Monday, October 01, 2007

Business of Being Born




Oooo, doesn't THAT look cozy?

Saturday I stood at my business booth in downtown Ann Arbor's Birth Network birth fair from 12-4pm. Later that evening I took little E to a screening of Ricki Lake's: The Business of Being Born. (Which was a really good documentary, but somehow I'm feeling like something was missing that I can't put my finger on). Following the movie, there was a panel of professionals from the community. There was A. Smith who is my friend and my former preceptor, a woman from the local Lamaze chapter, Barbara Hoteling who I think is the president of Lamaze right now (and she's a sassy-assed Southern lady and I love her), there was Ray DeVries who is a bioethicist from the U of M (and is very pro midwife), and then there was a female OB from U of M. The audience asked questions to the panel in which they took turn answering.
Someone brought up the fact that the U of M, despite it's claim to support women's natural birth choices, are spending millions of dollars on new surgery suites and all the extra beds required to offer a 50% cesarean rate! WTF????
How does that support natural birth?
The OB said that birth is "big business, we all know that. Heck, even home birth is big business..."
A home birth midwife shouted out, "To WHOM?! HOW is home birth BIG BUSINESS?! How many home birth midwives do you know that drive a Lexus?!" The audience roared and clapped.
The OB rolled her eyes and went on to explain that she provides elective cesareans because she believes in listening to what woman wants. It's a societal trend, she explained.
She was speaking to the wrong church and choir.

Barbara Hotelling went OFF. She said, "If you really want to support women, you need to be spending millions of dollars on birth centers, not surgery rooms."

Amanda Smith said (when asked how do we train new CNMs and docs in normal birth) that they should be required to intern with a home birth midwife as part of their rotation.

Fabulous evening. I left feeling equal parts discouraged for the future of childbearing women, and refreshed by the many kick-ass people in our community.

I actually stopped to thank the OB before I left because she had some big ovaries to step into that forum and face being blasted by the birth junkies. I didn't agree with everything she said, but it's no use pointing fingers. We need to bridge that gap. And honestly, the hospitals around here have been very kind to the midwives and doulas.

At the end of the month I'm giving a presentation to a class of U of M anthropology students about What I Do. Should be interesting.


In other news, my husband's grandmother, or Nan, passed away Friday. Everyone is trying to make last-minute flights to get to England for the services. The only reason he might go is because his aunts said they'd pay for it. Heavens knows we don't have the cash to send him over.
We shall see.

5 Comments:

Blogger leaner said...

I can't wait to see that documentary! I know our local Birth Network is trying to get s screening together. I hope they do. What an insightful evening, too. How interesting other people's ideas are!

4:47 PM

 
Blogger Unknown said...

Hey ms.AT- so sorry i missed it, i spent the weekend moving and going to weddings and having two broken cars- dang.
just wondering if it'd be possible to sit in on your talk to u of m?
as a wanna-be midwife, i think it would be fabulously interesting.

7:09 PM

 
Blogger Lindsey said...

Ah, your blog makes me miss Ann Arbor so much! I went to school there & now am in Florida; hoping to attend midwifery school. There's no way we'll ever have a screening of that film in this town.... sigh. But what you said about U of M & the required 50% c-section rate...actually makes me very happy that I can't afford to go back there for nursing school.

9:31 PM

 
Blogger Kate said...

richard de vries the bioethicist is the pesident of Lamaze international as barbara was. but th elamaze cbe was of lamaze of ann arbor which is seperate/different form lamaze international. i know- confusing.
i reallylike the film but there was a big gap for me too and i cant quite figure it out.
d and i talked about it and we thought that the ob was not really trying to say that hb midwifery is big $ (because that is just silly)but that in the big picture it is a big $ issue. and in that system she is right. if hb was say 20% that is a big $ issue to the existing system. it did bother me that she felt she had to defend herself, her practice and u of m but it was a tough spot for her to be in. i really feel that the extremist approaches are a hindrance rather than a benefit to progress. she was asking valid questions that did not get addressed like "how do i tell that a woman is 'normal' and will have a 'normal' birth?" she didn't know and that is knowledge that in our community we take for granted. she asked it three times in a row and it got blown over. just like midwives do not have all the knowledge for surgery due to lack of training (not that it is in our job description nor would a midwife try- i acknowledge that)they do not have the knowledge due to lack of training and the system for normal birth. we all in each community need to humble ourselves and learn to respectfully work together for an answer. a pipe dream i know but you must have some sort of plan to have a beginning.

10:32 PM

 
Blogger Mid-life Midwife said...

retic mama,
i know what you're saying. when she said that about birth being big biz~ it made me wonder if many Doctors think that way. once Dr. C (yk, my doctor) argued with me that home birth midwives made much more money than doctors per birth, and that's why they resented us. because we didn't pay for the big education.
basically, a doc gets around $1500-$2200 per birth (ahem, per CATCH). a little less for Medicaid births (so that's why they treat those moms like shit). that doesn't include prenatal, continuity of care, extensive postpartum visits, etc.
It was a ridiculous discussion, and he "got it" when I explained what we charged/for the long-term services we provide, but he said, "Well that's what doctors think about midwives."
THAT'S what I thought about when she said that about hb midwives. Even more so as I read PUSHED... realize many doctors DO think we're just raking it in.

10:51 PM

 

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