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    Michelle Wolf Dissects the Childbirth Industrial Complex | Dr. Stuart Fischbein

    enDecember 28, 2023

    Podcast Summary

    • High costs of childbirth in hospitalsChildbirth in hospitals can result in unnecessary expenses due to hospital business model, with inflated costs for services and supplies, potentially without improved care.

      Childbirth in hospitals can be an expensive and often unnecessary experience due to the business model of healthcare. The speaker shares her personal experience of being charged for services and supplies she didn't receive, and mentions that childbirth sends more Americans to the hospital than any other reason. Hospitals charge high prices for every service and supply provided to mothers and babies, and these bills often include inflated costs for items like stool softeners and medications. Despite these costs, the care provided may not necessarily be better than other options, as healthcare is a business focused on efficiency. Childbirth is a complex and unpredictable process, requiring mothers to move around and use various tools, and it's important to question the necessity and cost of hospital stays.

    • Unnecessary Hospital Interventions in ChildbirthModern hospital births often involve unnecessary interventions like labor sensors, drugs, epidurals, and C-sections, which can negatively impact mothers and babies. Midwives offer a better alternative with patient-centered care and fewer interventions.

      Modern hospital births often involve unnecessary interventions that can negatively impact both mothers and babies. Hospitals prefer monitoring labor with sensors and screens, leading to increased use of labor-inducing drugs, epidurals, and cesarean sections (C-sections). These interventions can slow down labor, increase pain, and carry significant risks for future deliveries and the baby's health. Midwives, who provide patient-centered care and minimize interventions, can offer a better alternative for women with uncomplicated pregnancies. Historically, midwives were the norm for childbirth, but they were pushed out by male doctors due to a smear campaign. Today, midwives can help mothers have a safer, more natural childbirth experience.

    • The medicalization of childbirth and its impact on women's experiencesWomen should be informed about their options and empowered to make decisions about their birth experiences, as not all medical interventions align with individual needs. Midwifery, which focuses on women's autonomy and the normalcy of birth, can provide a more respectful and empowering approach.

      The medicalization of childbirth and the emphasis on doctors' roles over women's experiences has created fear and misunderstanding around the natural process. Midwifery, which focuses on women's autonomy and the normalcy of birth, has been disparaged and marginalized. Women should be aware of their options and the importance of their birth experiences, as not all hospital interventions align with individual needs. Doctor Stuart Fishbein, an advocate for midwifery and human rights in childbirth, emphasizes the need for respecting women's experiences and empowering them to make informed decisions. Childbirth is a powerful and natural process, and women deserve the chance to experience it without unnecessary medicalization and fear.

    • Fear-based medical model vs. trusting midwifery model of childbirthThe medical model of childbirth, which is prevalent in many parts of the world, goes against nature's design and leads to unnecessary interventions, while the midwifery model trusts in the natural process and minimizes interventions.

      The medical model of childbirth, which is prevalent in many parts of the world, is antithetical to nature's design. Birth workers often project their fears onto women, leading to unnecessary interventions and a dramatic portrayal of childbirth in the media. This fear-based approach is not conducive to the natural process of labor. When a mammal goes into labor, it goes off by itself and does what it needs to do - eat, drink, move, and rest. However, in the medical model, from prenatal care to postpartum, women are subjected to interventions that go against nature's design. This leads to high intervention rates, including inductions and cesarean sections. The midwifery model, on the other hand, trusts in the natural process of childbirth and recognizes that every intervention has an impact, whether immediate or long-term. Ultimately, we forget that we are animals, and the process of childbirth is a natural, animalistic experience that should be trusted and respected.

    • Trusting the natural process vs medical interventions in childbirthMidwives prioritize the natural hormonal process during childbirth, leading to fewer interventions and better outcomes compared to the medical model's high rates of inductions and epidurals.

      The medical model of childbirth, with its high rates of inductions and epidurals, can disrupt the natural hormonal process between mothers and their babies. This disconnection can lead to interventions like cesarean sections, which may not be necessary. Midwives, on the other hand, trust the natural process and accept uncertainty, leading to fewer interventions and better outcomes. The speaker, who has 40 years of experience in both hospital and home birth settings, emphasizes the importance of the birth experience and wishes more women knew about the home birth option. The speaker also emphasizes that they are not shaming anyone for their birth choices, but rather wanting to inform people of their options. The medical model's short prenatal visits cannot provide the same level of care and attention as midwives can in longer visits.

    • The medicalization of childbirth compromises healthcare professionals' autonomy and satisfactionThe hospital system's focus on intervention can hinder holistic, patient-centered care, with prenatal and postnatal care often overlooked. Young doctors are taught to intervene excessively and hospitals prioritize medicalized care over natural births, compromising women's autonomy during labor.

      The medicalization of childbirth and the hospital system's focus on intervention rather than natural processes has compromised the autonomy and satisfaction of healthcare professionals, particularly obstetricians and nurses. The speaker shares her concern for her colleagues who feel trapped in the medical model and are unable to provide the holistic, patient-centered care they desire. She highlights the importance of prenatal and postnatal care, which is often overlooked in hospital settings. The speaker also criticizes the training of young doctors, who are taught to intervene excessively in labor, and the financial incentives for hospitals to provide medicalized care rather than allowing natural births. Ultimately, she believes that hospitals could improve the childbirth experience by respecting women's autonomy and allowing them to labor and give birth in a more home-like environment.

    • Trusting the body's natural processesNatural bodily functions, such as breathing, digestion, pregnancy, and childbirth, are essential for life and usually don't need medical intervention. Trusting these processes can lead to fewer interventions and better outcomes.

      Natural bodily functions, such as breathing, digestion, pregnancy, and childbirth, are innate processes that do not require medical intervention for most people. These functions are controlled by the primitive brain and are essential for life. However, when complications arise, medical assistance may be necessary. It's important to remember that interfering with nature's design can have consequences. Even seemingly small interventions, like asking a laboring woman how she's doing, can slow down the process. The speaker shares her personal experience of being trained in a medical program but eventually learning the value of midwifery and home births. She emphasizes that women are capable of giving birth without medical intervention and that it's essential to trust in their abilities. The speaker also takes a moment to wish her daughter a happy birthday. Overall, the discussion highlights the importance of trusting the body's natural processes and minimizing interventions when possible.

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