Tag Archives: home birth

Debunking the Business of Being Born: Part 9

This is part nine in a series on debunking the Business of Being Born. The other parts can be found here. The description of what is happening in the movie is in bold, while my commentary in in plain text.

A female OBGYN says “Fetal distress, cord prolapse, a fetal brachycardia that doesn’t come up… how are you going to get someone sectioned or emergently delivered from home? Its not so easy.” 

These comments being allowed in the movie provide a false sense of balance to the film. Noam Chomsky once pointed out that if you only allow two view points, and then allow vigorous debate between the two view points, you can achieve the appearance of democracy and free speech without ever actually having it. At this point in the film the arguments between the doctors and midwives boils down to hypotheticals, and only the midwives are allowed to discuss the research that they have reviewed. The film picked doctors unfamiliar with home birth rather than those who are well versed in it for a good reason- its much easier to control the debate and make it appear balanced.

Midwife Cara says “People think when you do birth at home, you’re not necessarily prepared for that eventuality, and that everything has to go great. But it doesn’t.”

No explanation given of how to resolve the conditions the OBGYN brought up earlier.

Marsden Wagner says “The netherlands loses fewer women than we do, the netherlands loses fewer babies than we do, and one third of their births are planned home births.”

The safety data Wagner cites simply is not true. Multiple studies exist to evidence the fact that planned home birth has horrible outcomes compared to hospital birth, regardless of what country it takes place in.

The scene shows Abbey Epstein and Ricki Lake discussing strollers. The scene changes to Abbey and her husband at an OBGYN office. They are discussing the baby’s position. They perform an ultrasound and say the growth is right on track. Abbey discusses home birth with the doctor. “We really are very, really considering the home birth with Cara.”

Abbey’s doctor replies “Go. I’ll be your back up.” He is very encouraging. They discuss the logistics of being a back up. He is concerned about his patient being treated poorly at the hospital if he is not their back up. 

Cara is talking to Abbey in her car now. Cara says “I’ve had (inaudable) back me many times. And, you know, I could go to saint vincents, or we could go there. It would depend on what the circumstances were. 

This exchange makes for a false continuity of care. There is none. A back up means the midwife dumps you there and may or may not come in, may or may not tell the truth to the staff. Having your doctor willing to be on call is a step up, but it might not matter depending on how emergent your transfer is. New York magazine has talked to former patients of Cara Muhlhahn and area hospitals- they say the same thing. 

Physicians that say they “back up” midwives never bet their insurance on it, and that’s because its a very bad bet.

Abbey mentions that she would love the possibility of transferring to a birth center. Cara points out that if they need transfer its going to be to a hospital because something is wrong. Abbey says she fears she would change her mind about home birth in the heat of labor. Cara replies that she personally begged for a cesarean during her home birth. Quirky music plays and footage from Cara Muhlhahn’s home birth is shown. It is obviously intended to be funny. 

I have taken a break from this series and haven’t been buttered up by the first half of the movie, so I feel absolutely terrible for a woman who desperately wants pain relief and denies herself. I know that Cara likely felt like she couldn’t get pain relief because of the business she works in and her ideological beliefs about child birth.

Cara says she felt like she was between a rock and a hard place, was trying to escape her labor. Footage shows her in obvious pain many times. She says “Every single woman that is having a natural birth feels that way at a certain point. The rock is ‘I’m not pushing because it hurts too much’, and the hard place is ‘Ok then, you are staying pregnant forever, and its going to hurt forever’. Its the most infuriating place to be.” Footage shows Cara crying and whimpering during labor. You can make out her saying “just awful” while she is crying in the labor footage.

This is terrible to watch. I personally would not have included this. It normalizes suffering that is needless. No one should hurt that bad and have a room full of people look on apathetically.

Cara discusses how mean she was to other people during her labor. She is shown in the bathtub crying. She narrates “I looked at the faucet and said thats me, I’m either dying or pushing the baby out.” She talks about having a difficult labor making her a better midwife because she knows how hard it can get. 

If you think about it, Cara was in an interesting position after her difficult labor. She was at an impasse, she knew she had aided other women that were obviously suffering like she had. In light of that she could have either chosen to stop promoting natural birth and worked in a hospital again. She could have stopped practicing altogether. She could have apologized to people she knew that she encouraged to suffer needlessly.
Instead it seems she took the easier option, which is to justify what happened. It is easy to forget pain when you aren’t feeling it right then, and it is easy to forget just how badly something hurt you.

