This is “extreme free-birthing“…doing it all alone. Not recommended.
I love it when a new commenter makes an entrance with a Comment of the Day, and that’s what Megan did in response to last week’s post about the credulous mother-to-be who placed inordinate trust in the opinions of amateurs and well-meaning activists with tragic results.
Here’s the way the poll on that story has turned out; polling closes in a week, so if you haven’t voted, time is running out:
Frequently first time visitors with especially impressive debut comments are only interested in a single issue, and go recede into the mists of anonymity from which they came, never to be heard from again. I hope that isn’t the case with Megan.
I’d like to offer my 2 cents as a pregnant woman who is currently planning a “freebirth” (but is open, of course, to taking whatever unpredictable path unfolds in labor).
Judith is responsible for her body and her baby. This is one of the core beliefs, in my opinion, of anyone who is willingly choosing to go this route in pregnancy and childbirth. The freebirth movement was born out of women who wanted to take more responsibility for their pregnancies/births, rather than feeling like another number on an OB conveyor belt. Typically, it is women who want to lead the decision making process when it comes to what is done or not done to their bodies (which includes their babies, obviously).
There are so many problems in our current obstetric system, it is one of the least evidence-based areas of medicine, period. There are been plenty of research to show that new technological advances have NOT improved average outcomes in the past 30-40 years, such as constant fetal monitoring, multiple ultrasounds, C-sections, inductions, etc. That being said, if you’re going to make radical choices that go against common sense consensus and what history has shown to be true about pregnancy (ie: a pregnancy lasting 44 weeks + has a very high risk of stillbirth), you must also be willing to suffer the consequences of those choices. Judith will live with the consequences of her choices for the rest of her life, it is heartbreaking. No one will suffer more than her, and my heart goes out to her. There is no worse pain than losing a child.
I still believe that women should always be the final decision makers over their bodies, even if those decisions are shortsighted or ill-informed.
If anyone is interested, the reason I am planning a birth without medical professionals present (except that I will have a friend present who received midwifery training but never ended up becoming licensed) largely has to do with my first birthing experience in the hospital, and the protocols in place that are presented without care for a woman’s bodily autonomy. I was given ZERO choices about how my care proceeded at 40 weeks, was told that I HAD to be induced, after having 2 HBP readings over the course of 24 hours. I had zero symptoms of preeclampsia, was incredibly healthy, and felt great. I’ve since consulted with several OBs who agree that mine was an unnecessary induction. Nevertheless, the OB that was on staff that morning was a cautious one, proving that sometimes all it comes down to is a provider’s personality, and I was shuffled into the standardized induction protocol. This turned what I believed would be a powerful, momentous, incredible experience in my life (initiation into motherhood) into one of extreme pain (pitocin contractions don’t give you breaks!) and then numbness (epidural to numb the pain), leaving me feeling helpless and completely dismissed by staff. I’m one of the “lucky” ones who goes through this process and doesn’t end up with a C-section (you’ve got about a 50/50 chance after being induced with pit). Continue reading →
Enigmatic commenter Extradimensional Cephalopod (that’s not him in the picture, just a relative) returned to Ethics Alarms after an unexplained absence (though who knows how time passes in his dimension) to provide one of several excellent observations on the post and poll about “Judith,” the expectant mother whose faith in a “freebirthing” cult cost her unborn child his life. The comments of Tim LeVier, Humble Talent, JutGory, and Mrs. Q, among others, were all Comment of the Day worthy, but for now, I’m going to award EC the prize.
First off, I’m grateful for all the nuanced and well-considered opinions here. I can always count on getting reasonably well-balanced information about human society from people’s experiences here, and the encouragement that reasonable people are not alone–just not yet organized.
The poll didn’t let me vote multiple times, but I’m tempted to select “all of the above,” in the sense that “responsible” can mean “contributing to the problem and needing to change.” For “primarily responsible,” I’m obligated to go with “Judith,” since she is presumed to have ultimate decision-making authority in this case.
That survey question by the National Partnership for Women & Families spins so hypnotically, I’d like to take it off its axle.
“Giving birth is a natural process that should not be interfered with unless absolutely medically necessary.” Who wouldn’t agree to that?
1. Yes, giving birth is objectively and literally a natural process, in that humans didn’t deliberately design it. (Although I wouldn’t put it past them to have done so under a tight budget of time and money. I’ve supported software rollouts that were just as awkward and painful.)
