Unless you have just started following my ramblings, you probably know that I'm just a
little bit "crunchy" and follow some of the more natural parenting practices such as natural childbirth, cloth diapering, extended breastfeeding,
babywearing, and co-sleeping. I'm perfectly fine with my friends who don't, and while I love this way doing things for me, I'm less interested in convincing people that I'm right than I am in simply presenting information so that other mothers can have more choices.
I had two very "
medicalized" births and one (so far, this next one is on the same track as well) natural childbirth with midwifery care throughout. Hands down my health both physical and emotional, and my recovery were miles ahead in my last birth. I desired natural birth with my first two but due to lack of knowledge and lack of a supportive medical staff, things just didn't go that way.
This past fall I was able to attend a screening of a very important film called "The Business of Being Born" and while I thought I was becoming more informed about birth practices, the information presented was shocking to me.
I honestly feel that anyone who has given birth or will give birth here in the USA needs to have this information. Again, not to convince you that "we" are right and "they" are wrong, but simply so that you can understand the choices that you have, but are not given or informed about.
A disclaimer: this is a very real documentary, about birth. so yes, there is lots of skin--all in the context of labor and birthing, but skin nonetheless. It also contains some unedited remarks of women in labor, and not everyone giving birth necessarily watches their language.
Another thing, the movie is focusing on the "business" behind current birthing practices and
protocols, and compares them to what childbirth can be like. This is presented in the context of
homebirthing for the simple reason that the midwife they followed happens to be a
homebirth midwife in NYC. Don't get the impression that they are advocating
only homebirth, that is simply the dimension that gets the most time. It is possible to have a natural birthing experience in a hospital, however the film points out very clearly that the system is totally stacked against that happening.
A few of the more important points that the film addresses are:
-the snowball effect of medical interventions. A hospital is a business, patients in, patients out, that is where the money comes from. Thus patients are put on a timeline... well, birth doesn't aways follow a timeline. Thus begins the cycle of interventions. First a little
pitocin to augment labor (usually needed because women are laboring on their backs, tied to too many monitors), then of course once the
pitocin is started, the pain becomes
unmanageable without medication, this relaxes you, but also slows labor again, so, more
pitocin is needed. This cycle repeats. Finally, the baby is being squeezed by these unnaturally strong, unrelenting contractions and starts to have its blood supply
compromised, its heart rate drops, and it goes into distress. Mom is then rushed into an emergency C-section due to fetal distress, and everyone is so happy that the baby was saved because of the section... many times, without the initial interventions to augment labor, this would never have happened. The incidence of unplanned c-sections following the introduction of labor augmenting drugs is undeniable, but this is not often disclosed to moms in labor.
-the importance of the chemical effects of the hormones released during labor and birth. Briefly,
oxytocin and other brain hormones linked to feelings of love, nurturing and even addiction are released during labor and delivery. These hormones are lost when replaced by synthetic versions (for instance,
pitocin instead of
oxytocin). In nature the simple story is that if these hormones are missing during birth, the mother animal rejects the baby. For instance, if a monkey is given a c-section, it will ignore the baby and let it die. Now obviously no one is saying that a human mother can't overcome this and love and bond with their baby despite this! However, the medical history of birthing in the USA over the past 80 years is fraught with mistakes that we didn't find out until after the fact. Think of routine
pevic exrays,
thalidomide, and
cytotec induced uterine rupture. Will the study of mother-child relationships in the next generations show that our messing with these natural hormones was a huge mistake?
- Doctors, hospitals, and insurance companies are all equally complicit in misleading both one another and the birthing women in the USA. We are the second leading developed nation when it comes to maternal mortality.... first if you count only the largest nations. One interesting note that I found out in the panel discussion that followed the screening I attended (it's not in the film) is that if all the numbers were out in the open, our numbers would be even higher. For example, in the UK, any mother who dies within a year of giving birth is automatically listed as a maternal mortality, pending investigation for the real cause. In contrast, here in the USA, an obvious maternal mortality may be listed as sepsis or
hemorrhage instead, thus skewing the numbers.
Ok, before I simply post the entire film, let me again say that despite my disclaimers, I do think that the information in this film is vital for women who have or will give birth. The good news is that although this film was originally only released through private screenings, then for rent on netflix, it is now available in it's entirety online, for free.
http://quicksilverscreen.com/watch?video=45525I urge you to find 1.5 hours to watch this important film.