We all have certain beliefs about ourselves or the world that are deeply painful to confront. I have a feeling that Cara’s self image as a helper, as a sacred journey keeper for women in labor, was more painful to betray than labor itself.

triumphant music plays. Cara is pushing. The baby emerges and is put on her knee. One of her arms is grasping someone elses with a white knuckle grip that she doesn’t release, even to hold her baby. Her other hand keeps the baby somewhat more secure on her lap. She looks down at the baby with a rather stoic expression.

Cara did not have the amazing moment that Ricki Lake did during her birth. There are editing tricks employed to imply that it happened, but from what I can see she was just terribly exhausted, to the point where it was difficult to enjoy her baby’s birth. The hand she haphazardly extends so her baby doesn’t fall on the floor seems to be all she could manage right then. The scene ends rather abruptly, making me wonder what else happened after that.

The fashion model patient is trying to hear something through a stethescope. Cara is examining her and helps her use it. The client talks about her insurance company being unsure about what to do with a non-hospital birth plan. She says its cheaper to have a baby at home. 

They cut to Carol Leonard, lay midwife and owner of Longmeadow Farm Birth center says that a spontaneous vaginal birth at a hospital costs about 13,000$. She exclaims “Hello! I’m charging 4000$ for everything!”

There are many factors as to why midwives charge less. These aren’t highlighted in a frank manner, so I will do so here:

1. They provide fewer services (no OR, anestesia, continuous fetal monitoring, emergent labs, blood bank, etc)

2. They do not have insurance (if they screw something up they won’t be able to pay, and if barred from practice in one state they can move to another one and set up shop again, unlike a physician that banks their whole career on retaining their license)

3. Their education costs next to nothing (a CPM can usually get their whole degree for about 3K)

The old addage that you get what you pay for is true here. So is the fact that insurance varies wildly in the US, you may pay less than 4K for a hospital birth depending on your insurance and its terms.

Fashion model patient wonders “what their agenda is” in pushing a far more expensive hospital birth on the insured.

I can tell you right now- it is making sure the insurance company doesn’t have to pay out for a costly NICU stay, or perhaps a lifetime of special education or disability related doctor visits from hypoxic brain damage. The bet of paying on a hospital birth pays off in the long run. The people who run insurance companies just crunch the numbers and charge based on the results. They do not have much of an agenda outside of trying their best not to screw over their stockholders by insuring things that will ultimately cost the company more than it makes.

Marsden Wagner says “The insurance companies, are part of the establishment, and so when the obstetricians who are giving the advice to the insurance companies say that home birth is dangerous or that midwives are not as safe as doctors and all of this nonsense, the establishment CEO in the insurance company believes them.”

Things really do not work that way, but that is beside the point. The assumption is that OBGYNs say home birth is dangerous because they have a bias instead of because they actually know what they are talking about. The questions brought up earlier about specific problems that require emergency c-sections are still hanging heavy in the air, and no one has answered them. I’ve been tracking home birth fatalities enough to answer the question- depending on the problem that occurs at a home birth, someone either dies, is injured, or disabled. There are far too many complications that cannot sustain life between home and the hospital, even if it is minutes away.

A woman says “I’ve interviewed many nurse midwives who noticed that once their practice reaches more than 30 percent of the patients in a hospital the doctors will start firing them, because that is too much competition.”

We are again inundated with gossip from the point of view of midwives with no opposing viewpoint given from the people who are (supposedly) firing nurse midwives. No one knows if this is actually happening or why. OBGYNs do much more than CNMs ever will. It isn’t as though every OB’s bread and butter is delivering babies. Here is a list of specialties that OBGYNs can branch into if delivering babies isn’t their preference. CNMs can do almost nothing that OBs can on that list.

A woman says “The AMA as the trade organization for physicians, has a very clear and public position that holds that they will not allow non-physicians to do anything that physicians do. You wanna talk big lobbies, big dollars, they can call a lot of shots.”

The name of the statement or any reference of it isn’t provided so that it can be verified.

The AMA has a lobby like every trade organization. They are infinitely more ethical than trade organizations like MANA, that had horrendous perinatal mortality rates on the books for several years before privileging the rest of us with them. The period of time between the collection of those numbers and the release of them was the period of time I was pregnant. I was not allowed to make an informed choice because MANA wanted to keep the data secret.

The biggest difference between MANA and the AMA is that the AMA changes its policies based on data. MANA does not. MANA only cares about protecting the legality of home birth instead of the safety of patients. They refuse of even define what constitutes a low-risk pregnancy, despite insisting left and right that home birth is only for low risk pregnancies.

