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Homebirthing Advocate's Baby Dies During Homebirth

Posted by Brett Singer

Home birth should be taken seriouslyJanet Fraser is a big advocate for homebirth. She is described as "one of the principals behind the homebirth organization Joyous Birth," and goes so far as to call C-sections and episiotomies "birthrape." "I don't care if you don't like the word or the idea," she writes in an article on the site. "Survivors are angry and we are starting to talk about it."

Sadly, Ms. Fraser lost her baby during a recent homebirth. One site says that she had been in labor for "several days" at her Australian home. The Age had published an interview with Fraser a week before, in which she stated that she planned to deliver "the baby at home without an attending midwife," prompting The Australian College of Midwives to say that she "recklessly" promotes "free-birthing," which is where the mother gives birth alone, according to London's Daily Mail. (If that's not a good description of free-birthing, let me know and I'll update this article.)

The Age reports that police are investigating the newborn child's death. At press time authorities were unsure if the baby died after delivery or was stillborn; in the latter case, there is no autopsy.

It's tremendously sad when this happens of course, no matter where the birth occurs. It never occurred to my wife and I to have a homebirth, but of course millions of people do it and everything turns out fine. Medpie offers some statistics that are alarming, such as one study that found "an infant mortality rate of 2.2 per thousand for home births and 0.7 per thousand for hospital births in Sweden."  They interpret these numbers as saying that "having a home birth resulted in a preventable death of the infant in one out of every 666 cases," which they call "not a reassuring number." But again, I'm not trying to say that homebirthing is automatically a bad idea. It's a choice, one that should be taken very seriously.

The real problem with Fraser's views isn't the views themselves but the way she expresses them. She's clearly angry, and may have reason to be. But as with those who are strong proponents of breastfeeding, it's better to advocate rather than attack anyone that may do things differently than you do. C-sections are sometimes medically necessary. Is that a "birthrape"? The rest of the site appears to be equally high in volume, such as this page about C-sections which makes the claim "The fact is that surgery is a suboptimal way to be born and that most surgeries are not for evidence based reasons," (emphasis not added), and advises mothers to "Put your anger where it belongs - with your surgeon." Because yelling at your doctor is an excellent way to get better healthcare.

With the obvious tragedy of what happened to Ms. Fraser's baby, it seems uncouth to really go after her with the same level of vituperativeness that she displays on the Joyous Birth site. And one sad event does not mean that every homebirth is a bad idea. But it seems fair to take a moment to suggest that the best course of action, when lives are at stake, is to take a deep cleansing breath and consider all of your options, rather than act out of anger or any sort of revolutionary zeal.

Source: medpie.com, others

Image from here

Read more:

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My Illegal Home Birth

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Did Sarah Palin Know That Bristol Was Sleeping With Levi?

Babble Talk: Do We Still Judge Women for Having C-Sections?

 


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Comments

 

Shana said:

It is funny that you had statistics for births in Sweden since my husband and I had decided that if we could not find a homebirth midwife that we could afford or if ourr insurance would not cover the birthing center (which they won't), we would have our baby in Sweden at the same hospital my husband was born at.  The birth and flight would have cost significantally less than giving birth here.  

Thankfully I found a midwife.  I think that you should point out the fact that Sweden is considered pretty much the best place in the world to give birth.  We would have totally had that as our first choice if it were not for the fact that we would have to be there over a month before our due date and my husband does not have that much vacation time.

April 13, 2009 9:31 AM
 

anavoog said:

are you seriously insinulating that if only she had "taken a deep cleansing breath and considered all of her options, rather than act out of anger or any sort of revolutionary zeal."

her baby would have lived?

that is some seriously lazy and inflammatory reporting.

why not wait until the autoposy to dissect the inner working of her mind on that fateful day for which you must have some sort of magical crystal ball to behold?

babies die in hospitals, too, fyi.

April 13, 2009 10:29 AM
 

MistressScorpio said:

It is possible that her baby's tragic death had nothing to do with the way she chose to give birth. I know you're attempting a compassionate tone, but the overwhelming "see? THAT'S what she GETS for being so ANGRY" kinda drowns out the compassion, kwim?

Also, she gave birth totally unassisted, which is not recommended by ANYONE. But this story is sure to get plenty of airplay by those making the case that birth should only done in hospitals.

I just feel sad for the woman and her loss.

April 13, 2009 11:13 AM
 

TolaniLucia said:

Babies do die in hospitals. But in a hospital there is a chance that they can save the life of the babe. At home?, not so much.

April 13, 2009 11:28 AM
 

alison said:

TolaniLucia, most times when there is an issue with or after birth, there is plenty of time to transfer to a hospital.  If a midwife is attending a homebirth, she is also equipped to handle most situations herself without need of a transfer.  And hospitals and doctors often cause more problems than they solve.

April 13, 2009 11:46 AM
 

jj said:

I want to feel sorry for this woman.  I should be sad for any woman who has lost her child. But I can't seem to work up any sympathy. I feel guilty about that.

