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24 of 24 people found the following review helpful:
5.0 out of 5 stars Spot on about maternity care in the US
As a nurse midwife and a registered labor and delivery nurse, this book is absolutely accurate with regard to maternity care and being an informed consumer. I have worked in both low and high risk settings and chose to believe that women are NORMAL when they are pregnant and giving birth. Every weekend (I work then) I see very normal women who have been scared to death by...
Published on July 14, 2006 by Holli A. Askren

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3 of 5 people found the following review helpful:
2.0 out of 5 stars Not crazy about this book
While this book did have a lot of valuable information, especially for women who want a birth with as little intervention as possible (myself included) there was way too much bashing of hospitals and OB's. Sure, if you want an all natural birth a hospital may not be the best setting, but for those of us who are not comfortable with a home birth and who don't have access...
Published on March 18, 2009 by Ruth C. Potter


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24 of 24 people found the following review helpful:
5.0 out of 5 stars Spot on about maternity care in the US, July 14, 2006
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
As a nurse midwife and a registered labor and delivery nurse, this book is absolutely accurate with regard to maternity care and being an informed consumer. I have worked in both low and high risk settings and chose to believe that women are NORMAL when they are pregnant and giving birth. Every weekend (I work then) I see very normal women who have been scared to death by physicians. They have lost faith in their bodies and in the natural process of labor and birth. This book helps to restore that faith. By addressing a women's right to choose, this book helps women ask the appropriate questions so that she receives the care that she desires.
In our culture, women just assume that physicians will do the best thing for them and their babies. While in most cases this is true, I have seen things rushed or women not being given enough time so that their physician may deliver them. This is usually presented as "Well, you tried really hard. The baby is just too big." And off we go to a c-section. This book gives women a voice and the courage to ask pertinent questions to avoid unnecessary interventions.
I highly recommend this book to any woman who is or is planning to be pregnant. Please be an informed consumer! Even if you desire interventions, read for yourself the risks and benefits, because I can asure you they will NOT be presented to you fairly in the hospital setting. You have to be assertive and able to communicate the type of birth you want. This book helps you do that. There are procedures that your physician will state as being low risk (induction of labor, epidural, planned c-section) that this book will give you the FACTS about. Every intervention carries risk and this book factually tells you about the risks and when they are acceptable. While some things your physician says might sound like a good idea, it is up to you to find out the information to make an informed decision. Please use this book!
Pregnancy is not a disease. Pregnancy is uncomfortable, labor is painful. This is NORMAL. Not something to be taken away and relieved. Knowledge helps you get through one of the most rewarding experiences of a lifetime. I cannot say enough for the help Dr. Wagner has provided to women by writing this book!
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17 of 17 people found the following review helpful:
5.0 out of 5 stars Must-read book, with solid (research-backed) reasoning!, August 9, 2006
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
The book was published in June of 2006 and I honestly have to say that I am utterly amazed!

The author gives women the voice that they need to be heard in the delivery room, by giving them statistically-based information on when interventions are not necessary (but why they are often forced on us), and also explains the situations in which they could be necessary.

Things such as "failure to progress" (hospitals watch the clock!), routine IVs, why episiotomies should NOT be done (think of how hard it is to rip fabric, and then of how easy it is to rip after you've made a small cut!), electronic fetal monitoring (a stethoscope is just as good... and why!)... He discusses all of these things in an easy-to-understand manner.

He also talks about the differences between midwives & doctors, the importance of doulas, and also the difference between home births with midwives and hospital births with midwives (very big difference!), as well as discusses the option of a midwife-centered birth clinic which has been growing in popularity over the years.

There is also information on the 3 stages of labour, and techniques to successfully manage each of them, including various positions and styles (squatting, birthing stool, waterbirth, and more).

The author headed up many research studies into the effects of evidence-based labour/delivery care, as opposed to "common practice care" and compiled this knowledge in a fascinating book that should be a must-read for all expecting moms and their birth partners.
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7 of 7 people found the following review helpful:
5.0 out of 5 stars A great guide for having the birth you want!, June 13, 2006
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
This book is an excellent resource for coming up with a birth plan that fits your needs and desires. A must-read for all pregnant women! Very informative, especially if you have been questioning the safety of hospital routines for you and your baby.
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5 of 5 people found the following review helpful:
5.0 out of 5 stars succint and informative, February 4, 2007
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This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
This is the best book on birth I have read so far, and I have done plenty of reading. ;-) I hadn't heard of it -- it is not on a lot of the Listmania lists here, nor does it have many reviews. My husband selected it because it seemed authoritative, with an author who is an OB and the former head of the Maternal Health section of the World Health Organization. Unlike some of the slow-going tomes out there, this packs a lot of information into digestible chunks. It is definitely "biased" in favor of a midwife-attending, out-of-hospital birth and natural alternatives to drugs, technology, and surgery. Most persuasive were the statistics comparing practices and outcomes in various developed countries -- what we take for granted as necessary in the U.S. is not the norm, and European babies thrive just fine.

