Unassisted Childbirth featured on Mothering magazine blog

Writer and unassisted birther Jennifer Margulis posted a nice interview with me yesterday on her blog at Mothering magazine. Comments encouraged! Jennifer's own wonderful unassisted birth story is posted here. She also spoke about the birth last year in interviews with both the Associated Press and MSNBC.

Get Me Out: A History of Childbirth From the Garden of Eden to the Sperm Bank

I’ve just received a copy of Randi Hutter Epstein’s new book Get Me Out: A History of Childbirth From the Garden of Eden to the Sperm Bank. I’ve been so busy I’ve only had a chance to skim the book briefly but it looks fascinating. I’m pleased to say that Randi devoted an entire chapter to unassisted childbirth! I can’t say that the chapter is entirely complimentary but she does have some good things to say about UC, and I’m thrilled that a mainstream writer has at least acknowledged that the concept exists! Randi has been a friend of mine since she first interviewed me for the 2002 article she wrote about unassisted childbirth for the New York Times. In 2007, Randi flew to Boulder (with bagels in hand) to interview me for the book. I wish her all the best with it! Below is a review of the book written by The Green Doula. To purchase of copy of the book visit RandiHutterEpstein.com.

Every once in a while I come across one of those books that I can absolutely not put down. To be quite frank, in the past, those books have been in the likes of historical fiction or Harry Potter (my literary guilty pleasure). Though I have come across several books about birth which I have found very informative, I had never felt the extreme urge to carry such a book with me everywhere I went till I finished its 300 pages in one weekend. That changed this weekend.

Author Randi Hutter Epstein, M.D. has unknowingly recruited me as her new enthusiastic fan. In her new book, Get Me Out: A History of Childbirth From the Garden of Eden to the Sperm Bank, Epstein weaves together a collection of well researched historical facts, fads, and tales into a very eye opening chronological history of Western birthing and women’s health care. I am often asked, “If the Midwifery Model is the ideal model, why are hospital births so popular? Didn’t obstetricians help make birthing easier at the turn of the century?”. This book answers those such questions and more in a shear way that neither left, right or middle wing can deny. This is not a book that dives into the history of midwifery. It is a definite eye opener bound to captivate its reader on the history of obstetrics and the unfortunate altered perception of “mainstream” birth today. I even believe that the male audience will find this book just as enjoyable/shocking as Jared Diamond’s Guns, Germs, and Steel. There are a lot of interesting parallels between the two books (I coincidentally started reading Guns, Germs, and Steel first till I saw this book in B&N on Thursday night). It will be clear after reading this we must fight harder for better birth choices ones based on respect and time based models such as midwifery. The case is undeniable. Why continue to let the legacy of characters like the J.P. Morgan and James Marion Sims reign (read their back stories in this book) over the ancient wisdom and traditions of woman’s past when it comes to our most cherish power and gift as women? Why continue with the sabotage?

This is definitely not a how to book or what to expect book, it is a full on historical book. But unlike our society, Epstein does not leave the important facts out (no matter how hard they are to swallow). She puts them front and center. I do feel that this book should be read by women and men alike to fully understand the foundation in which women’s health care (under the Western Model) was constructed under. This book will empower you to ask questions that you may have never even thought to ask and answer some questions that have been lingering for generations.

Epstein, a medical journalist for the New York Times, Washington Post, and more, has a refreshing talent for conveying weighty facts in a humorous digestible manner. She will also leave you with your jaw on the floor as a side effect of disbelief. Next time you walk by the Who Knew Section at Barnes and Nobles or are browsing on Amazon.com, pick up this compelling, powerful thought provoking must read.

"Freebirthing" to air on the Discovery Health Channel

The unassisted childbirth documentary originally titled "Outlaw Births" and now renamed "Freebirthing" will be airing on the Discovery Health Channel on Oct. 21st. As far as I know, the only things that have changed are the title and perhaps the narration. I enjoyed the British version, but as expected, there were numerous unsubstantiated comments from medical professionals about the supposed safety of hospital birth and the dangers of homebirth (specifically unassisted homebirth). In my interview with the producers last summer I addressed many of their concerns but most of my comments ended up on the cutting room floor.

I've posted clips from the British version of the program on a web page I put up called Freebirthing.org. To see the Discovery Health Channel's page about the program click here.

