On Sundays I like to read the local paper, let’s just call it the Boca Breeze or otherwise known as “Boca Commie Rag” for all of you Seinfeld Fans. In doing that I usually get all spun around with the print that is jumping off the pages at me. My heart rate starts pumping, my hair stands on end and the hubs has to hear my pie hole flap on overdrive about something that I feel very strongly about. Most of the time the hubs and I agree on everything, which makes it nice for keeping the “domestics” down,there are things that just make my blood boil that he really does not care about and then it enrages me more that he does not see how important the issue is regardless of what side anyone is on. This is when he tells me go write a book about it. Well, this forum is not exactly a book forum, but it is a writing forum and now you all are subject to my flapping pie hole or should I rephrase, my typing with great passion and zeal! Hence the birth of Soapbox Sundays!
(I wish I didn’t have to put this disclaimer) I understand and respect that people stand on different sides of issues with great passion. If you like or dislike my point of view, I welcome respectful and well educated points of view (do your research and that is not talking head media or forums like the View, Trya, Glenn Beck, Rush Limbaugh, GMC, TMZ, etc – meaning research even what they are saying). Maybe someone can change my mind and maybe my soapbox can change someone’s point of view. I do feel the more I learn and know the more I realize I don’t know and I am open to hearing all points of views; I feel that makes me a very well rounded person. That is not saying that some of my convictions I will cling to, but I will always be open hearing what each side has to say.
First Soapbox Sunday issue . . . HOME BIRTHS, A SELFISH CHOICE
“At the end of the day, hospitals are for sick people, and I’m not sick,” said Jacobowitz-Kelly. “I’m going through one of the most natural processes women can go through, so why do it anywhere other than the most natural setting — my home.” This is an on going quote that I hear in regards to home births and promoting this choice. Well, let’s talk about that. Child birth has solid risks involved, you can bleed out, your blood pressure can rise or fall, your body may not be equipped to get out a baby, you can form an infection, and I assume there are more woman based complications that can arise while birthing that child you have put in the time to have. Now for the baby complications, there can be all kinds of cord issues, the baby can ingest meconium, there can be presentation issues where the baby can NOT be delivered vaginally because they are breech or trying to push through the pelvic bone, the baby may not be able to tolerate the contractions because they are smothering or essentially crushing them, they can have poor respiratory issues and fluid in the lungs, and many more things that an go wrong at the eleventh hour where now mother, baby or both are now placed in “sick, needing medical intervention” status.
I found a site that is put out by the American Pregnancy Organization that states that 875k woman experience pregnancy related complications, 467k babies are born premature, 307k babies are at low birth weight and 154k are born with birth defects. I understand there are many in this group that are probably not considered “life threatening”, but all of these stats are situations needed some sort of medical assessment and treatment. Those are big numbers and that speaks volumes to me.
All the statistics in regards of Hospital Births vs. Home Births are on a shaky note, seems no one wants to commit or there is not enough data. There are stats that state that there is a 30% C-section rate in the US, and that is the reason for the rise in mortality of mothers, yet they are leaving out that there are older women having babies and more obese women having babies which bring in a whole other layer of complexity. C-sections seem to becoming a scapegoat to the pro- home birthing communities.
In most of my research it is all about the mother’s right to her birth plan that the home birthing communities is defending, not what is best for the baby. This boggles my mind, being a woman that HAD to have a C-section with my first child because she was a complete breech and she was NOT going to turn around and my cord was exposed to collapsing in the birth canal, essentially cutting off the life supply to my child , if and when my water broke. I also have a friend that would still be pushing her son out three years later, because of his presentation. In my small circle of friends and acquaintances all of the listed above complications has been a factor in someone’s delivery process. If you, the reader, truly sit down and take stock in the birth stories you have had heard in you circle of influence you could probably check off a many of those as well. The bottome line is holding vigil on a woman’s right to her birth plan is not going to save lifes.
