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Usually ships in 1 business days | | | According to writer and editor Block (Our Bodies, Ourselves), "the United States has the most intense and widespread medical management of birth" in the world, and yet "ranks near the bottom among industrialized countries in maternal and infant mortality." Block shows how, in transforming childbirth into a business, hospitals have turned "procedures and devices developed for the treatment of abnormality" into routine practice, performed for no reason than "speeding up and ordering an unpredictable...process"; for instance, the U.S. cesarean section rate tripled in the 1970s, and has doubled since then. Block looks into a growing contingent of parents-to-be exploring alternatives to the hospital-and the attendant likelihood of medical intervention-by seeking out birthing centers and options for home-birth. Unfortunately, obstacles to these alternatives remain considerable-laws across the U.S. criminalizing or severely restricting the practice of midwifery have led the trained care providers to practice underground in many states-while tort reform has done next to nothing to lower malpractice insurance rates or improve hospital birthing policies. This provocative, highly readable expose raises questions of great consequence for anyone planning to have a baby in U.S., as well as those interested or involved in women's health care.
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| | Product Details | | Author: | Jennifer Block | | Hardcover: | 336 pages | | Publisher: | Da Capo Lifelong Books | | Publication Date: | June 01, 2007 | | ISBN: | 0738210730 | | Package Length: | 9.1 inches | | Package Width: | 6.1 inches | | Package Height: | 1.3 inches | | Package Weight: | 1.15 pounds | | Average Customer Rating: |  based on 43 reviews |
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 Fabulous read (with only one objection) Jul 31, 2008
I'm a mother of a toddler and expecting my second baby at Christmastime. I was blessed with a beautiful (for a hospital) birth with my son and hope that I'll have the same experience with this baby -- but I know from experience that I may have to fight for it. I may have to argue with the nurse who wants me to lie on my back, I may have to tell the doctor that I do NOT want an episiotomy, and I may have to kick out the residents buzzing around.
Why do women who want a natural, hands-off birth (without induction, without epidurals, without C-sections) have to fight so hard for one in a hospital setting?
"Pushed" is a very well-researched, readable look at how we got to this point. Block talks to mothers, midwives, doulas and doctors and, I think, really presents all sides of this issue.
I particularly appreciated her interviews with doctors who were sympathetic to moms who want VBACs or vaginal breech deliveries but unable to offer them because of insurance liability reasons. (If I were a doctor, I wouldn't want to risk losing my home or my kids' college fund so that someone else could have a VBAC, honestly.) This is an issue that I think gets the short shrift in many books and articles on modern birth -- it's not that doctors are necessarily trying to manage birth so that they can get to the tee times or make a few extra bucks from a C-section. Many of them want to help mothers have their ideal births but just can't take the risk, from a legal standpoint.
I do wish that Block had presented more solutions -- ideas for solving the current problem weren't really addressed -- and had also taken more of a look at why the insurance industry seems so reluctant to cover doulas, midwives and birth centers, when they usually result in a substantial savings. (My first birth was in a hospital, and my second will be as well, because we don't have the almost $4,000 to pay out of pocket for the local birth center.) She does mention that some moms have hospital births because they can't afford the out-of-pocket expenses of a homebirth or birth center birth, so it seems like it would have been a small jump to investigate why that is.
Now, here's my one complaint: In the final chapter, "Rights," Block took a very obvious pro-abortion-rights stance that I thought was out of place in the book and could likely offend a good number of her readers. (Many of the "crunchy" moms I know are pro-life.) Not to get into an abortion debate here, but I don't know why we can't assert that a fetus (particularly a full term one) has rights, as well as a mother -- especially in light of all the evidence Block presents that VBACs, vaginal breech births, etc. AREN'T dangerous to the baby; it doesn't seem like an either-or argument to me. At any rate, the "fetal rights" cases that Block addresses feel crammed in and not at all relevant to the rest of the book, from my perspective. Not to mention, ending the book discussing abortion, after spending the entire thing talking about what's best for mothers and best for babies, was extremely jarring.
Overall, though, this was a great read and definitely a must for any pregnant woman or anyone at all who's interested in why American women are giving birth the way they are right now.
A Revolution Is Needed Jul 30, 2008
This book is so needed. Women need to know what is happening in hospitals concerning births. Knowledge is the key. I got involved in the natural childbirth movement a couple of years ago. I overheard two businessmen calmly discussing a scheduled c-section. It went like this, "no problems with the meeting. My wife has scheduled the c-section for 3 pm on Thursday." They might as well have been discussing a golf game. Something inside me snapped. This was so wrong on such a fundamental level. I was not a mother and not even married at the time, but I set out to find out as much as I could about this epidempic and it is an epidempic. We fight for so many rights, why not the right to give birth? This book is enlightening, informative, and much needed.
Eye opening, interesting and a must read for ALL women! Jul 07, 2008
Pushed was very informative and gave you SO much information about maternity care then and now. It also gave insight as to how to prep myself and how to be an informed consumer as to the type of maternity care that I would like to have. This book encourages women to take back birth and be informed instead of blindly trusting it to "the experts". I would HIGHLY recommend anyone who is considering going into the OB/GYN field and to any women who can get pregnant. This is fantastic! Once I started I couldn't put it down!
1 of 1 found the following review helpful:
Another c-section casualty Jun 29, 2008
I had a completely complication-free pregnancy and planned on a natural birth. Like so many of the women detailed in this book, I ended up with a c-section because of fears of macrosomia (big baby). At my 40 week appointment, when I had not yet started dilating, the OB decided the baby was getting too big and I needed a c-section. When I protested, be brought in two colleagues and the three of them went through every possible complication for vaginal delivery of a large baby: shoulder dystosia, cerebral palsy, even stillbirth (yes, they sat there and told me if I didn't get a c-section it wouldn't be there fault if I had a stillbirth). I felt completely bullied and powerless and had the c-section. My daughter was a health 9 lb 12 oz, but I had terrible problems recovery from surgery, awful breastfeeding problems (my milk took over a week to come in), and postpartum depression that made bonding with my baby and, well, everything in life, difficulty. I still believe I could have had a vaginal birth. And now I'll likely never be able to have a VBAC, since so few hospitals and doctors allow them, unless I go the home birth route. This book showed me I was not alone. And while I don't have conclusive statistics, I can say that among my two sisters-in-law and three friends who were pregnant when I was, all six of us -- yes, all six -- had c-sections either for macrosomia or "failure to progress." And these were all healthy, normal pregnancies. Truly scary.
1 of 1 found the following review helpful:
Never mind "What to Expect"--read this first Jun 28, 2008
Sixteen years after my own "failure to progress" emergency C-section, Jennifer Block brought it all back in minutes. Intervention leading to intervention was the story of my first son's birth. My second positive pregnancy test jumped straight from joy into abject fear. Fear is a good motivator sometimes--our last two were born at home with two certified (and illegal at the time) midwives. Their beginnings aren't muddled in with my own trauma. The sad fact is, it's all thought of as so "normal" that most women today don't know what they've lost.
This book should be mandatory reading-- I agree with the previous reviewer--America needs a revolution in it's birth practices. I plan on helping start it by giving this book to every woman I know thinking about becoming pregnant. Thanks to Jennifer for all the hours spent researching this material. It is sorely needed.
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