The Perils of (Bad Reporting on) Home Birth
Just when you think we’ve gone beyond safety issues with regard to homebirth — what with the findings in this study and, more recently, this one, among others — the Today show goes and airs “The Perils of Home Birth,” a seven-minute segment so poorly reported, so one-sided and salacious, that instead of feeling defensive and outraged — I laughed. Out loud. Alone!
Here’s what I learned: women choose home birth because it’s “hedonistic,” and the equivalent of a spa treatment. Furthermore, reporter Peter Alexander suggests that women choose home birth because famous people like Meryl Streep and Demi Moore had some babies at home. Home birth, Alexander says, is “fashionable, trendy and the latest cause celebre.”
Spa treatments? Cause celebre? (Demi Moore?!)
Buried somewhere in the reportage is the established fact that home birth outcomes are no worse than outcomes for hospital births. Unfortunately, this information comes sandwiched inside the sad, sad story of a New York City couple whose four-day ordeal with labor — attended by Cara Muhlhahn, midwife made famous in Ricki Lake’s film, the Business of Being Born — ended in the death of their baby. Tragic, absolutely. But also the least likely outcome of a home birth.
What’s the lesson? Alexander doesn’t come out and say “don’t plan a homebirth” but he shows press footage of a spokesperson and doctor who basically does. Does he interview anybody to counterpoint the doctor’s fears of home birth? No. For that matter, do we hear about hospital deaths? Also no.
As if to underscore the fact that reporter Alexander didn’t even speak to midwives on background and instead ticked off a checklist of talking points from the the American College of Obstretricians and Gynecologists (ACOG, a professional organization that has come out strongly against home births attended by midwives), here’s how he answers the softball thrown at the end by Today host Matt Lauer.
Lauer asks what women who are considering home birth should ask their potential midwife. Two questions, Alexander says: whether they carry malpractice insurance and whether they collaborate with a doctor.
Malpractice? Really? The first question?
Sure, ask about malpractice, but don’t be surprised if the answer is no. And collaboration? Lucky is the midwife who can find a willing doctor!
What women really should ask a potential midwife first and foremost are these two questions: what’s your training, experience and outcomes? What’s the back-up plan?
Here’s the video:
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Tags: ACOG, business of being born, childbirth, home birth, homebirth, hospital birth, Madeilne Holler, Matt Lauer, msnbc, OB/GYN, perils of home birth, Peter Alexander, Ricki Lake, today show
24 Comments
[...] The Perils of (Bad Reporting on) Home Birth [...]
Parents Cash in on Swine Flu | Strollerderby commented on Sep 15 09 at 4:27 pmGP commented on Sep 14 09 at 11:31 amI’d hear about this and was ready to be outraged, as a supporter of home birth who had a home birth, but when I watched it, I actually thought it was pretty balanced for a mainstream piece. The stuff about spa and hedonism was one piece, a guy quoting some doctors, to me it was kind of vague…and like the blogger here said, a little laughable. The segment actually included a couple who had a good outcome to balance the one who had the worst of all outcomes (baby’s death) and ended with questions to ask a prospective midwife. Also, while I support homebirth, I think the midwife attending the birth of the couple whose baby died maybe took it a little too far…I mean, laboring for 3 days is not a NORMAL, HEALTHY situation. Sometimes interventions are appropriate. For a mainstream piece, the Today piece was balanced and about what I’d expect.
TolaniLucia commented on Sep 14 09 at 11:37 amSpa treatment? Ha! Any birth is far from a spa treatment. Yikes what a stupid comment. And from a man!!! The thing when looking at the home births of “celebrities” is to understand that many of these women do have Drs. there on site should something go wrong and they have the money to have the emergency equipment and it is also common to pay for an ambulance to be parked close by just in case. These are all things that I personally did not have in my five flight up and down by stairs apartment. I am going to be a Devil’s advocate for a second. I do wonder how infant mortality statistics would change if the numbers of women giving birth at home were equal to those birthing in hospitals. I loved my midwives.
Black Sheep commented on Sep 14 09 at 11:44 amThat midwife needs to lose her license. Now. Isn’t she the same one who was going to let the main character in “The Business of Being Born” deliver a three pound baby at home?
GP commented on Sep 14 09 at 11:59 amI do agree that the questions they suggested were kind of stupid and not comprehensive, but that’s the case of any such news segment, typically. If someone is serious about this, they will do more research.
mw commented on Sep 14 09 at 12:15 pmNo. Cara Muhlhahn did not deliver Abby Epstein’s baby at home in “BoBB.” Abby went into premature labor and called Cara, who came over and assessed that Abby should go to the hospital. Abby had a C-section in the movie. I think it’s completely fair to question Cara’s judgment; perhaps she should have told Abby over the phone to go to the hospital immediately since she was only about 7 months pregnant. But the movie clearly shows that baby was delivered at a hospital, not at home.