That is why when I hear the quote that hospitals are for sick people it is like nails on a chalkboard. It is been proven to be medically safer to go to the hospital to have babies. That is why the majority does it. There are not insurance and doctor agendas, OB’s pay the highest amount of malpractice insurance than any other practitioners. Why is that? It is because when things go wrong, they are bad and someone is either dead or seriously injured and when babies start dying or are permanently injured emotions go awry. I understand that. I also understand that because of the lawsuit happy land we live in doctors do practice medicine in “defensive” mode. Eighty percent of the tests given today are “CYA” motivated. I know that with my two pregnancies I had tests and scans that did not really need to be done, but thankfully with both kids they found out I had serious issues during an “un-needed and additional” scan that saved my kids life and/or quality of life.
I find that may of those that promote home births are the same people that will march in the “Right to Life” rallies and be the first to argue pro-choice with anyone, yet they are willing to compromise the safety and health of their child for a selfish conviction of not wanting “medical professionals to run their birth plans”. I just don’t understand that thought process, to me it is as if they are a walking contradiction. I also find that if things went wrong at home, those women would give anything to reverse the outcome, meaning have that baby at the hospital. They are not standing by their home birth convictions any longer and that should be a big red flag for women toying with the ideal of home birthing.
As you can tell I have a BIG opinion about this, I even have been published in my local newspaper regarding this issue. When I hear that someone is trying to take away the legitimacy of what an OB is telling them to do for the best outcome for them and the baby based on known risks or if they are part of this home birth community, I think they are selfish and in many ways very ignorant to the realities of this harsh world; I feel they are choosing to play Russian roulette with life. It is hard enough to carry a baby to full term without complications, why make it harder?
I feel that child birth is a beautiful thing and if you are the lucky majority that gets to have normal, non-complicated births, more power to you. However, let the natural process of child birth be monitored by the professional and allow yourself and that child, that you work so hard to carry, have the best medical interventions ready and available if things start to go sideways. Sacrificing and being selfless of your ideals and wants is what parenting is all about, it should to start from day one of that child’s life.
[…] Some would think I am contradicting myself when it comes to me saying I don’t want a lot of government imput, yet I feel it is the government’s responsibility to hold those on welfare accountable and to make home birth’s illegal (I will address home births in a later post). […]
Being a former Nurse, I can’t agree with you more! My youngest was born with serious complications and spent a week in ICU. In a home birth situation, he probably would not have survived. Leave the birthing process to the Professionals. As always, a great, well thought-out post!
Thanks Idiot! You are now # 27 reasons that back my stance! 😉
Okay I will be the voice of descent soley because I know a number of women who have successfuly given birth at home and found it to be a lovely experience. They were lucky and had uncomplicated pregnancies and births.
I am way too anxious to try a home birth and want a fully trained medical staff at my disposal to help at the first sign that anything is wrong….I think I probably would have eventually given birth naturally but it would have been very long and painful and horrible. For me the hospital birth allowed what would have probably been a 48 hour labor to only be a 24 hour labor! Lucky me!
If anything a good deal of my friends have had easy birthing stories and seem mystified and subtly judgemental that I used an epidural – some gave birth at home, some in birthing centers, some in hospital but without an epidural. This was certainly annoying to me. I pointed out to them that in all their cases they gave birth within about 6 hours of going into labor – at 6 hours I was only dilated 1cm!
So I understand your passion on the issue but also think that a well trained midwife will be able to tell you if will be able to successfully and safely birth at home or will need to go to the hospital. One of my friends had planned a home birth but went into labor early and was devestated when her midwife told her that she would need to go to the hospital. I felt for her but it also seemed to me that the midwife was taking the necessary precautions.
Okay…I’ll get off my soap box. 🙂
FL: Thank you for a good other perspective! I understand the judgmental scowl. I live in an area where “organic” motherhood must reign and this whole home birth and VBAC, and midwife thing is shoved down your throat every time you turn around. Especially when they find out you have had a forbidden C-section from the “evil insurance pushing doctors”. I once was told by a woman in a nursing class that I betrayed motherhood because I did not try to have my breech child turned around by the midwife. I was advised by two doctors that was not an option nor would they do it due to her presentation and risk factor. I was given my C-section walking papers well in advance and I was OK with that. Also after delivering a 8.6lb baby three weeks early I was pretty happy I did not have to try to have a 10lb at full term.