It will be interesting to see what, if any, changes will be made to the US version. A producer from Discovery Health contacted me a few weeks ago to see if some of the "facts" presented in the program were indeed facts. I wrote him a long letter telling him more than he probably wanted to know! I've included some of my comments below. I'd actually be suprised if any changes were made to the program, but we'll find out soon!

Dear Emil,
I’m glad to hear it will be airing in the US. Overall I thought it was good, although I felt they were wrong to say that 50,000 UK women hemorrhage each year, without adding that much of this is due to medical intervention – epidurals, pitocin, aggressive management of the third stage of labor, c-sections, etc. Without bringing in this fact, it makes it appear that large numbers of women will naturally hemorrhage if a birth isn’t medically assisted.

Nine pregnant women were actually interviewed for the documentary (although most weren’t featured), and all nine went on to successfully give birth unassisted. None of the women hemorrhaged, and only two sought medical care after the birth – Heather, for a placenta that was slow to come out (but came out without assistance in the hospital), and another woman who tore and decided to get stitches. Heather is now sorry she went into the hospital, as many women that give birth at home deliver the placenta hours (and occasionally, days) after the birth with no problems. There really was no reason for concern. And so I would dispute the narration that accompanied this segment, as they implied (if not outright stated) that Heather was in serious danger.

Regarding the statement that “80% of women say that childbirth is more painful than they ever imagined," I googled “childbirth more painful than imagined” and found several references to a UK study from 2002. However, the article states that of the women in the study, “Almost a quarter had had a Caesarean and 96 per cent gave birth in hospital with a variety of technical assistance including forceps, suction and epidurals. Only 6 per cent reported having a 'completely natural birth.'”

As far as the accuracy of the comment in the end of the program that "For Laura Shanley the responsibility rests on the medical community to offer a different kind of support to women," this actually bothered me, as I would never make a statement like this. I believe the responsibility rests on women. If women truly want to have a better birth experience, they need to educate themselves as to why birth can sometimes be problematic. From the research I have done, I believe it can be traced to three main causes: poverty, unnecessary medical intervention, and fear (which triggers the fight/flight response and shuts down labor). We cannot depend on the medical profession to “save” us from birth, as we really don’t need to be saved – and their idea of saving (inductions, c-sections, etc.) brings with it a new set of problems that are actually causing an increase in both maternal and infant mortality. And so I encourage women to overcome their fears, believe in their own abilities and allow their bodies to work the way they were designed.

The producers of the documentary did ask me what doctors, midwives and doulas can do, and I told them they can help women to believe in themselves (and this is the clip they showed after making that statement). But I would never put the responsibility on the medical community, as I do not believe birth is a medical event. Contrary to what many reporters are saying, the unassisted childbirth (UC) movement isn’t simply a reaction to over-medicalized birth (although that’s certainly a factor). I think interest in UC is growing because women are wanting to take responsibility for themselves in all aspects of their lives. They no longer feel comfortable turning themselves over to the “authorities.” The idea that “doctor knows best” doesn’t sit right with many people anymore. Yes, doctors are necessary and sometimes their services are needed. But when it comes to birth these days, I believe they are creating more problems than they’re fixing.

Please let me know if there’s anything else I can do. Dare I say, there were several other statements made in the documentary that I didn’t agree with – and actually addressed in the hours of interviews I did with the UK crew. Unfortunately, most of that ended up on the cutting room floor. Still, I’m thankful that I was able to say as much as I did (I did a 4-hour interview with the Seoul Broadcasting System a few years ago, and when the documentary aired a year later my part was 15 seconds long). I also felt the British did a nice job presenting the women’s stories. I don’t object to them including negative comments from doctors, but many of the comments made simply weren’t true.

Best wishes,
Laura Shanley

Reviews and clips of "Outlaw Births"

The unassisted childbirth documentary “Outlaw Births” aired in the UK on Wed. night and by all accounts was an interesting program! As usual, there were numerous negative comments throughout from medical professionals but that’s to be expected. There was also too much emphasis (by most accounts) on the problems one American woman, Heather, had on delivering her placenta. The placenta was slow in coming so Heather went to the hospital. While this actually wasn’t an emergency, it was presented as such in the program. Still, in most people’s minds this didn’t overshadow the beauty of Heather’s homebirth.

