Speaker 1: You're listening to Comedy Central.
Speaker 2: From New York City.
Speaker 3: The only city in America. It's the show that you
Speaker 3: said your news. It's The Daily Show with your home Michelle.
Speaker 4: Welcome to The Daily Show. I'm Michelle Wolf. It's my
Speaker 4: final night of the show. Yeah, no more show for me,
Speaker 4: and I just want to say you were a worthy adversary,
Speaker 4: Linda from HR Duchy Touchy.
Speaker 2: We've got a great show for you tonight.
Speaker 5: So let's get into the headline.
Speaker 2: Let's kick things.
Speaker 4: Off with Elon Musk, the guy who's having an apartheid
Speaker 4: with his own face. He's been on a non apology
Speaker 4: apology tour following the fallout from his antisemitic.
Speaker 2: Tweets, and like a tesla, it's been blowing up in
Speaker 2: his face.
Speaker 6: Blaw Musk, the world's wealthiest man, has a message for
Speaker 6: companies who don't want to advertise on X and I
Speaker 6: can't repeat it on morning television or else.
Speaker 2: This will be my last day.
Speaker 6: What this advertising boycott is going to do, It's going
Speaker 6: to kill a company.
Speaker 7: And you think that and the whole world.
Speaker 6: Will know that those advertisers killed the company. If somebodys
Speaker 6: going to try to blackmail me with advertising, blackmailing with money,
Speaker 6: go fick yourself, but go yourself? Is that clear?
Speaker 2: I hope it is. Oh, it's clear.
Speaker 4: It's clear that Elon has accomplished something in He's made
Speaker 4: able root for advertisers.
Speaker 2: That's crazy.
Speaker 4: Anyone could build an electric car, but you're the only
Speaker 4: true genius who could lose coolness battle to mucinext.
Speaker 2: You're not a victim here, Elon.
Speaker 4: It's not blackmail to not advertise on Twitter. They don't
Speaker 4: want anything from you. They just don't like you. And
Speaker 4: you should be used to this by now. If you don't,
Speaker 4: if you don't donate money to the KKK, the KKK
Speaker 4: isn't like Ah, So it's blackmail, is it?
Speaker 2: No, it's not. You suck. Also, blackmail is.
Speaker 5: The kk's least favorite type of myth.
Speaker 4: You know, i'd feel so bad for Elon if either
Speaker 4: of us could feel.
Speaker 8: This.
Speaker 4: Guy swears so badly he doesn't want to be liked,
Speaker 4: but it's so obvious to everyone that he really wants
Speaker 4: to be liked. He wants to be like so badly.
Speaker 4: He bought a company that's all about likes. He's the
Speaker 4: poster child for money doesn't buy happiness. You can see
Speaker 4: it in his recently purchased face and his jacket from
Speaker 4: Burlington Divorce Factory. Let's move on to some major international news.
Speaker 4: France has just decided to ban smoking on beaches, in
Speaker 4: forests and near schools. Seriously, France, what are you doing
Speaker 4: to your people here? They're having a tough year as
Speaker 4: it is. First they raised their retirement age all the
Speaker 4: way to thirty two. Now they're not allowed to light
Speaker 4: up a firestick in a forest.
Speaker 9: Come on, what's next? No more mimes in boxes, no
Speaker 9: more being racist to Muslims, No more bringing up a
Speaker 9: get home to your son.
Speaker 2: And him going jule pabol Will it even be France anymore?
Speaker 2: Shout out to Jennandlerbong these are you can't get sad
Speaker 2: about that.
Speaker 4: Come on, guys, we're having a celebration here.
Speaker 5: These French jokes were brought to you by stereotypes.
Speaker 4: Stereotypes, they're usually true. All right, let's move on to
Speaker 4: some Satin news. You know, it's never easy when someone dies,
Speaker 4: although when that person has made so many other people die,
Speaker 4: it kind of takes.
Speaker 2: This thing out of it.
Speaker 10: Breaking over, Former Secretary of State Henry Kissinger passes away
Speaker 10: his influence profound yet controversial, guiding presidents through Vietnam, the
Speaker 10: Cold War, and nine to eleven.
Speaker 7: Some called him a war criminal for his role in
Speaker 7: bombing Cambodia and widening the war in Vietnam.
Speaker 2: Cambodia forty thousand people by that was car bombing.