The attempt to smear physicians and their organizations is pretty rich when its coming from midwives. They have very little room to speak.

stay tuned for part 10.

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Home birth gurus on facebook part 1

ina may

We start today with the home birth guru Ina May Gaskin and her advice about the vaccine, Gardisil.

Ina may says “Here’s a vaccine that should have never made it onto the market. I’ve read too many of these reports.”

Too bad she hasn’t bothered to fact check the reports she has read, as the source material says that the girl’s autopsy was inconclusive. There is no evidence that the shot killed her. No one knows what did. All we have is one data point of correlation. Oops! I just hope no one ends up with cancer because they listened to her quackery.

Secondly, we have Gloria Lemay:

gloria lemay

“One of the big problems that we have in sorting out cesarean birth stories is that doctors lie to the family/midwife about the “justification” for the c/section in order to avoid criticism and/or lawsuits. The stories always have to be highly dramatic.”

It isn’t as though Lemay is talking about sorting out the data from the doctors or reports, she is talking about sorting out the details based on what the family says. She figures if there is a lot of dramatic explanation the family must have been lied to by doctors.

This is an occam’s razor situation- the likely explanation is that if they are talking to Gloria Lemay and said they had a c-section, she is going to criticize them for their medical decision and therefore the details might get fudged a bit just to get her to shut up about it. I know I would be tempted. Its really none of her business, until she gets an adequate education and presents some type of actual need to dissect if a c/section was “really” needed or not.

midwives vs reality

I got a comment today from the author of a Babymed piece about the petition for safer homebirth. She wrote about it too, and I went to check out the article. The petition is for very basic precautions, namely licensing and insurance for home birth midwives, something I am advocating for in my state. How could anyone object? Well, like this…

choice limited

Ingrid Anderson commented

“It’s really difficult to tell who exactly the “Coalition for Safer Homebirth” is. Smart marketing for a petition that at its core is anti-homebirth and entrenches confusion and obstacles to caring for women and babies well and safely at home.

Calling for the eradication of midwives is ugly political history repeating itself (this time led by privileged white women?)….

Ingrid
A privileged white CNM in a state that, thankfully, recognizes the tremendous contribution of CPMs!”

Ingrid thinks that requiring licensure and insurance “entrenches confusion and obstacles to caring for women and babies well and safely at home”. How? Being licensed as a CPM is a joke, all you need are 40 births and to pass a single exam, but midwives still oppose those very basic measures.

Next she says the petition calls for the eradication of midwives, and claims that the proof of that is in that “privileged white women” are calling for it. The petition absolutely does not call for the eradication of midwives. The even more stringent laws that physicians and nurses must obey have not eradicated the profession of medicine, and has actually improved it significantly since the days of unlicensed, rogue medicine.

What is funny to me about this is the fact that home birth midwives serve predominantly privileged white women, like Ricki Lake. Your race, sex, and income level are only relevant if you oppose home birth, it seems! In reality the coalition is mostly home birth loss parents, so they are likely to be white and upper class just like most women that home birth. It would be downright strange for the demographic of those harmed by the profession deviated wildly from the demographic of the population they serve.

The other thing that the midwife ignores is the reverence for white males in the natural child birth movement. Grantly dick reed wrote Birth Without Fear, and was an outspoken white supremacist. Marsden Wagner is another dead white patriarch who is worshipped in home birth circles despite being a pediatrician instead of an obstetrician or a neonatologist.  Michael Odent is revered, despite spouting damaging lies about the mode of birth ruining the bond between mother and child (I suppose people find his accent charming?). Someone is probably thinking “WHAT ABOUT INA MAY GASKIN???!!!” right now, and the truth is that she was in a patriarchal sex cult when she learned midwifery. Her husband, stephen gaskin, is the one who decided unmedicated birth on their compound was the law of the land. He also decided having sex with anyone you felt like was the law of the land, and hence so many pregnancies. Ina May just did her wifely duty in delivering the babies and trying to spread her beliefs to other people. The natural child birth ideology that started in soviet russia was borne out of necessity- they didn’t have enough pain relief to go around, and they couldn’t say anything bad about the government failing to provide, so the lie that unmedicated birth was superior was born to keep women in line. That’s an uglier history than the migration to hospital birth.

