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| A wonderful introduction to life Kylie and baby Rebecca, only moments old Born blissfully in her living room |
I've blogged before about other people's choices feeling confronting for some. But this opinion piece, absolutely dripping with projected fear and grief, compelled it's very own response.
Alissa Warren wrote: "You don't need to be a mother, let alone a woman, to know that things can go horribly wrong during childbirth. And you're crazy to think otherwise."Birth is a part of life. It's an incredibly common misconception to think that women who choose to birth at home believe that "nothing will go wrong" during their birth. On the contrary, women who choose to birth at home are doing so against spectacular cultural pressure: if anything, it could be assumed that homebirthing women are more aware of the potential complications that can arise during the broad spectrum of what is physiological birth. Although, as in life, there are no guarantees; for the most part, birth progresses just fine if it's left the hell alone.
It's important to note that, in a spontaneous, unhindered labour, a women progresses according to what her body and her baby need. A midwife or other skilled birth attendant will quietly observe the woman; her movements, her noises, the positions she instinctively puts herself in. Anything that seems 'not quite right' is noted, and indeed, help sought if necessary. More often than not, major problems will present themselves with adequate warning – perhaps bleeding, perhaps unnatural pain, perhaps odd sensations or discomforts. It's about being connected to the labouring woman, and allowing HER to be connected to her instincts. And how many of the 'emergencies' that arise in a hospital birth are actually a result of an intervention in the first place?
(And I'll thank the journalist to refrain from the use of the derogatory insult "crazy". Not only is it inaccurate, but it's degrading to those who genuinely suffer from mental illness.)
She wrote: "That's why there are professionals who specialise in obstetrics. I'm astounded that any mother would choose to have her baby at home - regardless of whether a midwife is present or not."Midwifery is one of the oldest professions in human history. The word midwife literally translates to "with woman." With today's midwives holding a bachelors degree and a lot of experience (both academic and practical), a midwife is just as qualified (if not more, in my opinion) to care for a labouring and birthing woman as an obstetrician. (A word which, interestingly, translates to "stand in front of".) In fact, a midwife can – and will – do far more for a labouring woman than an obstetrician. The only thing I believe an obstetrician can do that a midwife can't is to perform a caesarean section. Feel free to correct me if I'm wrong.
She wrote: "The death of a baby during childbirth would be unimaginably heartbreaking. And surely, any mother would go to any lengths to make sure this didn't happen.
So why do these homebirthers open their child - and their hearts - to the slightest chance of misfortune?"
Tragically, there are several stillbirths in Australia every single day. Yes – every single day, parents are launched into the heart-breaking grief of the death of their baby. These stillbirths are, for the most part, not splashed all over the news, nor are their parents publicly vilified and shamed by ignorant journalism.
However, one of the wonderful things about life is that health is a long, varied, complex and subjective spectrum between alive and dead. Life is not merely about maintaining a heartbeat. Life is full of tragedies and joys. While the death of a baby is, of course, unfathomably painful and should of course be avoided if we can so, we need to remember that death is part of life. And birth in hospital is certainly no guarantee that a baby will be born alive.
But, as Alissa points out, our cultural fear of birth is incredibly pervasive.
She writes: "To have simply considered [homebirth] shows a level of confidence most of us don't have. Including me."
"There's no doubt I was frightened about having my baby. I remembered all those rom-com movie moments in the '90s, a la, Nine Months, Father Of The Bride 2. Yikes..."
"I don't trust my body enough to give birth without some sort of assistance at the ready"
We live in a culture that loves to paint birth with fear and trauma and lots of panic and screaming. For the vast majority of us, we've never seen birth to be anything but this, and we've never heard any positive birth stories. All we've heard is how awful, painful, undignified and down right excruciating it is. Women's bodies are doubted and shamed, blamed, and normal pregnancy and birth is pathologised and littered with iatrogenic diagnoses.
No one seems to doubt that the act of conception can (and should be) wonderful, blissful, empowering, joyful, intimate and private. So why then, is it so hard to believe that the culmination of that conception – the birth – could be such a physiologically positive event, too?
