The Radish and out-of-hospital birth

On Tuesday, I received an email from an editor of Radish Magazine. I am an avid reader of Radish, monthly healthy-living publication that focuses on eastern Iowa and western Illinois. The editor had been forwarded an email about a Friends of Iowa Midwives event that I am co-organizing this weekend. She is interested in our group and invited me to send her press releases about future events!

What is Friends of Iowa Midwives, you ask? In a nutshell, its a grassroots organization trying to promote women's rights to birth options. Now you might say "Wendy, what are you talking about? Women have lots of options in birth! Besides, why do you care, you've never given birth!"

Well, you would be right and you would be wrong. So here is a story.

Over the last two years I have learned a lot about pregnancy and birth. Within months of beginning my job, I noticed a disturbing trend. The young women I worked with would make a birth plan with me, but when we talk a week after the baby's birth, nothing went the way they wanted. I can understand that this happens occasionally, but every single client had something go wrong during birth that resulted in induction, c-section, epidural or some other unwanted intervention. Very few continued breastfeeding past one week. I happened to get a newsletter from a baby magazine featuring an article by Henci Goer. She mentioned a few books and movies addressing the problems in our maternity care system, including The Business of Being Born, which was being screened just a few weeks later. I went to the screening, and suddenly I was reading piles of books. I learned that 1/3 of all American births happen by cesarean section, even though the WHO recommends that the rate remain no higher than 15% of all births. Artificial induction of labor can lead to increased epidural use and c-sections. Epidurals, despite increasing the risk of c-section(and a variety of other problems) are used in over 60% of US births. There seems to be a domino effect, women get one intervention and the rest follow. The thing that I was most alarmed to learn is that we have the highest infant mortality rate among industrialized nations.

I began to realize how political this issue is. There is a movement that objects to the way that hospitals treat birthing women as though they are destined to need intense medical assistance, that they are incapable of having a successful birth without the assistance of obstetricians. In half of US states, it is illegal for Certified Professional Midwives (CPMs) to attend births. Since most doctors and Nurse-Midwives chose not to attend out-of-hospita births, this leaves women without safe alternatives to hospital birhts.

I joined the email list for Friends of Iowa Midwives and when I heard that someone was starting a Quad Cities chapter, I volunteered to help out. Rebecca and I held our first event on Friday, a Red Envelope party, to send letters asking Iowa legislators to support out of hospital births, since there will be a bill this session to legalize and regulate CPMs.

I am really exited about this issue and may be writing about it again. I am particularly excited that we had a good turn out for our first(and thus, poorly publicized!) event, and that The Radish is interested!