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                    Giving Birth in the Age of Technology
                       (Reprinted by permission  from The Art & Science of Mothering, Spring 2007)

Finding out you are pregnant can fill your mind with all manner of question and in days of old you would call your mother, sister, friend or a favored community smart cookie to get the skinny on what to expect.  Today a wealth of information is at your fingertips via the internet.  Even the least net savvy person can find anything about anything with a few key strokes and clicks on massive search clients like Google, Yahoo and America Online.

I thought it would be prudent to peruse some of the more highly ranked pregnancy, birth and parenting websites to identify the ones which really embrace choices in childbirth, mother and baby friendly options and the midwifery model of care.  I started out at obvious choices like Babycenter.com, Pregnancy.org and Parentsplace.com (which is a feature of iVillage.com) which are the top 3 information related sites (not directly trying to sell you something) listed when you search for the word pregnancy on all 3 search clients named above. 


Babycenter.com is a well executed website, which I’m sure comes from the many commercial sponsors that they have listed and display advertisements for.  It is relatively user friendly and easy to navigate.  They have discussion groups for all stages of pregnancy and groups listed by month and year of a pregnancy due date.  The discussion on the lists is predominantly medical and pretty mainstream.  The one redeeming factor was that when I dug deeper into the birth related support discussion forums there actually were discussions specific to natural childbirth, homebirth and choosing a midwife. 


When I searched Babycenter.com for the keyword midwife, several articles came up, but each article was stamped with a mark of approval from the medical advisory board, and none of the articles were incredibly encouraging of the use of midwives as primary care providers for maternity care, but rather stressed the importance of having physician interaction as necessary for safe midwifery care.  They did give some good links to places to get more information on midwifery in each state and how to find a midwife in your area.  I also searched for homebirth, and was directed to the homebirth discussion board, and a search for mother-friendly netted me nothing at all. The most useful thing I found on Babycenter.com was the pregnancy calculator, and the option to get a weekly email with your baby’s development. 


Pregnancy.org at first glanced seems well organized and somewhat user friendly, however you have to find the search function from a drop down menu, which is more difficult to locate than if it were simply placed on the home page.  They have a resident CNM expert to answer questions in the Ask the Midwife column, but I found her answers to many of the questions very guarded and not informative.  Each one I read put me in mind of What to Expect type follow through that is, “don’t ask me, ask your doctor”.  This demeanor is not really in line with the midwifery model of care, as it takes the responsibility for ones health and wellbeing out of the hands of the pregnant mother and places it solely in the hands of her provider. 


Another bothersome aspect of this site is that when I searched for the keyword homebirth, there was a sponsor link at the very top of the page to an obstetrician’s personal blog (an online diary of sorts) that is very anti-homebirth, who is using fabricated statistics and scare tactics to support her militant attitude. 

This site also has some webcast videos that are intended to be informational, but I found them to be far from falling within any type of evidence based care.  One specifically entitled Induction of Labor gave reasons for inductions that sounded much like a malpractice attorney scripted it entirely. 


In their defense they do have homebirth discussion forums much like babycenter.com, proving that there are wise women wherever you go who refuse to lie in the lie that birth must be a medically managed process.  The overall feel of this site is one of an overly medical attitude toward pregnancy and childbirth, not supportive of consumer driven choices or mother/baby friendly care.  I won’t even go into this writer’s feelings regarding the midwife who does not embrace the midwifery model.


The last site I visited was Parentsplace.com (which is the pregnancy and parenting aspect of iVillage.com).  Other than being assaulted with GIANT advertisements when you first enter the site, the overall feeling is one of better support and truly imparting information.  It is well organized and easy to navigate.  When I searched the keyword midwife (with the search function which is on the main page incidentally), I came upon several Ask the Midwife type articles which were well rounded with regards to comparing midwifery care and obstetric care.  A search for mother friendly yielded many pages of information, including a link to the 10 Questions to Ask Your Provider pamphlet from CIMS (Coalition for Improving Maternity Services), the establishing organization for the Mother/Baby friendly guidelines for hospitals and professionals. 


One last search, keyword homebirth yielded again many pages of true articles and not just discussion forums, presenting information on the safety and availability of homebirth as a true option in maternity care.  These articles were authored by the likes of Henci Goer and Barbera Harper, who are both well known activists for choices and access to alternatives in maternity care.  iVillage also has many discussion forums for both medical and more complementary care during pregnancy and birth, and I feel it is a well rounded environment in which an expecting mother can explore her options with less pressure to conform.


These three websites are but a few in the vast ocean of information regarding childbirth one can find on the internet.  I simply chose the top three listed on major search engines.  In future articles I would like to explore other websites, and maybe set up an environment for reader evaluation of these sites.  Feel free to write me and let me know what your favorite pregnancy, birth and parenting websites are and why.  I look forward to hearing from you, and safe surfing.


© Jo L. Davis, DEM, PMUS, EMT-B, 2009