Freebirthing in the UK: The Good Mother Concept and the presentation of results via narrative and arts-based research.
Lead Research Organisation:
King's College London
Department Name: Nursing and Midwifery School Office
Abstract
This research builds on the Freebirth Study, which explored women's experiences of freebirthing in the UK (i.e. intentionally giving birth without doctors or midwives present). The proposed work includes the following aims:
1. Research exploring obstetric violence in the home. Obstetric violence is abuse carried out on women by health care professionals while they labour or birth. This could include, for example, a nonconsensual vaginal examination. In this aspect of the research, I will present examples from my doctoral study of women's experiences of this occurring in their own homes, whilst contextualising these in terms of how scholars have previously understood the phenomenon. Through archival research, I will
demonstrate how such violence has been documented for hundreds of years and how it is not limited to hospital or medical facilities.
2. Exploration of how society creates standards of behaviour that pregnant women are expected to meet. Our society has created various perceived standards of behaviour that pregnant women are expected to meet. This includes for example, the type of food they should eat, the activities they should (and shouldn't) be involved in and where they should source their pregnancy advice. When women do not meet these standards, they can be subjected to social opprobrium, stigma, condemnation
and even punishment. My research on women's experiences of freebirthing in the UK highlighted how this so-called 'Good Mother' concept often played a role when women declined aspects of maternity care or did not defer to medical advice. Although women are legally entitled to make such decisions, they often had to fight to retain their autonomy and bodily integrity. Through reviewing the published literature, this aspect of the research will explore how scholars have presented the social standards of good mothering and how they impact pregnant women's lives today.
3. Methodological research on the 'quest narrative' and the 'heroine's journey.' The 'quest narrative' and the 'heroine's journey' have been recognised as narrative arcs that authors throughout time have used to present their stories. Scholars have noted that these narratives appear in well-known
myths and fairy tales and are an established part of Western storytelling. I will demonstrate how the 'quest narrative' and the 'heroine's journey' can be used as a novel and interesting way to present research findings.
4. Public engagement via a crochet arts installation. Compared to knitting, crochet is a relatively new craft that has historically been carried out by women. Further, the crochet hook reflects an obstetric tool named the amnihook. In recent years crochet has been used as a form of protest through activities such as 'yarn bombing' and craftivism. One goal of the research is to work with crocheters to produce an art installation that reflects my findings from the Freebirth Study and to present this in an
exhibition people can visit both physically and online.
5. An online conference accessible to people inside and outside of academia. Birth and the connected rights of women and birthing people are areas in which many people are engaged, including midwives, doctors, lawyers, historians, sociologists, doulas and of course members of the public who may have been or currently are pregnant. This online conference will bring together people from a range of academic disciplines as well as non-academics to discuss reproductive rights with a view to exchanging
knowledge and promoting collaborations.
1. Research exploring obstetric violence in the home. Obstetric violence is abuse carried out on women by health care professionals while they labour or birth. This could include, for example, a nonconsensual vaginal examination. In this aspect of the research, I will present examples from my doctoral study of women's experiences of this occurring in their own homes, whilst contextualising these in terms of how scholars have previously understood the phenomenon. Through archival research, I will
demonstrate how such violence has been documented for hundreds of years and how it is not limited to hospital or medical facilities.
2. Exploration of how society creates standards of behaviour that pregnant women are expected to meet. Our society has created various perceived standards of behaviour that pregnant women are expected to meet. This includes for example, the type of food they should eat, the activities they should (and shouldn't) be involved in and where they should source their pregnancy advice. When women do not meet these standards, they can be subjected to social opprobrium, stigma, condemnation
and even punishment. My research on women's experiences of freebirthing in the UK highlighted how this so-called 'Good Mother' concept often played a role when women declined aspects of maternity care or did not defer to medical advice. Although women are legally entitled to make such decisions, they often had to fight to retain their autonomy and bodily integrity. Through reviewing the published literature, this aspect of the research will explore how scholars have presented the social standards of good mothering and how they impact pregnant women's lives today.
