Scandal-Plagued Celebrity Midwife Strikes Back In Court

Celebrity midwife Cara Muhlhahn—made famous by Ricki Lake’s documentary The Business Of Being Born—is suing New York magazine for $1 million for libel, we’ve learned. This comes as Muhlhahn fields her own malpractice lawsuit, after a stillborn birth.

Muhlhahn, who is based in New York, is alleging that Andrew Goldman’s March 2009 New York piece, “Extreme Birth,” “contained statements that were fabricated or based on unverified sources,” stemming from “actual malice,” and that it “set forth statements so inherently improbably that only a reckless person would have published them.” Last week, New York filed a motion to dismiss the claim, saying that Muhlhahn “mistakes, as defamation, divergent opinion in medical controversy… She also disregards that she has admitted many of those alleged ‘facts’ in her own voice, recorded or written.”

Muhlhahn, the author of Labor Of Love, is one of the most visible proponents of midwife-assisted home birth. The charismatic Muhlhahn became a star after she was featured in The Business Of Being Born in 2008, which mainstreamed the long-simmering debate over conventional medicine’s practices around childbearing and made the case for midwives. After the movie, Muhlhahn told New York‘s Andrew Goldman, she saw herself as having a “Moses responsibility” to spread the word about home births.

But Goldman’s piece raised serious questions about Muhlhahn’s approach to the riskiest pregnancies and deliveries. Goldman noted that she “regularly does vaginal births after C-section at home and has even home-delivered the riskiest births, breeches, and twins,” which is outside generally accepted practice for midwives performing home births. He pointed out that Muhlhahn chose not to have a practice agreement with a physician for emergency backup, but led her patients to believe that she had a relationship with St. Vincent’s Hospital. He quoted unnamed medical professionals at that hospital (since closed) that said that Muhlhahn would “dump” her patients there and that they were often “train wrecks.” The story also featured the experience of one patient, Sandra Garcia, whose 72-hour labor proceeded with misjudgments of her level of dilation and the fact that she had a “back labor,” with the baby facing her belly. Garcia wound up in the hospital with a C-section, an apparent infection, and her baby in Neonatal Intensive Care for five days.

It’s these parts of the piece in particular that Muhlhahn calls out in her case against New York, with a list of “facts” she calls false — quoted verbatim from the story, but without further indication of how or why they are allegedly false. In its response, New York asks for either a dismissal or a summary judgment against Muhlhahn, and provides transcripts showing that she herself said, either in her conversations with Goldman or elsewhere, all of the statements alleged to be false. (Full text of both filings is available below.)