Dr. Hanna Katan: Large Families,Yes. Demanding Careers for Mothers, No.
Ynet interviews Dr. Hanna Katan, religious Zionist mother of thirteen and gynecologist with a sub-specialty in fertility. Katan considers a large family to be the ideal and has served on a committe to encourage secular mothers to have more babies. Her own mother raised eight children and served as a role model for her.
When asked about combining a career with a large family, Katan responds:
“I wouldn’t recommend it. The list of priorities was always clear to me: My family comes before my career. When my daughter expressed an interest in medicine, I suggested that she study nursing and become a nurse. It’s very difficult having such a demanding profession as a woman: The unending duties on Shabbat and on holidays as well, the kindergarten birthday parties I missed.
She mentions that she did not advise any of her children, male or female, to study medicine.
Katan disagrees with the stereotype of an unhealthy, poor mother whose many children don’t get enough attention. According to Katan, studies that show disadvantages among children of large families are based on populations without the resources that Orthodox Jewish families enjoy. [My husband read somewhere that modern Orthodox Jews and fundamentalist Christians are the only educated, socio-economically stable population to raise large families.]
As a fertility specialist, Katan has helped families who struggled to get pregnant with their ninth child. When asked about lack of attention, she responds, “There is extra attention from the older siblings which smaller families lack, and it’s as important.”
For me, spacing of children is more of an issue than the number. Toddlers need their parents (ideally their mothers, if she is the primary caregiver) as much as they did when they were newborns, if not more. Couples who plan to try and conceive before their baby is a year or so need very strong support. Relationships with older siblings are wonderful but babies and toddlers are still the parents’ primary responsibility.
Of course, each family is different and spacing of children is only one factor in the success of a family.
Related posts:
Child Spacing Part 1: When Does Chinuch Begin
Child Spacing Part 2: Fertility and Parenting Styles
How Do Large Families Manage? Meet Tal and Talia, parents to a fictionalized large family.
Thanks to Jameel for sending the link.
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Maya Norton Said,
April 16, 2009 @ 6:54 PM
I once asked a mother I met in Tsfat how it felt to have 12 children. She explained that when her first baby was one, she knew how to raise a newborn. When her first baby was two and her second baby was one, she knew how to raise a two and one year old. And so on.
I’m not sure I agree with her that sibling attention, even of a loving older sibling, is as important as that of the parent/adult primary caregiver.
The idea of this many children doesn’t make sense for me as I practice attachment parenting which gives the baby the absolute maximum in parental attention, but I’m very interested in how others do it. Off to read your links on child spacing.
~ Maya
triLcat Said,
April 16, 2009 @ 10:13 PM
I’m not into attachment parenting, personally, but my children have been very much into attachment babying (even the bottle-fed one) That is, both kids spent more than 1/3 of their first three months attached to a parent’s chest with a baby carrier of some sort, and the 4 month old shows no sign of that need ebbing.
I’ve found that children under 2 need pretty much constant 1-on-1 supervision (my older one will be 2 in June.) As a result, if you have 2 under 2, you’re likely be stretching yourself thin. Then again, I know twin moms who do fine, so I could be totally wrong.
mominisrael Said,
April 16, 2009 @ 10:42 PM
Maya, thanks for your comment. If you read those other posts you know what I think. Even if siblings are as wonderful as she says, teens are not around all day and night.
TC, I think that’s generally true. But I’ve met many mothers who were thrilled with closely spaced kids.
Maya Norton Said,
April 16, 2009 @ 10:45 PM
Generally, spacing siblings is considered an important part of AP for the reasons you mention. I know that I couldn’t be a good mother to closely bunched children– or more precisely, it would be very difficult for me. Does that mean that someone else couldn’t? I don’t think it’s fair for me to make that judgment.
I thought this point was interesting about multipara being beneficial for health as many of the Orthodox women I know who have large families have health complications along the way that have affected future fertility.
YNET: Doesn’t a prolific mother pay a price in terms of her health? // “Just the opposite. Being a multipara contributed greatly to a woman’s body. There are lower rates of uterine, ovarian and breast cancer among prolific mothers. In addition, being a multipara testifies that a woman is healthier, and points to a longer cell life.”
She then goes on to say that she has clients with 8 children “crying… to have their 9th.” I want to say that if your body is telling you to stop, then you should stop, but on the other hand, I also feel that it would be unfair to say that to someone suffering from secondary infertility, so I don’t know.
mominisrael Said,
April 16, 2009 @ 10:52 PM
I don’t claim to be an expert but I think the same thing applies to mothers. In other words, I suspect that a large number of pregnancies will not lead to problems, but close pregnancies might. Keep in mind that all pregnancies can lead to complications (beyond the pregnancy/birth itself), so the more you have, the more likely something will go wrong. In other words are the chances of something going wrong with number 4 greater than with number 1, factoring out age? I don’t think so, but the staff at the hospital where I gave birth last time was sure that anything after 5 involved serious danger.