She is disseminating dangerous information to women around the English speaking world.

It is horrible that the death of her baby could get her to stop putting others in danger.  I hope she stops lying to women.

Women need qualified professionals to advise and assist them while pregnant and giving birth.  Doctors and qualified, trained midwives (not just women who call themselves midwives).

April 13, 2009 11:55 AM
 

Samantha said:

In the article, you glanced over the fact that no one knows a this point if it was a stillbirth or not.  If the child wasn't viable, the hospital couldn't have pulled a Lazarus, even this close to Easter.

Your article is premature.

April 13, 2009 11:56 AM
 

TolaniLucia said:

Assisted home births are a wonderful choice for those who seek them. With emphasis on the word Assisted.

Now, having had a midwife and having many friends who are in fact midwives I am perfectly comfortable saying that there are many things they are not prepared to handle. A good midwife knows her strengths and limits. And as there are strength so to there are limits. The whole transferring from home to hospital is also a bit funky. If there is a real emergency or if baby or mother are in distress time is of the essence and a transfer will not be helpful. The real issue is the promoting of “free birthing”. Which is very different from a responsible home birth. Alison, I think that demonizing hospitals is a very bad idea. A world without modern medicine is one in which we find ourselves very vulnerable. The infant mortality rate is much lower in developed countries due to the fact that we have access to modern medicine and hospitals.

April 13, 2009 12:19 PM
 

Twyla said:

I respect a woman's right to choose the birthing location. I think this woman was absolutely stupid to try this birthing thing alone.

I had my first child via c-section after hours of intense labor because her heart rate had dropped in half when I would push. Not knowing why this happened, the doctor opted for an emergency c-section. It was one of the scariest moments in my life. I had extremely high blood pressure and was being considered high risk for the first time in my pregnancy. When they got the baby out of my birth canal (she was at +2 station) that had started to swell with water like the rest of my body, they found that the umbilical cord was over the top of her head cutting off all oxygen to her when I would push, squeezing the cord between her head and my hipbones.

So, yes, sometimes a c-section is medically necessary and I do get a little tired of the whining. I would have lost my baby had I been too stubborn to listen to the doctors.

When I had my second, no gyno in my area would do a VBAC and I cried for weeks. I wanted to have a natural birth. Some women suggested I just skip the appoinment for the c-section, labor at home and not go to the hospital until my contractions were 2 minutes apart and a c-section was no longer an option. I just kept thinking that if I tried it and failed then the penalty would be losing my kid. My children are not something I am willing to wager to be right. I have 3 wonderful children all born via surgical removal and I wouldn't change it for the world.

This lady possibly has wagered to high a bet for stubborn rightness.

April 13, 2009 12:20 PM
 

anavoog said:

tolanilucia:

The USA has an infant mortality rate of 5 per 1,000, the same as Poland, Hungary, Slovakia and Malta. Of 33 developed countries, America is just above Latvia, the bottom of the group.

April 13, 2009 12:33 PM
 

Shannon said:

Before declaring c-sections "birthrape," Google the word "fistula," which is a major problem in developing areas but virtually unheard of in the West. It is not a problem you want to have.

The reality is that every person and every situation is different. Anyone who advocates an across-the-board attitude and closes their ears to the differences is someone not worth listening to.

April 13, 2009 12:43 PM
 

MistressScorpio said:

TolaniLucia, you are right, but I think the demonizing is going on on both sides of the issue.

I think it's wrong of the medical establishment to scare every woman into a hospital birth, just as it is wrong for homebirthing advocates to demonize the medical establishment. Everyone is so busy protecting "their" turf and being a zealot, and the ones who lose are the uninformed.

Nonetheless, un-assisted birth seems wildly risky. And I still feel sorry for this mom's loss.

April 13, 2009 12:46 PM
 

ChiLaura said:

"Free-birthing"? That sounds like climbing a mountain without ropes; diving with sharks without a cage and no boat nearby; any other number of activities that are still somewhat dangerous, even with precautions taken. I bet that cavewomen gave birth assisted, rather than chancing it on their own. I would never say that this woman (or her baby!) "deserved it", but this seems like ideology getting in the way of her better judgment. And as pointed out above, perhaps this was a stillbirth. Freebirthing is the main point of my criticism: it sounds like a bad idea no matter what.

anavoog, I'm guessing that there's more to the high infant mortality rate in the US than just bare numbers or number of infants born in hospital. What about maternal health? Or number of high-risk pregnancies? And I'm pretty sure that TolaniLucia was comparing childbirth in developed countries to childbirth in non-developed countries. I'd much rather give birth in even the poorest developed country than in Somalia, for example.

April 13, 2009 12:48 PM
 

Knitty said:

I'm very sorry for her loss and the fact that her tragedy will be used to strengthen a position she opposes, but using the word "birthrape" to describe life-saving c-sections?  Utterly deplorable.  I'm a "survivor" of a c-section that saved both my life and my daughter's, and I'm not angry, I'm GRATEFUL.  We plan to send the surgeon Christmas gifts every year for the rest of his life.  The very idea of some awful, entitled woman yelling at him about her "rights" makes me sick.

