The American College of Obstetricians and Gynecologists has just released a statement on their anti-homebirth position as a means of quietly confronting the 'popularity' of Ricki Lake's On The Business of Being Born. As can be expected from a group of highly paid doctors working in hospitals, ACOG states the most ideal model for birth is inevitably in a hospital with an obstetrician where risk can be managed. They say:
"Childbirth decisions should not be dictated or influenced by what's fashionable, trendy, or the latest cause célèbre. Despite the rosy picture painted by home birth advocates, a seemingly normal labor and delivery can quickly become life-threatening for both the mother and baby."
Not only does the ACOG discount all of the legitimate medical literature arguing for the benefits of homebirth, the idea that millions of American women are jumping on the homebirth bandwagon from seeing a movie is insane. If only this was the case! Despite the seeming popular appeal of homebirth, the fact is that most American women (about 99%) still give birth in hospitals and only about 1% of all births are 'alternative' with midwives, in birth centres or at home. Moreover, increasingly homebirth and midwifery are becoming harder to access in a number of states. A bill has passed through the Utah legislature that seeks to ban homebirths altogether and is just another way in which women's rights are being curtailed, providing fodder for the black market of midwives that is thriving in states across America.
According to ACOG, birth is just an emergency waiting to happen. It is a frightening proposition that this medical body says that they support a woman's right to 'choose' how she will give birth but implicit in that statement is the suggestion that if you decide to avoid intervention you are irresponsible. This raises very serious questions about what is considered to be 'high-risk'; increasingly having a big baby, a premature baby or a previous caesar are grounds for intervention whereas earlier they would not.
What's worse is that the high caesarean rate in America is attributed to pregnant women being too overweight and too old; ACOG places no responsibility for the 45% rate of caesars on obstetricians themselves. As Jennifer Block so convincingly argues in Pushed, the reality of hospital birth today is contingent on doctor's wanting short shifts, fast births and women to just shut up about it. ACOG speaks of midwives as if they are the devil's advocates and categorically state that as a result of their lack of comparable skills and inability to address 'high-risk' pregnancies, midwives are not to be trusted. What about all of the literature suggesting that birth with a midwife actually lowers caesarean rates?
In a nutshell, ACOG says in no uncertain terms: "Choosing to deliver a baby at home... is to place the processof giving birth over the goal of having a healthy baby." There is no 'right' way to give birth and to suggest that women are irresponsible for moving away from the medical model is an appalling abuse of biomedical power.
Source: http://www.acog.org/from_home/publications/press_releases/nr02-06-08-2.cfm
http://www.kcpw.org/article/5301