Speaker 7: Kissinger encouraged the Argentina Dirty War in nineteen seventy six,
Speaker 7: was the architect behind the illegal and murderous bombings of
Speaker 7: Cambodia and Laos, supported Augusto Pinochet's brutal military coup in Chile,
Speaker 7: and turned the blind eye to alleged genocide in Bangladesh.
Speaker 4: And ladies, please remember all those things are red flags.
Speaker 4: But yes, Henry Kissinger is dead, which just goes to
Speaker 4: show you that if you have zero morals, you'll lead
Speaker 4: a long, stress free life. He committed massacres and lived
Speaker 4: to be one hundred, while the rest of us over
Speaker 4: here are dying at forty seven because we can't stop
Speaker 4: stressing over the time we waved to a person who
Speaker 4: was actually waving to someone behind us. But look, no
Speaker 4: matter how you feel about Henry Kissinger, you got to
Speaker 4: agree that he's one of America's greatest war criminals. The
Speaker 4: question is is he America's greatest war criminal? So to
Speaker 4: have that debate, let's turn to Ronnie Chang and Michael Costa.
Speaker 8: Thank you guys, what do you think?
Speaker 11: Well, thing is, there's no question Michelle, Henry Kissinga is
Speaker 11: the goat of war criminals. You know the last few
Speaker 11: weeks in high school where you skim through like forty
Speaker 11: years of terrible American history in like two days.
Speaker 2: That's all him, baby being.
Speaker 11: Nam, Kembodia, Chile, shaw I'll continue Pakistan and East Timol.
Speaker 11: This dude was doing massacres in countries that Americans don't
Speaker 11: even know what countries. He was putting him on the
Speaker 11: map and then coppet bombing them off the map. He's
Speaker 11: like a genocidal common San Diego.
Speaker 1: Can I get a chance to talk over here, Ronnie,
Speaker 1: you're clowning yourself. Sure, Kissinger's in the conversation. But this
Speaker 1: debate starts and ends with Dick Cheney. His his prime
Speaker 1: years were fire, Afghanistan, Iraq, Guantanamo. The man shot his
Speaker 1: friend in the face. It was one of the nicest
Speaker 1: things he's ever done.
Speaker 2: That's a good points. That's a good point. Ryny. Maybe
Speaker 2: this is a tie.
Speaker 11: To quote the great man himself, go for yourself, Michael, Yeah,
Speaker 11: should Dick Cheney lied about WMDs, But my boy Kissinger
Speaker 11: was using WMDs. Plus he was in the game fover
Speaker 11: sixty years. Dick Cheney had won like five good seasons
Speaker 11: maybe exactly.
Speaker 1: Kissinger stayed in the game just to juice his stats. Okay,
Speaker 1: when you look at the season splits, Shaney's numbers were better.
Speaker 1: Not to mention, Kissinger came in after Vietnam started, I
Speaker 1: mean he was chasing wars the way Durant chases rings.
Speaker 1: You know, anyone can join a super team.
Speaker 2: But Chaney built.
Speaker 1: His wars from the ground up.
Speaker 2: I mean he carried George W. Bush on his back.
Speaker 1: Also, how can Kissinger be the war crimes go when
Speaker 1: he won the Nobel Peace Prize?
Speaker 2: You an idiot?
Speaker 11: That's what makes him the got you more on? Do
Speaker 11: you know how good a war criminal you have to
Speaker 11: be to win a peace prize? For Wards, you escalated
Speaker 11: the dude's got the numbers and the hardware, count the rings, bitch.
Speaker 4: Okay, guys, let me throw this out to you.
Speaker 2: Guys. Okay, Andrew Jackson.
Speaker 1: That's a good point. Oh good point.
Speaker 11: Yeah, I mean you know he did the numbers.
Speaker 3: Look look, look, look.
Speaker 1: Michelle, you do have to adjust for that era. Okay,
Speaker 1: but credit where credit is due. I mean, Jackson was
Speaker 1: massacring people back when you had to do it with
Speaker 1: muskets and carrier pigeons. We'll never know what kind of
Speaker 1: records he could have said if he had had drones
Speaker 1: and Google maps.