April 13, 2009 12:59 PM
 

Amy Kuras said:

Brett, I think you took a very reasoned tone in this post and it's sad that people who cannot see both sides of the issue are attacking it.

To call c-secitons birthrape is just so ludicrous as to be laughable. I hate the victim mentality. Yes, my first c-section was not exactly my choice to make but instead of a beautiful and mouthy 4 year old in the next room all I'd have of my daughter would be a headstone. I'd gladly make that trade. My second was my choice, and I wish I'd tried for a natural birth, but I am a grownup intelligent person and made the decision on my own. My doctor didn't push me one way or the other (I kind of wished he had so I would know, by my reaction, how I really felt about it). He was encouraging about a VBAC but said it was up to me. Maybe that level of anger should be trained upon medical schools, hospitals and doctors so that everyone can have the same level of care, not used to make women who have c-sections feel like helpless, stupid victims.

April 13, 2009 1:46 PM
 

Amber said:

I highly dislike the tone of this article.

April 13, 2009 5:07 PM
 

Alice said:

I am so glad that she got the birth experience she wanted.  In the end that is what really matters right?

April 13, 2009 6:24 PM
 

DailyMailUKQuote said:

"We live in a society in which it is socially acceptable for a woman to terminate a healthy pregnancy for her own convenience and yet when a woman wants to give birth without the risk of unnecessary medical intervention this is labeled 'insane'. What happened to 'my body my choice'? Women should give birth where and with whom they feel safe, be it a hospital or a living room, a midwife or a family dog. What a blessing that this choice is still ours to make."

April 13, 2009 9:12 PM
 

Umm said:

Hold on here, she didn't have a home birth, she had an unassisted birth at home. Not the same thing at all. She could have snuck in to the hospital and given birth in a broom closet unassisted, and we wouldn't be calling that a hospital birth, now would we?

I really hope, anyway, that on-one would be using that as an example of how babies can die in hospital births. Having done research in the field, I can tell you that American homebirth (and by homebirth I mean a birth at home with a trained, certified midwife)rates are quite low.

Usually the high infant mortality rates in the US are attributed to a lack of universal healthcare coverage. Home birth is safe when a real midwife is there, because if something isn't quite right during the labour process, the woman is transferred to the hospital. In a country like Australia, where midwives are an integrated part of the healthcare service, there are extremely strict guidlines for home births. Everything has to be perfect for a birth to proceed at home. Most problems are forseeable, and for those problems which are not, midives come to he birth with oxygen tanks, meds to prevent or halt haemorrhage, training in obstetrical emergencies including advanced neonatal recussitation, intubating a newborn etc, etc, etc. So please, no more lumping in free-birthing with home birth. Not the same thing.

April 14, 2009 10:40 AM
 

Anna said:

Contrary to what ANA VOOG thinks of this article and that everyone agrees with her, I agree with Jenny.

Ana, why didn't you continue in agony with your difficult home birth instead of doing what you did: going to a hospital, getting an epidural and eventually getting a C-section?

Is it because "the best course of action, when lives are at stake, is to take a deep cleansing breath and consider all of your options, rather than act out of anger or any sort of revolutionary zeal."?

April 14, 2009 12:29 PM
 

OBGYN your LULZ said:

I find that 666 number of cases to be odd,almost satanic.Maybe this creature was about to give birth to the antichrist?

Birth Rape?! and by female nursing staff!? Is Janet to imply that female doctors and nurses and midwives are raping pregnent women akin to what Susan Huckabee did to Sandra Cantu?

That's a lot of LULZ.

April 16, 2009 6:26 PM
 

brigid said:

i have to agree with Anna in regards to Ms. Voog's hostility towards this article. Laboring for days unassisted is not the definition of homebirthing. Every friend of mine who has done a homebirth has had a midwife there for coaching and to ensure the highest quality care for the baby and the mother. to imply that this is a biased article is ludicrous. when i first learned of this article, i gritted my teeth, worried that it was going to paint a damning picture for all home births, but it does not, not even close.

April 16, 2009 11:23 PM
 

insulted! said:

I am not quite sure why giving birth at home would be illegal. I will give birth at home because it is my body and my baby and I refuse to have an innocent child born in a cold environment where all the people can think about is paperwork, social security numbers, and how much money they are making off you.

We are mammals like all other mammals and birth is a common part of life. Not all babies live and that is the law of survival of the fittest. It is not pretty but thats life.

It is unbelievable that there are laws against this? WOW, what a country we live in. Next they will tell us that breastfeeding is illegal!

May 3, 2009 8:24 PM

About Brett Singer

Brett Singer is a writer and father living in Manhattan with his wonderful wife and two terrific sons (referred to here as Thing 1 and Thing 2). He writes about music for the Boston Phoenix, parenting for Babble and daddytips.com, and other topics for anyone else who will have him.

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