The question came up quite naturally. There was a logical segue to the query, certainly, and the tone behind it was nothing short of friendly. We were two dear friends sharing an afternoon of poolside conversation, flowing freely from children’s eating habits to tattoos and topless sunbathing, with a good dose of protective mother-child exchanges peppered in between. Nonetheless, the question landed like a bomb in my lap.
“My son was born with thick meconium. They whisked him away with all sorts of neonatologists scurrying about. How could that situation have been safe during a home birth?”
Again, my friend wasn’t being particularly doubtful or skeptical. She wasn’t feigning interest while remaining steadfast in her belief that home birth was nothing short of insanity. I believe she was truly curious. Still, I needed to take a deep breath before answering. This wasn’t some highly doubtful, holier-than-thou anonymous exchange on an Internet chat board. Those exchanges far too often lead to nothing but further entrenchment of divided camps. This was my friend. And perhaps this exchange could lead to something different.
So, I took a deep breath and offered my answer.
“Well, in two ways, probably. In the case of thick meconium being present in the waters, there would have been a conversation well before the actual birth about the prudence of continuing the birth at home. Perhaps a transfer to the hospital would have occurred in your case, but certainly not under immediate emergency circumstances. There would have been time to act prudently.”
Ok, that was the easy part. Now, the more difficult part.
“Secondly, there are some things that occur in hospitals that make things appear to be incredibly dire and emergent, when, in actuality, they aren’t. In the case of the presence of meconium in the waters, the science and research doesn’t actually support some of the actions they take in the hospital.”
There, I’d said it. As gently and tactfully as possible, I’d basically told her I felt her beliefs were wrong. What would come next?
“Oh,” she replied with a bit of a pause. “All that hustle and bustle was a bit of a self-important show, then, huh?”
I smiled and just let the conversation end. She could make what she wanted of it.
Talking about birth is a bit like walking through a land mine field. Talking about home birth? Nothing short of stepping on a land mine. Too often, the conversation goes nowhere, with one party convinced the other is sacrificing the fundamental safety of her child all for an “experience,” and the other party believing the first to be uninformed about and deaf and blind to the harsh realities of the hospital birthing culture. All of it, judgmental. Yeah, that’s productive.
So, while I believe passionately about informed birthing practices, whole-heartedly endorse home birth, and am vocal about both here in this blog, when it comes to face-to-face conversations, I tread particularly lightly. I’m doing neither myself nor my “cause” any favors by alienating people. I meet them where they are, and I talk.
Whispers. Hints. Respectful dialogue. And room for thought. Somewhere in there is a place where women can birth at home and not be seen as being selfish. Somewhere in there is a place where women can birth in the hospital — and yes, still have an epidural available to them — with deserved respect and evidence-based care. Somewhere among those conversations, those poolside encounters, somewhere in there, I believe, is change.