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Ina May's Guide to Childbirth Paperback – March 4, 2003
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From Publishers Weekly
Founding member and former president of the Midwives Alliance of North America and author of Spiritual Midwivery, Gaskin offers encouragement and practical advice in her upbeat and informative book on natural childbirth. Since the mid-1970s, Gaskin and the midwives in her practice on a Summertown, Tenn., commune known as "The Farm," have attended over 2,200 natural births. Gaskin, who learned the rudiments of her gentle birthing technique from the Mayans in Guatemala, has helped bring attention to the method's remarkably low rate of morbidity and medical intervention. Couples considering natural childbirth will get inspirational coaxing from more than a dozen first-person narratives shared by the author's clients. Gaskin decries what she sees as Western medicine's focus on pain during birth, arguing that natural birthing can not only be euphoric and blissful but also orgasmic (a survey of 150 natural birthing women "found thirty-two who reported experiencing at least one orgasmic birth"). The second half of Gaskin's book deals with the practical side of natural birthing, including how to avoid standard medical interventions such as epidurals, episiotomies and even prenatal amniocentesis that may be unnecessary, even dangerous, to mother or child. While this may not be the definitive guide to natural childbirth, it is a comfortable and supportive read for women who want to trust their bodies to do what comes naturally.
Copyright 2003 Reed Business Information, Inc.
Using history as her guide, nationally recognized midwife Gaskin explores what she hopes will be a renaissance in natural childbirth, something that she's been advocating since the mid-1970s. By focusing on how women of ancient civilizations and other modern peoples give birth, Gaskin puts our own hypersensitivities in perspective, uncovering a beautiful, sometimes orgasmic experience rather than a dreadful, painful one. Sure, pain is part of childbirth, but preparing for the pain in a realistic rather than sentimental way--whether giving birth at home or in a hospital--can be the key to a woman's ability to deal with it naturally. Within the pages of personal anecdotes, some touching, some startling, from Gaskin's patients and colleagues, every woman is sure to find something to relate to, whether or not she chooses to have a medicine-free labor. The helpful back matter features a glossary, a detailed resource list including advocacy groups and Web sites, and a bibliography that includes periodicals, rounding out an extremely comprehensive and up-to-date guide on the topic. Mary Frances Wilkens
Copyright © American Library Association. All rights reserved
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Ina May Gaskin is the best-known midwife in all the land. She is, in fact, the only midwife to have a medically-recognized procedure named for her (The Gaskin Maneuver, a technique used to resolve shoulder dystocia).
She’s also—and this should come as no surprise—a HUGE hippie. In the early-‘70s, Gaskin, her husband, and some friends started a commune in rural Tennessee called The Farm. The intentional community brought together non-violent, vegetarian, spiritual people bound by a “shared psychedelic vision.”
The Farm is now well known for its midwifery practice (one of the first out-of-hospital birthing centers in the U.S.). The Farm Midwifery Center’s statistics are pretty astounding. From 1970-2010, the midwives accepted 2,844 pregnant women for care. During that time, they experience no maternal deaths. There were only 148 transports to the hospital and only 50 C-sections.
Gaskin’s book is presented in two parts (followed by a number of Appendices). The first part is a selection of birth stories, told in first person by mothers who delivered at The Farm. They are intended to combat the barrage of negativity that pregnant women hear so often (It’s so painful! You must get an epidural! Why not just schedule a C-section?!) by providing “practical wisdom, information, and inspiration.”
The second part of the book is written by Gaskin and provides practical advice (some opinion-based, some scientifically/medically-based) about labor and delivery. Gaskin condones unmedicated births (unless intervention is medically necessary), and her practices and advice strongly reflect that bent.
Rating: 2.5/5 (for the first half of the book, I would give it a 1.5/5; for the second, a 3.5/5)
For me, this read like two separate books. It was all I could do to get through the first part (the birth stories section). I tried my hardest not to be too judge-y . . . but it’s really difficult when reading passages like this: "On the afternoon before my son, Jon, was born, I was reading Ram Dass’s book Be Here Now and feeling very centered and high with it. I remember I fastened on a particular word and meaning: surrender. I began having contractions and feeling big waves of energy moving. I visualized my yoni as a big, open cave beneath the surface of the ocean, with huge, surging currents sweeping in an out. As the wave of water rushed into my cave, my contraction would grow and swell and fill, reach a full peak, then ebb smoothly back out. I surrendered over and over to the great, oceanic, engulfing waves. It was really delightful—very orgasmic and invigorating."
But wait! That’s not all. A few days after giving birth to Jon, this particular mother went to be with a friend who was “tired and afraid” during birth. Here’s her description: "I wanted to connect deeply with her and share my recent experience to help her relax and open. Pamela was naked, propped up on pillows on the bed, holding on to her knees. I took my clothes off (except for my underpants and pad since I was still bleeding from Jon’s birth) and crawled up on the bed with her. I laid next to her—head to head, breast to breast, womb to womb. I told her about my cave and ocean and the great rushing, swelling, and opening. I told her about surrendering over and over and letting go. We began experiencing her contractions together. We held each other and rushed and soared together. My womb, though empty, was swelling and contracting too. I could feel blood rushing out with the contractions, but not too much—I knew it was okay."
To each her own, I suppose . . . but this is a little much for me. The thought of one of my BFFs coming to be with me during labor, stripping down, and telling me about her oceanic “yoni” while I’m having contractions is, frankly, laughable. Call me unenlightened if you must.
I really could have skipped the first section of this book entirely. But the second section was much more helpful and practical (despite also having a strong hippie vibe). There are drawings (and some very graphic photographs) of birthing positions that use gravity and various other techniques to help get that baby out without the necessity of forceps or vacuum extractors (or c-section, for that matter). There is lots of discussion on “Sphincter Law,” the “set of basic assumptions about birth” that Gaskin and her partners follow: 1) sphincters (excretory, vaginal, and cervical) work best in private, 2) they can’t be opened at will and don’t respond well to commands (like “Push!!!”), 3) when a sphincter is in the process of opening, it may suddenly close if the person “becomes upset, frightened, humiliated, or self-concious,” and 4) if you relax your mouth/jaw, your cervix/vagina/anus are able to open to full capacity. There is an explanation of medical interventions and their pros and cons (mostly cons), as well as non-medical alternatives (like breast stimulation for induction of labor).
Gaskin definitely knows her stuff. And, although her perspective is a little more New Age-y than my own, she provides some good tips for people who are looking to avoid medications (and c-section) during birth. If you fall into that category, this book is worth at least a skim.
The medical information in the second half has helped my confidence immensely in choosing to have a "natural" hospital birth. Keep in mind this is coming from the point of view of a midwife, not a doctor, so it's not going to have the same voice as those in a medical profession. Ina May goes through how the body responds to labor and possible interventions you may see in the hospital. Although she is clearly for having as natural a birth as possible, she definitely gives what I think of as an unbiased view on these things as she can. She defines the interventions for you and tells you possible side effects. She says which ones you can definitely refuse without endangering yourself or your baby if you choose to, but as I read through this I never felt like I would be considered less of a mother if I chose any one of these things. Though she is clearly trying to show you the benefits of using a midwife vs. traditional doctors, she makes intelligent points and is clearly just trying to inform her readers. She also has many many references and resources to back up her claims and the statistics of the midwives she showcases speak for themselves.
I think this is a great book for anyone trying to learn more about the childbirthing process, anyone who is nervous or doubting their ability to do it, or anyone who just wants to know their options in care. I have recommended it to several people and am loaning it to my cousin who is due in March.