A groundbreaking narrative investigation of childbirth in the age of machines, malpractice, and managed care, Pushed presents the complete picture of maternity care in America. From inside the operating room of a hospital with a 44% Cesarean rate to the living room floor of a woman who gives birth with an illegal midwife, Block exposes a system in which few women have an optimal experience. Pushed surveys the public health impact of routine labor inductions, C-sections, and epidurals, but also examines childbirth as a women’s rights issue: Do women even have the right to choose a normal birth? Is that right being upheld? A wake-up call for our times, Block’s gripping research reveals that while emergency obstetric care is essential, we are overusing medical technology at the expense of maternal and infant health.
Pushed
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Editorial Reviews
From Publishers Weekly
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.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
Copyright © Reed Business Information, a division of Reed Elsevier Inc. All rights reserved. --This text refers to an out of print or unavailable edition of this title.
Review
"A gripping expose... Provocative and hotly controversial analysis of a side of reproductive rights feminism seems to have forgot." -- Kirkus Reviews, (Starred Review) 5/15/07
"A stirring discussion of reproductive rights, informed consent, and the rights of the mother vs. the fetus... Recommended." -- Library Journal, 5/15/07
"The book is loaded with interviews, statistics and...some quietly deft storytelling." -- Chicago Reader, 6/29/07
"This is a worthwhile book for anyone who cares about reforming our health-care system--right from the start." -- Kansas City Star, 10/02/07
"[Block] really gets that maternity care is a woman's issue that all people should care about, not just mothers, and she has no agenda through a birth experience or professional work in maternity care. Pushed shines a spotlight on maternity care and asks important questions about the standard practices in America." -- BOLD Book Club, October 2007 --This text refers to an out of print or unavailable edition of this title.
"A stirring discussion of reproductive rights, informed consent, and the rights of the mother vs. the fetus... Recommended." -- Library Journal, 5/15/07
"The book is loaded with interviews, statistics and...some quietly deft storytelling." -- Chicago Reader, 6/29/07
"This is a worthwhile book for anyone who cares about reforming our health-care system--right from the start." -- Kansas City Star, 10/02/07
"[Block] really gets that maternity care is a woman's issue that all people should care about, not just mothers, and she has no agenda through a birth experience or professional work in maternity care. Pushed shines a spotlight on maternity care and asks important questions about the standard practices in America." -- BOLD Book Club, October 2007 --This text refers to an out of print or unavailable edition of this title.
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Customer Reviews
Most Helpful Customer Reviews
363 of 367 people found the following review helpful
By Dana R
Format:Hardcover
Exactly 3 years ago I walked into one of the finest maternity hospitals in NJ to deliver my first baby. I was low risk - under 30, no complications - and was expected to have a smooth delivery.
11 hours later I was laying in a bed by myself staring at a ceiling, completely shell shocked, and without my baby, husband or family, I was immobilized in a recovery room with a gaping wound in my belly while my new daughter was off in the nursery. I had no idea what went wrong. It seemed that I had simply stopped dilating or "failed to progress."
As I read Jennifer Block's book, I just nodded as it all became very clear - the insistence by the staff that we would just hurry things up a little by performing an amniotomy (breaking my water) when I was still in early labor. That was followed by pitocin (to "really" get things moving), stadol (a narcotic pain reliever), an epidural and finally, a c-section. My labor was simply one of many completely over-managed and over controlled labors in American hospitals. They finally decided that a c-section was the only way to end my labor. I was lead to believe my labor was a "problem" and a "complication" and surgery was the only answer.
I wish this book could become mandatory reading for all women who are planning a hospital delivery. Contrary to recent reports (as discussed in this book), very few women are actually requesting a c-section on a completely voluntary basis. Years ago I was "pushed" by the obstetrical community into an unwanted delivery experience.
Today I am pregnant with my second child. And I am pushing back.
11 hours later I was laying in a bed by myself staring at a ceiling, completely shell shocked, and without my baby, husband or family, I was immobilized in a recovery room with a gaping wound in my belly while my new daughter was off in the nursery. I had no idea what went wrong. It seemed that I had simply stopped dilating or "failed to progress."
As I read Jennifer Block's book, I just nodded as it all became very clear - the insistence by the staff that we would just hurry things up a little by performing an amniotomy (breaking my water) when I was still in early labor. That was followed by pitocin (to "really" get things moving), stadol (a narcotic pain reliever), an epidural and finally, a c-section. My labor was simply one of many completely over-managed and over controlled labors in American hospitals. They finally decided that a c-section was the only way to end my labor. I was lead to believe my labor was a "problem" and a "complication" and surgery was the only answer.