Black Sheep commented on Sep 14 09 at 12:47 pmExactly. Cara should have told Abby to go to the hospital immediately, as she was in preterm labor. If I recall, Abby was resistant to delivering the baby in the hospital too. Although it has been awhile since I saw it.
Ali commented on Sep 14 09 at 1:36 pmAll healthcare workers should carry malpractice insurance. It is a deterrent to taking chances. AS for a 4 day labor, all midwives learn that a prolonged labor almost always ends in fetal death or injury and sometimes maternal death. Where did that quack get her training?
Chiken commented on Sep 14 09 at 2:32 pmGP - A little too far? You think? The baby died, and it was because of a cord around the neck. That baby would be alive today if the delivery had been in a hospital. “A little too far” is the understatement of the year.
GP commented on Sep 14 09 at 3:42 pmYeah, she fucked up. Royally. That better?
I don’t think the cord around the neck is the problem, that happens all the time. It’s the 3 or 4 day labor. At some point during that long ass time, they should’ve gone to the hospital. For normal, average labors, like within the 12-14 hour range, like mine, its not a big deal most of the time to have a home birth.
mw commented on Sep 14 09 at 5:32 pmIf I recall BoBB correctly, at some point Abby and Cara discussed the possibility of transferring and Abby said she wouldn’t mind transferring to a birthing center. Cara pointed out that if something came up, then she would most likely be going to a hospital. Abby’s initial resistance (early in her pregnancy) seems somewhat normal for a first-time mom who is still figuring out her options.
What I can’t stand about the Today show piece is the primary example of Cara as the end-all be-all to home midwifery. She may be really well-known due to the documentary and her memoir, but she isn’t the only midwife in NYC and it wouldn’t have been hard to find another midwife to interview for the piece. As far as the slant of homebirths being trendy, celebrity glamorous fads, that’s ridiculous. Homebirths “might” be on the rise, but they are still accounting for about 1% of births in this country. When will the mainstream media discuss how much preparation and research goes into a homebirth.
Mistress_Scorpio commented on Sep 14 09 at 5:39 pmACOG is protecting their interests. Birth is the biggest moneymaker for hospitals. They recently put out an open call for homebirth horror stories on their website. I’m sure this “report” is first in line of a slew of negative homebirth information in an effort to stem the tide of women making informed choices about birth.
Elendy commented on Sep 14 09 at 8:59 pmComments
So, I haven’t commented on this site in awhile (the new format really annoys me!) but I had to chime in on this one. I thought this piece was completely one-sided and alarmist and I would have found its stupidity laughable if it didn’t make me so angry instead.
First of all, I have mixed feelings about Cara Muhlhahn. I do not know her personally, but know many midwives who do, and her practices can be seen as extreme. NOT because she attends homebirth - but because of some of her judgements (i.e. allowing a woman to labor for 4 days - never OK people! - just FYI!) Although I’m glad someone else made a clarification about the cord around the baby’s neck. This actually occurs in about 30% of all births and is usually pretty simple to take care of once it is identified. There was actually another scorching piece about her in NY Magazine a few months back as well.
Second of all, ACOG and the hospitals are completely trying to protect their giant cash cow that is hospital birth! Studies have proven time and again that certified nurse-midwife attended homebirths are just as safe, if not safer, than hospital birth, but ACOG essentially refuses to acknowledge this. They also (i know in NY state at least) basically ban OB/GYN’s from acting as back-up to home birth midwives; and any doctor who does so risks her license. It’s a completely effed up system - and I say this as someone who works inside it.
What happened to that couple was, of course, a terrible tragedy. But the Today Show’s exploiting of this poor couple and the smarmy reporting job was absolutely outrageous.
cheri commented on Sep 15 09 at 1:19 pmspeechless.
Rosana commented on Sep 15 09 at 2:12 pmHa, apparently the opinion or reporters has become the new way to report the news. I did not really care about having a homebirth before I had my son, but after getting a series of procedures that were not necessary because my labor was going smooth and no complications up to that point, I wish with all my heart that I could have a homebirth. However, I could not find a midwife closer than 2 hours away and the closest hospital is 30 minutes from my house, which I consider too far if an emergency presents itself. It is an ignorant statement to say that homebirths are a fashion started by celebrities because our grandmothers where doing it for decades. I still hope I can have a homebirth one day without the hospitals interventions and protocols at a time where I need the most peace
anon commented on Sep 15 09 at 7:38 pmComments
anon commented on Sep 15 09 at 7:40 pmComments This piece was not one sided at all. Very well reported, actually, including a couple that had a successful home birth and a former World Health Organization guy who was also featured heavily in The Business of Being Born.