3. Methodological research on the 'quest narrative' and the 'heroine's journey.' The 'quest narrative' and the 'heroine's journey' have been recognised as narrative arcs that authors throughout time have used to present their stories. Scholars have noted that these narratives appear in well-known
myths and fairy tales and are an established part of Western storytelling. I will demonstrate how the 'quest narrative' and the 'heroine's journey' can be used as a novel and interesting way to present research findings.
4. Public engagement via a crochet arts installation. Compared to knitting, crochet is a relatively new craft that has historically been carried out by women. Further, the crochet hook reflects an obstetric tool named the amnihook. In recent years crochet has been used as a form of protest through activities such as 'yarn bombing' and craftivism. One goal of the research is to work with crocheters to produce an art installation that reflects my findings from the Freebirth Study and to present this in an
exhibition people can visit both physically and online.
5. An online conference accessible to people inside and outside of academia. Birth and the connected rights of women and birthing people are areas in which many people are engaged, including midwives, doctors, lawyers, historians, sociologists, doulas and of course members of the public who may have been or currently are pregnant. This online conference will bring together people from a range of academic disciplines as well as non-academics to discuss reproductive rights with a view to exchanging
knowledge and promoting collaborations.
Publications
McKenzie G
(2024)
Learning from obstetric violence in UK births at home: reaffirming and challenging current understanding of abuse during the maternity period
in Journal of Gender-Based Violence
McKenzie G
(2024)
Quest Narratives and Heroine Journeys: the road to freebirth and the joy of undisturbed physiological birth.
in Frontiers in global women's health
McKenzie, G
(2024)
Playing the Long Game: Threads of Protest and Human Rights in Childbirth
in AIMS Journal
| Title | Threads of Protest crochet |
| Description | Four pieces of art have been commissioned to appear on the Threads of Protest: Human Rights in Childbirth exhibition. These have been created with collaboration between artists, third sector organisations and experts by experience. The work is currently underway. |
| Type Of Art | Artwork |
| Year Produced | 2025 |
| Impact | The pieces are currently being created. |
| Title | Yarnbombing art |
| Description | People from the UK and around the world have been donating granny squares (small crocheted/knitted squares) to the Threads of Protest exhibition. Over 1000 have been received. They will all feature in the 6 month touring exhibition beginning July 2025. |
| Type Of Art | Artwork |
| Year Produced | 2025 |
| Impact | Work still underway. |
| Description | This project has developed into a public engagement project. The findings (as yet unpublished) link to the ways in which researchers can encourage the public to get involved in understanding academic research and disseminating the results creatively. |
| Exploitation Route | Other researchers involved in public engagement can learn from my own work. |
| Sectors | Healthcare |
| Description | This project links to human rights in childbirth. One of the main issues is that people generally do not understand their rights in childbirth. The project has drawn the public into this research via crochet and arts based, public engagement methods. Women have written to me from across the world, providing granny squares and notes on their birthing experiences, ranging from stillbirth to birthing under totalitarian regimes. This project has - thus far - made impact on an individual level. Once the exhibition is displayed for 6 months, it is hoped it will begin to impact broader society. |
| First Year Of Impact | 2024 |
| Sector | Healthcare,Leisure Activities, including Sports, Recreation and Tourism |
| Impact Types | Societal |
| Description | Meta-Narrative partnership with academics at Durham Law School |
| Organisation | Durham University |
| Department | Durham Law School |
| Country | United Kingdom |
| Sector | Academic/University |
| PI Contribution | I have been working with 2 members of the law school on a meta-narrative on the conceptualisation of obstetric violence in the academic literature. |
| Collaborator Contribution | Systematic review, synthesis of results, analysis, write up of paper, presentation at conference. |
| Impact | Yes, multi disciplinary - law, social sciences, ethics, midwifery, obstetrics. |
| Start Year | 2023 |