Speaker 11: Okay, look, we can't throw a wrong hypotheticals all day,
Speaker 11: but the bottom line is Andrew Jackson wasn't an international
Speaker 11: player the way Kissinger was. Okay, Jackson only put up
Speaker 11: decent numbers at home. He wasn't strong on the road.
Speaker 1: Look, Ronnie, just because you speak loudly doesn't make it
Speaker 1: more true. All right, Look, look, look, look, I think
Speaker 1: we can all agree no matter who the goat is.
Speaker 1: What's important to remember is Kissinger's passing really puts things
Speaker 1: into perspective. So listen, everyone, if there's a war criminal
Speaker 1: in your life, tell them how you feel about them now,
Speaker 1: because you never know when they're gonna unexpectedly die of
Speaker 1: being one hundred years old.
Speaker 2: I couldn't agree more. Michael Cassan and Ronnie Changing.
Speaker 4: Everybody, let me come back we'll talk about things that
Speaker 4: have been falling out of my vagina.
Speaker 2: So don't go away.
Speaker 4: Welcome back to the Daily Show. Let's talk about childbirth.
Speaker 4: It's hopefully the last time you touch your mom's vagina.
Speaker 4: And I learned about child birth firsthand because I recently
Speaker 4: had a baby.
Speaker 5: I don't know, she was right here, I don't know.
Speaker 5: You can't have it all, can't you.
Speaker 2: Now.
Speaker 4: I chose to have a home birth because I wanted
Speaker 4: to ruin my couch, and it turns out I was
Speaker 4: pretty lucky because whenever I talked to a woman who
Speaker 4: has given birth in a hospital, it's almost always a
Speaker 4: horror story. The labor was painful, the doctors were rude,
Speaker 4: the nurse pooped on the table and blamed it on me.
Speaker 4: But there's a reason why hospital childbirth leads to all
Speaker 4: these horror stories, and it's something I want to talk about.
Speaker 4: So lay back and put your feet in the stirrups
Speaker 4: for tonight's long story shirt. Childbirth is the number one
Speaker 4: reason why people go to the hospital in the US.
Speaker 4: It sends more Americans to the hospital than the allergic reactions.
Speaker 2: And oh this got stuck in my butt. That's a
Speaker 2: light bulb, just so you know.
Speaker 4: And every year the healthcare system makes fifty billion dollars
Speaker 4: from childbirth, and yeah, half of that is just from
Speaker 4: Nick Cannon.
Speaker 10: But it's still a booming industry.
Speaker 2: And why is childbirth so expensive?
Speaker 4: Because, like everything in America, healthcare is a business, and
Speaker 4: hospitals look at our uterus like it's an atm.
Speaker 12: Delivering Moms are increasingly being charged sky high prices for
Speaker 12: absolutely every service or supply provided to them and the baby.
Speaker 12: And those bills aren't just high in many cases, they're bloated.
Speaker 13: Every time you walk into the hospital, they look at
Speaker 13: everything that happens to you and say, can I build
Speaker 13: for that? It's because they can, they can charge more.
Speaker 13: Nobody's asking questions, and so they do and they get
Speaker 13: away with it.
Speaker 12: Doctor Marguerite Dwayne delivered naturally just twelve minutes after arriving
Speaker 12: at the hospital and only stayed one night.
Speaker 14: I noticed that I've been charged for two hospital nights.
Speaker 14: I was charged for medications I didn't receive, such as
Speaker 14: oxytocin nine hundred and fifty eight dollars for his nursery stay.
Speaker 14: And he didn't spend one minute nurse and he didn't
Speaker 14: spend one minute in the nursery.
Speaker 11: One woman says she was charged four hundred dollars for
Speaker 11: motrand and a stool softener.
Speaker 4: Four hundred dollars for a stool softener? What is this
Speaker 4: a hotel mini bar? If you don't have stool softener
Speaker 4: in your hotel mini bar, you gotta go to a
Speaker 4: better hotel. And all that money doesn't even equal better care, because,
Speaker 4: like I said, healthcare is a business, and a business
Speaker 4: wants to be efficient, but childbirth isn't efficient. Labor could
Speaker 4: happen at any moment, or it could take over eighteen hours.
Speaker 2: It's kind of like orgasms.
Speaker 4: Is this gonna be a quickie or is someone leaving
Speaker 4: here with carpal tunnel?
Speaker 2: Nobody knows.