Jennifer commented on Sep 16 09 at 12:19 amHow many babies die in the hospital under the care of an OB? That’s not to say that there might not have been negligence on Cara’s part, but too simplify it as caused by home birth is ignorant.
Sarah commented on Sep 16 09 at 12:04 pmComments
Things can go wrong anywhere. This wouldn’t have happened in a hospital. That baby would be alive. Midwives DO have an obligation to send women laboring for three days to the hospital.
The statistics are inaccurate for home birth because 40% of home births end up in the hospital. There is an increased risk to mother and baby in one’s home and people don’t realize this. We don’t have 100% of women giving birth at home and if we did the stats would show how much safer a hospital birth is.
Momster commented on Sep 17 09 at 3:28 pmI’m sorry- I’m an adult. No doctor/midwife/other human needs to “let” me birth at home or “make” me go to a hospital. I have the right to choose for my damn self. And if I choose to be at home in labor for 4 days, well, that’s my choice. I highly doubt the midwife was blocking the door, saying “You can’t leave! You MUST have this baby at home.”
The video was one-sided. That many commenters here don’t see that is indicative of how commonplace one-sided “news” has become in our culture.
RIP critical thinking. You will be missed.
Katherine Barron commented on Sep 22 09 at 2:59 pmI agree with the previous poster. At any point did the parents say “I want to go to the hospital”? At any point did Cara say “I think you should go to the hospital”? We don’t know because we weren’t there. It’s also possible that this same baby could have died in the hospital. We don’t know. There’s lots we don’t know. I also agree with a previous poster who commented about the lack of mentioning that babies die in hospitals every day. Every day. And I must say, as an RN and homebirther, I would have a baby in the hospital if they could let me birth and keep their damn hands and policies off of me and my baby.
Katherine Barron commented on Sep 22 09 at 3:00 pmOh yeah - and what does malpractice insurance matter if your baby is dead? Really. Hospital or home…a dead baby isn’t going to be brought back by money.
Catherine commented on Oct 05 09 at 11:27 amI’m sorry I read the comments, a big part of me wants to describe to all of you what happened during those four days that I labored, the other part if appalled to find that a baby’s death is not heavy enough and that we need to have thousands more for this to have any impact on how midwifes operate. I had two ACNM certified midwives attending me during the birth of my baby, a labor and delivery nurse, and an acupuncturist who had birthed with Cara. My husband and I asked to go to the hospital about 5 times a day, we asked them if things were ok, if my progress was normal, they kept reassuring me, they kept reeling us in. Their response was, “There is NO clinical reason why you need to go to the hospital” We were first time parents, we took the classes, we read the books, nothing could have prepared us for this birth, we trusted our midwives, I remember looking at them, crying, saying, you’d tell me right?, you’d take me to the hospital if this is not going correctly, right? I remember saying to them, this does not feel right but what do I know?. My husband with tears in his eyes looked at our midwives and said, my priority is my baby and my wife, she responded, our interests are aligned. We trusted, when you are laboring parents, you can’t help but trust your care-providers. The previous posters that commented on it pretty much being our responsibility, try laboring for four days, try not eating, not sleeping, and then tell me if you could go against the people that are in charge of your care, if you could fight them, but I don’t excuse myself for trusting, that is something I have to live with day and day out, nobody forced me to trust.
Noa did not die of a tangled cord, that was not reported accurately. I live with the knowledge that if I would have been in the hospital, my baby would be alive today, and she would be 6 months old. I know women who have lost their babies in the hospital, it’s tragic, my baby was not given the chance to live, can you say that about most of the hospital’s deaths? A child that was meant to live is now dead because of care-providers. When you don’t have malpractice insurance, then you don’t have an insurance company saying to you, watch it, don’t walk that thin line, at the end of the day, my question is who is looking at my baby’s death, who is asking questions, who is Cara accountable to? Are our eyes the only eyes looking at this? That’s what we wanted when we gave that interview, we wanted other eyes on this, we wanted to inform people that when things go wrong, there is little you can do, there is no accountability. At the end of the day, I have to live with the absence of our daughter who still has a nursery, there will never be justice, or fairness, we just want some basic answers.
laura commented on Oct 18 09 at 3:27 amI am so sorry for your loss but even as a first time mom I knew that a 4 day labor wasn’t normal







