Author Interview: Sarah Bilston on "Bed Rest"
By Sarah Egelman
Author Sarah Bilston's debut novel Bed Rest presents the story of Quinn Boothroyd, who is faced with a challenging pregnancy. Everything will be fine, the experts tell her, as long as she maintains bed rest. Bed rest is a reality for many pregnant woman and Bilston's book addresses issues specific to it. However, in doing so she also examines the emotional challenges that accompany all pregnancies. Ms. Bilston took time out of her busy schedule (she is a mom, writer, professor and is herself pregnant right now) to answer a few questions about this interesting and thought-provoking book.
Sarah Egelman: Your protagonist, Q, is ordered bed rest for the last three months of her pregnancy. Why did you choose to focus on bed rest for this novel? Why write about such a physically challenging and emotional complex pregnancy? In what ways do you feel this type of pregnancy is significantly different from a healthier one? In what ways is it typical?
Sarah Bilston: I was placed on bed rest myself two years ago, and frankly I was astonished: I'd never even heard of it! Then I came to realize what a common phenomenon it is (1 in 5 of all pregnant women spend some time on bed rest) and I felt it was a story waiting to be told.
Most of us, when we get pregnant, have some basic expectations: we think we know what pregnancy is going to be like. It'll last 40 weeks, it'll end with labor, and then we'll experience a happy moment of communion with a healthy child. But the truth is, pregnancy doesn't always follow that narrative, and it can be a real shock when things don't go according to plan. I wanted to write about the sense of loss and grief women experience when the dream of a 'normal' pregnancy ends. I also wanted to explore the ways in which women gradually adjust to their new reality.
The most significant difference between a 'normal' and a high-risk pregnancy is the fact that high-risk women, particularly those on bed rest, must surrender their normal lives until the baby is delivered. Of course, bed-resting women can give themselves projects, a routine, and daily challenges to stay sane and productive, but their primary goal, day in, day out, is to keep and grow their baby. It can be challenging to become what Sylvia Plath called "a means, a stage, a cow-in-calf" –- no matter how desperate a woman is to secure her longed-for child's well-being.
Having said that, there are obviously many similarities between healthy and high-risk pregnancies, and it's probably too easy for high-riskers to overestimate how easy a 'normal' pregnancy is! Many common problems in pregnancy –- e.g. morning sickness, joint pain, headaches –- can be debilitating, plus of course many women worry about the health of their child, whether they are high risk or not.
Most women will be able to relate to Q's anxieties about her son and her sense that her body is no longer under her control, therefore [the book] will also strike a chord with even low-risk pregnant women.
Sarah E.: We read Q's story in diary form. Did you play with other forms of narration or was this how you wanted to tell the story from the beginning?
Sarah B.: I turned to the diary form because I wanted to capture the emotional life of a woman on bed rest. The first-person voice seemed the best way to introduce readers to the complexities –- the ups and downs –- of that experience.
Sarah E.: Q is initially quite physically and emotionally isolated during her bed rest and she definitely has to give up quite a bit of control. But, it ends up being an opportunity for introspection and growth. Do you feel pregnancy is, in and of itself, a time of reflection and evaluation? What about a sense of control, over our bodies and emotions, it seems to sometimes be lost, to some extent during any type of pregnancy?
Sarah B.: I wanted to make it clear that bed rest can have a silver lining, so to speak; for Q, it's the first time she's stopped and had the opportunity to think about her life –- who she is, the choices she's made, what her own parents were like, what kind of parent she wants to become. Those are all questions that surface in a 'normal' pregnancy too, of course: pregnancy is inevitably a sort of hiatus from normal life that encourages us to rethink that life.
And yes, I think there are many ways in which what Q is experiencing is simply a more extreme version of what all women experience: she learns that she can't control her body, her emotions, her world as carefully as she thought she could. All good lessons for parenting itself, of course!
Sarah E.: Only about 700,000 American women are prescribed bed rest every year. How is your subject relatable to moms, moms to be who did not have to go on bed rest? How is it relatable to fathers or those who have never had children?
Sarah B.: First, as I said earlier, one in five of all pregnant women spend some time on bed rest, so it's a realistic prospect for any pregnant woman.
But even beyond the subject of bed rest, I wanted the novel to be about the challenges that couples face when they consider parenthood. Because, after all, for many people pregnancy happens at about the same time as other important life changes: marriage, job promotions, home-buying, the feeling of being 'grown-up' at last.
How do you juggle all of those things at once? How do you adjust psychologically? What gets priority –- and what if husband and wife discover they have different priorities? Everything comes to a head at once, and in the midst of the maelstrom appears a tiny vulnerable being who needs constant attention 24 hours a day. Parenting, particularly in the early days, is not about self, it's about self-sacrifice, and that can be hard for people who have spent the last 5, 10 years focusing on achieving their own goals.
These are issues that just about anyone who decides to have a child must contend with, and I think that makes the novel relevant to many, many different kinds of people.
Sarah E.: In her Washington Post review Leslie Morgan Steiner says Q seems "oddly dispassionate about becoming a mother." How would you characterize Q's emotional state? Are all women wildly passionate about becoming parents? Shouldn't women, even those with planned pregnancies, be allowed to feel (and verbalize) their anxieties, doubts, and even ambivalence?
