
My rating: 3 of 5 stars
I usually don't fuss much about ratings. I do it by feel, generally as an afterthought, throwing in both my emotional reaction to something and a more analytical assessment of quality. This time I had to think hard about it, and I ended up averaging my 1 star and 5 star impulses.
The five stars is for being one of the first books I found to talk directly and candidly about unmedicated childbirth and how to think about it. I had an instinctive negative reaction to all the hypnobirthing stuff that got thrown at me early on – it's popular right now – and this book squarely confirmed my feeling that no, what I wanted was to engage squarely with labor, to use my brain every step of the way. This book talks about how to do that, and the discussion of particular emotional signposts was incredibly useful to me. I didn't even know what information I was craving – that no other source was talking about – until it was presented to me in this book. My labor didn't go sideways to crazytown until I hit 7 cm – until then I labored unmedicated, and it was this book I thought about while I swayed and breathed and thought my way through each contraction. (Well, it's worth adding that by unmedicated I mean no analgesia – I did have increasing amounts of Pitocin. And let me just say, doing augmented labor unmedicated is a different animal than this book contemplates). After 7 cm – well, that's a TLDR story for another time, but let me just say: 10 hours in transition. Enough said. At that point, this book became rather irrelevant.
Anyway. Enough about me. The one star stuff is everything else. The scare tactics about interventions, the manipulative and downright deceptive use of study results, the moralism and smugness, the sexism. This book hits every checkbox for what is fucked up about the natural childbirth movement. I am really glad I stuck with this book to get to the parts about actual labor, because like I said, they were absolutely invaluable. But man oh man, the opening and closing chapters are dire, guys.
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