member: And you could envision a doula or a midwife doing this?

Debra:  Not a doula. Let’s remain historic. Doulas don't do any medical care.

Audience member: Not even that. Okay.

Debra: That’s the question. Around the world where if you're in really low-resource areas where we don't have access to doctors, will they then train the midwives in that? Although the midwives who use lots of positions will have a very, very, very low rate of babies that get stuck.

The panel taking questions from the audience (including members of the cast).

The panel taking questions from the audience (including members of the cast).

The 2018 EST/Sloan Mainstage Production, BUMP by Chiara Atik began previews at the Ensemble Studio Theatre on May 9 and completed its run on June 3, 2018.

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Historian Rebecca Tannenbaum, Doula Trainer Debra Pascali-Bonaro, and Playwright Chiara Atik join Journalist Robin Marantz Henig on May 26 to discuss Midwives, Birthing Technology, and BUMP

From left, Rebecca Tannenbaum, Debra Pascali-Bonaro, Chiara Atik, Robin Marantz Henig

From left, Rebecca Tannenbaum, Debra Pascali-Bonaro, Chiara Atik, Robin Marantz Henig

On May 26, following the 2:00 pm matinee performance of BUMP, the spirited new comedy by Chiara Atik, audiences are invited to stay for a far-ranging discussion about how the experience and technology of childbirth — from how a child is delivered to how much the mother understands and controls — has changed over the past two hundred and fifty years. Joining playwright Atik will be Rebecca Tannenbaum, Senior Lecturer in History at Yale University, and Debra Pascali-Bonaro, childbirth educator, doula trainer, and Chair of the International MotherBaby Childbirth Organization, for a conversation and Q&A moderated by journalist Robin Marantz Henig.

BUMP is the exuberant exploration of the evolution of women's understanding about and control over the childbirth process through the  stories of three separate quests for knowledge: a young expectant mother in colonial New England getting coached through her first pregnancy by a peppery midwife (inspired by the diary of Martha Ballard); a contemporary message board where new pregnant moms swap observations and complaints; and a grandfather/mechanic's invention of a device that could revolutionize how babies in distress could be safely delivered (the last inspired by the story of Argentinian mechanic and inventor Jorge Odon). 

The World Premiere of BUMP is this year’s mainstage production of the EST/Sloan Project, EST's partnership with the Alfred P. Sloan Foundation to develop new plays "exploring the worlds of science and technology," an initiative now in its twentieth year.

About the Panelists

Rebecca Tannenbaum

Rebecca Tannenbaum

Rebecca Tannenbaum is Senior Lecturer in History at Yale University and Yale NUS Fellow in International Affairs. Her research is focused on Colonial America, especially women’s history and the history of medicine, history of women’s health, as well as history of the family. She is currently working on a cultural history of biological motherhood in America, from the Colonial period through the mid-nineteenth century. Nancy Tomes hailed her book, The Healer’s Calling: Women and Medicine in Colonial New England (Cornell University Press, 2002), as “a masterful account of women's healing practices in colonial New England. . . . a major contribution to the history of medicine and to the history of early American culture.”

Debra Pascali-Bonaro

Debra Pascali-Bonaro

Debra Pascali-Bonaro has trained thousands of doulas and birth professionals around the world in the practices of gentle birth support. Debra is Chair of the International MotherBaby Childbirth Organization, member of the White Ribbon Alliance, Lamaze International childbirth educator, birth and postpartum doula trainer with DONA International, and co-author of the book Orgasmic Birth, Your Guide to a Safe, Satisfying and Pleasurable Birth Experience. Creator and director of Orgasmic Birth, an award-winning documentary that examines the intimate nature of birth, Debra has been featured on ABC’s 20/20, Good Morning Russia, The NBC Today Show, Discovery Health, in The New York Times, The LA Times, The UK Times as well as numerous Parenting and Health Magazines around the world.

Chiara Atik

Chiara Atik

Chiara Atik is a graduate of the Obie Award-winning EST/Youngblood program, and a portion of BUMP had its origins as a short play written for Youngblood's monthly Sunday Brunch series, specifically its annual crossover with the EST/Sloan Project, the Youngblood Science Brunch. Her plays include I Gained Five PoundsWomen (a mashup of Louisa May Alcott’s Little Women and HBO’s Girls) and Five Times in One Night, which was first produced at EST. She is the author of numerous articles for Cosmopolitan Magazine, Glamour Magazine, Refinery29, and New York, as well as the book, Modern Dating: A Field Guide. Her screenplay, Fairy Godmother, was on the 2016 Blacklist. Helen Estabrook (Whiplash) and Cassidy Lange will produce for MGM, which won the rights in a bidding war. Television: NBC’s Superstore.