I wish this book could become mandatory reading for all women who are planning a hospital delivery. Contrary to recent reports (as discussed in this book), very few women are actually requesting a c-section on a completely voluntary basis. Years ago I was "pushed" by the obstetrical community into an unwanted delivery experience.
Today I am pregnant with my second child. And I am pushing back.
79 of 79 people found the following review helpful
By mona
Format:Hardcover
Not only was this an amazing book packed full of easy-to-understand statistics and little-known information on what hospital birth is like in the US, but it is an absolute page-turner with plenty of gripping real-life stories from all types of people (physicians, nurses, midwives, mothers, lawyers, activists, etc.) with experience in this system.
I used to have a vague idea, before this book, of some of the interventions I would absolutely not allow if I were to give birth in a hospital, but since reading this book and doing some additional research (via other books and internet) my eyes have really been opened. I could never watch TLC's "A Baby Story" the same way again!
I think this book is a must-read for any woman contemplating childbirth. It is such a shame that SO FEW women know that there are options OUTSIDE of the hospital, and that they don't have to be forced by physicians to submit to procedures and interventions (e.g., episiotomies, continuous fetal monitors, cesareans) to which they DO NOT consent.
Read this book (and others) to prepare yourself.
I used to have a vague idea, before this book, of some of the interventions I would absolutely not allow if I were to give birth in a hospital, but since reading this book and doing some additional research (via other books and internet) my eyes have really been opened. I could never watch TLC's "A Baby Story" the same way again!
I think this book is a must-read for any woman contemplating childbirth. It is such a shame that SO FEW women know that there are options OUTSIDE of the hospital, and that they don't have to be forced by physicians to submit to procedures and interventions (e.g., episiotomies, continuous fetal monitors, cesareans) to which they DO NOT consent.
Read this book (and others) to prepare yourself.
86 of 87 people found the following review helpful
By Liberty
Format:Hardcover
This engaging journalistic expose was a real eye-opener, and a must-read not just for women, but for anyone considering becoming a parent, or really anyone concerned with the direction health care in the U.S. is headed. The cesarean rate in our country is over 30%, nearly three times that of some European countries. Are our bodies really that different? Somehow, I doubt it. Ms. Block explores the troubling trends that push doctors to perform often uncalled-for major abdominal surgery, and shows how this is harmful both to mothers and babies. With stylish, riveting prose, an exciting first-hand account of traveling "underground" with an illegal midwife, and tales from the operating table, Block skillfully takes stock of the current state of birth in America. Not to be missed.
Most Recent Customer Reviews
5.0 out of 5 stars
A must read for all women!
This is an outstanding book. We need to base our decisions on facts not out dated opinions. Do your own research and decide where you stand.
Published 5 days ago by M.B.
5.0 out of 5 stars
Very Informative
I bought this book because my husband and I are thinking about trying to get pregnant some time in the near future, and as I was browsing books on the subject this came up. Read more
Published 7 days ago by M. Dobbs
5.0 out of 5 stars
Everyone should read this!
Pushed captivated me from the very beginning. It is definitely one of those books that, with each page, I was more sucked in and hung on each word! Read more
Published 16 days ago by Bethany S.
5.0 out of 5 stars
I hope everyone reads this book
Not just mothers or mothers-to-be! Fathers should also read this. Being on the sidelines without control or the knowledge of how to help and support your wife is a terrible... Read more
Published 1 month ago by Chris
5.0 out of 5 stars
Must Read
Very intriguing. You will learn stuff about birth that you never imagined. It is really a shame that all this info isn't taught in America day to day,.
Published 3 months ago by sm347804
5.0 out of 5 stars
For my doula training ..
Every woman of child bearing age should read this book .. and so should up-and-coming healthcare providers, particularly those involving themselves in the birth world.
Published 3 months ago by Casey Grinnan
5.0 out of 5 stars
THE FOREMOST, NECESSARY BOOK TO READ BEFORE BIRTHING
This books is revolutionary. It is well-written, easy to read and full of amazing information. Read this then watch The Business of Being Born. Read more
Published 3 months ago by hardcustomer
5.0 out of 5 stars
"Pushed' is deep expose of modern Medical Birth
'Pushed' is like a tour of medical hospital delivery industry, 100s of details usually hidden inside normal Ob birthing centers using hi-tech replacing Maternal instincts, scary to... Read more
Published 4 months ago by Michael B. Sprague
5.0 out of 5 stars
Stuffed with Facts
This is a great book if you are early on in your pregnancy or preparing to get pregnant. So much great information, but can be a little overwhelming if you are very far along.
Published 5 months ago by Amanda M Flinspach
5.0 out of 5 stars
Great resource for my Birth & Postpartum Doula work!
The author gets the information out there in a way that I think many people can relate to, especially after birthing their first baby! Read more
Published 5 months ago by Jim Noble
