Sunday, March 23, 2008

"The Business of Being Born"


This week I got to watch “The Business of Being Born,” courtesy of Netflix. :) I thought it would be fun to write down my impressions and share some of what I learned from the film.

First, for a little background, this film is a documentary about the maternity care system in the US. The point of the film was to expose some of the problems with the current system, as well as to give women some good information on the alternatives (midwifery care--homebirth or birthing centers). Overall, I felt the film was very eye-opening in a lot of ways. And it did a good job highlighting the positive things about OBs/hospital birth while at the same time exposing the not-so-good things. I didn’t come away with the feeling that they were completely knocking hospitals, but rather trying to show women that there are good alternatives, and that there is a lot more chance of receiving unwanted (and often unneeded) interventions in a hospital than there is with the midwifery model of care. Here are some of the statistics I jotted down as I watched the film:

~ Midwives attend 70% of births in Europe and Japan, and less than 8% of births in the US.
~The US has the 2nd worst newborn death rate in the developed world (that’s pretty scary).
~In 1900, 95% of US births took place at home. In 1938, half of the US births took place at home. By 1955, less than 1% of US births took place at home, and it remains the same percentage today.
~Since 1996, the rate of c-sections has risen by 46%. In 2005, one out of every 3 births in the US was a c-section. (There is something very wrong with this picture!)
~The US spends 2 times as much money per birth as any other country.
~People in our culture are likely to spend more time researching a major purchase such as a car, TV, camera, etc. than they do on researching their birth options.

I think one of the scariest things to me was the huge increase in c-sections. There is no way that that many c-sections are necessary. At least one of the OBs interviewed for the film admitted that there is a definite link between inductions and c-sections, which I found very interesting.

There were a few OBs that they interviewed who were very cool with homebirth and midwifery, and a couple others who had quite a negative attitude to the whole idea. One of them even said something to the effect that telling someone it was OK to have a homebirth was like telling them it is OK to not wear their seatbelt.

It was neat to see the interviews with midwives (particularly Ina May Gaskin, one of America’s most famous midwives) and to see their compassion and dedication to helping women have the kind of birth they want.

There is no way I can sum up the whole film in this post (since I would probably put you all to sleep anyway!), but I was really glad to have the opportunity to see it and I definitely recommend it. Even if you are not the least bit interested in homebirth, I think you would benefit from the information presented. A quick “disclaimer” just because: This was not at all a Christian film, and there is a bit of language scattered throughout (disappointing but not surprising). Also, there are several real births shown on the film, so it’s not something you would likely want to watch when your kids were around, and some husbands (like mine) may not be comfortable watching those parts, as well. These are not the “G-rated” vantage points of birth that you will see on “A Baby Story.” :)

I was glad to be able to see this at this point in my pregnancy, because it helped me get even more excited about my next birth. No, I don’t love the pain of labor . . . but I do find birth so interesting, and I love the end feeling of having just “conquered the world.” :) I really love watching births and reading/hearing others’ birth stories, too--maybe I’m weird, but it helps me as I gear up for my next labor and I just find the whole process so fascinating. It is so amazing how God designed us to take part in the miracle of bringing new life into the world!!

For more info, you can check out The Business of Being Born website, or this movie review from the NY Times.

4 comments:

Jenny said...

I am going to watch this on Netflix online this week or at least soon. I've heard good things about it, and am glad you reviewed it here. Thanks!

Lord willing, the one c-section I did have will be the only one! I feel now looking back on it that it was unnecessary but at the same time I am glad that God is in charge of all things and allowed both of us to come through the surgery all right. I have great anticipation for a natural, non-intervened birth. :-)

Tricia said...

I always get excited about labor as well...so you're not the only "strange" one. Thanks for the review. I saw the trailer for it and definitely want to see it. I think a homebirth would be a wonderful option...I didn't go with a midwife before due to a lack of one in our area that would take our insurance, but I finally found one that is less than an hour away so I'll be going there the next time I'm expecting. I'm excited for the different philosophy of care!

Anonymous said...

Great review, Carrie. As you know, I loved this movie. I think every woman should watch it. This is stuff they don't tell you in "What to Expect...".

Anonymous said...

I just got my bill from the hospital for my birth and it was $5700. We have insurance, but what do uninsured couples do? I guess arrange monthly payments with the hospital. I would imagine that a homebirth would be more affordable. If we were low risk and uninsured, we would definately have a homebirth.

I did have to be very firm in what I wanted and didn't want with my birth. I had a good nurse who defended me to the dr. Drs can be a little "pushy" sometimes.

I had my babies at a birthing center which was attached to the hospital. I had the best of both worlds.

That was so scary how little people research where they are giving birth!

I think I would consider a homebirth if I didn't like the hospital in my area. It would be interesting to see the declining stats of home deaths and home births since the 50s. This is off the subject, but I'm a big proponent of hospice care at home and is something that is sort of related to this subject. Our society seems to think that all dealings with our health should be behind the walls of a hospital, but it doesn't have to be and sometimes that is not the best.

It sounds like a fair movie. I was a little skeptical because it was a celebrity's project and I don't think much of when celebrities decide to become authorities on different issues like Michael Moore becoming an authority on healthcare. *rolls eyes*

Thanks for the review.

-Zan