pregnancy

Why the way we portray birth in entertainment matters.

Last night, I was flipping through the channels and stumbled upon… OK, OK, I was watching Grey’s Anatomy. (Yes, it’s still on TV and yes, sometimes, I still watch it when I’ve exhausted my Netflix options.)

One of the main characters on the show went in the labour, and I braced myself for what I knew was likely about be a horrific fright-fest, and also, probably a pretty big disservice to women, like most television births usually are.

I wasn’t wrong.

The birth quickly turned terrifying. I won’t go into all the gory details, but think fast-moving labor turned home cesarean birth. I can’t quite express how horrifying the scene was, but I can only say, I felt particularly glad I’d already had both of my babies at the time of my viewing it.

"One of the main characters on the show went in the labour." Image via Grey's Anatomy, Walt Disney Studios Home Entertainment.

Even still, I went to bed, unable to shake the gory imagery from my mind and thinking about all the first-time pregnant people clinging to their bellies a little tighter because of that one graphic scene.

Grey's is known for its over-dramatic and unrealistic scenarios. It’s basically an evening-time soap opera. So of course, the way they might depict a birth shouldn't be much different — and indeed it wasn't. And this show, or any show or movie, for that matter, might not owe it to anyone to make birth look appealing, or even accurate — they're in it for the ratings. Plus, it makes for damn good entertainment.

Even though, being the birth aficionado that I am, I was yelling at the TV about all the things that were wrong or would never happen that way, I was still on the edge of my seat. “Please be OK, baby!” I whispered to myself, squeezing my glass of wine.

The infamous birth scene from 'Knocked Up'. Image via Universal Studios. 

It is fully within a writer’s artistic rights to feature a scary birth scene for entertainment’s sake — I get that. But the problem is not with this particular show or any particular show for that matter.

The problem is that scary birth on TV and in the movies is not the exception — it’s the norm.

Television shows and movies have a way of almost always depicting birth as terrifying, agonizing, and inherently dangerous.

How many peaceful deliveries have we witnessed in film in recent years? Unless we’re talking about a YouTube search for gentle births, not that many. Typically, even in the best of circumstances, birth for entertainment’s sake looks like this: pure agony, screaming, screaming at one’s spouse, feet in the stirrups, crying, and begging for drugs to take the pain away. And more often than not, the birth becomes life-threatening.

The thoughts women have while giving birth. Post continues below. 

A person who’s never given birth is left to decide for themselves whether these depictions are fictional or real. But there’s no doubt that absorbing this steady flow of identical information that sends the same message over and over again is troubling to a person who may one day find themselves pregnant, their mind swirling with every birth scene they’ve ever had the misfortune of taking in. It is especially troubling for Americans, most of whom have never seen a real live delivery before it’s their turn.

Generally speaking, we aren’t engaged in the birth community. We are rarely present for other people’s births; we seldom partake in births as active participants the way it’s done in many other countries do.

So the bigger problem with this lie — that birth is something to be feared, that it is inherently dangerous, that it almost never goes smoothly without medical intervention — is that we all collectively seem to believe it.

"...the birth is something to be feared". Image via Juno, Fox Searchlight Pictures. 

Surely, there is other information available, books and documentaries. There are communities of midwives who have a 1.7 percent cesarean rate and have never lost a mother or baby over thousands of births.

It’s not as in your face as prime-time TV: You have to go looking for it. You have to dig if you want to learn about other varied experiences in giving birth. But our most-fixed mental images remain the scary ones — mothers- and parents-to-be screaming on their backs and fearing for their children’s lives. These are the images that most commonly sit at the forefront of our consciousness when we think about giving birth. These are the very thoughts that taunt our anxieties and become our lens through which we view the world of birthing.

We are taught to fear birth from early on in our lives, and the way it’s portrayed for entertainment’s sake plays a huge, disturbing role in that.

Yeah, it’s good prime-time TV. But it’s mostly not real, even though the steady stream of misinformation might lead us to believe that it is. Most of the time, if our bodies are left to their own devices, women go into labor on their own and give birth without complication. A low-risk mother, with no medical conditions, has about a 1 percent chance of a rare birth complication. But surely far more women than 1 percent are having complicated births — this much is true. Our cesarean rate is about 33 percent, not 1 percent.

"...it's mostly not real". Image via Offspring, Channel 10. 

The problem with the lack of trust people develop about their own bodies, bodies that have the potential to give birth, is that it becomes more difficult to have a different kind of experience if we believe them to be so rare.