Two clips have been posted on YouTube. The clips feature UK UCer Clair and her partner Yasmin, but in the beginning of the first clip you’ll see 2-second shots of 2 other UC’s – Josephine’s and Monique’s. There is also a shot of my friend Cassie looking euphoric as she holds her baby just after the birth, and a few shots of Heather and another UK UCer, Clio in labor. Click here and here.

I’ve already received numerous letters from people around the world who would like to watch the program. Unfortunately at this point it isn’t for sale, although I’ve been told that eventually it will be shown in other (as of now unknown) countries. Those who live in the UK can view the program free here.

I’m enclosing two reviews below, one from my UK friend Cassie, and another by a writer for the Guardian newspaper. Unfortunately the production company has yet to send me a copy so I can’t add my own comments.

From Cassie:
Channel 5 is one of 5 channels available to everyone within the United Kingdom with a TV set. I was extremely pleased and impressed by the program overall. Three births were shown. Clair, our very own Heather and also Clio of Evolution Expands Consciousness.

It started out badly edited really, chopping between Clair (ex nurse in London planning a UC) and three medics - one head midwife from Colorado, a male consultant here in London and a female consultant also based in London. The three medics were obviously saying how dangerous it was, how women die, how "interventions make birth safe" and that the tools they have prevent mothers and babies from dying in childbirth. They also said about 50,000 people each year suffer from PPH (post-partum hemorrhage) in the UK. Didn't mention the fact this was probably due to them yanking out placentas and cutting women up with episiotomies whilst they were strapped to their backs and immobile through epidurals....

The program hinted for a good part of the hour long documentary...that the practice may not be legal in the UK. They even avoided having their own film crew at Clio's birth...just in case the film crew was prosecuted. This continued right up until Clair went to see Beverly Beech, Chair of AIMS (Association for Improvements in Maternity Services). At that point Beverly said quite clearly that anyone telling a pregnant woman that UC was illegal was either 'ignorant or lying.' The program misquoted the wrong piece of legislation associated with possible prosecution...saying it was 1997...when in actual fact it's 2001.

Clair I felt was featured most centrally. She is an ex nurse and also a lesbian. They didn't make as big of an issue out of this as I had expected them to, which was nice. She put herself across on the documentary quite well, being very honest in her fears and her hopes. She went for a class with the British Red Cross...and the man who gave her lessons on how to resuscitate a baby did not at all seem phased when she pointed out there would be no midwife at her birth. He just made sure she understood what he had taught her and seemed quite confident he had equipped her with the knowledge to save her child, should the occurrence arise. She birthed at home with her partner alone. Bit of screaming when the head crowned, but she was ecstatic and far happier it seems with this birth than her previous two experiences.

Clio - was AMAZING. Quiet, serene, peaceful. Positively empowered and never uttering once about negativities.

Heather - beautiful! Was filmed with our dear Laura at a gathering that was held at Laura’s home with other women. The birth was beautiful. Unfortunately out of all of them, this is where the negative spin came when Heather still hadn't birthed the placenta. The ominous narration of 'this is the most dangerous time and Heather is seriously at risk from PPH and infection of her and her baby.' It was the only time I yelled at the TV. Of course everything was fine but it almost gave the impression of 'thank god...see how lucky she is.' It also showed Heather, checking her blood pressure in Wal-Mart lol, and her meeting with a midwife to learn how to resuscitate a baby if needed. The midwife was quite negative when interviewed afterwards and said she needed more support. I wanted to slap her a bit lol.

Laura was interviewed. The website shown and apparently...Laura...you have a 'cult' following. There was footage shown of Laura’s birth back in 1978. The interview bits that were shown of you were not as choppy as some of the others done with 'experts.' You probably got as much if not more coverage as the female UK medic. A basic view of UC came across very nicely from you, as well as your additions on what you hoped Dr's, midwives and doulas should learn about supporting women. ALSO the UK female medic acknowledged the fact that women were turning to UC because the standard of care they received in NHS hospitals was poor and that needed to change!

So it wasn't a parade of freaks as some of these documentaries tend to do. It portrayed 3, educated, empowered and confident women giving birth to their babies without assistance. It showed their fears, concerns, hopes and dreams through their plans and births. It also addressed the legal and medical concerns surrounding UC. Overall...as I said....a very good piece on unassisted childbirth.

