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A Good Birth, A Safe Birth : Choosing and Having the Childbirth Experience You Want, Third Revised Edition

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Title: A Good Birth, A Safe Birth : Choosing and Having the Childbirth Experience You Want, Third Revised Edition
by Diana Korte, Roberta Scaer
ISBN: 1-55832-041-5
Publisher: Harvard Common Pr
Pub. Date: December, 1992
Format: Paperback
Volumes: 1
List Price(USD): $15.95
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Average Customer Rating: 4.33 (21 reviews)

Customer Reviews

Rating: 5
Summary: A Must Read before a Hospital Birth!
Comment: This well-footnoted book should be required reading for any woman considering a standard hospital birth. The authors go over all the usual interventions, why they are done and what, if any, research has been done to support their use. It is not a pleasant book if you don't already know what you could be in for. But, as they say, knowledge is power and I certainly wouldn't hand my body and my baby's body over to someone without being pretty sure what the plan was for us. This book really lays it all out and I highly recommend it.

Rating: 5
Summary: Superb book, have recommended it for years.
Comment: I found this book in 1993 when I was pregnant with my daughter. It truly helped shape my birth experience, along with several other wonderful books including Penny Simkin's Pregnancy, Childbirth and the Newborn and the Birth Partner; Sheila Kitzinger's books, and Michel Odent's Birth Reborn. This was on the short list of books I actually purchased (versus books I checked out of the library). Well organized and well presented, this truly supports informed consent. This book is well-supported not only by the listed documentation in the book, but the majority of research I've read in the past six years as a birth professional.

Rating: 1
Summary: Biased and Outdated Work by Unqualified Authors
Comment: The title requires some translation: by "a safe birth," the authors mean "safe from the interference of doctors and nurses," and by "the childbirth experience you want," they mean childbirth with a minimum of interference from doctors or nurses, which they claim is the way most women want it. If you already know that's what you want, this book may seem a bracing pep talk on how to talk back to the medical establishment. However, if you're either unsure how you feel or, worse, if you actually think you'd like some medicinal pain relief during what's widely agreed to be the most painful experience in most women's lives, this book is not for you. I'm not sure how they selected the women they surveyed on birth preferences, but considering that they quoted only about 1 woman who actually wanted drugs rather than having them forced upon her by evil doctors, I have my doubts about their selection methods. In my own experience, I have yet to come upon a woman who got the sort of athletic satisfaction out of the unmitigated pain of labor that seems so common among their interviewees. Most of the women I know seem to think pain hurts, and it'd be nice to have less of it.

The authors claim that interventions by doctors (all sorts of pain medications, inducing labor, episiotomy, and especially caesarean sections) only make childbirth more dangerous for both mother and baby. This seems highly dubious to me, because far more women and babies died during childbirth before these techniques were invented. They back up all their conclusions by citing scientific studies, but neither of them is a scientist, a doctor, a nurse, a public health specialist, an epidemiologist, or a midwife, so I doubt they really have the qualification to do the kind of scientific analysis of birth technologies that they claim to be doing, and I strongly suspect them of cherry-picking studies that support their ideological convictions and ignoring evidence to the contrary.

In addition, a book written in 1992 about childbirth choices is likely to be completely outdated for women giving birth in the age of Damaged Care, I mean Managed Care. To give you a hint of the problem, while the authors mention HMOs, they feel the need to define the term. The health care world has changed, and many of the options they describe may not be options any more.

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