Sarah B.: Yes, I was really surprised by that remark. First of all, it seems to me that just about every woman I've ever met, no matter how passionate she is about becoming a mother, experiences a complicated rag-bag of emotions about pregnancy. Feelings of detachment and confusion are inevitably in the mix. Pregnancy –- any pregnancy –- imposes costs on the mother; most of us bear those costs willingly, but that doesn't mean we don't notice or mind them at the same time.
I don't think we're doing women any favors if we suggest that feelings of detachment or even anger are strange and unusual. Particularly if the pregnancy requires strict bed rest for months on end!I wanted to write a novel that acknowledged a whole spectrum of feelings, from devotion to anger; a novel in which a protagonist was honest about everything she was feeling. Yes, Q has chosen to become a mother, but that doesn't mean she's some cardboard-cut-out mommy in twinset and pearls celebrating every single day of her pregnancy.
She's a frustrated, angry, sometimes desperate woman who is struggling to do her best in difficult circumstances. Switch on the TV these days and you'd think mothers are people who get orgasmic pleasure from having a clean kitchen floor. I loathe those images of motherhood, and I really think that those of us who write about contemporary mothering need to counter them with balanced, realistic, honest portraits. I'm proud of "Bed Rest" for trying to do just that.
Sarah E.: The Post review is also critical of the tense relationship between Q and her husband Tom, a lawyer working hard to make partner. Why is their relationship so tense and why should readers be sympathetic to Tom who seems even more unsure about parenthood than Q does?
Sarah B.: Again I thought this was an odd comment; few marriages are perfect! It's quite true that Q's early claim that her marriage is going well is suspect, but I imagine many people are unwilling to admit –- until they really have to -– that their relationship needs work. Tom is in a tough position. Partly it's his fault, partly it's how he's 'made,' so to speak: he's been born and raised and educated to make it to the top of the tree. He loves Q, he wants to have a baby, but the baby's not living inside him, and so the reality of parenthood just hasn't quite hit him yet.
Plus he's still following the old rules, the ones his father instilled in him: get promoted, make money, provide for the kids. He just hasn't fully realized that he needs to give his family emotional, rather than financial, support. He's far from a perfect partner to Q, but he's not a bad man; he's simply a few chapters behind her, so to speak, in terms of reassessing his life and figuring out what he wants to achieve going forward.
Sarah E.:This novel is bound to get categorized as "chick lit." How do you feel about this genre and do you think "Bed Rest" belongs to it?
Sarah B.: You know, I don't actually know very much about modern chick-lit: the kind I know best is the nineteenth-century kind! In my other life, I'm an academic, a professor of English (Victorian) Literature, and I've been researching and publishing on Victorian women's writing for the last decade. There are many ways in which "Bed Rest" is actually a modern version of a Victorian three-decker, complete with a resolutely domestic scene and an incomprehensible husband!
The only thing that does frustrate me about the characterization of the novel as 'chick-lit' is that it makes people take it less seriously; readers go in assuming it must be light and frothy, whereas I think it actually raises some fairly important questions. But writers of women's fiction have been struggling with this for centuries ... If a novel has a female protagonist, if it assumes a predominantly female audience, if it focuses on issues affecting women –- particularly on women's bodies -– expect to find it treated as hormone-ridden fluff!! Sad, but true.
Sarah E.: Q's life becomes full of quirky characters, she finds friends where she didn't expect them. Tell me a bit about your favorite supporting character.
Sarah B.:Definitely Q's mother and her sisters, Alison and Jeanie. I loved creating them; they make me laugh. I also liked forcing Q to reappraise some of her preconceptions about her family as the novel progressed ...
I was incredibly lucky when I was on bed rest: I had tons of support from my husband, my family, and my friends. But I couldn't help wondering how women cope in less-than-ideal circumstances, and as I wrote the novel I worked to show how isolating the experience can be.
Then, as the story progressed, I enjoyed bringing my heroine support from unusual quarters. It was all part of my overall sense that bed rest can be a time to discover new things not only about yourself, but also about the world you live in.
Sarah E.: What have you learned, as a writer, from writing and publishing this novel?
Sarah B.: I've learned that people still find it hard to accept representations of mothers as anything less than 100 percent gung-ho about maternity, and that has really astonished me. I've also learned a lot technically, and I'm enjoying trying to put those skills to work in the sequel to "Bed Rest," which is entitled "Sleepless Nights."
Sarah E.: Anything you'd like to add/discuss?
Sarah B.: Women on bed rest can get lots of great information and support through www.sidelines.org. Sidelines is an organization devoted to helping women on bed rest and in high-risk pregnancies, and it can provide women with mentors to guide them through this difficult experience.
Bed rest may sound like a picnic in the park –- the number of times I've heard a version of the line, 'Gosh I could have done with a rest in my pregnancy' –- but it isn't. Women on bed rest experience a range of debilitating physical and psychological symptoms, and they need all the support they can get. My website, www.bedrestdiary.com, has links to support groups and also tips for surviving the experience (I also have an author website, www.sarahbilston.com).
Bed Rest was provided free to DotMoms for review and is available at Amazon.com. This interview took place via e-mail and has been edited for space and clarity.
Sarah Rachel Egelman is a community college instructor and freelance book reviewer who lives in New Mexico with her husband and daughter.