Speaker 4: Childbirth is messy and unique and complicated, and it needs
Speaker 4: the mother to walk around and stretch and bounce on
Speaker 4: a yoga ball and go to the bathroom because maybe
Speaker 4: you're gonna take a dump or maybe that that's where
Speaker 4: you're gonna have the baby.
Speaker 2: I'm serious. That happens a lot, and it's beautiful.
Speaker 4: But the hospital would rather have us laying down with
Speaker 4: sensors attached to our bodies because it's more efficient. To
Speaker 4: monitor all of it at once from a computer screen.
Speaker 4: Even those screens should be for raising our children, not
Speaker 4: birthing them.
Speaker 2: So here's what happens.
Speaker 4: Now you're lying in a bed and your labor slows down,
Speaker 4: so the hospital speeds up the process by pressuring you
Speaker 4: to take the drugs that induce labor, even though those
Speaker 4: drugs affect the heart rate of your baby and increase
Speaker 4: your pain. So then they suggest an epidural where they
Speaker 4: jam a needle a fentanyl to your spine to numb
Speaker 4: your lower body. But now you can't feel your lower body,
Speaker 4: which means you can't help push through your contractions. And
Speaker 4: now you're slowing down your labor again. Your baby's heartbeat
Speaker 4: is going up and down. It's like a little ravenside
Speaker 4: your uterus. And the doctor comes and say you're not
Speaker 4: progressing enough. The baby's heartbeat is erratic. All the shit
Speaker 4: we made you do is made everything worse. Why would
Speaker 4: you make us do all that shit to you? And
Speaker 4: that brings us to the biggest medical intervention of all
Speaker 4: see sections. Americans have them at an alarmingly high rate.
Speaker 4: And it doesn't even and it doesn't always have to
Speaker 4: do with the health of the mother or the baby.
Speaker 12: An alarming number, one in three women giving birth in
Speaker 12: America today having a sea section, But too often sea
Speaker 12: sections are not needed.
Speaker 15: Sometimes doctors or hospitals may rush a sea section simply
Speaker 15: because they think labor has gone on long enough. For
Speaker 15: because the maternity ward is especially busy.
Speaker 8: Another reason for the major increase, just for the sake
Speaker 8: of convenience.
Speaker 2: Softer's are rushed.
Speaker 4: I mean, when someone's giving birth badually, it can take
Speaker 4: a long time there in labor, it can take days.
Speaker 2: Sea section very quick. You're in and you're out.
Speaker 4: Sea sections are major surgery, and they carry all the
Speaker 4: risks of surgeries.
Speaker 13: You give a sea section in twenty eighteen, you have
Speaker 13: a ninety percent chance of having a sea section second time.
Speaker 13: But the second time it's a more complicated surgery, And
Speaker 13: the third time it can be like operating on a
Speaker 13: melted box of crayons.
Speaker 4: Melted box of crayons, Jesus, what happens the fourth time?
Speaker 2: We don't even need to do surgery. It just pops out.
Speaker 4: Alien and sections aren't just risky for the mother, they're
Speaker 4: also risky for the baby. Children born via sea sections
Speaker 4: are four times more likely to develop breathing problems, and
Speaker 4: if my kid is gonna have trouble breathing, I want
Speaker 4: it to be because I raised a douchebag who vapes.
Speaker 2: Is that cotton candy?
Speaker 4: There's got to be a better way to do this,
Speaker 4: and thankfully there is, and it's.
Speaker 5: Not some new fangled silicon valley birthing pod.
Speaker 4: It's one of the oldest childbirth technologies there is midwives.
Speaker 4: Midwife is a clinician who helps you either birth inside
Speaker 4: of a hospital or outside of a hospital, and for
Speaker 4: women with uncomplicated pregnancies, midwives are a great idea, mostly
Speaker 4: because they don't do unnecessary interventions and they're all about
Speaker 4: patient autonomy. Can you imagine that woman having autonomy? Not
Speaker 4: in my America, let's go Brandon. In fact, midwives used
Speaker 4: to be the Norman delivery until they got pushed out
Speaker 4: in favor of male doctors.
Speaker 2: In the early nineteen hundreds.
Speaker 16: Physicians someone on a very effective smear campaign against midwives.
Speaker 16: They would make posters showing a black branding midwife and
Speaker 16: a very poor home delivering a baby and saying, would
Speaker 16: you want this kind of person to deliver your baby?
