The Business of Being Born

This movie is terrific. I had my doubts when I learned it was produced by and starring Ricki Lake, I admit. But it is sensitive, interesting, intellectual, captivating, and incredibly moving. It was not manipulative, but by the end, the entire audience was in tears.

The most important thing about this film is that it shows the public what birth can be, for both the mother and baby. You see several homebirths, nothing too intimate (unless you consider the incredible post-birth high that somehow permeates the screen and affects the viewer, to be too close for comfort). No dilating vaginas or body fluids, sorry to disappoint. But what it does show is something that almost no one, especially not doctors (I am one), get to see. A natural birth with no intervention where things go right. Shocking! In my medical training, I attended hundreds of births. I probably saw one or two with no medical intervention in the hospital. My hospital birth was normal, with no problems, but I had interventions despite having told my OB (and mentor) that I didn't want any.

It does not idealize birth per se, except by showing how simple birth can be without medicalization. But the volunteers of this midwife to be filmed were not excluded if there is a problem; one of the births requires transfer so you see how that is handled as well.

The film educates people about the history of birth in this country, how things are done in other countries including Europe, and shows statistics about birth (there are more than they include in the medical literature) that will probably surprise a lot of people.

I wouldn't say that the film is about Ricki Lake. She shows up here and there, and yes, she gives birth, but there are so many women followed here, and so many experts in birth interviewed.

Dr. Michel Odent is one of them. He is a French OB/Gyn who attends homebirths. He has done considerable research on birthing, and has written multiple very intelligent books about it. He brings up the idea that when a rat or a monkey has an epidural or C/S, they will not bond with their babies. They will not breastfeed, they will not mother them, they do not care for them. There will be no natural hypothalamic oxytocin release, which causes a release of norepinephrine, dopamine, prolactin, serotonin, that prepares a woman not only to breastfeed but to bond. The oxytocin release in this situation will never be replicated, even if the women breastfeeds or does infant massage (which both do cause oxytocin release but not in the same amounts as if you start off with this kick-off). As breastfeeding lowers breast cancer rates in women in a dose related fashion, oxytocin release over time is associated with a certain calm, lower levels of stress, but actually is dose-related to lower levels of stroke and heart attack in the mothers. So it is a long-term benefit of natural birth. This is touched upon in the film, among many other interesting facts.

It is not surprising to discover that doing things the way women are created to do them benefits both the mother and baby in so many different ways. Part of why this movie is so important is that it challenges the notion that man-made is better than the intricate design of man from God or evolution or however you want to approach it. Many people may not subscribe to it when it is stated like that, but in the food we eat, the we feed our babies, the way we grow our food, the chemicals we use in the environment, and the way we birth our babies, we are saying that every single day.

Common sense says that man-made leaves a lot to be desired. Science is proving this every day, in research about omega-3 requirements in neurological and other conditions, in breastfeeding and oxytocin literature preventing cancer/heart attack and stroke, to the benefits of breastmilk for babies. This movie is a peek into how doing things as nature intended is BETTER.

I don't feel I am exaggerating when I say that this is one of the most important films of these times for both men and women. Everyone should see it. You may not decide to have a homebirth afterwards, but you will walk out better educated about birth and what is happening in the hospital when you give birth.

Like any good piece of propaganda, this movie starts by demonizing the OB/GYN profession (the enemy). The viewer is bombarded with images of early-20th century birthing practices as if they were still in use today. Having hospitals (and of course, insurance companies) set up as the "bad guy", the movie portrays the alternative (midwives) as the "natural" solution. Moreover, home delivery is portrayed as the only real choice for a woman to express her femininity and individual power.

A few hand-picked critics of hospital births are chosen, who promptly spew out some convenient statistics in support of home delivery. Correlations (like infant mortality rates) are presented as causality without even discussing other potential factors. For example, the movie likes to recite the infant mortality rates in the US as being higher along with the higher rates of hospital vs. home births in other industrialized countries. However, at no time do these "experts" note factors like the relative experience levels of midwives in Europe vs. the US. Nor is a qualitative assessment provided that compares the level of care offered. Further, factors like miscarriages are not even discussed (if there are higher rates in Europe then these babies would not be reaching full term, thus diminishing infant mortality at birth), nor are other elements like obesity discussed (the US is the fattest nation of fatties in the world).

