Rabu, 18 Agustus 2010

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Ina May's Guide to Childbirth

Ina May's Guide to Childbirth



Ina May's Guide to Childbirth

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Ina May's Guide to Childbirth

What you need to know to have the best birth experience for you. Drawing upon her thirty-plus years of experience, Ina May Gaskin, the nation’s leading midwife, shares the benefits and joys of natural childbirth by showing women how to trust in the ancient wisdom of their bodies for a healthy and fulfilling birthing experience. Based on the female-centered Midwifery Model of Care, Ina May’s Guide to Natural Childbirth gives expectant mothers comprehensive information on everything from the all-important mind-body connection to how to give birth without technological intervention.

Filled with inspiring birth stories and practical advice, this invaluable resource includes:

• Reducing the pain of labor without drugs--and the miraculous roles touch and massage play
• What really happens during labor
• Orgasmic birth--making birth pleasurable
• Episiotomy--is it really necessary?
• Common methods of inducing labor--and which to avoid at all costs
• Tips for maximizing your chances of an unmedicated labor and birth
• How to avoid postpartum bleeding--and depression
• The risks of anesthesia and cesareans--what your doctor
doesn’t necessarily tell you
• The best ways to work with doctors and/or birth care providers
• How to create a safe, comfortable environment for
birth in any setting, including a hospital
• And much more

Ina May’s Guide to Natural Childbirth takes the fear out of childbirth by restoring women’s faith in their own natural power to give birth with more ease, less pain, and less medical intervention.

  • Binding: Digital

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.

From Booklist
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

From the Inside Flap
What you need to know to have the best birth experience for you.
Drawing upon her thirty-plus years of experience, Ina May Gaskin, the nation's leading midwife, shares the benefits and joys of natural childbirth by showing women how to trust in the ancient wisdom of their bodies for a healthy and fulfilling birthing experience. Based on the female-centered Midwifery Model of Care, Ina May's Guide to Natural Childbirth gives expectant mothers comprehensive information on everything from the all-important mind-body connection to how to give birth without technological intervention.
Filled with inspiring birth stories and practical advice, this invaluable resource includes: - Reducing the pain of labor without drugs--and the miraculous roles touch and massage play
- What really happens during labor
- Orgasmic birth--making birth pleasurable
- Episiotomy--is it really necessary?
- Common methods of inducing labor--and which to avoid at all costs
- Tips for maximizing your chances of an unmedicated labor and birth
- How to avoid postpartum bleeding--and depression
- The risks of anesthesia and cesareans--what your doctor
doesn't necessarily tell you
- The best ways to work with doctors and/or birth care providers
- How to create a safe, comfortable environment for
birth in any setting, including a hospital
- And much more
Ina May's Guide to Natural Childbirth takes the fear out of childbirth by restoring women's faith in their own natural power to give birth with more ease, less pain, and less medical intervention.

Most helpful customer reviews

62 of 63 people found the following review helpful.
1.5 stars for the first half of the book (birth stories), 3.5 for the second half (practical advice)
By I Know What You Should Read
What it’s about:

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.

13 of 14 people found the following review helpful.
I LOVE this book
By Colby Humphrey
I LOVE this book. I am a family practitioner myself and am having my first child. I think this book provides a wonderful perspective of childbirth that is not common in today's society. That being said, when reading it you must realize that it is biased and has some "kinda out there" thoughts. However, overall I think this is the BEST childbirth book I have read, and I have read alot, both while in school and while preparing for birth. I think that every women should read this book regardless of how they feel about natural childbirth, just to give them a well rounded perspective and to have all options available to them. It is VERY empowering.

9 of 9 people found the following review helpful.
Keep in mind that authors of books like this write to express THEIR opinion; take the information but draw your own conclusion
By Jillian May
I wanted to first point out that I found some of the negative reviews about this book disturbing. Anyone looking for information on any subject needs to understand that they are reading the opinion of another person and that there is a very good chance it'll differ from your own. The topic of labor and birth can be controversial when you put someone who had strong opinions about home birth/midwife care up against someone who has strong opinions of hospital birth/physician care. So, while reading this book keep in mind that the author has a very strong opinion against hospital/physician care and for home/midwife care then draw your own opinion based on this information and information you read/obtain from an OB/GYN or other medical professional.

I am pregnant with my first and was looking for a book that would give me an idea of what to expect during labor. I am strongly considering an un-medicated birth [my health insurance will not cover home birth but will cover hospital or birthing center birth, I haven't yet decided which way to go] and for me, understanding all the things that may happen is what will prepare me the most. In the end, I didn't really care about what the author though was best, I cared about understanding what's going to happen and coming to a decision that is best for me and my unborn child.

I found that this book contained very good information on what things could potentially occur in both a home birth and hospital birth, what things might be suggested during a hospital birth, and valid arguments against hospital interventions. While the author clearly has a strong opinion against all interventions, I did not come away feeling as though if I make a decision to have one of the interventions, I'd be "less a woman" as other reviews have. I gained great insight on ideas that might help ease and quicken labor, I have a better understanding of the odd things that may occur, I feel as though I have a better idea of how to recognize the signs of what is happening and what might happen next. I also enjoyed reading most [sorry, some of the birth stories are a little too crunchy/tree-hugger for my tastes but it's great that it worked for those individuals] of the birth stories, it was reassuring to know that having an un-medicated birth is something I can accomplish.

I very much agree that the mind and body are one unit and if the mind is not prepared, the body will not be either. I feel as though my mind is more prepared [i.e. I learned very good things] after reading this book and that I'll be able to help my body prepare between now and when labor starts.

See all 1639 customer reviews...

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