About the Moderator

Robin Marantz Henig

Robin Marantz Henig

Journalist and science writer Robin Marantz Henig is the author of nine science books. A contributing writer for The New York Times Magazine, Robin has also written for Scientific American, The Washington Post, National Geographic, and numerous women’s magazines. Her book on the first test-tube baby, Pandora’s Baby (2004), won the Outstanding Book Award from the American Society of Journalists and Authors. Most recently, Robin collaborated with her daughter Samantha Henig to write Twentysomething: Why Do Young Adults Seem Stuck? (2014).

BUMP began previews at the Ensemble Studio Theatre on May 9 and runs through June 3. You can purchase tickets here.

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Chiara Atik on new mom message boards, ALT lines, science stories, and BUMP

Chiara Atik

Chiara Atik

This year’s EST/Sloan Mainstage Production is the world premiere of BUMP, written by Chiara Atik and directed by Claudia Weill. Previews start May 9 and the show runs through June 4 at EST. BUMP is the exuberant exploration of the evolution of women's understanding about and control over the childbirth process through the  stories of three separate quests for knowledge: a young expectant mother in colonial New England getting coached through her first pregnancy by a peppery midwife (inspired by the diary of Martha Ballard); a contemporary message board where new pregnant moms swap gripes, quips, and observations; and a grandfather/mechanic's invention of a device that could revolutionize how babies in distress could be safely delivered (the last inspired by the story of Argentinian mechanic and inventor Jorge Odon).  We interviewed Chiara a year ago when, as Midwife/Mechanic, her play received a workshop production as part of the 2017 First Light Festival. This year we have even more questions.  

 (Interview by Rich Kelley)

 BUMP consists of three distinct and compelling story lines, all about the childbirth process. How did you decide that these were the three story lines you liked the most and wanted to pursue? Were there other story lines you tried and abandoned?

It’s been these three stories since the beginning! The Sloan Commission came from the story of a car mechanic who happened to invent a birthing device – though my account of it is largely fictionalized. The next part was inspired by some old obstetrics tools I saw in a museum. I started thinking about midwives, and what birth was like before modern medicine. And then the third came from my friend Rachel, who had recently had a baby and regaled me with all the stories from her “Birth month message board.” So these became the three stories!

how to remove a cork from inside a bottle

The YouTube video (or one like it) that inspired the Odon Device

It was just about a year ago that BUMP received a workshop production as part of the 2017 EST/Sloan First Light Festival. How has the play changed since those workshops?

A lot. It’s still changing! I’d say the midwife storyline is largely untouched but the story of the mechanic and his family has hopefully developed considerably since last year.

How many different pregnancy message boards did you sample as part of your research for BUMP? Did you find much difference in the community or the comments from board to board?  Which was the most informative? The most fun?

Hundreds. I love them. I’m obsessed with them. They’re such a peek into other people’s lives. Pregnancy message boards are especially tight-knit: here are other women who are going through exactly what you’re going through, at the exact same time, and unlike your friends, coworkers, family, they will never get tired of discussing symptoms, or test results, or maternity clothes, or ultrasound pictures.

I’ve read so many boards over the two years I’ve worked on this play, and what’s kind of fun/crazy is that every month...there’s a new one! Every month a new group of women gets pregnant, a new board is created, and people start to post.

A page from Martha Ballard's diary, February 3 - 12, 1800.

A page from Martha Ballard's diary, February 3 - 12, 1800.

The wildest thing I came across in my research (though honestly, it’s beyond research now. The play is written. I’m just addicted!) is a month board that somehow – I think through just the detective work of some of the suspicious members – discovered that someone who had been regularly posting to the board was not actually pregnant. This was months into the pregnancies, when people had been posting to the board every day for so long, and had really gotten to know each other. So people were shocked and scandalized, and even women on the other boards were gossiping about what happened on the NOVEMBER board (or whatever it was).

You have now spent more than a year immersed in the world of pregnant mothers, both contemporary and colonial. What new things have you learned? How has this changed your perspective on childbirth?

Oh, honestly, I wish the Odon device were already available! It’s not quite yet, they’re still doing clinical trials, though very confident it will be on the market soon. I would so happily offer to test it. It’s impressed me so much, I absolutely believe in it, and if something so uninvasive can effectively get a baby out in so few pushes, I’d almost hate to give birth without it.

I know that the producers at EST emphatically insist that EST/Sloan plays have to work as a play and yet have substantive science content. What have you found is trickiest about writing a play about science?

Well, there’s a lot of information you have to impart to the audience when you’re doing a science play. In real life, when you get information, you’re probably reading something, or watching something, or noticing something – none of these things are active or dramatic! They’re all quiet and internal.

So figuring out how to impart information in a way that feels natural and true to the characters and in the dramatic arc of the play, AND making those moments entertaining, is very difficult!

Jorge Odon demonstrating the Odon Device.

Jorge Odon demonstrating the Odon Device.

I find it very very hard to dramatize a moment of scientific or creative discovery – the actual Eureka! Moment – so I just skipped it in this play, focusing instead on the inspiration, and then the aftermath.