It also has the net in a spin. I have been dropping hints about the programs on a number of mainstream boards. They are buzzing about it. Even though many of them wouldn't personally choose to go UC themselves, they admire the births, do not condemn women for choosing to go UC. I can count on probably 1 hand the negative comments I have seen made after the airing of the show (so far) and all of them can generally be put down to that individual’s own personal horrific hospital experience. Well done and congratulations to everyone who was involved in the making of the program!

From Anne Pickard of the Guardian newspaper:
The women in Outlaw Births weren't criminals. They just delivered their babies their own way
Thursday July 10, 2008

Anyone wondering if childbirth really is as painful as everyone says would have found their answer in Extraordinary People: Outlaw Births (Five). In at least two out of three cases, yes, it really did look that painful. And messy. And not for the squeamish. But it was at least a real and unflinching portrait of natural childbirth - as well as a reminder of how unusual it is to see uncensored images of women giving birth and breastfeeding on primetime TV.

Of course, to get it into the schedules, it had to be given a stupid name. Outlaw Births? The programme highlighted the fact that unassisted births in the UK exist in a legally grey area - but "outlaw"? I half-expected to see mothers popping out little black-hatted baddies with sawn-off shotguns shouting: "Put 'em up, this is a robbery!"

Clair MacVean, a quietly passionate ex-nurse, was sad that her friends thought her mad and that her grandmother would worry. But she wasn't to be shaken out of her opinions. "Births are overmanaged, over-medicalised and midwives seem to have lost their empathy," she said. When her NHS trust refused her a home-birthing kit after she refused their midwife, she took herself off to a medical-supplies shop to buy sterile scissors for cutting the umbilical cord. "And who's going to do it?" said the nice lady in the medical-supplies shop. "Me, probably!" Clair replied, cheerfully. "Oh!" said the nice lady, lost for words.

Two other women shared their experiences and, even though you sensed that nothing bad was going to happen, you knew that it could. And you knew they knew, too. Clio Howie gave birth in the company of her husband and children in a remote cottage in Wales, half an hour from the nearest doctor. In almost complete silence, her baby slipped into the birthing pool and emerged the right way up, the right colour and softly crying as he was laid on her breast.

Clair and the third freebirthing mother, Heather, fared less well. They spent hours screaming and contorted, but both ended up with a tiny, perfect person. Every now and again, an obstetrician or a high-ranking midwife appeared and said: "Our problem with this is that it could be dangerous and someone could die and we don't want mothers to put themselves and their babies in situations of unacceptable risk."

Their unsupportive attitude became shockingly clear when Heather, worried that the placenta had not followed the baby out, took herself off to a hospital. There she was treated with disdain. "Well, what do you expect us to do now?" her doctor said. Still, whether you believe these women are taking unacceptable risks or not, their calm dedication made for an absorbing film. "I've had several cups of tea, he's had several little breastfeeds; it's been a lovely morning - wake up, have a baby, and ... " said Clair, waving her hands, "this is the way it should be. Birth is part of life."

Outlaw Births

The British documentary “Outlaw Births” will be airing in the UK tomorrow (July 9th) on Channel 5 at 9pm. The film deals with unassisted childbirth (also known as "UC," "unassisted homebirth," and "freebirth"). I was interviewed along with nine pregnant women who were all planning on giving birth at home, unassisted. I'm pleased to say that all nine succeeded! The film focuses primarily on three women, Clio, Clair and Heather. Footage from all of their births will be shown.

An article about the documentary was published today in the British newspaper The Independent. The article features lovely photos from Clio's recent UC! In the months to come, the documentary may be shown in other countries. I'll be sure to post information on this as soon as I get more details.

Concerning the title, the term “outlaw” refers to the fact that women who choose this route often feel ostracized by friends, family and society. While the UK laws are vague, technically it is not illegal for a woman there to have an unassisted birth.

Associated Press TV segment on Unassisted Childbirth

Tomorrow, March 24th, somewhere in the world, at some point during the day (am I being too vague?), the Associated Press TV segment I was interviewed for will air. Stations around the world that subscribe to AP video can air the 3 to 5 minute segment if they choose to. They can also air part of it, or show the footage but with their own voice-overs. I believe there will also be a 2 minute segment which can be posted online by newspapers that subscribe to AP video. I’m hoping that if it doesn’t air locally (or even if it does) I/we can view the video online, but I’m not sure if that will be possible. In addition to a short interview with me, the segment will also include an interview with my friend Liberty, and comments from a physician (I think we all know what to expect). It’s hard to say how many stations will choose to air the segment, but if anyone out there sees it please let me know. A short blurb about the segment is posted here.