However, stating something to be “a natural process” in so many words implies on an emotional level that it is by default perfectly healthy and should remain purely natural, which is an appeal to nature fallacy. “Cancer is a natural process.” “Epidemics are a natural process.” “Hurricanes are a natural process.” There are plenty of natural things that I am very grateful civilization has altered or wants to alter using technology. Continue reading →
This is a terrible and tragic story, but I don’t want to focus on that. I want to focus on accountability.
NBC tells the true story (I assume it is true, exactly why, I don’t know, since this is NBC. It’s not related to politics, I guess.) of “Judith” who worked at a flower shop. On her long daily drive to work and back, she listened to podcasts, and when she got pregnant, she listened to “The Birth Hour” and “Indie Birth,” podcasts about childbirth stories, which ranged from hospital to home births.The “Free Birth Podcast” excited her particularly.
The podcaster is Emilee Saldaya, a Los Angeles freebirth advocate and founder of the Free Birth Society that has 46,000 followers on Instagram. The podcast promotes the experiences of women who give birh without assistance, in bathtubs, fields, or in their own beds, surrounded by their partners loved ones. Doctors were not welcome.
Judith listened to around 70 episodes, some multiple times. A particular favorite was an interview with a woman who had given birth by candlelight in a yurt in the California mountains with only her husband and her dog she called her a “midwolf.”
I’m having a flashback to 1967.
The podcasts began with advertisements for the Free Birth Society’s online courses and private consultations; this is often the tell-tale sign of a cult. Judith dutifully paid $299 for the group’s 10-module video guide on how to freebirth babies at home. None of the “experts” and “consultants” the group sponsored have medical credentials or experience; that’s the point. Judith didn’t like doctors, so she was a vulnerable target for the group’s message, which emphasized that hospitals were scary places, and hospital births were full of trauma for mother and child.
NBC reports that distrust of the medical profession regarding childbirth is on the rise. A survey conducted by the National Partnership for Women & Families claims that while in 2002, 45 percent of mothers surveyed agreed that “giving birth is a natural process that should not be interfered with unless absolutely medically necessary, the number had increased to 74% by 2018.
Could this possibly be accurate? When did giving birth by squatting and biting on a stick become cool again?
When she got past to her due date and Judith’s pregnancy approached its tenth month, she relied on the Free Birth Society course’s episode on “long pregnancies” for guidance. That podcast warned against inducing a pregnancy, a process it referred to as “eviction from the womb.” It insisted that the idea that “babies must be born before 42 weeks is nonsense.”
Judith had her amniotic fluid checked at a local hospital, and though there were no causes for alarm, a doctor thee urged her to schedule an induction. She made the appointment, but canceled it the next day. She sought, NBC says, a second opinion on Facebook. “43+1 today, politely declining hospital induction. They think I’m crazy,” Judith posted on Ten Month Mamas in January 2019. “I really feel like this baby wants a home birth too but we are definitely being tested. What would you mamas do?” Hundreds of comments supported her desire for a home-based freebirth.
No one told her she should do what the doctor had advised, and there was a reason for that. Several of the groups had rules forbidding members from suggesting that another member resort to a doctor or a midwife. “Unassisted Pregnancy & Childbirth,” for example, instructed its 4,600 members,
“This means we don’t want to hear about the tests your midwife wants you to take, or how your OB thinks baby is breech or ‘too big’ or whatever other shit they say. Just don’t. This is not the place. No induction discussion. We do not advocate for induction of any kind, as no induction is natural.”
Egged on by Facebook extremists, Judith told NBC that she became determined resolved to freebirth alone, “no matter what.”
When the day she had decided to freebirth arrived, Judith “walked and danced for hours through contractions and floated in a pool that her husband filled with water.” She listened to music as a friend massaged her back. She took short naps between contractions…everything she had learned from the podcasts. But the pain increased and the breaks between contractions shortened. After 10 hours of labor, Judith started vomiting. The contractions were coming too fast and violently for her to monitor the baby’s heart rate with the fetal stethoscope she had bought. Her water broke, and there was dark brown in it, fecal matter that would kill the baby if it was inhaled. Her husband drove her to the hospital, doubled up in pain. Once there, Judith got the medical assistance she had vowed to avoid, but too late. Her baby was dead.
Stipulated: This should not have happened.
Who’s primarily responsible? For this poll, I’m going to allow multiple voting, because I don’t think there is a single answer.
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