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Nev's avatar

I was discussing exactly this with my sister after reading the NYT article. I have free birthed two babies. My third was sunny-side up, I couldn't get him into a good position at home and off to the hospital a midwife friend recommended we went. Beautiful birth and what that baby needed.

I eschewed the hospital (and all medical care past 16 weeks) with the first two pregnancies because of the horrific stories I'd read. And then it was reinforced by poor treatment from most, not all, of the OBs/nurses I engaged with. For example, one OB told me she "needed" to do a cervical check at 10 weeks to "confirm how far along in the pregnancy" I was. How, I ask you? When I declined to take off my pants she was clearly angry and told me that "they were OBs and I was going to HAVE to LET them at some point." I was very glad to know that I they wouldn't get the chance.

I am grateful my free births were easy and the babies came out pink and squalling. I don't think I was in as deep as the moms who lost babies due to (likely) preventable issues in labor. But I don't know and can't say for sure that I wasn't that far down the rabbit hole. I really thought Emilee Saldaya knew what she was talking about. I'd started to question things before my third pregnancy - but even then, I waited 50+ hours to transfer. (The baby was and is perfectly healthy.)

FBS is a wake-up call. So is the MAHA movement, so is vaccine skepticism, so is your crunchy friend refusing to eat seed oils. Not all of it is right, but these movements are not based on nothing, and shrieking at people to trust the experts is doing exactly what you wrote - driving them into the arms of people who laugh at the entire system, call it a psyop and offer a radical alternative.

Rosie Spinks's avatar

Enjoyed reading this Sarah -- you brought so much nuance to it! Well done.

This is one of those topics that I can talk myself into either side of, which is definitely colored by the fact that I had one of those births that would not have ended well without modern medical interventions (spontaneous labour at 33 weeks).

Something I came away from your piece thinking about: In the NHS midwife's letter to the Guardian that you linked to, she says it's very rare for bodies to produce babies they can't birth. I'm not sure this is substantiated by anything other than vibes. And it's something that's really hard to hear for the many mothers (like me) who *did* produce a baby that couldn't be birthed safely without interventions.

In fact, I think in pro-natural birth pieces/spaces, the one argument that is very rarely faced head on is the fact that birth has been phenomenally dangerous to women and babies for basically our entire species' history. There is a good amount of evidence to back this up, though I don't have it to hand. That's not to say that we should all give birth in hospital, but I think that the natural birth side does itself a disservice by regularly glossing over this fact. There is no perfect answer here: both natural and hospital birth can result in trauma and bad outcomes. The conversation, I think, should be how to reduce it in both settings, and help women decide which kind of risk(s) they want to take.

Have you read Matrescence, by Lucy Jones? Her chapter on birth is among the best I've read. She talks about the "natural" fallacy and how we apply it to birth.

Anyway, thank you for writing this!

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