The documentary shows that primarily hospitals and doctors are interested in money, litigation, and the physicians' convenience. Medical decisions and interventions are being made for monetary and legal reasons, not because they are necessary. The Business of Being Born showed that the two peak times during the day women have c-sections are at 4PM and 10PM. Why is this? C-sections are doctor friendly. Around 4PM, one wants to get home and have dinner. Around 10PM, doctors don't know how long this woman will be laboring-will they have to get up at 2 or 3 in the morning.
I learned a few things from the movie (and many things were reinforced):
- Midwives attend over 70% of births in Europe and Japan, but in the US, they attend less than 8%.
- When births went into the hospital, midwives did not go with it. Unfortunately, this is definitely true. You may remember from Part 1 of Charis' birth story that the reason I did not go with midwives was because the hospital did not (and continues not) to grant privileges to midwives. This has been true for all three hospitals I have worked at since 2006.
- The c-section rate went from 4% to 23% in the decade that Electronic fetal monitoring was introduced.
A few things I want to change (D.V.) for my next pregnancy delivery:
- I DO NOT want to be induced. I wish I had put my foot down more with Charis. There was NO MEDICAL reason to be induced and have Pitocin.
- I want to have a midwife. If for some reason I can't see a group of midwives, I want to have a doula with me during the delivery.
- I'd love a waterbirth, but unfortunately I don't know of any hospitals in the area that permit this.
- I'd like to move around more in labor and NOT push lying down (pushing from lying down is doctor friendly, but closes the pelvis more).
- I DO NOT WANT FUNDAL PRESSURE!!! Read Part 3.
- I'd like to try and avoid an episiotomy. I honestly think this was performed for two reasons, I was not able to squat, but was lying down, and it was shortly after 5PM, and the doctor wanted to get off work soon because the evening doctor was going to be on call soon.
For more info, go to The Business of Being Born.
Have you seen The Business of Being Born?
If so, what are your thoughts?
Note: I think the biggest reason OB-GYNs do all the tests and interventions that they do is because they are concerned about litigation and a mother coming and suing them. I do not think doctors are evil. I believe it is an individual choice if one sees an OB-GYN or a midwife.