Yes you are correct, there are amazing home birth stories, I still feel like it is still too risky for my liking. Maybe I would have a different perspective if I did not live in a specialists for high risk pregnancies office and the hospital both pregnancies.
As for your social circle that were judgmental or your epidural vs. natural birth process, there are no medals handed out after hours of gnashing of teeth, whaling, vomiting, and not so shining moments. The prize is all the same… a baby. So why not add a little modern medicine cocktail to your birth plan, I think you were the smart one! I was all about that plan before giving the news of the C-section. Hey, I passed kidney stones eight months preggers with both girls with no pain meds (not by choice) and that was proof enough to me to embrace relief during child birth, even though my husband said I was a rock star and now a proud mother of 4 kidney stones named Pain, In, The, Ass. 🙂
I totally agree with you on this one. And you’ve highlighted all the reasons why I chose not to have a home birth. I feel much safer in the hands of professionals who will know how to deal with any emergencies etc. I think when it comes to childbirth it’s important to make an informed decision. But as you’ve mentionned, I also feel that nowadays a lot more emphasis is put on the mother’s rights/choices than on what’s best for the baby.
Thank you Waiki Says! In my research I saw a documentary on Free Birthing in the UK and it is illegal to not have a midwife/OB present at home births and there is a big discouragement for home births all together. I liked that idea. Here in the US, you can birth a baby at home legally without any professional medical care present. That just seems so insane to me. This is something I think we should adopt from you. . . as I have tomatoes thrown at me from a million different groups behind this cause.
This is a great post.
While I do personally believe that some some hospitals push certain interventions when it comes to childbirth in order to adhere to certain timelines and maximize ‘productivity’ I still think hospitals are by FAR the best and appropriate place to have a baby.
Sure hospitals are for sick people. But they, and doctors in general, also practice preventative medicine, which is the most important aspect of medical care. Why wouldn’t a person want to put themselves in a situation best suited to handle any type of emergency or medical problem?
Can a home birth go well and result in a happy baby and mother? Sure. But I don’t see the point in risking it.
The beauty of having a baby in a hopsital is you still have the option to labor and give birth as naturally as you would like, yet if you change your mind about your birth plan or God forbid if something goes wrong, they are there to intervene.
To me, the idea of choosing a home birth and ignoring the preventative aspect of medicine is akin to choosing not to do regular pap smears or mammograms or physicals as if they are also some sort of conspiracy. Preventive medicine saves lives.
Stepping down off soapbox… btw I love the Sunday Soapbox idea!
Thank you CMG! I kind of got the Soapbox Sundays idea from how you and PP have designated days for things. I like that. It keeps me accountable to write.
Also, I do agree with you that hospitals and doctors over treat and are quick to interventions, but I feel it is because of the sensitivity and emotions of the issues and lets face it the possible pending lawsuit if things really go south. It is sad that it has to be that way, but I understand that. I had a long discussion with my OB about this subject and he was honest, a 2 million dollar lawsuit payout (which is a common payout) can essentially mean that OB is paying for a raise in an already very pricy malpractice insurance premium for the fist 3-6 months of the entire profit of his/her practice. That would very much lean me to be VERY conservative and be VERY quick to interventions for safety and a better outcome risk. Again, sad it has to be that way.
Sad, but also better than the alternative. I actually had a very eventful induction due to failing kidneys (mine) at 35 weeks and while my daughter was perfectly healthy I don’t know whether I’d have made it through without the preventative measures my doctors and nurses took. And I was still able to have her without an epidural which is something that happened to be important to me. I just trusted my doctor and we had an open line of communication and I am happy with how everything went.
If you don’t trust your doctor then you have a whole other set of problems.
I am with you 100-percent! This is a great post. If it weren’t for excellent hospital care (went into active labor at 20 weeks with first baby, second baby born a month early with serious lung problems) I wouldn’t have my daughters. Can’t imagine that. And I would never have a baby without every drug offered. Just sayin’.
I can relate and share the pre-tem labor sentence with you. I too may not have my daughters if for not excellent medical care. Having babies is a whole other ball game than what Hollywood portrayed:-)
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