How can someone who’s grappling with a fear of childbirth stand up for themselves or avoid an onslaught of intervention they may not need?

If we’ve never seen peaceful, or gentle, or even uncomplicated birth, why should we believe our bodies are better or more-equipped than all the rest? Why shouldn’t we fear childbirth? The entertainment industry has told us that we should. Likely, so has our doctor and the routine hospital practices that are being done to our bodies without hesitation.

So, maybe it’s not birth itself that we should fear so unanimously. Instead, perhaps we should fear this radical, ingrained idea that birth is so habitually dangerous. Because it is this idea, rather than the evidence, that leads to our collective terror surrounding having babies.

It is entertainment that has led to our "collective terror surrounding having babies." Image via 'Riding in Cars with Boys', Columbia Pictures. 

And unfortunately, fearing birth doesn’t lend itself to better outcomes. In fact, the opposite is true.

In a study which examined women’s attitudes about birth, the results showed that the women who were classified as “fearful” had negative effects on women’s emotional health during pregnancy and increased the likelihood of a negative birth experience.

Our future mothers and parents need a new lens to look through, rather than the one we’ve been given. So we need to take it upon ourselves to explore the evidence and to find out what’s true, so that we can begin to set ourselves up for new experiences.

We have to believe that better birth is possible.

But television won’t do it for us, and neither will the movies.

This one’s on us, and it, too, is prime-time.

This story by Sarah Bregel was originally published on Ravishly a feminist news+culture website.

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Top Comments

Guest 8 years ago

It comes from other women too who delight in telling their horror story births to newly pregnant women in minute detail.
A colleague advised me to elect for a c section to avoid 'having my vagina ripped to bits" and to have a GA as a epidural would leave me paralysed. No joke! Two vaginal births(yep, stitches) and two epidurals later and her predictions were ungrounded!!


Jaz 8 years ago

This is so relevant to me as i enter my third trimester as am older ftm. I've always been worried about birth, & now I've been told I have a big bub (likely to be 4.5kg+ if we make it to 40 weeks!) I am even more fearful. I'm trying to listen to the positive messages from those around me (incl my awesome ob & a wise yoga teacher), but it's hard to ignore years of tv & movies showing birth as a horrible experience :( I just hope I can develop the confidence to trust my body to do it's thing when the time comes.

TwinMamaManly 8 years ago

I had a 4.3kg baby girl recently, not realising how massive baby was going to be. Second birth. My only plan was to listen to my midwives. I ended up having only gas, a few stitches, baby born in the tub of the delivery suite in public hospital, nice playlist on Spotify, LED candles etc etc (all provided by hospital). I read somewhere a lot of estimates of baby size, particularly if large, are often wrong. But it is extremely possible to have a good birth experience with a big baby.

Zepgirl 8 years ago

Being told that you have a very big baby on board is a known scare tactic, and is often completely and totally overblown. Scans are notoriously inaccurate at predicting

I cannot tell you how many women I've known who have been coerced into having an elective caesarean through being told that they're basically going to give birth to Shrek, only to have the baby be absolutely normal size. I know of one woman who was told that her baby was simply too big to be born vaginally, and that she had to have a caeser at 37 weeks. Her baby was born at 37 weeks, was 7lbs and not breathing properly so had to spend time in the special care nursery. The doctor dismissed the fact that he was completely wrong about the size of the baby and that the baby was not ready to be born.

Here is an evidence based article about baby size, complete with references. Hope it gets through.

http://evidencebasedbirth.c...

Rama 8 years ago

Hi Jaz! I had a 4.7kg baby with a head circumference above the 99th percentile 12 months ago - his size was a surprise so there was no talk of a caesarian beforehand. I arrived at hospital fully dialated and ready to push after labouring for only a short while at home (I was waiting for it to get "really bad" - thank goodness I decided to go in anyway).

My body really knew what to do and the labour progressed really well - less than 6 hours all up! I had no pain relief (arrived too late for that!) and only had my partner, a midwife, and my OB for the last 30 minutes in the room. I did have stitches, but would totally do it all again. Don't be scared of birth - trust those involved in your care will make the best decisions on the day.

I am so thankful that my OB does not routinely do 3rd trimester scans (he says they are too inaccurate anyway and have a massive margin for error). I would not have gone ahead with a vaginal birth had I known my baby's size, and I would have missed out on the most amazing experience I have ever been through.

Best advice I could give - don't hold on to any expectations about your birth too tightly. Trust that you, your partner, and your care team will make the right decisions to arrive at the end goal - healthy bub and healthy mum!

All the best :-)