I also need to address the exploitation of women of color in developing nations by natural child birth workers like CPMs and some doulas. Anyone who is trying to be a CPM knows its damn hard to find someone to study under to get your 40 births, and so some have resorted to going to different nations to help poor people give birth. They can’t offer much real help because they lack equipment and knowledge, but instead of say fundraising to help bring actual obstetric help to developing nations and then studying there, they simply send worthless helpers who fly back home and start delivering babies as “professional” midwives. They are delivering anyones baby without the hope of hospital transfer, normalizing dangerous situations for the midwives that decide to do an international externship. I’ve documented time and time again that sometimes a negligent midwife is worse than giving birth alone, and the stories of women in other countries who suffered under an ignorant or cruel midwife are unlikely to ever be heard. The midwife international scandal is enough proof of how dirty this type of “training” really is.

This is the kind of off-the-wall opposition you get when you try to make home birth midwives meet a minimal standard of professionalism. You are suddenly racist and eliminationist, despite just asking for a license and insurance.

Following In Dr. Biter’s footsteps

A North Carolina physician is being investigated after having presided over 3 home birth fatalities.

In a statement issued through his attorney Friday, Dr. John David Hayes also said families of the babies have continued to support him.

Of course they do, most people choose birth providers specifically because they trust them. It is terrifying to think that someone you trusted hurt you unnecessarily. The article actually notes that the information came from an unnamed source and that details of the deaths will never be released. Someone saw a pattern and spoke up out of concern for other people, and I commend them for doing so. The fear of repercussion or being ignored is very daunting when deciding to report other people for misconduct.

Dr Hayes expects to be cleared of wrongdoing. I do not expect that for him. Most obstetricians lose one full term baby that was otherwise expected to live in their entire careers, and he has lost 3 in 10 years. At least that is if you believe that he was only taking low-risk patients, which seems to be the only possible way for him to excuse taking a patient for home birth to begin with. His arguments are nonsensical in some portions of the article:

“I expect that after a thorough and impartial investigation, all of my home birth practices will be found to be within the standard of care for an obstetrician in North Carolina,” he said.

Home birth is not the standard of care for any obstetrician. The standard of care for obstetrics involves having ready access to blood transfusions and an operating room, something no home birth can offer without an unacceptably long transfer period. That is why ACOG and virtually every obstetrician discourages out of hospital birth for patients. Most pediatricians discourage home birth as well, on the basis of having treated so many brain damaged patients who were hurt by their parent’s decision to home birth.

However, as Dr Hayes and a few notable exceptions prove (Dr. Biter, and non-OBGYNs Aviva Romm, Dr Sears, and the late Marsden Wagner) an adequate education is not always enough to protect doctors from believing in quackery.

For those who are unaware, Dr Biter is another male OB who was dead set on home birth and insisted on its safety. Unlike dr Hayes, Dr Biters patients did complain in the form of a lawsuit. Dr Biter ultimately surrendered his medical license in light of the fact that he botched a home birth and killed someone’s child. He later decided to open a birth center as a non-physician, until social media pressure caused it to close. Dr Biter has also been the subject of sexual complaints, having taken advantage of the dr-patient relationship in order to obtain sexual favors from his patients. He is very scummy.

Many people who are aware of the debate about malpractice reform know that a minority of doctors are usually responsible for the majority of malpractice claims. When your doctor swims against the current in their speciality it is very difficult to know if it is because they are ahead of their time or because they are quacks. This I know for sure- there are far more doctors who succumbed to quackery than those who were ahead of their time. Be careful.

name changes for negligent midwives

The skeptical OB has an article up about negligent midwives changing their names as to deceive their customers.

It happened to me, too. Ester Werbach now goes by “Nueve Lunas Maternity” on the internet. The Utah Midwive’s Association is well aware of it, and my complaints of sexual misconduct, and continue to support my abuser. They don’t care.

These types of actions also make it impossible for women to research their care provider. If you have a health care provider that has killed negligently, had their license suspended, or otherwise been reprimanded their patients have a right to know. Midwives rob women of the opportunity to know what they are getting into.

My original blog is back up

It has the story of my experience at a birth center with lay midwives. There was a CNM at one of the checks and she was professional.

There is also a lot of information about how little the natural child birth community did in response to my complaints. I literally complained of sexual misconduct and no one who could do something about this felt the need to do anything. They want to sweep my story under the rug instead of dealing with it. They don’t want people to know what they will tolerate from other midwives. I thought that what I went through was the worst thing, but then I began to read about how women who lost their babies to negligence go through the same thing. Midwives support each other so much more than the people who get hurt by their natural childbirth ideology.

