Mayim Bialik: Why women shouldn't fear home birth

Home births increased 20 percent over four years, according to new government statistics. Less than one percent of women give birth at home, but clearly there's a trend toward natural births at home -- even though doctors' groups warn against it. Former "Blossom" star and "Big Bang Theory" actress Mayim Bialik has given birth at home, loved it, and thinks people need to know more about it.

Denise Herrick Borchert

My second son was born at our house, in the middle of our living room, just under three hours after my labor began in the darkness of dawn. I would like to speak to the most commonly cited reasons not to have a home birth to try to illustrate why we chose and advocate home birth for women eligible for and interested in this experience.

1) Birth needs a hospital. For all of human history, save the last 200 years of the organized medical establishment, birth was managed by women, for women in privacy and comfort, giving them a safe, dark, quiet place to labor, providing fluids and rest over the days that labor usually takes (that's right, ladies: days of on-and-off labor is not unusual), and attending to the needs of mother and baby throughout the exciting, powerful, and earth-shattering emotions and sensations. Birth centers that seek to mimic a home environment are a great option for many women, and have started popping up all over the country.

2) Interventions may be necessary. The administration of uterus-contracting drugs like Pitocin, the injection of anaesthesia into your spinal cord (an epidural), extraction of the fetus by vacuuming it out of your body, cutting open the vaginal wall and perineum for faster labor (known as episiotomy, which is no longer routinely recommended by the American Congress of Obstetricians and Gynecologists): These are interventions that are designed to help hospitals and doctors get the baby out of your body faster, which is not biologically preferable nor healthy for mother or baby. The first intervention most often given, that of Pitocin, brings on contractions more powerful and spaced more closely together than nature intended (which can lead to lowering the fetus' heart rate, thus causing alarm and often calls for a C-section); it's no wonder Pitocin very often leads to epidurals. One intervention often snowballs into another, and this is part of what has led to the astounding rate of unnecessary C-sections in this country.

Related story: Home births up, driven by natural birth trend

3) What about the pain? Birth is intense; squeezing a baby out of your body is a challenge, no matter what your "pain tolerance." However, our culture medicates routinely for a variety of "normal" emotional experiences (encouraging medication for people in the early stages of grief comes to mind), and medicating for the emotions of birth is no exception. The vocalizing and emotional experience that is commonly referred to as "complaining," "screaming," or "suffering" is a normal part of labor. Birth is not neat and fast and quiet: it's gritty and primal. But it's nothing to fear unless you also think we ought to fear women crying when they are sad or laughing when they are happy. There are numerous effective pain-management techniques to use in labor. I used self-hypnosis for both of my natural labors as well as showers and baths, massage, homeopathy, and the greatest power of all: the power of my mind to force out the notion that pain with purpose – labor -- is something to fear.

4) What if something goes wrong? Midwives are qualified to manage a variety of medical complications, and any good midwife knows when transport to a hospital is necessary (as occurred with my first birth). Midwives can stop hemorrhaging, midwives unwrap umbilical cords from around necks and torsos (as happened to my little bundle of joy), and midwives do not need electronic fetal monitors  to know the baby's heart rate, position in the birth canal, or when the next contraction is coming (any un-medicated mother will make that abundantly clear). If we stop viewing birth as an emergency waiting to happen -- it's NOT -- then we can stop imposing anxiety on women about birth. I hear many stories about women and babies dying in childbirth that are designed to make me doubt the power of the human body. I grieve for every woman and every child who has died in childbirth, but I honestly resent being encouraged to make decisions based on these stories. It's irrational, it's hysteria-inducing, and it's insulting to any woman's intuition and intelligence.

Our culture has instilled in us a fear of the natural experience of birth and a fear of our bodies. In countries where women are supported in their desire and ability for a natural birth (Northern Europe leads this charge), babies and mothers have the lowest mortality rates. Natural birth is not for hippies; it's for anyone who wants to work hard at breaking down what they have been told is true about birth, pain, and the human body and spirit.

Home birth is right for people who want to take natural birth to the next level: Let me birth in the place this baby was created. Let me labor on the floors I paced in anticipation, let me labor in the rooms of the house where I mused on sleepless nights what this moment would be like. Let me birth with the smells of the kitchen and the faint giggles of the boy who will be this child's buddy. Let me birth with music playing, with my grandfather's prayer books looking down on me, with my hair flowing, my inhibitions gone, the doors of my home flung wide open as if to say: I am open to this process, World. I was made to birth this baby!

TODAY Moms contributor Mayim Bialik starred in the early-1990s television show “Blossom” and currently appears on the CBS sitcom “The Big Bang Theory.” She earned a Ph.D. in neuroscience from UCLA in 2007, and wrote her thesis on Prader-Willi syndrome. The spokesperson for the Holistic Moms Network and a certified lactation educator, Bialik is writing a book about attachment parenting, and she has two sons, Miles, 5, and Frederick, 2. She will be blogging regularly at TODAYMoms.com.

Want more Mayim? Read her blog at Kveller.com. 

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Discuss this post

Home birth is stupid and irresponsible. Do you realize that before hospital births it was very common for the mom and/or baby to die during child birth? And you crunchy people choose to do this. It just blows my mind.

  • 1 vote
Reply#1 - Fri Jan 27, 2012 12:05 AM EST

Is msnbc going to allow anyone from the medical community to respond to this in a follow up article? That seems only fair to show both sides of the issue. I know Mayim's degree is in neuroscience, but it's not a medical degree.