Victoria Feinerman Said,
April 16, 2009 @ 10:58 PM
My grandfather was a doctor, and I remember telling him one day when I was in my teenage years that I wanted to be a neurosurgeon. He replied that being a doctor is not a suitable job for a woman, because she has to take care of the kids and home, and medicine is too demanding.
Well, I was pretty mad at him. I thought he was old-fashioned and chauvinistic.
Now that I have 4 kids and a job, I understand exactly what he meant, and I agree with Dr. Hanna Katan’s view of medicine as a profession for mothers. Having a family means work. It takes time and effort. It cannot be easy to do your duty by both your patients and your children.
Note that my husband cooks and cleans and takes care of the kids equally – actually more than equally!
I agree that older siblings can contribute a lot and their attention is valuable to the younger siblings. However, I do not think it is fair to turn the older siblings into little parents for the younger siblings. They deserve a childhood, too. It is important not to drop all of the parenting work on them.
Maya Norton Said,
April 16, 2009 @ 11:08 PM
“The staff at the hospital where I gave birth last time was sure that anything after 5 involved serious danger.”
What are your thoughts on that?
mominisrael Said,
April 16, 2009 @ 11:10 PM
I gave birth in Tel Aviv. I heard that in Russia, they think that third births are dangerous. In Shaarei Tzedek in Jerusalem I doubt they are freaked out by number twenty.
triLcat Said,
April 16, 2009 @ 11:12 PM
Maya – not an expert here, but 4 of my siblings have 6 or more kids. 3 of the women take excellent care of themselves during and after pregnancy, and seem to be in fine health both during pregnancy and afterward – they eat a lot of protein, take vitamins, etc.
The 4th had very hard pregnancies, and I suspect they may have damaged her health.
I have so-so pregnancies and am going to try to build up my strength very seriously before I have another go at it.
I’m not a doctor, so… ymmv and all that. I think that a woman who has good pregnancies and good pre and post natal care can go through a lot of pregnancies safely without damaging her health.
mominisrael Said,
April 16, 2009 @ 11:16 PM
Does that answer your question, Maya?
Victoria, thanks for sharing that story. As for siblings, there is a lot of middle ground between not helping at all and becoming mini-parents.
Maya Norton Said,
April 16, 2009 @ 11:21 PM
It was interesting, but I was asking less about the pregnancies themselves than your take on what the staff was saying and why.
In the Negev, no one said anything about the number of pregnancies– although perhaps they would if it wasn’t my first– but there was a tremendous emphasis on waiting a year for your body to recuperate.
mominisrael Said,
April 16, 2009 @ 11:24 PM
They wouldn’t let me give birth in the “natural birthing room” because it was my 6th. And while I was waiting the long hours for my contractions to catch up to my ruptured membranes (with meconium), while they pushed pitocin on me mercilessly (the doctor, not the midwives) they had a lot of opportunities to remind me that this was my 6th baby. They must have mentioned it half a dozen times.
mominisrael Said,
April 16, 2009 @ 11:26 PM
Oh, and I can’t recall any health professional telling me to wait a year before getting pregnant again, or bringing up the issue at all.
Maya Norton Said,
April 16, 2009 @ 11:30 PM
“…While they pushed pitocin on me mercilessly (the doctor, not the midwives) they had a lot of opportunities to remind me that this was my 6th baby. They must have mentioned it half a dozen times.”
Just in case you forgot. Lovely.
Shosh Said,
April 25, 2009 @ 9:38 PM
Does anyone have any thoughts on pregnancy at45?
mominisrael Said,
April 25, 2009 @ 9:48 PM
Shosh, is this in general or for yourself?
Dr Hava-Yael Schreiber Said,
May 3, 2009 @ 2:06 AM
Fully agree with Dr Hana Katan: since both being a mother and being a doctor are very demanding if you want to do it right, they are hardly compatible… It is possible though but then exhausting and with a lot of self-sacrifice and still remaining doubts and guilt feelings (I know since I am a friend and collegue of hers)
About grand multiparas (women with more than 5 children) each case is individual: I have seen patients with 12 children and perfect health, well taken care of bodies, nice and happy families, all OK while some with 3 children are devastated bodies with zillion pregnancy-related complications. Here too we are not born equal, some are “made for having children” for some others it is excruciating to either get pregnant or keep the pregnancy or deliver…. As a rule one of the major risk factor is age (and when it is your 12th you are usually over 40) and obesity (diabetes, hypertension and need for Cesarean then increase tremendously… But a first mother at the age of 45 is also high risk pregnancy and delivery.
As for the mother of 8 who cries for a 9th I think there is a lot of peer pressure in the religious circles and it is sad that a woman should feel she is worth something only if pregnant…. In any case she should look at the (more than) half glass full (8 kids) rather than the empty part (her “need for a 9th)
Dr Hava-Yael Schreiber
mominisrael Said,
May 3, 2009 @ 6:33 AM
Dr. Schreiber,
Thanks for stopping by and sharing your perspective. No one has mentioned gallstones,which are more common in ‘grand multiparas.’