The blog was down because of an attempt at mediation with better birth of utah, but it looks like its not going to happen. 

What happened to me has made me stronger. It has made me an advocate for change. I know for a fact that my shame on better birth blog and my safer midwifery utah blog are making midwives fear that their scam will be exposed to the public. I have emboldened public officials to take a stand against unlicensed midwifery, and for that I will likely be taken to court for defamation. I’m willing to fight in order to tell my story.

Thank you to everyone who has shown me support.

Debunking the Business of Being Born: part 8

This is part 8 in a series on debunking The Business of Being born, the popular documentary by Ricki Lake and Abbey Epstein. You can find the other parts of the series here. My descriptions of the movie are in bold. My commentary is in regular text.

Dr Michael Odent says that there are people that claim “that in the future most women will prefer to have an elective cesarean section. But when you talk about that with certain women, [they] still have some sort of intuitive knowledge of the importance of what’s happening when the baby is being born. They cannot accept that cesarean section is the future.” 

It is indeed true that certain women prefer some things and other ones do not. Its almost like we are individuals!

Rickie lake is talking with Abbey Epstein. Ricki Lake says  “I couldn’t get enough information. I was just blown away by what I didn’t know the first time around. I knew, even before I planned a second pregnancy, that I wanted it different. I wanted to do it on my terms. “

That’s fine. The unfortunate part about The Business of Being Born is that they pretend that unmedicated births are the only way to have a child on your own terms. Women who want c-sections, or who do not want assistance at all, are not represented. The contrast between the extremes would make for an interesting movie, but it becomes obvious that this is a movie intended to make home birth look good in the public eye, not to explore any issues surrounding womens preferences during child birth.

Abbey Epstein remarks that she thought it was just an eccentricity for Ricki to prefer home birth. Ricki replies that she loves pain medication and takes it when she has a headache. “But when it came to giving birth, it wasn’t an illness. It wasn’t something that needed to be numbed. It needed to be… experienced, you know?”

Ricki Lake filmed her home birth and footage of it is shown. She has multiple people trying to relieve her pain during contractions.

Rickis voice narrates over the footage “I remember I was in a LOT of pain. I was enduring just about the worst part, almost the worst part. I didn’t lose my sense of humor. I was naked and going ‘uhhh’ and we heard an ambulance go by, and I was like ‘That’s my ride, get me the fuck out of here! I want to go to the hospital, I want my epidural.’ “

Footage is shown of Ricki’s home birth where she is obviously in a lot of pain and says “I don’t think I can do this.” Ricki narrates over the footage saying “My midwife reminded me of all the reasons I was at home, and what I wanted to avoid, and the gift I was giving my baby.” and I thought “yes” and I got through that contraction, and I was one step closer.

This footage would be extremely disturbing if you hadn’t been prepped with natural child birth talk for 40 minutes beforehand. If you had seen the footage without being pummelled with the film’s conclusion (that vaginal unmedicated childbirth is optimal, is an amazing experience, etc) you would have thought it is cruel to deprive a woman of pain relief when she was in intense pain and requested relief. I also have a feeling that when women trust their midwives it is easier to go with their narrative of birth rather than to see their actions for what they are- cruelty. It is cruel to deprive someone of pain relief when they are desperate for it. After all, ricki isn’t experiencing the pain now, so it is easy to look back on it and make light of how horrendously painful it was.

More footage of ricki’s birth. She is in pain and her midwife wispers “this is you having a baby.” 

Ricki says “I feel like pushing.” her midwife responds encouragingly. 

Ricki’s narration over the footage says “At a certain point, I just gave in to the pain. I just let go and surrendered, and that’s when things went really quickly. “

Again, incredibly disturbing to someone who hasn’t been told repeatedly that doing things this way is optimal. It seems so needless to hurt that much. Ricki looks exhausted and dazed by having endured hours and hours of painful contractions. I remember that before I had my baby, I thought that midwives who acted like Ricki’s were acting like they believed in her, but after having been that patient, in tons of pain, with a midwife inadequately prepared to deal with my pain… it seems very cruel. I think that midwives witnessing pain so regularly without the means to solve it can harden them to the pain other women are enduring.

There is footage of ricki pushing her baby out in her bathtub, her midwives encourage her to pick up the baby.  Ricki is crying and saying “My baby” over and over.

This is the bread and butter of the business of being born: birth footage chopped into bits that emphasizes the baby being born and minimizes the labor and pain. I just wish that they would have been forced to show footage in proportion to the time spent on different portions of the actual labor. Women typically labor for hours, and the moment of birth is just that- a moment. There is a disproportionate amount of focus on the end of the birth.

