- Age Range: Baby - 12 years
- Paperback: 368 pages
- Publisher: Bantam; 1 edition (March 4, 2003)
- Language: English
- ISBN-10: 0553381156
- ISBN-13: 978-0553381153
- Product Dimensions: 6 x 0.7 x 9 inches
- Shipping Weight: 1 pounds (View shipping rates and policies)
- Average Customer Review: 4.7 out of 5 stars See all reviews (1,616 customer reviews)
- Amazon Best Sellers Rank: #520 in Books (See Top 100 in Books)
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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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Top Customer Reviews
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.
That said, there were many things about this book that greatly annoyed me. The most prominent being the intimation that all modern medicine used in childbirth has horrible side effects. While I do get the impression that many of these drugs and procedures are overused I believe they were developed originally to help not control childbirth. Perhaps they have been abused over the past few decades and don't get the credit they deserve.
Things I liked about the book:
- The chapter 3 on pleasure/pain. The perception of pain influences how we deal with the sensations.
- The chapter 4 on Sphincter Law.
- The practical information in Chapters 6,7,8,and 9 dealing with labor and birth.
Things I didn't like about the book:
- The quantity and quality of birth stories. There are to many and they are a little too granola for me and I'm pretty granola. Plus, they alienate husbands who aren't going to be as much a part of labor process.
- The intimation that modern childbirth medicine is somehow bad. That sentiment is prevalent throughout the book and was a little offensive. It's not that the author didn't admit that it was had it's place but it was admitted only very reluctantly.
I'm glad that I read this and very glad I had a doula pulling for me during my labor at the hospital. I would highly recommend hiring a doula if you a planning on a natural birth in a hospital. You need someone *who knows what natural birth looks like* and will be your advocate.
I ended up not being able to labor at home because I needed (according to my doctor which I now don't believe) to get an antibiotic drip as my water had broken and I wasn't really having contractions and was Group B Strep positive. They put me on pitocin. However, I stood my ground about no epidural or anything but it would have been VERY difficult without the doula pulling for me because as you begin to feel the rushes (pain) you go into yourself somewhere. With no one pulling for me it would have been very overwhelming - you cannot make decisions in that state.
When I was about to give in for the epidural she first tried to talk me out of it and then listened to what I was saying about how I felt and pushed to get the OB in there. Low and behold I was ready to deliver.
Without a woman who was knowledgeable of natural birth I would have been railroaded into an epidural and would have been surrounded by people who had no idea what birth is *supposed* to look like. I should have believed in myself more. Having experienced mostly natural childbirth now and understanding what Ina May was trying to say about the medical procedures I would have paid more attention the the section that I dissed in the original review. I still believe that many medical procedures were developed to actually help women but both the medical community and yes, women have abused them.
If I had it to do over I'd go to a birthing center (although as it turns out my baby needed a surprise short hospital stay).