For me, it was the fact that many, many women simply don't CARE what their child's birth is like. It was apparent in the comments by some of the women at the beginning of the film, but when you look at our society as a whole, it becomes clear that change is slow to nonexistant because there are so FEW women demanding a change in the care of expecting, birthing, and new mothers.
I grew up saying I wanted to have a c-section when I had a baby. Just the thought of childbirth terrified me! But, once I found myself pregnant at 22, the thought of abdominal surgery was MUCH scarier! lol So, I began to educate myself about birth. I took two prenatal courses, and read a few books.
I felt pretty prepared. I planned to have a natural birth, because I didn't want to put chemicals into my body, and my baby's body, unnecessarily. I knew about interventions, medications, and natural coping methods. I also hired a labour doula. Unfortunately, I couldn't get a midwife, as they were already booked up! I was 5th on the waiting list.
When it came down to it, I was induced at 41 wks 3 days. My son was born at 41 wks 6 days, after 54 hours of intense, painful contractions, 2 doses of Cervadil, a foley catheter insertion into my cervix, internal fetal monitoring, nitrous oxide, an epidural, and finally, vacuum extraction.
My birth experience was long, painful, extremely hard work, and anything but natural. But, it was AMAZING. I couldn't wait to do it again, although I hoped it would be a lot easier next time.
It wasn't until I read Ina May's book, Ina May's Guide to Childbirth, that I realized just HOW unnatural my experience had been. I started to realize just what I, and my son, had missed out on. It was while reading Spiritual Midwifery, however, that I had an epiphany. I realized that while I was MENTALLY prepared for birth, I hadn't been emotionally prepared. I hadn't been consciously afraid of the birth, but I came to see that I had been apprehensive about becoming a single mom, hung up on my own birth (I was placed for adoption as an infant), torn between wanting my baby to have his father present for the birth, and feeling uncomfortable with the thought of him being there, and nervous about motherhood in general.
NOW, I understand so much more about birth, and I have a great desire to help women have healthy pregnancies, great births, and smooth postpartum periods. But, along my journey, I have encountered so many women already who truly don't care how their baby gets here, as long as the outcome is a healthy baby. Of course, that is the most important thing, but I think that women are cheating themselves, and their babies, out of SO much by treating birth like, as they say in the movie, "just a so-what".
I bought the DVD, and have watched it at least 4 times, plus once in the theater, and once at a private showing that the childbirth education organization I volunteer with hosted. Can't get enough of it, and I recommend it to absolutely everybody!