In this rare, behind-the-scenes look at what goes on in hospitals across the country, a longtime medical insider and international authority on childbirth assesses the flawed American maternity care system, powerfully demonstrating how it fails to deliver safe, effective care for both mothers and babies. Written for mothers and fathers, obstetricians, nurses, midwives, scientists, insurance professionals, and anyone contemplating having a child, this passionate exposé documents how, in the most expensive maternity care system in the world, women have lost control over childbirth and what the disturbing results of this phenomenon have been. Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this gripping investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children.
Born in the USA tells:
* Why women are 70% more likely to die in childbirth in America than in Europe
* What motivates obstetricians to use dangerous and unnecessary drugs and procedures
* How the present malpractice crisis has been aggravated by the fear of accountability
* Why procedures such as cesarean section and birth inductions are so readily used
|Publisher:||University of California Press|
|Edition description:||New Edition|
|Product dimensions:||5.90(w) x 8.90(h) x 0.90(d)|
Table of Contents
1. Maternity Care in Crisis: Where Are the Doctors?
2. Tribal Obstetrics
3. Choose and Lose: Promoting Cesarean Section and Other Invasive Interventions
4. Forced Labor: Induction or Seduction
5. Hunting Witches: Midwifery in America
6. Where to Be Born: Here Come the Obstetric Police
7. Rights and Wrongs: The “Malpractice Crisis,” Legal Protections for Pregnant Women, and Regulation by Litigation
8. Vision of a Better Way to Be Born
9. How to Get Where We Need to Be
Most Helpful Customer Reviews
As Americans, members of the wealthiest nation in the world with access to the most advanced technologies, we are accustomed to believing that our healthcare professionals offer the best care available. What better example than modern maternity and obstetric services in the United States? Women can now deliver their babies in the safety of the hospital, free from pain, with skilled physicians at hand to safeguard their well-being... or so I thought prior to reading this scathing critique of the American obstetric establishment. Marsden Wagner's glittering credentials as a perinatologist and former director of women's health at the World Health Organization lend authority to his startling assertions. A medical student planning to enter obstetrics myself in a few short months, I was most shocked by the well-documented harm done to pregnant women by many unwitting obstetricians employing "accepted medical procedures": through Dr. Wagner's eyes, I began to see today's elective cesarean section akin to yesterday's bloodletting. I recommend this book to anyone with a passion for women's and children's health, healthcare reform, or the history of medicine.