Review of "Birth Rights: The Risk of Choice"

Birthrights: The Risk of Choice is produced by Betsy Kulman, distributed by Al Jazeera, is a 25 minute documentary featuring several doctors, families and birth choice advocates in an attempt to bring awareness about the choices surrounding cesarean sections as an option to birth. The film starts with a couple from Columbus, GA traveling to Atlanta, 2 hours from home, to deliver their baby at a hospital with the only doctor they could find that will allow a trial of labor in order to provide VBAC services. Another scene in that doctor’s office shows other pregnant moms talking about why they chose him. One woman reports calling over 30 OBGYN clinics looking for a practitioner that would allow VBACs before she found Dr. Tate. She said that she was told by other doctors that she would not find anyone who allows VBACs and “it’s for a good reason.”

            Dr. Tate is a OBGYN who is a man of Jewish faith. He believes that it is his traditional Jewish upbringing that gives him a healthy respect for nature’s intention of the way almost all women are able to birth naturally. He also believes there is a time and place for cesareans and interventions to help deliver vaginally and that he will provide them when necessary. And even though many doctors are performing Cesareans because of the fear of being sued, he leaves that in the hands of his faith and provides the best medicine for his patients that he has determined is in their best interest, not his.

            The documentary also gives statistics such as the WHO recommendations that the cesarean rate be below 15%, that the risk of Uterine rupture during a VBAC is less than 1%, that cesareans are the #1 surgery performed in the USA, and that 77% of OBGYNs will be sued at some point in their career.

            It is because of the risk of being sued that many OBGYNs will jump to section a mother. When utilizing cesareans as a normal part of their business, they don’t have to work the longer hours of a practitioner who waits on natural labor, They can schedule more mothers that are due in the same month, they won’t be under the stress of anything else that might happen which could create risks of being sued and they get paid more money when performing the cesarean. There is no incentive for them NOT to use them or, in many cases, over use them.

            The film also highlights support for mothers who have undergone cesareans and seek community to process the emotional issues surrounding these traumatic births, such as ICAN (International Cesarean Awareness Network) and Jill Arnold’s website www.TheUnnecesarean.com where people can access studies, research, data, birth stories and other resources to make informed choices about birthing practices. Jill says, “The overriding theme is frustration and desire to change the system.”

Safe Motherhood Quilt Project

AHHHHHHH..... the sigh of relief as I sit here after completing my finals for Winter term and welcome the next 2 weeks of relaxation. Wait. Oh ya, no relaxation for me! I have a browser with 11 tabs open, most of which are midwifery related articles waiting to be read and filed, a few more are autism related articles waiting to be read and discussed with the old man about possible solutions to help with our 9 year old and I have a pile of work upstairs waiting to be organized so I can get to midwifery studies in a few days. 


The life of a midwifery student is exciting and exhausting but oh so rewarding. Especially when you open your computer to see one of the biggest inspirations to your calling being interviewed by Amy Goodman on Democracy Now.  Ina May Gaskin is a pioneer for American Midwives. She has made leaps and bounds in bringing awareness, advocacy and education to mothers for over 30 years. She makes so many articulate points in this interview and is so inspiring. 


One of the things she discusses in this interview is her Safe Motherhood Quilt Project described as, "The Safe Motherhood Quilt Project is a national effort developed to draw public attention to the current maternal death rates, as well as to the gross underreporting of maternal deaths in the United States, and to honor those women who have died of pregnancy-related causes since 1982." There is a list of facts as well as more info on how to get involved and spread the word on the website. Please visit it and learn about how we can prevent maternal mortality and improve the outcomes for many women and families in our country.

Some stats that are important to remember when thinking about maternal mortality rates are :

• At least 30 other countries have lower maternal death rates than the U.S.
• There has been no reduction in the maternal death rate in the U.S. since 1982.
• The CDC acknowledges that we have a massive problem of underreporting of maternal deaths in the U.S. and that our reported rate may be only 1/3 to 1/2 of the actual total number.
• Maternal death rates are four times as high in the African-American community as in the Caucasian community.
• There is no federal requirement that the states carry out a confidential review of all maternal deaths in order to be sure that all are counted, to analyze the principle causes of preventable deaths and to make policy recommendations to prevent such deaths in the future. In most countries with lower maternal death rates than ours, maternal deaths are systematically reviewed and there are lower levels of underreporting of such deaths than the CDC says we have in the U.S.

Please visit http://www.rememberthemothers.org/ for more info!

The perfect midwife

My idea of the perfect midwife is: someone who can be focused, calm, and fast to think of solutions. Someone who can facilitate growth while maintaining relationships that lead to sharing the same empowerment amongst the community as a whole. Someone who knows how to “pay it forward” and trusts that she can give willingly and know that she will receive what she needs in return. She is appreciated by the community and people trust her. He can be tough when she needs to protect herself or the people she is caring for, she can be brave when she has to do something hard, she can be quiet when it is time to witness and she can be available when she is needed for help. She is strong in her convictions but not afraid to learn from others. She is open to diversity in cultures and respects traditions and different belief systems. She honors her work as a midwife as a privilege and is gracious for the opportunity to help people who seek her. She knows when to say no to someone she cannot help. She balances her passion for service with her love of her family. She sets an example to the community of peaceful presence and responsible agency. She is happy to teach other women the arts that she possesses and knows that by enabling more people to practice, she ensures everyone a better life. She is ok with not living in luxury and appreciates the little things in life, she finds her riches in the relationships she builds and the people she calls friends. When things get difficult, she can calmly react and manage the situation and even if there is not a favorable outcome, she is confident and humble at the same time.