Interestingly enough, this segment was 9 months in the making, and tomorrow is my husband David’s birthday. It seems very fitting to me that it should air then, as David was the one that started me on this path. While he only witnessed the birth of one of our children, he was very much with me in spirit each time, and like me, views this as his life’s work (actually, our work is much larger than UC, but this is our primary focus right now). My book, Unassisted Childbirth, was very much a joint creation. Certainly David hasn’t been as vocal about birth as I have, but he’s slowly coming out of his shell. He was interviewed by the AP TV producer (as were two of our children, John and Joy), but unfortunately their comments weren’t included. I hope you will be seeing more of him in the years to come. The man has read thousands of books in the past 35 years, and is a walking encyclopedia.

In other news, I added two lovely, inspiring videos to my main page this past week, “My Birth Path,” by Sarahjeanne, and “My Birth Journey,” by Reyvene. Stop by and have a look!

Postscript: The Today Show in Australia aired an edited version of the segment. Click here to view it.

Reflections on the Trust Birth Conference

I’m happy to say that the Trust Birth Conference far exceeded my expectations! It was wonderful to connect with so many people I had corresponded with over the years but never met in person. All the sessions I attended were excellent. Each of the speakers stayed true to the Trust Birth slogan: Birth is Safe; Interference is Risky. Speaking of which, apparently the sign we had posted in the lobby (which bore the slogan) did not go over well with some of the hotel guests. A group of surgeons complained to the management, and asked that the sign be taken down! The surgeons felt we should not be able to make a political statement (dare I say, you ain’t seen nothin’ yet?!). Fortunately, the sign remained. :)

I wish I could say I took lots of pictures but I didn’t. The reasons for this are as follows: when it comes to photography, I suck, and I truly wanted to immerse myself in the experience and not be concerned with documenting it. Believe me, I was there! Thankfully other people took pictures. Click here to see Brenda Capps’ pictures, and here to see Gloria Lemay’s.

One of the MANY highlights for me was the panel discussion on “Why Women Stay Home...Alone!” Several of us on the panel had been a bit concerned that we might endure criticism from midwives, but I can honestly say that not one of the midwives in the audience had anything negative to say about UC (unassisted childbirth). After my fellow panelists (Melissa Collins, Heather Cushman-Dowdee, Jody McLaughlin, Rixa Freeze, Heather Brock and Emily Reeves) and I shared our reasons for choosing UC, the discussion turned to how we can build a bridge between UC and midwifery. I was thrilled to learn that there are many midwives who truly want to help women in their quest for a UC, whether that means being a back-up, doing prenatal care, offering knowledge and support during the pregnancy and/or checking on the mom and baby after the birth. I never felt I needed this but I understand that some women do, and so I’m thankful there are midwives who are willing to provide this service. The discussion was so productive that midwife and UCer Kristi Zittle set up a Yahoo group with the following description: “An elite group of women joining together to find a common bond between hands off midwifery and the power of the unassisted birthing woman. Our goal is to meet the needs of all women without interfering with the natural processes of birth; and, through the dispelling of birth fears!” To join the group click here.

Of course I know that not all midwives support UC, and even some who do are reluctant to help those UCer’s that request it for fear of losing their licenses should something go wrong with the birth. This is why my midwife friends (and I suspect many of the midwives in the audience) have tended to fall into the following categories: no longer practicing (either by force or choice), unregulated, underground, or licensed and regulated but willing to break the law. As several of the midwives pointed out, a midwife basically has to decide who she’s going to answer to: the woman or the state. Those who decide to answer to the state may be able to help women that have text book labors, but they will hinder women whose labors deviate from “the norm.” Does a woman truly need to transfer if her water has been broken for more than 12 hours, or her placenta isn’t delivered within an hour of the birth? In most cases, I don’t think so. But a midwife who answers to the state will do this in spite of the fact that she knows it's unnecessary.

