Saturday, June 28, 2014

Documentary: "The Business of Being Born"

In 2009, I came across a documentary that kind of blew my mind. It's called "The Business of Being Born" (BoBB) and not only can you see the trailer here, but you can actually watch the whole movie for free here! In short, it's a documentary about birth in the USA, both in and out of hospitals. If you haven't seen it, check it out. Although the documentary focuses on the US, a lot of the issues explored ring true internationally (as always, the best thing to do is to check out numbers and statistics for your own country, which is not so hard with a search engine.)



When I first saw BoBB, there were several interesting points that came up, but probably what made the strongest impression on me was that today's common, Western expectations surrounding birth are (surprise surprise!) shaped by cultural and social assumptions rooted in history, a history that I knew nothing about. For instance, how did we end up thinking that lying on our backs with our legs spread apart is a good birth position? What did women do before birthing in a hospital became standard practice? How did we get to epidurals? BoBB looks closely at how, beginning in the 20th century, birth moved from the private space of homes to the private sector of hospitals. In addition, this documentary turns a spotlight on how hospital procedures around birth are not centered around mothers but around a business that has much to do with income, prestige, predictability and speed. It can be a tough film to watch, but one I highly recommend, especially before you are even pregnant (I firmly believe that most of your birthing learning should happen before you are pregnant, so that you are not trying to do a crash course in everything you need to know while struggling to stay awake/stay seated for more than 5 minutes/hold your pee/think of something other than what you will have for breakfast, lunch and dinner.)

It was BoBB that woke me up to the importance of making informed decisions when in came to birth. This, and a general distrust of hospitals due to the high rates of infections, missed diagnoses, and interventions on several of the women whom I have known to give birth in hospitals in the past years. (As a thought experiment, just for yourself, it might be interesting to think about how many women you know who have given birth without any form of intervention - this includes pain killers, induction, emergency Cesarean, episiotomy, blood transfusions, forceps or ventouse delivery. I can only think of 2 out of about 30 women.)

Now, before going any further, I would like to say that hospitals are great for emergencies. Even BoBB makes that clear. And not only that, but if upon entering a hospital you feel yourself relax and soften with the trust you have in that institution, than a hospital might be a great place for you to give birth in. Yet whether you like hospitals or not, the idea of learning about what a hospital is designed to do is crucial, and BoBB addresses some of the more important issues in this regard, like the standard hospital procedures around birth and some of the ways things could be different if approached from another perspective.

Among the people who speak in the documentary is the lovely Marsden Wagner MD. If you don't have time to watch BoBB, you might like to check out this interview with him. (My favorite question/answer starts at 2.25, with the difference between being a scientist and a surgeon.)

And of course, there is my favorite: Ina May Gaskin. (Imagine a few emoticons with hearts for eyes and a big, goofy smile.) This is the second time I mention her, and eventually I will write a more complete post on her and the midwives at the Farm, but for the time being know that she is in the documentary and worth getting to know. When I came across Ina May in BoBB, all there was on Youtube was this series of videos, which quickly cover some gems like why it can be nice to kiss while in labour and the wonderful sphincter law. I still love them, but nowadays there is much more available online! If you don't do some research yourself, I will give you more links to her talks the next time around.

Ruben is up and I need to turn the roast that D has put in the oven. 
Good bye for now and thank you for reading.

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