  • 1 vote
Reply#2 - Sat Jan 28, 2012 10:39 AM EST

First, let me say I don't advocate one method above the other. I believe a woman should do whatever will make her most comfortable. I have two children, both born in hospitals, but they were vastly different experiences, except that they were both done with no drug intervention. With my first labor, due to my own inexperience, I ignored my back labor and ended up only counting every other contraction. As a result, I ended up getting to the hospital in time to have my son delivered. My second labor was induced simply because I was five days over my due date, and for no other reason. My first labor was by far the better experience. I was relaxed and calm. I was free to walk around wherever I wanted and spent most of my time in the shower, overall a wonderful experience. My second was a stressful & unpleasant experience that lasted twice the amount of time that my first labor did due to induction and the stress that resulted from it. Again, I am not against either one, but I do know what worked better for me, and if I had chosen to have a third child, I probably would have entertained the notion of a home birth as long as I was in a low-risk situation and knowing that I live only five minutes from the hospital in the event of an emergency.

    Reply#3 - Wed Feb 1, 2012 8:15 PM EST

    I believe she is speaking for herself and her opinions. This reads as her story, not instructions of what others should do.

    • 1 vote
    Reply#4 - Thu Feb 2, 2012 1:44 PM EST

    Dr. Bialik: Let me say that you are fully entitled to your opinion. Also, let me share my opinion that your new-age, touchy-feely, 'natural' ideas are just about as far off base as Sheldon putting a 'time machine clause' in the 'roomate's agreement'.

    I'm afraid, my dear Blossom, that your opinions and beliefs are irresponsible, ignorant, rooted in the dark ages, and are the potential for the creation of more disaster, death, and unneeded suffering than you can imagine in your own little world.

    Give me modern medical science over new-age fluff any day.

      Reply#5 - Thu Feb 2, 2012 2:06 PM EST

      Way to go, Mayim! Women should feel empowered by the truly awesome experience of birth. At the least, natural, holistic births in a hospital or birth center should be standard birth practices for most healthy women. Research and knowledge empowers us, makes us less fearful, and thus enables us to feel less pain. It is wonderful that we live in a country where most of us have a choice on how to give birth; unfortunately many women don't realize this.

        Reply#6 - Thu Feb 2, 2012 2:36 PM EST

        You are absolutely right, The Evil, give me an overmedicated, over observed, must-follow-hospital-protocal birth, over a private, safe, meaningful, respected and sacred birth, any day. Sure. I'm so over this fear-mongering by women who have had miserable hospital birth experiences and seem desperate and intent that every other woman follow in their footsteps. Or men, who don't have wives or children, and somehow how feel that they have a say in this.

        Homebirth for low risk women is a wonderful choice. The benefits are plenty, the mothers and fathers are content and healthy and lastly, and most importantly, the baby is healthy. This is what happens the vast majority of the time when a homebirth is done correctly. I don't mean a high risk woman going to the hospital after 7 red flags have presented themselves. I am referring to a healthy mother and baby, attended by an intelligent and experienced midwife who transfers quickly if there is any sign of trouble. Mayim is absolutely right. Use your common sense. Do you really believe that a mother sitting in a bed, numb from the waist down, pumped full of drugs that speed up labor, numb her pain and dull her senses, is going to have a healthier labor and birth than a mother who doesn't do those things? 9 out of 10 ten times, no, she won't. Let's not forget about the doctors who unnecessarily cut woman's vaginas ( which they often never fully recover from) use vacuums and forceps to yank the baby out and of course, the ever popular c/section. What is there, a 1 out 3 chance that your baby will be cut out of you if you give birth in the hospital? Isn't it even higher than that in some places? Yes, please, sign me up. Rah-rah- hospitals.

        • 1 vote
        Reply#7 - Thu Feb 2, 2012 2:45 PM EST

        Well, The Evil. Have you read The Thinking Woman's Guide to a Better Birth? or how about Pushed? Have you read any of the statistics of which you preach? Hospitals and obstetricians live for fear mongering. 1% change of a problem? Well, then all 99% of the rest of you better put your (and your baby's) health at risk. MOST women are not high risk. Homebirthing mamas are some of the BEST educated birthers out there. We are not manipulated by insurance companies and Big Pharma telling us what is good for us. We do not cow-tow to some MAN's idea of how we should birth (on our backs to make delivery easier for them!). We move and breathe and squat. And a great number of us are extremely well educated and have advanced degrees. So you can call Mayim ignorant or irresponsible, but again, you are just name-calling. Stand up and find some REAL statistics, statistics that are NOT promulated by insurance companies or knife-wielding obstetricians.

          Reply#8 - Mon Feb 6, 2012 12:41 PM EST

          Let's just agree to disagree. Obviously, this is an opinion piece, and not everyone will share her opinion. I say do what you feel is best for you. I would however, encourage you to do as much research as possible on the subject prior to giving birth. Finding a support network is crucial, regardless of the method you decide on. While I have not had a child myself, I did become a sounding board for my friend having baby #7. She has had a variety of experiences with her births, although they were all in hospitals. She found that she liked the least intervention method best. If you go the hospital route, be prepared to stand up to hospital admin if your views differ from theirs, but stick to your guns. Personally, I think I would feel most comfortable in the hospital, but would still demand they let me labor as naturally as possible. For me, knowing that help is but a call button away would allow me to test my limits (pain tolerance) more so than if I was at home. Good luck to all you expectant Moms - here's hoping you have safe births.

            Reply#9 - Wed Feb 8, 2012 12:52 PM EST
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