What practices and policies best promote safe, healthy, satisfying labor and birth? What harms do routine or frequent use of tests, procedures, and restrictions introduce? What nonmedical factors drive the current maternity care system? Meticulously documented, Optimal Care in Childbirth: The Case for a Physiologic Approach pulls back the curtain on medical-model management ...
What practices and policies best promote safe, healthy, satisfying labor and birth? What harms do routine or frequent use of tests, procedures, and restrictions introduce? What nonmedical factors drive the current maternity care system? Meticulously documented, Optimal Care in Childbirth: The Case for a Physiologic Approach pulls back the curtain on medical-model management of childbirth.
"This should be a text book for everyone in maternity care!" - Penny Simkin, Co-author of the Labor Progress Handbook.
"This long awaited book is a marvel. It is a 'must have' resource not just for childbirth educators, nurses, obstetricians, and women, but for hospital administrators, insurance companies, and policy makers." - Judith Lothian, PhD, RN
"Goer & Romano have given the maternity care community a gift in their robust examination and synthesis of the evidence supporting best ways to achieve optimal, physiologic birth for women and infants." - Holly Powell Kennedy, PhD, CNM, Varney Professor of Midwifery, Yale School of Nursing
"Optimal Care in Childbirth is a long overdue and very important contribution that will lead to a more safe, sane, and satisfying pregnancy care system." - Steve Calvin, MD, MFM, Co-chair, Human Rights and Health Program, University of Minnesota School of Public Health
For those who want to bring about needed reform in maternity care, this scholarly and indispensable book has provided the tools. Indeed, Henci Goer and Amy Romano offer a new ‘gold standard’ to follow for maternity care.
Author of Birth Day: A Pediatrician Explores the Science, the History, and the Wonder of Childbirth
- Mark Sloan
So where can a maternity care provider turn for reasonable and reasoned advice? In their new book, Optimal Care in Childbirth: The Case for a Physiologic Approach, Henci Goer and Amy Romano seek to be that go-to resource—and they succeed. (http://marksloanmd.wordpress.com/2012/08/21/optimal-care-in-childbirth-by-henci-goer-and-amy-romano-a-review/)
Stand & Deliver Blog
- Rixa Freeze
Optimal Care in Childbirth is not simply an updated version of Goer's earlier books. It delves deeper into factors driving maternity care, analyzes an expanded body of research studies, and critiques even more forcefully the abundance of poorly designed research and the gap between research and practice.
Henci Goer, award-winning medical writer and internationally known speaker, has made it her life’s work to analyze and synthesize the maternity care research in order to determine what constitutes safe, effective, satisfying care in childbirth. An independent scholar, she has become an acknowledged expert on evidence-based maternity care. Her first book, Obstetric Myths Versus Research Realities, to which this book is the successor, was a valued resource for childbirth professionals. Wanting to give pregnant women and their families the same access to the research evidence and therefore the ability to make informed decisions about their care, she followed it with The Thinking Woman’s Guide to a Better Birth. Over the years, she has written consumer education pamphlets and numerous articles for trade, consumer, and academic periodicals. She served as project director and participated as an Expert Work Group member on the document, “Evidence Basis for the Ten Steps of Mother-Friendly Care” on behalf of the Coalition for Improvement in Maternity Services. Currently, she is a resident expert on Lamaze International’s website where she moderates the “Ask Henci” forum and appears as a regular guest blogger on Science & Sensibility. Goer’s major in biology at Brandeis University, her teaching experience as a Lamaze certified childbirth educator, and her work as a doula have served her well in her chosen career.
Amy Romano has worked in the maternity care field as a clinician, research analyst, educator, and consumer advocate since 2001. In 2010, she joined Childbirth Connection, where she directs the Transforming Maternity Care Partnership, a national effort to improve maternity care quality in the United States. Prior to joining Childbirth Connection, she practiced midwifery in the home, birth center, and hospital settings and taught in the nurse-midwifery program at the Yale School of Nursing. She also spent six years as a perinatal research and advocacy consultant to Lamaze International, where she analyzed, summarized, and critiqued research for the Lamaze community and launched the award-winning research blog, Science & Sensibility. Romano was also a member of the editorial team for the 9th edition of the landmark women’s health book, Our Bodies, Ourselves, released in 2011.