There is so much more I could write about (and so many people I could thank/praise) but I’ve been home for a week and I'm still trying to catch up on email, work, etc. To those who would like to read more about the conference click here.

As you’ll see, I’m not the only one who didn’t want it to end! In fact, conference organizer Carla Hartley (who will forever hold a place in my heart) is already talking about having another conference in 2010. I’ll keep you posted! For those of you who weren’t able to attend (and even those who were) recordings of the sessions will soon be available for purchase here.

Unassisted Childbirth at the Trust Birth Conference

I’m excited to announce that I’ve been asked to speak at the Trust Birth Conference! As some of you know, Carla Hartley, the founder of Trust Birth, is very supportive of UC. While there will be workshops primarily designed to appeal to midwives, doulas and childbirth educators, there will also be some geared more toward UCer’s and other “lay people.” In addition to my talk titled “Believe Your Way to a Better Birth,” I’ll also be on two panels, “Writing about Birth,” and “Why Women Stay Home....Alone.”

Many other UCer’s will be speaking at the conference also, including Mindy Goorchenko, Rixa Freeze, Heather Cushman-Dundee (Hathor the Cow Goddess), Heather Brock, Melissa Collins, Shelia Stubbs and Sarah Buckley. Several UC supporters will be speaking as well: Pamela Hines-Powell, Jody McLaughlin, Michel Odent, Raquel Lazar-Paley, Gloria Lemay, and Carla Hartley. For more information about the conference please visit the web site.

Unassisted childbirth on PBS

This past week, Lynn Griesemer, author of Unassisted Homebirth: An Act of Love appeared on the PBS show To the Contrary. Lynn spoke beautifully about unassisted birth, but I was very disappointed in the discussion that followed. Host Bonnie Erbe and four panelists commented on Lynn's statements, and all agreed that women who choose unassisted birth are selfish and irresponsible.

Below is a letter I sent to Bonnie Erbe. I actually could have written much more, but I suspect I'd be wasting my breath! I can always hope.

To listen to a podcast of the program click here. The segment starts about 19 minutes into the show. While the show was disappointing, I was encouraged by the fact that anyone on American television chose to deal with the subject. Hopefully more shows will follow.

---
Dear Bonnie,
As an unassisted childbirth (UC) advocate, I was pleased to see this subject discussed on “To the Contrary.” Lynn’s comments were excellent, but almost all of the statements made by your panelists were inaccurate, and revealed a misunderstanding of the true sources for the problems some women encounter in birth. I would be very surprised if the panelists researched UC at all. Thankfully most of the women who choose this option have done their research. This is not a decision they make lightly, and it certainly isn’t made for selfish reasons. We believe that for most mothers, UC is the best and safest way to give birth, both for ourselves and our babies.

A case in point: The biggest cause of infant death is prematurity, yet according to Midwifery Today magazine, the biggest cause of prematurity is induction of labor. Doctors are inducing women before their babies are ready to be born. This is only one of the many dangerous and unnecessary interventions taking place in hospitals today. Many studies show that babies that are delivered by C-section have a much higher rate of death than those born vaginally. As you may know, the C-section rate in this country is now over 30%. In addition to the dangers of the procedure itself, recent studies show that babies are having serious health problems as a result of the pain medication given to mothers recovering from C-sections. The medication is passed on to the babies through breastmilk. These babies have already endured drugs during labor, as it is a well-known fact that drugs easily pass through the placenta. So I would have to ask, who is being selfish – the woman who chooses to take drugs in labor fully knowing it will be passed on to her baby, or the woman who chooses a drug-free unassisted birth?

Your question about babies dying in hospitals was promptly dismissed by Dr. Healy. She claimed it rarely happens, yet in truth, babies die in hospitals every hour of every day. They also suffer numerous injuries as a result of medical intervention. Two to six percent of babies are cut during C-sections, others are cut during episiotomies or injured during forceps or vacuum extractions. None of this was mentioned in the segment. Instead hospital birth was touted as safe, and UC was dismissed as dangerous and selfish.

The comments made by Eleanor Norton about birth not being enjoyable were simply wrong. Countless women have enjoyed their births. I encourage her to read the articles and stories in this section of my site.

As far as Dr. Healy’s statement that women who are giving birth to their first child are not doing it unassisted, this too was wrong. Here is the unassisted birth story of my first child, John. There are many women who choose UC for their first birth.