Even (especially!) if you are planning a hospital birth, as I am, it is worth reading because it goes through each medical procedure ("intervention") and its benefits and risks. This made clear how one intervention can "cascade" to more, but also made clear the circumstances in which I might want certain interventions. It highlighted certain danger areas where an overly cautious caregiver might hook you up with more interventions than you want, but it didn't have a full rebuttal to how to deal with that (perhaps there is none). I thought that demanding a second opinion was not very useful because wouldn't someone else with rights at the same institution just back up the original opinion?

It also has thorough lists of questions to ask a potential provider (OB or midwife or doula) or location (hospital or birth center). The one caveat I would add is that most hospitals in the U.S., at least not where I live, will give the "right" answers to all of Dr. Wagner's questions, such as no time limits on labor, freedom to eat, etc. So don't get your heart set on WHO's ideal model, or you will be :-(.

What was unpleasant, but useful, about the book is that it forces you to think about every contingency and plan to make the worst case scenario as much in line with your wishes as possible. Not something I would have dwelt on but for this book, and probably useful preparation.

This book teaches you that you deserve the best maternal/infant care and what that care should look like (probably not what you think!) and formulate your wishes for to cover every possible complication. It also emphasizes that birth is a dynamic process and doesn't always happen in accordance with our paper plans.
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4 of 4 people found the following review helpful:
4.0 out of 5 stars Good resource, June 17, 2008
By 
Lisa Streeter (Chapel Hill, NC) - See all my reviews
(REAL NAME)   
This is a useful book, though the author is certainly not "neutral" in her opinions. If you are hoping for a natural birth, this book will likely make you feel more confident in that decision. It is definitely anti-medical intervention.

My only complaint about the book relates the the chapter on pain management. As it's laid out, the only two options you have are 1) completely natural (position, hypnosis, aromatherapy, etc.) or 2) an epidural. I would have liked to see a little more information about other drug options. More than just that, "they are not in common use anymore."

As a soon-to-be first-time mother, I've looked to my own mother's experiences for guidance. She had 4 healthy vaginal births (all over 8 pounds, one over 10 pounds) without epidurals. However, she swears by the "wonderful" drugs she was given. She doesn't remember the name but only that it was administered through an injection in her hip.

So for me, even if the author advises against drugs for pain management, I would have appreciated some discussion of her reasons why as well as the relative flaws and merits of the non-natural alternatives to an epidural that are available.

But other than this omission (and likely I'm in the minority here), it is a very nicely written book with a lot of helpful information.
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4 of 4 people found the following review helpful:
5.0 out of 5 stars The road to natural birth, February 25, 2007
By 
Grosch (Virginia Beach, VA) - See all my reviews
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
This book with supply you with every tool possible to prepare for a calm, natural birth in a hospital. It teaches the best approach to take in a hospital with nurses and doctors. A must read for anyone who has the goal of a natural birth in a hospital. We ended up using a birth center, which does not require as many tools since natural birth is the standard in those facilities.
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2 of 2 people found the following review helpful:
5.0 out of 5 stars great, straightforward book, June 22, 2009
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KK2009 (Merced, CA USA) - See all my reviews
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
This is a great book-the information is simple and straightforward, easy to understand. I got it from the library but then bought my own copy so I could refer back to it continuously as the event approached. It doesn't bash OBs and hospitals so much as encourage women to ask if there is a different, less invasive way and to question if routine interventions are actually necessary. I highly recommend this to expectant mothers who want to get different perspectives.
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2 of 2 people found the following review helpful:
5.0 out of 5 stars Great content, logically organized, September 3, 2008
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Dallas Mom (Dallas, TX USA) - See all my reviews
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
I purchased this book after seeing Marsden Wagner in the documentary "The Business of Being Born" (another eye-opener, let me tell you). I found this book to be perfect as I plan to attempt natural childbirth for my first child. It is logically organized to take you through every step of the birth process---where to deliver, with whom, and with what interventions. He covers everything from induction to epidurals to c-sections, and for each item really spell out when they are medically necessary and when they are just....not. He does so in a way that is not preachy or judgemental if you do decide to have interventions, but gives you all the facts. Obviously the author favors less intervention, but acknowledges that there are times and places for all of them. After reading this I feel like I can walk into my birth prepared to ask the right questions before blindly accepting an intervention I hoped to avoid. Great book, not just for natural childbirth types, but for anyone wanting to be informed.
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2 of 2 people found the following review helpful:
5.0 out of 5 stars Essential, August 17, 2007
This review is from: Creating Your Birth Plan: The Definitive Guide to a Safe and Empowering Birth (Paperback)
Empowering, educational and easy to read. It is not overly clinical but tells you everything you need to know to navigate the best care for you and your baby. I would recommend this book to anyone planning a birth!
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1 of 1 people found the following review helpful:
5.0 out of 5 stars Must Buy, February 16, 2010
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Kristin (Santa Cruz, CA) - See all my reviews
I checked this book out from the library and found it so valuable that I'm going to purchase a copy to bring with me to the hospital. I would prefer a natural birth, but due to insurance, will most likely give birth at a hospital. I have many, many concerns about current medical practices when it comes to childbirth and this book has helped me feel like I can express my wishes to my caretakes. It is well organized and has lists of questions to ask when different interventions are suggested, which is why I want a copy with me at the time of labor. I would highly recommend this book.
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