One of the things that stood out to me was the frequent use of absolutes in their arguments: "There's no scientific evidence" to support hospital delivery as better than home deliver, etc. etc. Nothing even close to resembling counter-arguments were presented, making this documentary Michael Moore worthy in its biased presentation of its content.

It's a shame something so delicate has been treated with such utter disregard for good science and disinterested research. The movie maker had a clear agenda and presented a completely one-sided argument. If you disagreed with home birth, you simply are a brainwashed fool ready to submit to fake doctors posing as OB/GYNs.

Perhaps the most hilarious part of the movie came at the end, as the filmmaker went into labor one month early with a 3.5 lb baby who was in the breached position, umbilical cord wrapped tightly around its neck, as her water broke in a taxi cab as she was rushed to the ER. In spite of this, the filmmaker mused a month later "I think I would have been OK at home." Wow.

The Business is awesome. About as cool as the punk rock band the Business.

When the movie starts you wonder if the film quality and information in the film is worth it, I mean, it is a documentary. As the film goes on it get's better and better.

Even though I'm not sure if I agree with this film 100% (I haven't had time or necessity to research) I learned a monstrous amount of information and was blown away by how much I didn't know. B.O.B.B. OPENS UP YOUR EYES!

The best part was seeing women barely go through pain, though as the film goes on you do see more and more pain, but it does seem less in some ways than in the hospital.

I would have liked to know more about the dangers of death but they did touch on this mildly.

Everyone in America should watch this film, especially fathers and mothers-to-be.

As a father of two babies delivered by Caesarean section, my real life experience reflects what this film presents. With a first pregnancy, men like me might trust a maternity and birthing health care system that obviously is accepted by everyone we know. As an engineer and technologist, I am attracted to statistics and procedures, I am attracted to managed systems and to logical decision-making. And I understand that giving birth involves a lot of money, and that doctors, hospitals and health care companies have a burden in how to run a successful enterprise.

But the American birthing system is missing something very important... our humanity, our sensitivity, our vulnerability. Ricki Lake and Abby Epstein reveal the vulnerability of father, mother and child during pregnancy, how easily we allow a managed system to make decisions in the name of our well-being. When faced with an overwhelming majority of our family and friends who know only one way to give birth, in a hospital, there is little room for anything else.

This film challenges what we assume works, and informs us that there are alternatives accepted everywhere else in the world but in the United States. I pray that other mothers and fathers-to-be, for the sake of their children's' psychological and emotional health, will step up to the plate, become informed consumers about what is happening, and consider a traditional birth, at home.

Your first step is to see this film.

This movie gives very one-sided view of everything. Actually watching it persuaded me even more - I'll give birth only at a hospital with an epidural. No other way. They wanted to show that natural birth is "good and peaceful", and at the same time were showing women screaming from pain and telling in the interviews that it was so painful, that they thought to give up and go to the hospital. So, why on earth would you go through it? Just to prove to yourself that you can do that? To "punish" the U.S. medical system? I didn't see the deep reason behind it in the movie.

Now about all the talks how bad medical system in the U.S. is for women and babies, and that in all other countries midwives are actively participating in birth, but not in the U.S. I would say to those ladies - go to former USSR countries and give birth there - with a midwife at a regular birth center, and see how "peaceful" it is, before saying that delivering in U.S. hospitals is hell.

My mom went through 5 natural deliveries, she didn't have any other alternatives. When I told her about an epidural, and that there still are women who would prefer natural delivery, she was shocked, that having that option, women still would opt to go through that pain and hell. Of course, it's a choice of every woman to deliver the way she wants, but this movie was not trying to give an option, it was trying to persuade that natural delivery is the only way to go.