If you truly want to understand the UC movement, I would encourage you to devote another segment to the subject. But this time I would suggest that the panelists research UC, and in the interest of fairness, I would also suggest that you invite a UC advocate on the program who would actually get to respond to their comments or questions.

Best wishes,

Laura Shanley
Bornfree: The Unassisted Childbirth Page

Unassisted childbirth in the New York Post

The New York Post published an article about UC today in their Page Six magazine. I thought the writer, Annemarie Conte, did a nice job! She really allowed the UCer's (and one woman planning a UC) to share their thoughts, and they all had great things to say!

This article actually wasn't typical in that it primarily focused on a woman who is planning a UC basically because she must choose between a repeat C-section (after two successful VBAC's!) and a UC. No doctors or midwives are willing (or perhaps legally able) to take her on.

Of course there were the usual comments from those who don't approve. One doctor who was interviewed said UC was "scary, scary, scary." I was disappointed to see this comment from writer Jennifer Block, author of the wonderful new book "Pushed: The Painful Truth About Childbirth and Modern Maternity Care." She said, "The presence of someone who's trained is what makes homebirth safe." Even some midwives I know would disagree with that statement.

I will be curious to see if the article generates any more publicity for UC. There are lots of media people in NYC. But then again, up until now, most members of the US media (or their higher-ups) have had no interest in the subject. We'll see.

Unassisted childbirth article in UK newspaper

Unassisted childbirth continues to be a hot topic in the UK. This article was recently published in the Sunday Express (it isn't online so I scanned it in). I thought the writer did a nice job! What's unfortunate is that most of the women that were interviewed did not feel comfortable giving their last names. While having an unassisted birth in the UK is not illegal, it's illegal for anyone to "act as an attendant." Since the law does not define what this means (if the father catches the baby is he acting as an attendant?), some women are concerned. In any case, a growing number of UK women are choosing to give birth this way, and I'm thankful to them for sharing their beautiful stories.

Censorship on YouTube

I try to be a positive person. It takes a lot to make me mad. But when a birth clip I posted was deleted by both YouTube and Google I got mad. Below is a letter I sent to YouTube today. I welcome comments from anyone that has had a similar experience.

To Whom It May Concern:

Many wonderful childbirth videos have been deleted by YouTube supposedly because they violate your obscenity policies. Homebirth and natural childbirth videos are specifically being targeted, yet many are far less graphic than hospital birth videos which show close up images of vaginas being cut by doctors (episiotomies) and other interventions. Perhaps when birth is presented as a medical event it is viewed as acceptable but when it is presented as a natural, loving act between a woman, her baby and her partner it is viewed as sexual and therefore obscene.

My lovely video that was deleted by YouTube is now posted on my site.

Can YouTube tell me why my video was taken down yet these were not? Clip 1 and Clip 2

Censorship at YouTube is currently being discussed on message boards such as this one.

Those who have complained to YouTube have received letters of denial:

----- Original Message -----
From: "YouTube Support"
Sent: Saturday, June 30, 2007 10:06 AM
Subject: Re: YouTube Support

Hi,
Thanks for your email.

Actually, we are not taking videos of natural birth down. If you could
please provide the URLs to the videos in question, I'll be able to look
into this matter further.

Regards,
Wynston
The YouTube Team
---

The letter above was sent on June 30th. I received the letter below on June 23rd.

Dear Member:
After being flagged by members of the YouTube community and reviewed by YouTube staff, the video below has been removed due to its inappropriate nature.

An unassisted childbirth: http://www.youtube.com/watch?v=NMaAfakqHpo

Please refer to our Terms of Use and the Community Guidelines for more information on what video material is not permitted on YouTube.

The YouTube Team
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YouTube has also deleted videos containing footage of mothers breastfeeding their babies. I understand that there are people that find natural birth and breastfeeding offensive and no doubt they will continue to flag these videos. I have no problem with these videos being flagged, as all one has to do is click a button stating they are over 18. But I see no reason to delete them entirely. Giving birth and breastfeeding a child are NOT obscene acts. YouTube should welcome these videos with open arms, as they are helping to break down society’s fears and misconceptions about these most natural and life-affirming activities.