Speaker 14: Joseph de Lee of Chicago called midwives, relics and barbarism.
Speaker 2: For me, it.
Speaker 1: Appears brutal midwifery, not usin.
Speaker 6: It is not sport.
Speaker 13: But it is the man behind the that's color.
Speaker 4: The man behind the forceips is what counts.
Speaker 2: No, you idiot, we don't need you.
Speaker 4: Your forceips, your racism, or that weird landing strip go
Speaker 4: to you got going on, But that's.
Speaker 2: Really the point I want to make here.
Speaker 4: The hospital doesn't just emphasize efficiency and speed over the
Speaker 4: mother's health and comfort. It emphasizes the doctor's role over
Speaker 4: the mothers, particularly when obstructrics was being created by men.
Speaker 4: And it's such a male thing to think that pulling
Speaker 4: the babybe out is the entirety of labor when all
Speaker 4: mothers know that's the easiest part of the whole thing.
Speaker 4: It's like pulling a piece of toast out of the
Speaker 4: toaster and saying.
Speaker 2: I'm the toaster. So long story short.
Speaker 4: For women thinking about having a child, no, ande understand
Speaker 4: what your options are and that this is your birth,
Speaker 4: not the hospitals, not the doctors. And look, don't get
Speaker 4: me wrong, there are pregnancies that need medical interventions. But
Speaker 4: when the hospital needs don't align with yours. Remember you
Speaker 4: have choices. Just because you're in a hospital doesn't mean
Speaker 4: you're sick. Childbirth isn't a disease. It's powerful and natural,
Speaker 4: and we should give women the chance to experience that.
Speaker 4: And as a side benefit, it'll free up all the
Speaker 4: hospital to figure out how this got up my book.
Speaker 8: When we come back, I'll talk to an expert on
Speaker 8: child's bright doctor Stuart Fishbine, So don't go away.
Speaker 2: Welcome back to the Daily Show.
Speaker 4: My guest tonight is a community based practicing obstetrician and
Speaker 4: advocate for the Midwiffery model of care and human rights
Speaker 4: and childbirth. He also co hosts the Birthing Instincts podcast
Speaker 4: and teaches seminars on breach and twin vaginal birth around
Speaker 4: the globe. Please welcome, doctor Stewart Fishbeink. It's so great
Speaker 4: to have you here.
Speaker 17: It's an honor to be here. And I just have
Speaker 17: to say the last segment was you covered so much.
Speaker 17: That's so true. And I, as a male physician, little
Speaker 17: embarrassed walk in the footsteps of all the midwives that
Speaker 17: came before me and taught me what I didn't necessarily
Speaker 17: learn in residency.
Speaker 2: I see, look, men can give credit to women. It's great.
Speaker 2: Thank you, Thank you, Elan.
Speaker 4: You know you've been you've been in this field for
Speaker 4: so long. Why do you think there's so much fear
Speaker 4: around childbirth?
Speaker 17: Because fear is the strongest emotion that you can control
Speaker 17: people with. And I think the reason that we have
Speaker 17: so much fear in the Western medical world is because
Speaker 17: the people that are practicing, the doctors are taught to
Speaker 17: fear birth. They're taught birth is a medical condition, that
Speaker 17: it needs treatment, that it's chaotic, and that we have
Speaker 17: to control that chaos. And so they're fearful. And if
Speaker 17: you talk to most birth workers, they have that sense
Speaker 17: of fear, and then they projected onward to the women
Speaker 17: who of America in other countries and so and it's
Speaker 17: all you see. I mean, not that the meatia is
Speaker 17: always bad, but sometimes there's a lot, you know, when
Speaker 17: you see birth and it's very dramatic and it's you know,
Speaker 17: it's very and there's a lot of fear, and so
Speaker 17: it's propagated that way, and then you can control people
Speaker 17: when you have fear.
Speaker 4: Yeah, right, Yeah, it's a very good tool. And you know,
Speaker 4: and child bird can be such like a lovely thing
Speaker 4: and it should be a lovely thing, because you know,
Speaker 4: we are all you know, we're all born at some point,
Speaker 4: and it's just your entrance into the world is I
Speaker 4: think significant.
Speaker 17: And if I can say, if we just take a
Speaker 17: step back for a second and we look at how
Speaker 17: other mammals do it, this can give us a vision
Speaker 17: into why what we're doing is not working so well.