| Description | Appearance in In Crochet magazine |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | I was asked to provide a press release on my project which was to appear in In Crochet magazine. This enabled me to engage with people outside of my usual maternity audience. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Appearance on Australian radio |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Interview on Australian breakfast radio |
| Year(s) Of Engagement Activity | 2025 |
| URL | https://www.abc.net.au/listen/programs/sundayextra/craftivism-crochet-gemma-mckenzie/104936170 |
| Description | Appearance on South African breakfast radio |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | I was interviewed on SA FM about my research on women protesting with thread. |
| Year(s) Of Engagement Activity | 2025 |
| URL | https://omny.fm/shows/the-jet-set-breakfast-1/threads-of-resistance-the-use-of-thread-and-embroi |
| Description | Article for Aeon Magazine |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | The article was global. People emailed me afterwards from USA and India to comment on the article. I was offered literary representation. I was offered a trade publishing deal. I was contacted by journalists. |
| Year(s) Of Engagement Activity | 2025 |
| URL | https://aeon.co/essays/when-womens-needlework-becomes-an-act-of-subversive-protest |
| Description | Article in The Conversation |
| Form Of Engagement Activity | A magazine, newsletter or online publication |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | I wrote an article for The Conversation on freebirth. This led to a journalist contacting me for an interview in Stylist magazine. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://theconversation.com/freebirth-risk-and-the-spectre-of-obstetric-violence-223916 |
| Description | Interview for magazine |
| Form Of Engagement Activity | A press release, press conference or response to a media enquiry/interview |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | Interview with journalist for Stylist Magazine on freebirth |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://www.stylist.co.uk/fitness-health/wellbeing/freebirth-rising-uk-facts/892418 |
| Description | Podcast interview |
| Form Of Engagement Activity | A broadcast e.g. TV/radio/film/podcast (other than news/press) |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Public/other audiences |
| Results and Impact | I was interviewed for Making Stitches podcast, which focusses on textiles and crafting.This enabled me to explain my research beyond my typical maternity audience. |
| Year(s) Of Engagement Activity | 2024 |
| URL | https://makingstitchespodcast.com/ |
| Description | Talk for Practising Midwife |
| Form Of Engagement Activity | A talk or presentation |
| Part Of Official Scheme? | No |
| Geographic Reach | International |
| Primary Audience | Professional Practitioners |
| Results and Impact | I was part of a three hour panel talk on freebirth, which was aimed at professionals. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Threads of Protest workshops |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Public/other audiences |
| Results and Impact | I have run 24 workshops with artists, members of the public and third sector organisations which will contribute to my crochet exhibition Threads of Protest: Human Rights in Childbirth. |
| Year(s) Of Engagement Activity | 2024,2025 |
| Description | Threads of Protest: Crochet workshops |
| Form Of Engagement Activity | Participation in an activity, workshop or similar |
| Part Of Official Scheme? | No |
| Geographic Reach | Regional |
| Primary Audience | Public/other audiences |
| Results and Impact | Seven crochet workshops were held in the North West of England (6 more are scheduled). Three were at charities that support women and their wellbeing. The workshops were funded by additional awards. The idea was to teach crochet to members of the public and they would contribute their crocheted square to the 6 month touring exhibition I have curated (and is funded by this current award). The exhibition raises awareness of human rights in childbirth and is based on my own research. |
| Year(s) Of Engagement Activity | 2024 |
| Description | Workshops with third sector and artists |
| Form Of Engagement Activity | A formal working group, expert panel or dialogue |
| Part Of Official Scheme? | No |
| Geographic Reach | Local |
| Primary Audience | Third sector organisations |
| Results and Impact | I held three of the planned 12 workshops I have between artists and third sector organisations. I am organising the co-creation of 4 bespoke crochet pieces for the Threads of Protest exhibition. |
| Year(s) Of Engagement Activity | 2024 |
