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Contrary to popular opinion, prior to the advent of the modern-day hospital, women and babies in healthy tribal cultures rarely died in childbirth. Women in tribal cultures often had such a relaxed attitude about birth that some of them actually gave birth while sleeping. All told, Americans spend $80 billion a year on childbirth. Could it be much of this medical intervention is actually unnecessary?
--This text refers to the Hardcover edition.
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Nowhere in the book does it say that UC or homebirth is for every woman, or that medical intervention is never necessary. In other countries (with better infant and maternal mortality rates) homebirths are 33% of all births; in the U.S. they are 1%. I believe homebirth can be for most women. If a woman is comfortable with UC, it's probably because it's right for her. I was born by planned UC in the late 70s; I grew up thinking that was how all babies were born. I decided to have my first child in the hospital, out of ignorance and fear, and I am planning an attended homebirth for my second, with midwives who have agreed to be hands-off.
Shanley mentions one important thing - medical intervention cannot save all babies. Some are just not going to live. In the case of her UC birth where the baby died, it was later determined that he would not have survived even if born in the hospital. If he didn't have a chance of living very long after birth, the best thing was probably for him to have been born peacefully at home.
So, the book was fairly good, but I actually got a lot more out of the website.