Speaker 17: Because when a mammal goes into labor, where does she go?
Speaker 17: She goes off by herself, who does she go with nobody?
Speaker 17: And when she's hungry, she does this amazing thing. She eats,
Speaker 17: and she's thirsty, she drinks. And if she's uncomfortable, she moves.
Speaker 17: And when she if she's interrupted in labor through the
Speaker 17: predator approaches or the little kids run into the bedroom,
Speaker 17: the mammal will put out hormones like adrenaline which will
Speaker 17: stop their contractions and they'll get up and they'll run away,
Speaker 17: and only when it's safe will nature will labor return.
Speaker 17: And this way nature ensures that the best chance of success.
Speaker 17: So what we do in the medical model is essentially
Speaker 17: antithetical to nature's design. From the moment a woman gets
Speaker 17: in her car to drive to the hospital, and actually
Speaker 17: I would say, all through the prenatal care period two
Speaker 17: to the moment she puts her baby in the car
Speaker 17: seat to drive home. Pretty Much everything that's done to
Speaker 17: the woman is opposite of what nature has designed. And
Speaker 17: it not surprising that labor then doesn't go as well
Speaker 17: as it should. That we have such high intervention rates
Speaker 17: thirty forty percent c section rates some countries it's seventy
Speaker 17: to eighty percent. We have we're inducing women set thirty
Speaker 17: fifty eighty percent of women, and hospitals are being induced.
Speaker 17: I mean, how many cows get induced? You know that
Speaker 17: sort of It's just the medical model sees birth as
Speaker 17: a problem. The Midwiffrey model sees birth as a normal
Speaker 17: function of a woman's body that they trust that nature
Speaker 17: has a design, and every time you intervene in that design,
Speaker 17: you will cause some ripple effect downstream, whether immediate or later.
Speaker 2: Yeah.
Speaker 4: And it's interesting because I think we forget that we
Speaker 4: are animals because and particularly in birth in my case,
Speaker 4: it's like.
Speaker 5: It was the most animal you feel.
Speaker 4: You know, you end up you're in these positions where
Speaker 4: you're like, I don't I never pictured. I didn't know
Speaker 4: how my birth would go, and I never pictured what
Speaker 4: actually happened, But it was like, you do you get
Speaker 4: in these whatever positions most comfort, you're making these guttural
Speaker 4: sounds you've never made before, and all of it's just.
Speaker 2: Happening to you.
Speaker 4: And I was lucky enough to experience it in a
Speaker 4: way that you know where I was at home and
Speaker 4: it was it was comfortable, and I was allowed to
Speaker 4: do all those things.
Speaker 17: Yeah, if you let a man will do or a
Speaker 17: woman do what she wants to do, it's amazing to
Speaker 17: watch how they will. They will move, they'll do something.
Speaker 17: The baby's not sitting right in the pelvis instead of
Speaker 17: laying on their back with an epidural numb and they
Speaker 17: can't help their baby. They can move. You'll watch them.
Speaker 17: They'll put a leg up on the side of the bed,
Speaker 17: they'll squat, they'll get on all fours, they'll do certain things.
Speaker 17: The medical model has taken all that away, and now
Speaker 17: we're stuck with you know, eighty percent of women getting
Speaker 17: induced and in some hospitals ninety percent of women getting epidurals,
Speaker 17: and that breaks that connection that women and their babies have.
Speaker 17: It's a beautiful symphony of hormones that's been going on
Speaker 17: from the moment of conception, and once that gets interrupted,
Speaker 17: the baby's sort of left on its own defend. When
Speaker 17: a woman gets an epidural, its mom is no longer
Speaker 17: being able to help it. And so you see that,
Speaker 17: like you described in your last segment, you see that
Speaker 17: change the fetal heart rate, and then we've got to
Speaker 17: do something. And then they get a baby that's perfectly
Speaker 17: fine from a C section and they say, great, we
Speaker 17: saved your baby, And actually it was all the iatrogenic
Speaker 17: stuff that happened in the first place. Midwives, on the
Speaker 17: other hand, is because they trustpers so well and they
Speaker 17: accept uncertainty. And I can tell you from experience, and
Speaker 17: I've been doing this forly forty years. The first twenty
Speaker 17: eight of them I was in the hospital, the last
Speaker 17: twelve or thirteen I was in the home birth world.
