What’s the difference between a homebirth midwife and a back alley abortionist?

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They’ve existed since before the advent of recorded human history.

They rely on ancient women’s wisdom and herbal preparations.

If they weren’t safe, the human species would no longer exist.

They provide a service that many women want.

Women know their own bodies. If women feel they are safe, then they are safe.

Am I talking about homebirth midwives or back alley abortionists? Can’t tell the difference, can you?

If we are licensing homebirth midwives (CPMs, LMs), why shouldn’t we license back alley abortionists, too? After all, it takes less education and training to end a pregnancy than to bring it to a successful conclusion.

Many women want the service that back alley abortionists provide. Moreover, it is dogma in the world of homebirth that if women feel safe, they are safe. Does that make back alley abortionists safe?

Of course not!

We know that back alley abortionists are deadly. Before the advent of safe surgical abortions, women died in droves attempting to end unwanted pregnancies. Even today, when women don’t have access to safe surgical abortion, they continue to die in droves. The reliance on ancient women’s wisdom and herbal preparations leads to serious illness and death. Even so, the deadly results at the hands of back alley abortionists have had no impact on whether our species exists; a tremendous number of women can die before population growth slows or stops.

So why shouldn’t we license back alley abortionists? Try to think of a reason that doesn’t apply equally to American homebirth midwives. You’ll be hard pressed to do so.

American homebirth advocacy is all about mistruths, half truths and outright lies. That’s pretty obvious when it comes to the blatant lie that homebirth is as safe as hospital birth, the blatant lie that childbirth interventions kill women and babies, and the blatant lie that obstetricians don’t follow scientific evidence. Therefore, homebirth advocates are increasingly applying their mistruths, half truths and outright lies to claims about women’s reproductive freedom.

Consider the following quote from Gina Crosley-Corcoran, The Feminist Breeder:

Rhreality check Gina

Anyone reading it might think that women are prevented from giving birth where they want and attended by whom they want. Nothing could be further from the truth. There are no restrictions, have never been any restrictions, nor will there ever be any restrictions on women choosing to give birth at home. Want to risk your baby’s life at homebirth? Go right ahead; no one will stop you. The restrictions that exist apply only to who can call herself a midwife, what training a midwife might need, and who can charge for providing midwifery services. But when you are trying to scare women, a lie is ever so much better than the truth.

And when it comes to lies, there’s none much bigger than this whopper, also courtesy of Gina.

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While I appreciate the implicit acknowledgement that homebirth is far more dangerous than hospital birth, I find the underlying premise to be moronic. Just because a woman thinks something is safe does not make it safe. This is a classic example of the magical thinking that animates the “reasoning” of so many homebirth advocates. Magical thinking does not refer to magic; rather it refers to the belief that one’s thoughts have the power to change reality. For example, a small child may imagine that the reason his sister fell down and hurt herself is because he was angry at her and wished that something bad would happen.

You might think that the adults in the homebirth movement would have matured beyond magical thinking, but you would be wrong. Magical thinking (in the form of beliefs and birth affirmations) rests on the premise that grown women can change reality with their thoughts. Hence Gina’s extraordinarily inane claim that “the safest choice for any women is what SHE feels is right for her body.”

Really?

If a woman believes that smoking is the safest choice for her, does that make it safe? No.

If a woman believes that not using a seatbelt is the safest choice for her, does that make it safe? Of course not.

If a woman believes that a back alley abortionist is a safe healthcare provider, does that make back alley abortion safe. Obviously not.

I bet you can see where this is going:

If a woman believes that a homebirth midwife is a safe healthcare provider, does that make homebirth safe? Only a fool would think it does.

The idea that the choice to have homebirth is an issue of reproductive freedom makes as much sense as claiming that the choice to have a back alley abortion is an issue of reproductive freedom, in other words, no sense at all.

But as the evidence mounts that American homebirth midwives have an extraordinarily high rate of deadly outcomes, the reproductive freedom argument is looking like a much better bet than the safety argument.

What’s the difference between an American homebirth midwife and a back alley abortionist?

Absolutely nothing.