Ricki remarks “That was just…everything to me. I mean, I could start sobbing right now. It was so empowering.”

Statements like this try to establish the objective supremacy of natural birth, when in reality it is just Ricki’s opinion of home vs hospital. Other women with different experiences are not represented.

A Doula is giving a couple lessons in their home on how to deal with contractions and talks about different techniques to provide relief. The woman’s husband is interviewed and talks about how he was on board with home birth from the start. Footage is shown of the midwife providing prenatal appointments in the couples home. 

Eugene Declerq, an MPH says “The research on home birth is pretty consisten in showing that in a supported environment, (he clarifies this to mean well trained attendants with quick hospital transfer), the outcomes of home births are very, very good. Generally better than they would be at a hospital birth.”

The outcome of home birth with nurse midwives with quick transfer are better than the outcomes of home births without those things, but the majority of home birth midwives have none of the things he listed. Regarding the numbers, its quite a stretch to call them “very, very good”, and its an outright lie to say the outcomes are better than hospitals. It is difficult to evaluate what studies he is referencing because they are never named, nor do they tell you what they believe to be a good outcome. I can bet that they care more about the c-section rate than the death rate.  The majority of studies show a decrease in interventions and an increase in perinatal death. MANA’s numbers, which came out this past year, demonstrate the same thing (if you look past their flowerly press release that tries to ignore the obvious conclusion that comes from looking at the numbers and then comparing it to hospital statistics).

The midwife talks about screening out patients for risk and other safe guards in place to protect moms (like preparing for transfer and making the call to do so in time). 

That’s nice and all, but those things only matter if the midwife actually decides to do them. There are so many cases of midwives taking high risk patients, of midwifery publications calling dangerous conditions “variations of normal”, etc. This seems like another attempt to make home birth midwives look like something they are not. Most of them are not nurses, most of them do not have adequate training, most do not have adequately quick transfer, and most of them do not have a good working relationship with hospitals.

OBGYNs express doubt that midwives could adequately manage complications without the equipment available in the hospital. One dr compares it to driving without seat belts using previous safe driving as a justification for the risk. Eugene comes back on the screen to dispel the myth that midwives are using archaic methods to manage labor or pain. He says they bring pitocin, oxygen, etc to births. Home birth midwives are shown packing up this gear.

Once again, this movie tries to make it seem like most midwives are nurse midwives (the only highly trained midwives in the usa), but most home birth midwives aren’t. Most home birth midwives are direct entry or “lay” midwives who do not have adequate training to deliver babies. Direct entry midwives are not allowed to carry medicine in all states, and some don’t do it because they think that complications should be managed by homeopathy or other techniques.

It is worth noting that midwifery is “traditional” or “ancient” when it suits natural child birth advocates, and its contemporary and evidence-based when it suits them.

Eugene continues “Home birth midwives are incredibly skilled at what they do.”

Then why is their death rate so high? Why is it that in many states I can become a home birth midwife simply by calling myself one? I have no skills or training outside of a doula class, but no one can prevent me from attending home births in my state because the standards are non-existent.

An OBGYN says “In a postpartum hemorrhage, you can lose your entire blood supply in about five minutes.” 

The midwife says “if you think a mother has a higher risk of bleeding you have the pitocin drawn up. You have the IV warmed here, right by her side.”

Anyone who has attended codes or traumas knows how hard it is to start an IV on someone who is bleeding heavily.  Having it ready doesn’t mean a lot if it isn’t physically inside the person’s vein. When they get really desperate for a line they jam a huge IV into your bone to provide fluids. Its not pretty. I doubt midwives have the equipment for that. Anyone who has watched the beginning of this movie knows home birth is all about NOT having IVs or other medical interventions, even “just in case”. They only bring it up when safety concerns are being addressed, to make it appear safer than it actually is.  They again they ignore the fact that the majority of american home birth midwives are not nurses and have no real medical training.

My patience for this is wearing thin. There is so, so much deception at this point that it is hard to conclude that it was not intentional. Either that or the film makers are in so deep that they are basically acting as cult members, who believe that it is okay to lie as long as you are serving the cause.  An entire portion of the film is dedicated to talking about how skilled and trained and prepared home birth midwives are, but they take absolutely no time to discuss the difference in training and preparation between the majority of home birth midwives (direct entry midwives) and the majority of hospital midwives (certified nurse midwives). Its a truly glaring omission.