Speaker 17: We don't see that sudden deterioration of fetal status that
Speaker 17: you see in the hospital when you don't meddle with
Speaker 17: mother nature.
Speaker 4: Yeah, and you know, I think we really underste how
Speaker 4: you come into the world is important. And I just
Speaker 4: I wish more women knew that this was an option,
Speaker 4: even because a lot of women they would never even
Speaker 4: you know, it's become like a It feels like people
Speaker 4: are like ooh, this like kind of alternative, like woo woo,
Speaker 4: you know, like, oh, you're very odd you had a
Speaker 4: home birth. And I was like, I don't know, I
Speaker 4: just maybe maybe I'm lazy.
Speaker 17: No, I mean, people will often this is an interesting
Speaker 17: thing when when we talk on the podcast we talk
Speaker 17: about the c setur raping too high or epidural raping
Speaker 17: too high. We'll get letters or direct messages or whatever,
Speaker 17: but tell us that we're shaming somebody. We're not shaming anybody,
Speaker 17: but they're starting to project a little bit of their
Speaker 17: own guilt on the fact that maybe things didn't go
Speaker 17: the way they wanted to. All we want to do
Speaker 17: is let people know that they have these choices and
Speaker 17: these options, and that's not something you're getting in the
Speaker 17: medical model. You can't do in a five minute, six
Speaker 17: minute prenatal visit what a midwife does in an hour
Speaker 17: prenatal visit. You just can't. And I feel for my
Speaker 17: colleagues that are sort of in the hamster wheel of
Speaker 17: the medical model that they can't get out because the
Speaker 17: one thing that's really happened that in my lifetime that
Speaker 17: I saw there was really bad was doctors became employees
Speaker 17: of hospitals and hospital systems, and then their loyalty and
Speaker 17: their fiduciary duty becamemise because as a solo practitioner, my
Speaker 17: responsibility is the woman that I'm caring for. As a
Speaker 17: doctor working in a hospital setting, if they don't want
Speaker 17: you to do vbacks bagial birth after sincerity where they
Speaker 17: don't want you to let anyone go past forty one weeks,
Speaker 17: then you'll have to skew your counseling to get the
Speaker 17: woman to do what your system wants to do, not
Speaker 17: what the doctor wants to do. And you know, I
Speaker 17: don't know that there's a lot of happy obstetricians out there.
Speaker 17: I don't think that a lot of them really like
Speaker 17: what they do, and that's why a lot of them
Speaker 17: give up. Obe they go through all that training and
Speaker 17: then they come out and they just don't want to
Speaker 17: do it anymore. A lot of nurses leave nursing, they
Speaker 17: leave ob nursing because they just can't watch what goes
Speaker 17: on there.
Speaker 4: And my experience with a midwife is that I got
Speaker 4: a lot of prenatal care but which is very important,
Speaker 4: but I also got a lot of post natal care,
Speaker 4: which is also very important.
Speaker 8: Now.
Speaker 4: My midwife came to my house every day after the
Speaker 4: birth and then you know, like every couple days, and
Speaker 4: she was very involved in the after birth process, and
Speaker 4: I think that's also something that's missing. It's almost like
Speaker 4: you have the baby and then you're pushed out of
Speaker 4: the hospital literally in a wheelchair, and.
Speaker 2: Then it's like naig luck, I'll see you in six weeks. Yeah.
Speaker 17: Yeah. When I was a resident, you never see a
Speaker 17: normal birth as a resident because you're not watching women
Speaker 17: in labor. You're called to the deliver room or to
Speaker 17: the labor room when the nurses need you to do something,
Speaker 17: so they never watched like the sounds that you make,
Speaker 17: or the things that you're saying, the guttural sounds, or
Speaker 17: the movements that a woman that makes. You never know
Speaker 17: what the normal progress of labor is. So nothing is
Speaker 17: moving fast enough. So every time you're called to the room,
Speaker 17: you're asked to do something. You put on a glove,
Speaker 17: you do a vagil exam, you order potocin, you rub
Speaker 17: your membranes, you do these things. And this is how
Speaker 17: young doctors are being trained to look at childbirth when
Speaker 17: they really should back off. Maybe fifteen percent of women
Speaker 17: need medicalized hospital based care. The other eighty five percent,
Speaker 17: if the hospitals would leave them alone, could do it
Speaker 17: without much intervention at all. The problem is is that
Speaker 17: hospitals don't make money doing nothing. They make money doing something,
Speaker 17: and so there is they won't do that, and they
Speaker 17: just they will not leave a woman alone. And they
Speaker 17: can't make a hospital more home like adding curtains and
Speaker 17: a hardwood floor to a labor room doesn't make it
Speaker 17: more like home. They just they don't know how to
Speaker 17: leave a patient alone. They just don't know how to
Speaker 17: do it. And even calling them patients, I just made
Speaker 17: an error. We call them clients in our world because
Speaker 17: they're not sick. It's like breathing or it's like digestion.