She writes: "Having a baby is a big deal. If you're thinking about giving birth at home, it's time to blow out the candles and turn off Cafe del Mar. This is serious stuff. I understand that having a baby at home is about experience, empowerment and choice."
Experience. A great word. What does that mean?
Contrary to what popular media would have us believe, a homebirth is about far more than candles and Cafe del Mar (whatever that is. I don't actually know. I didn't have one at my homebirth though, so perhaps I was missing out on something?)
Consider the following:
What happens when we feel comfortable and confident? We relax. The cervix is a sphincter. What has to happen to allow bodily sphincters to open? We have to be relaxed and comfortable. Think about it - do you close the door when you visit the loo?
What causes uterine contractions? Oxytocin. How does our uterus contract efficiently and rhythmically and powerfully? With lots of oxytocin. What releases oxytocin? Feeling good. What hinders oxytocin release? Fear and adrenaline. Feelings of discomfort. Feeling unsafe. Even subconsciously. How often do you hear of women saying that they "didn't dilate" or "weren't progressing" or "weren't contracting well/consistently/regularly/strongly?" How many women's labours are either induced by or augmented with an artificial oxytocic? (Syntocinon, Pitocin etc). How many people actually walk into hospital and associate it – on every psychological and physiological level (conscious and unconscious) as being a place of warmth, love, and safety? Think about it. How do you feel when you step into a hospital? How does it smell? How does it sound? What sorts of feelings, thoughts, memories does a hospital conjure up for you?
Contrary to what popular media would have us believe, a homebirth is about far more than candles and Cafe del Mar (whatever that is. I don't actually know. I didn't have one at my homebirth though, so perhaps I was missing out on something?)
Consider the following:
What happens when we feel comfortable and confident? We relax. The cervix is a sphincter. What has to happen to allow bodily sphincters to open? We have to be relaxed and comfortable. Think about it - do you close the door when you visit the loo?
What causes uterine contractions? Oxytocin. How does our uterus contract efficiently and rhythmically and powerfully? With lots of oxytocin. What releases oxytocin? Feeling good. What hinders oxytocin release? Fear and adrenaline. Feelings of discomfort. Feeling unsafe. Even subconsciously. How often do you hear of women saying that they "didn't dilate" or "weren't progressing" or "weren't contracting well/consistently/regularly/strongly?" How many women's labours are either induced by or augmented with an artificial oxytocic? (Syntocinon, Pitocin etc). How many people actually walk into hospital and associate it – on every psychological and physiological level (conscious and unconscious) as being a place of warmth, love, and safety? Think about it. How do you feel when you step into a hospital? How does it smell? How does it sound? What sorts of feelings, thoughts, memories does a hospital conjure up for you?
'Experience,' in this respect, matters far more than just candles. In fact, it matters so much, that we have little trouble understanding that other mammals need peace and quiet to birth. Why do we have such trouble understanding that we need it too?
In order to avoid the potential complication of choking when I chew my dinner, would anyone argue that I'd be better off by slicing open my stomach and feeding it in through a tube? Absolutely not. So of course, it's worth taking that chance by chewing and swallowing. I figure, if I need medical assistance, I'll seek it. I'd much rather enjoy the 'experience' of tasting my food, sharing it with my loved ones, and curling up in my own bed afterward.
Tragically, more new mothers die by their own hand than by any other means. Women are actually suffering from Post Traumatic Stress Disorder (PTSD) following the births of their babies. PTSD is a diagnosis that was discovered after soldiers returned home from the atrocities of war. Would you argue that this wasn't based on 'experience'?
Tragically, more new mothers die by their own hand than by any other means. Women are actually suffering from Post Traumatic Stress Disorder (PTSD) following the births of their babies. PTSD is a diagnosis that was discovered after soldiers returned home from the atrocities of war. Would you argue that this wasn't based on 'experience'?
She writes: "It's very easy to panic about the entire childbirth process. Let's be honest, it's no picnic. But fear of childbirth and fear of hospitals are two totally separate things.
Of course they are separate things. I am assuming by this statement the author means to imply that women chose to birth at home based purely on a fear of birthing in hospital. Although this is a fairly hefty generalisation, even if it is the case – why is that a problem? If a woman feels safer birthing at home, and and research shows that homebirth is safe, why is this a problem?