Laura Shanley
Bornfree! The Unassisted Childbirth Page

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Postscript: Aug. 29 - today my video suddenly reappeared! I ended up sending 3 letters to YouTube (including the one above), so perhaps they decided to reconsider their position on homebirths! Hopefully it will stay up! http://www.youtube.com/watch?v=NMaAfakqHpo

Update: March 2009 - The video remained up until July of 2008 when YouTube deleted it once again (see my blog posting about it here). This time they sent me a message telling me that my account would be permanently disabled if I reposted the video again. This seemed quite harsh, considering I had never reposted the video, they had. In any case, they did not respond to my request to repost it.

A Challenge to Hollywood

Kate Kelland’s article about unassisted childbirth (also known as freebirth) was published last night - Freebirthers dismiss fear and bring babies home. I thought Kate did a nice job! The article has been picked up by quite a few newspapers and web sites around the world – ABC News, CNN, Scientific American, China Daily and others. It’s exciting to think that many people are being exposed to UC (unassisted childbirth) probably for the first time.

But here is my concern – and it really isn’t as much of a concern as it is a prediction. Knowing Hollywood, it is only a matter of time before some character in a television drama, sitcom, or feature film intentionally has an unassisted birth. Will they show a woman blissfully catching her own baby? Perhaps even with a smile on her face? Or better yet, as she sighs with pleasure rather than pain? Is there anyone in Hollywood who will dare to present intentional unassisted childbirth in a positive light? Or will they continue to perpetuate the idea that childbirth, left to its own devices, will naturally go wrong? This, of course, is the prevailing view held by medical professionals around the world.

“Dr. Crippen” a British National Health Service doctor who was quoted in the article claims that "giving birth is the most dangerous thing that most women will do during their life....Does a mother not owe a duty of care to her baby? Should a mother not take reasonable care to protect the baby when she gives birth?”

Actually doctor, a mother should take reasonable care to protect the baby – which is why I chose to have all of my children at home, unassisted. Not only does research prove that childbirth is not inherently dangerous, it also proves that hospitals are NOT the safest place to give birth. According to an article in the Journal of the American Medical Association (Vol. 284, July 26, 2000), 250,000 people die each year due to iatrogenic causes (iatrogenic is defined as "induced in a patient by a physician's activity, manner, or therapy").

While the study does not say how many of those deaths are birth related, the fact that childbirth is the most common reason for hospital admissions leads me to believe that thousands of mothers and babies are dying as a result of a physician's treatment. In his book, The Five Standards for Safe Childbearing, David Stewart, PhD, asserts that every 29 minutes a baby dies unnecessarily in a US hospital. Anyone who claims it is safer to give birth in the hospital than it is at home simply hasn't done their research. There is something very wrong with our medical system today - both here and abroad - and women around the world are starting to take notice.

Certainly a homebirth with a midwife is a step in the right direction. But few midwives can legally allow a woman to give birth in her own way and in her own time. In most countries, midwives are required to intervene throughout labor, despite the fact that research shows that intervening in birth causes problems.

And so the question remains, will anyone in Hollywood have the courage to tell the truth about birth?

Article in Canadian national newspaper

As promised, the Globe and Mail published an article today about UC: DIY delivery by Adriana Barton. Once again there were the obligatory negative comments from doctors and midwives, but I thought the reporter did a nice job! Marie Claire in the UK also published a UC article: The women having 'extreme births'. Short but nice!

Media month in the Shanley household!

May has been a month of unprecedented media attention, both for Unassisted Childbirth and for my family in particular! May 1st the Boulder Daily Camera published an article about my daughter Joy: A model of good health: Local model enjoys career as a size 12. The following week, I was quoted (and unfortunately misquoted) in two articles about Unassisted Childbirth: Going it alone by Viv Groskop for the Guardian (UK) and Baby's Day Out for Westword (Denver, CO) by Jared Jacang Maher. The Guardian article has generated a lot of media interest from the UK! The Westword article has generated absolutely no interest from the US! I'm actually not surprised. :)

This morning I was interviewed on Irish radio, and tomorrow I've been told another article about UC (Unassisted Childbirth) will be published in the Canadian Globe and Mail, with a Reuters article soon to follow. Today my son Willie (professionally known as "Will") had two articles on the front page of the business section of the Denver Post: What price internships? and Better hunting, bigger salaries greet graduates. Very exciting!