Speaker 17: These are these are innate functions of our body. They're
Speaker 17: primitive brain functions. Fortunately, most of us don't have to
Speaker 17: think about breathing or digestion. Can you imagine thinking breathe in,
Speaker 17: breathe out. You can't do that. But when you have
Speaker 17: pneumonia or when you have colitis, you need a doctor.
Speaker 17: But you don't need a doctor to breathe or to
Speaker 17: digest food, or to get pregnant, or to go through
Speaker 17: your prenatal care, or to deliver a baby. These are
Speaker 17: all natural functions that nature has designed. And again I
Speaker 17: want to reiterate, every time you intervene in Mother Nature's design,
Speaker 17: there is going to be consequences. Even my co host
Speaker 17: Bliss likes to say, even if when you walk in
Speaker 17: the room when a woman is in labor and you
Speaker 17: quietly ask them can I get you anything or how
Speaker 17: you're doing, you're actually bringing them out of their primitive
Speaker 17: brain into their cognitive brain and you're slowing down the
Speaker 17: labor process.
Speaker 4: Yeah, it would be nice if we could just believe,
Speaker 4: you know, women can do it.
Speaker 17: Well, I'm living proof that they can.
Speaker 2: Yeah, I'm.
Speaker 17: And I'm living proof that somebody who went through the
Speaker 17: medical model. You know, I was trained in a very
Speaker 17: academic program. I was actually very lucky because the program
Speaker 17: I worked at was affiliated with a very, very busy hospital.
Speaker 17: It's actually the busiest hospital in the country back in
Speaker 17: the early eighties, and so I learned the breach and twin,
Speaker 17: but I also learned that it was a medicalized process.
Speaker 17: Only coming out and being open to the fact that
Speaker 17: I was approached by midwives to take their home birth transports.
Speaker 17: And I didn't do it because I thought Midworfrey was
Speaker 17: smart or homebirth was smart. I probably thought it was stupid,
Speaker 17: like most doctors do. But I did it because I
Speaker 17: wanted to make money in those days, right, But I
Speaker 17: was pression enough to listen to what the midwives had
Speaker 17: to say and to learn from the women who were
Speaker 17: in labor that they didn't have all the things that
Speaker 17: I thought they needed and they still did fine, right right.
Speaker 2: Yeah, amazing, it's amazing.
Speaker 4: It's really, it really is amazing. Thank you so much
Speaker 4: for coming on to talk and thank you. Thank you
Speaker 4: for doing the work that you do.
Speaker 5: I really appreciate it.
Speaker 2: Welcome. Can I say one more thing good?
Speaker 17: Today is my daughter's twenty seventh birthday, and I want
Speaker 17: to wish my daughter medal in a very happy birthday.
Speaker 2: Happy birthday, Madelan.
Speaker 4: Make sure to check out Doctor Sue's Birthday Instincts podcasting website.
Speaker 4: We're going to take a quick break, but we'll be
Speaker 4: right back after day.
Speaker 6: Thank you.
Speaker 4: Yeah, story, thanks training. That's our show for tonight and
Speaker 4: my time is guest host. But if you want to
Speaker 4: catch me, check out my latest stand up series on Netflix.
Speaker 2: It's great to be here and stay.
Speaker 4: Tune Next week when you're guest host Charlie.
Speaker 3: And the guys explore more shows from the Daily Show
Speaker 3: podcast universe by searching the Daily Show wherever you get
Speaker 3: your podcasts. Watch The Daily Show weeknights at eleven ten
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Speaker 6: This has been a Comedy Central podcastow