For she also writes: "But there was one choice I did make. There was one choice I was absolutely hell bent on. I was having our baby in a hospital."
How wonderful that she was afforded the ease of this choice. How wonderful for her and her family that this choice was so respected and honoured for her, and that her experience was a positive one.
"She writes: "Many homebirthers believe if mothers let go of the fear, it would be easier to say "yes" to a homebirth."
Actually, I think the majority of homebirthers believe that if mothers can let go of the fear and shame that culture instills in a woman's body, it would be easier to say "yes" to birth – full stop. Where the mother feels the safest to birth is up to her - and no one else - to decide.
She writes: "...I couldn't think of a better place to recover than in a hospital. After my daughter was born, my beautiful midwife made me a cuppa and I didn't have to tell her where the tea bags were. I didn't have to worry about doing a load of washing (eek). And the midwives were there to help me through the first night so I could have a couple of hours rest. My husband would visit with our gorgeous but adventurous toddler and I'd bid them goodbye with a sandwich in one hand and a Scotch Finger in the other."
After my son was born, my beautiful doula made me a cuppa and I didn't have to tell her where the tea bags where. She also made me toast. And gave me a massage. I didn't have to worry about doing any washing - my doula and husband took care of that. In fact, I didn't do any washing for, oh, a few months. And my midwife and doula stayed until I was safe, rested, and feeling confident that they could go. And they came back the next day. And the next. And the next...
She writes: "In fact, when my doctor came to make sure I was OK to go home, I told him I wanted to have another baby just so I could come back to hospital. His response? "You're not the first to say that." Bloody hell. Stiff way to get a holiday, huh?"
Well here's a point we actually agree on. Women shouldn't have to be in hospital to feel they can relax and be cared for. They should be able to relax and be nurtured and waited on at home, by their family. It's a pretty sad culture we live in when women cannot escape confines of hateful domestic drudgery in their own home, when they've just given birth. Women in western culture are lumped with unbelievable, unrealistic pressure to just spring back to normal after they've given birth. Sad, huh?
She writes: "No matter what, a mother makes choices from the moment she knows she's pregnant: Will I keep this baby? Will I make healthier eating choices? Will I do yoga? Will I book them into childcare? And that's the beautiful thing about motherhood - choice.Yes, choice is a beautiful thing indeed. If only it were as simple as this. If only we weren't bombarded from all angles on the do's and don'ts of pregnancy: what not to eat, what exercise not to do, what to wear, what supplements to take. What tests to do. What monitoring to have...
She writes: "But it's a no-brainer when it comes to safety during childbirth. And that's something that shouldn't be up for debate. The health of a mother and her baby should be the No.1 priority during childbirth."So, according to Alissa, we can have a choice on whether or not to do yoga - but not where out child is born? Why should our right to bodily autonomy go out the window when we are to give birth – one of the most momentous rights of passage in a woman's life?
Choice. We should be so lucky, huh?
She writes: "Regardless of any homebirthing or freebirthing success stories, no one will convince me otherwise."
Advocates for homebirth aren't doing so to try and "convince" women who otherwise want to birth in hospital, to birth at home. Homebirth advocacy is actually about fighting for a woman's basic, bodily right to chose her own place of birth, and her own caregiver for pregnancy and birth. Why is that so hard to understand?
She writes: "Because having a baby isn't just about a mother in labour."
That's right. Birth is about the mother-baby dyad. It's about family. It's about culture. It's about continuum and species evolution. It's about feminism. It's about women's rights. It's about human rights. It's about the future of humanity. Absolutely - having a baby is about far more than a mother in labour. That's why it's so important that birth is a positive experience for the birthing woman, and subsequently, for her baby.
Because our babies are our future. Our babies grow into tomorrow's adults. And just imagine – what if those adults were introduced into the world with as much peace and respect as possible? Imagine...
Because our babies are our future. Our babies grow into tomorrow's adults. And just imagine – what if those adults were introduced into the world with as much peace and respect as possible? Imagine...


