That the majority of people are too busy to understand the complexities and evidence behind the choice to birth a baby at home doesn’t surprise me. But it never ceases to astound me how quick people are to judge women who make this choice or who, indeed, feel they have no choice. Why do people believe what some pubescent journalist fresh out of uni says when nine times out of ten the information is at best superficial, at worst down right lies? And they certainly don’t improve their reporting accuracy as they get older…

Take the case of an opinion piece in the Daily Telegraph today http://www.news.com.au/dailytelegraph/story/0,22049,25298631-5001030,00.html.

The journalist, Fiona Connolly, claims “Home births are selfish, irresponsible, anti-reason and anti-progress.” She also has the audacity to compare birth in a poverty-stricken, war-torn Somali village with homebirth in the safe, leafy suburbs of Australia. Connolly fails to consider that women who homebirth in Australia DO have access to all the modern technology and a trained professional to assist them. Somali women in remote villages do not. I’m not really sure where the reason comes in to this argument.

What strikes me about this ill-informed piece was what was missing. What about the perinatal mortality rates of New Zealand and the UK and the Netherlands, all of which have state-sanctioned homebirth programs? Their perinatal mortality rates are not only comparable to or better than Australia’s but their intervention rates are better. Perinatal mortality rates in Australia are 10.1 per 10,000 live births. It is the same in New Zealand (despite their vastly smaller population which tends to skew statistics to look worse than they actually are). The UK’s perinatal mortality rate is 8 per 10,000 live births and the Netherlands 9 per 10,000 live births.

To support her point that all homebirthers care about are candles and home cooked meals, Connolly quotes various celebrities who have gushed over their homebirth experiences. But by pulling these quotes from the Homebirth Australia website she failed to do her homework and find out that Elle Macpherson birthed with the assistance of a private obstetrician in a birth centre. And where was the flippant quote from the great Australian thinker and journalist George Negus who’s wife Kristy was also a homebirther? Is Connolly seriously calling educated and philanthropic people like George and Kristy “selfish, irresponsible anti-reason and anti-progress?”

Another interesting nugget in Connolly’s rant is that she mistakenly believes that narcotics somehow make birth safer and that women who homebirth don’t have access to antibiotics, oxygen and oxytocic drugs. This is far from the truth. Most homebirthers are well aware of the need to obtain an oxygen tank, and oxytocic drugs from the local pharmacy prior to birth and organise this with their local GP (because midwives are prevented from prescribing these in Australia despite it being within their scope of practice). That said, most women who birth at home choose to avoid drugs and unnecessary antibiotics, not just because they want a beautiful birth experience but because they are informed and educated about the harm these can do to their babies. The fact is, we aren’t in a war torn country with no access to medical care when it is needed. Women who genuinely need antibiotics are referred by their midwife to a GP or to the hospital for treatment. But let’s not let the facts get in the way of a good homebirther-bashing.

That women have lost babies in childbirth is sad and tragic but we are not in a position to judge whether or not being at a hospital would have made any difference in any of these cases. We are also not in a position to judge whether being at home might have saved the woman who died from an amniotic fluid embolism or who’s baby’s throat was accidentally cut during surgical delivery. On mercifully rare occasions terrible things happen in childbirth in whatever environment a woman births in—be it home or hospital–but telling every woman that she should have no choice but to birth her baby in a hospital is not only irresponsible it is misogynistic and misguided.

Australia: Law et al, 2008 (AIHW)

New Zealand: NZHIS, 2006

UK: CEMACH, 2008 & NHS Information Centre 2008

Netherlands: Statline, 2008 (Statistical Yearbook 2004)

NB: It is important to note that different countries record perinatal statistics differently. The WHO standard is to report deaths from 22 weeks gestation. Most countries, however, seem to record rates from either 24 or 28 weeks. In order to present a more consistent picture, the 24 weeks has been used where possible.