You mentioned once that you get impatient with theater that doesn’t take into account the audience experience. How does BUMP deal with the audience experience? What do you want the audience to take away from BUMP?

It’s funny, it’s very easy to have lots of opinions on this when you’re in the writing process (or in the audience of another play) but it feels so vulnerable to talk about when you’re in production, because you’re so aware of the possibility of falling short!!! But what we hope is that the play is entertaining, and funny, and warm, and that the audience enjoys spending the time with these characters as much as we do. And we’ve been pretty strict about pacing, and when the play needs to race to the finish line.

I love being at home. I think most people love being at home! Most people enjoy not having to trek to midtown. So I guess, when it comes to the audience, I hope that the experience of watching the play is ultimately worth not being at home.

You’ve been part of the writing team for the hit TV show Superstore (IMDB says you’ve written eight episodes so far!). Congrats on that. How is writing for a sitcom different from writing for the theater? I know that soap opera writers have to write to beats. Do you need to get a laugh every three minutes? Do you find that writing for Superstore has informed or changed your playwriting?

The cast of Superstore

The cast of Superstore

First of all, to say that I wrote eight episodes of Superstore is a very very flattering misapprehension courtesy of IMDB. I was in the writer’s room of Superstore, but it was a BIG writers room, where everyone sort of pitched ideas and jokes. The writers on that show are genius comedians. Everything that comes out of their mouths is funny! I was in awe. SO fast and SO funny.

This is sooooo hugely different from playwriting, or screenwriting, for that matter, where you sort of get to sloooowly construct things.  I am NOT funny out loud. I am ONLY funny like, by myself on my computer.

But one thing I learned from Superstore – that I actually used on Bump! – is about ALTs. Having ALT jokes or ALT lines in a script. You can have the actor read them both and see which you like. In television, I believe they would film all the alts, and you then choose the best one when you’re editing later. For BUMP, I just have the actor try a few and choose right there, but adding ALTs to a theater script is, I think, unusual, and straight out of my time at Superstore.

Do you remember when you first got turned on to science?

Well, tellingly, my interest in science is strongly tied to narrative! I took an incredible Microbiology class in high school which stood out from all the other science classes I’d ever taken because there was such a focus on the stories and scientists themselves – how Louis Pasteur discovered vaccinations by inoculating chickens with weak strains of bacteria; how John Snow traced the cholera epidemic in London back to a single water pump; how Ignaz Semmelweiss realized women were dying after childbirth because doctors weren’t washing their hands. I guess I like unusual discoveries and the logic behind them. It’s no wonder I was so inspired by the real-life story of Jorge Odon and his cork-trick discovery!

 When did you first discover you were funny?

I think there were a good few years of trying very hard to be funny without ever managing to do it. Then, when I was a freshman in high school, I wrote a funny short story (??why) that my friends really liked and passed around, AND I’VE BEEN CHASING THAT HIGH EVER SINCE.

In an interview in 2014 you raved about how great Twitter was for new playwrights. In an interview in early 2017 you scaled down your enthusiasm but admitted that you met your husband through Twitter. Then in November, 2017, just after the presidential election, you left Twitter completely. What happened? Do you blame Twitter for Trump’s election?

Chiara's retired Twitter page

Chiara's retired Twitter page

I loved Twitter when it felt like a fun and a low-key way to engage with people about art, writing, and current events. There was a time when it was really effective. Writers that I had long admired were suddenly just a tweet away, and I could interact with them! I could post a tweet, an article, a link, a recommendation to a play, and people would really engage back, read the link, go see the play, talk to me about it.

But now it’s just din. Everyone shouting over one another. I don’t feel like it’s an effective way to promote content or ideas anymore, and I don’t know why, only that I also am so much less likely to take a Twitter recommendation seriously.

That’s enough for me to become disenchanted with it, but the reason I quit altogether is that I vehemently disapprove of Twitter as a conduit for political discourse. 140 characters – or whatever it is now – is not sufficient for the kind of conversations I feel are necessary now. Retweeting something does not make you politically engaged – that’s something I learned the hard way in 2016. An unguarded, unthoughtful, unedited screed quickly typed and published on Twitter is absolutely not something I can stand for in a president. I literally find it insulting as a citizen. And I felt that to despise when Trump does it yet continue to use the medium myself would be hypocritical.

Twitter was fun for a long time. I am so indebted to it. But I can’t support it anymore. And I’m ready for longer, more thoughtful conversations.

What else are you working on now?

A screenplay and a play! I’m reading The Odyssey with my dad right now, and I’m hoping to write a play – a comedy! – that picks up where that leaves off – Penelope and Odysseus back to domesticity after a twenty-year break from it.

BUMP is being produced as this year’s Mainstage Production of The EST/Sloan Project, a twenty-year-old initiative between The Ensemble Studio Theater and The Sloan Foundation. BUMP starts previews on May 9 and continues performances through June 4 at The Ensemble Studio Theatre. You can purchase tickets here