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The Business of Being Born: selling fluffy to the credulous

Birth is natural: true. However, so are pain, death, and deformity. Unfortunately, some people chose to ignore the fact that until the advent of modern medicine, many women (and their babies) died in childbirth, and in many countries this is still a major problem. Many of these people – whom I henceforth dub the Woo Conspiracy – also claim that pregnancy and parturition have become A Business.

This, of course, must be true because they say so and is A Bad Thing. To prove this hypothesis, an actress and a female director – not investigative reporters or possessing any medical qualification – made a film about called The Business of Being Born, “making choices based on faith and intuition” (verbatim from the ‘Director’s Statement’).

I was not aware that “faith and intuition” have their place as the basis of a documentary. Apparently Nature doesn’t make exceptions for them either, which nearly lost Ms Epstein her son.

Below is the synopsis on the site promoting the film. And the book. And the DVD. And merchandise. Yes, I thought that clashed a bit with the “birth is also big business” attitude as well. A couple of translations first:

  • “intimate birth stories” = they followed a homebirth midwife around;
  • “surprising historical, political and scientific insights” = apparently some yoga and ‘fertility-awareness’ bird that also does ‘detox’ and ‘anthroposophic medicine’.

Anyway, here it is, in all its glorious WTFery:

Birth is a miracle, a rite of passage, a natural part of life. But birth is also big business.

Compelled to explore the subject after the delivery of her first child, actress Ricki Lake recruits filmmaker Abby Epstein to question the way American women have babies.

The film interlaces intimate birth stories with surprising historical, political and scientific insights and shocking statistics about the current maternity care system. When director Epstein discovers she is pregnant during the making of the film, the journey becomes even more personal.

Should most births be viewed as a natural life process, or should every delivery be treated as a potentially catastrophic medical emergency?

Hmm. Most professionals would point out that preparing for the worst is the wisest strategy in a situation where problems must be coped with rapidly if the end result is to be a healthy, bouncing baby with a healthy, bouncing mother.

Homebirth advocates do not actually have an answer to this, at least not one based on fact. For a full and informed discussion/demolition of their many and fallacious arguments, I advise reading the wealth of information available on a site like The Skeptical OB, which is written by a qualified, experienced professional.

One assertion that annoys me intensely is the linking of maternal and neonatal mortality to hospital birth, assuming that all births supervised by midwives are homebirths, and implying that midwives can cope with all types of likely complication (all natural, don’t forget) themselves. Both my children were born in France, where homebirth is actively discouraged. Fully trained, state-registered midwives – a regulated profession that’s not easy to get into – operate in hospitals where specialists (surgeons, neonatal care, anaesthetists) are easily brought into play should intervention be necessary. This is why maternal and neonatal mortality is so low here. That Woo Conspirators should misrepresent facts so blithely to advance their own agenda is nothing short of dishonest.

Then again, I wouldn’t expect people who have trouble with simple arithmetic to be capable of checking their facts. Check out this undoctored screengrab from the online store (click to enlarge):

idiocy

No link to the site because, let’s face it, foolishness like this should not be encouraged more than necessary.

Recommended blog: The Skeptical OB

Useful statistics, provided with the methodology and proper caveats where required:
WHO report 1990-2008 here. NB: Big PDF with lots of words in it. Read the words to understand the numbers: for example, the differences between infant, neonatal and perinatal mortality.

 
 

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FFS of the Day: Celeb "Advice" Part the Thirst

Pepper Potts reveals her favourite way of torturing Tony Stark: QOTD: A Hangover Cure From Fishsticks Paltrow! (caution, contains Michael K)

Yep, the great mind behind GOOP (dot com, no seriously, I’m not kidding you) has Spoken and she has the ultimate remedy for a morning head:

“I have a great hangover cure,” she explains. “I take a cold shower in the morning and then I go into the sauna and drink a lot of water throughout the day. Green tea also helps!”

Cold shower? If you’ve got a real hangover and aren’t just nursing a mild headache due to sipping one glass of champagne too many, it’s only going to make you feel worse. You need to relax and keep warm, but not in the sauna. Part of a hangover is being dehydrated: a sauna will cause yet more dehydration and is therefore the exact opposite of what you should be doing. Not that most of us will have a personal sauna anyway (you weren’t planning to spread the second-hand aroma of last night’s festivities in a public one, were you?). A warm shower or bath will relax you just as well with far less medical risk. Save the sauna for later, once the hangover’s had the edge taken off it, and you’ve got some food and drink inside you.

Drink lots of water=good. Drinking lots of water post-party before you go to bed is good too. Green tea is fair enough, if you like that sort of thing. Personally, I like black tea so strong I can eat it with a spoon (and drink it with milk when I should be using healthy lemon juice, yada yada), but lay off the “lots” as tea in large doses (more than 3 mugs) is apparently a diuretic and will dehydrate you further.

It’s probably a good idea to eat something. Feeling like death warmed up on an empty and irritated stomach is not pleasant. Funny she doesn’t mention that.

And for gawdsakes don’t follow twittery advice from celebs with only a tenuous link to the lives of common people.

 

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