Ina May's Guide to Childbirth

Ina May's Guide to Childbirth

by Ina May Gaskin


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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 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 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.

Product Details

ISBN-13: 9780553381153
Publisher: Random House Publishing Group
Publication date: 03/04/2003
Pages: 368
Sales rank: 29,980
Product dimensions: 6.44(w) x 8.98(h) x 0.70(d)

About the Author

Ina May Gaskin, certified professional midwife, has been a midwife for more than forty years at The Farm Midwifery Center at The Farm, in Summertown, Tennessee.

Read an Excerpt

Birth Stories

Introduction to the Birth Stories

There is extraordinary psychological benefit in belonging to a group of women who have positive stories to tell about their birth experiences. This phenomenon is exactly what developed within our village. So many horror stories circulate about birth—especially in the United States—that it can be difficult for women to believe that labor and birth can be a beneficial experience. If you have been pregnant for a while, it's probable that you've already heard some scary birth stories from friends or relatives. This is especially true if you live in the United States, where telling pregnant women gory stories has been a national pastime for at least a century. Now that birth has become a favorite subject of television dramas and situation comedies, this trend has been even more pronounced. No one has explained the situation more succinctly than Stephen King in his novella "The Breathing Method."* Commenting on the fear many women have of birth, his fictional character observes, "Believe me: if you are told that some experience is going to hurt, it will hurt. Most pain is in the mind, and when a woman absorbs the idea that the act of giving birth is excruciatingly painful—when she gets this information from her mother, her sisters, her married friends, and her physician—that woman has been mentally prepared to feel great agony." King, you may not know, is the father of several children born at home.

The best way I know to counter the effects of frightening stories is to hear or read empowering ones. I mean stories that change you because you read or heard them, because the teller of the story taught you something you didn't know before or helped you look at things from a different angle than you ever had before. For this reason, Part I of this book is largely devoted to stories told by women who planned to have home or birth-center births with me and my midwife partners. You may find this part of the book to be the one you want to read the most during pregnancy. At The Farm, the only horror stories we shared were those of previous births in which the care had been radically different from that given by Farm midwives. As women began to have positive experiences giving birth, their stories helped to calm the fears and worries of those who had not yet had babies. The confidence that these women gained from one another was a significant factor in why the midwifery care at The Farm has produced such good results.

Stories teach us in ways we can remember. They teach us that each woman responds to birth in her unique way and how very wide-ranging that way can be. Sometimes they teach us about silly practices once widely held that were finally discarded. They teach us the occasional difference between accepted medical knowledge and the real bodily experiences that women have—including those that are never reported in medical textbooks nor admitted as possibilities in the medical world. They also demonstrate the mind/body connection in a way that medical studies cannot. Birth stories told by women who were active participants in giving birth often express a good deal of practical wisdom, inspiration, and information for other women. Positive stories shared by women who have had wonderful childbirth experiences are an irreplaceable way to transmit knowledge of a woman's true capacities in pregnancy and birth.

James's Birth

By Karen Lovell

Huntsville, Alabama—Rocket City, U.S.A., where "the sky is not the limit." My husband, Ron, had gone to work for the maker of the world's fastest supercomputers and was stationed at the NASA Marshall Space Flight Center. For all intents and purposes, it appeared that we were people geared toward state-of-the art technology, people who would accept the latest and greatest, even when it came to childbirth. So why The Farm?

That answer begins with the birth of my first son, Christopher. I had just completed working for teacher certification. My plan was to get a job teaching that fall, but before that could happen, I realized I was pregnant. Here I was, fresh out of school with a lot of science courses under my belt, and I felt I didn't know anything about childbirth. Yes, I knew the mechanics, how the body responded, what happened, but I was totally ignorant as to how hospitals and medical professionals responded to childbirth. Learning something about what options I had started me on my search for alternatives.

My first visit with a highly recommended obstetrician in town was pretty unpleasant. The first thing I was told was the temperature in the delivery room could not be adjusted, although the lights could. When I asked to not have an episiotomy, he skirted the issue entirely by asking me what kind of episiotomy I meant, never once saying whether he would or would not give me one. This bothered me, but I knew this was about as magnanimous as he was going to get, so I let it slide. For the time being, I was getting good prenatal care. I could change later. However, as time went on, I was less and less sure of this doctor. In fact, I grew to distrust him. All along, there were little hints that he and I were in different head spaces. The biggest came during the sixth month of pregnancy, when I was sent a certified letter that made no sense whatsoever, unless one read it do it my way or else. Finally, in the seventh month, the doctor said there could be no Leboyer birth,* after leading me to believe all these months there would be. It was at that point that I knew I didn't want this man touching me—and internal exams were to begin in two weeks. I knew I had to find someone else.

A nurse who practiced as an underground midwife suggested a doctor from a nearby town who would provide more considerate care. Under his care I was able to have a Leboyer birth experience, but the hospital gowns and masks meant to create a more "sterile" environment were just that—sterile, cold, and intimidating. Also I had to labor on my back because of the monitor and ended up with a big episiotomy and forceps delivery.

One of the pregnant women, who became my friend after the birth of my son, used an original copy of Spiritual Midwifery as her bible, and even tore out pictures and pages and pasted them on her wall. Her daughter's birth, which took place at home, had a profound effect on me. In the back of my mind I thought that, perhaps someday, I would have a child whose passage into this world would be really loving and spiritual.

My second pregnancy was hardly noticeable. It seemed that the baby sort of slipped in and was no problem. The only indications of my pregnancy were that I missed my March and April periods and my clothes were a little tight around my waist. I wasted no time in finding the most "lenient" obstetrician in town. I had no problems with him and found he was very honest with me. He flatly told me he insisted on an I.V. and that the hospital required an internal fetal monitor, although I could sign a legal waiver and not have the monitor. I had resigned myself to this type of birth if necessary but decided to investigate further. I finally obtained a copy of Spiritual Midwifery from a health-food store in Nashville, where I grew up. Several weeks later I wrote to The Farm, and Deborah Flowers responded.

I immediately felt as if a deep-seated prayer had been answered and prayed that if The Farm was right for me I'd end up there. When I told Ron about hearing from The Farm, I think he was worried. After all, I had seemed so content this time and the hospital was only ten minutes away. Why did I want to go up to The Farm, which was about seventy miles away?

Ron and I had a continuing dialogue about childbirth at The Farm. Finally, we both decided to go visit with an open mind (although I must admit I wasn't quite as open-minded as Ron; I simply knew I wanted to be at The Farm). When we arrived, we met Deborah Flowers and Pamela Hunt, who showed us the facilities and checked me. Deborah said I was one centimeter dilated and loose, which I attribute to her absolute gentleness and the strong rapport I felt with her.

Ron was impressed that the birth cottage had hospital equipment to stabilize an infant in an emergency. He was also impressed with the fact that the midwives were emergency medical technicians and very qualified in their work. He decided to go along with a birthing at The Farm if our insurance would cover it. We found out in a few days that it would.

Because Deborah was my main midwife, I would bare my soul to her. I just knew things would go well. The Farm had it all: "in tune" midwives, a birthing house, a clinic with a holistic outlook, and doctor/hospital backup if necessary. I also liked subtle nuances such as helping the baby's head stretch the mother out without tearing, not relying on cold machines such as ultrasound and internal fetal monitors, knowing how to deliver breech babies, and having faith in the universe.

When I went into labor back in Huntsville, I didn't believe it at first and continued my project of cleaning all the carpets in the house. Intermittently, I rested on the bed to reduce the contractions until 4:00 p.m., when I realized I could no longer clean rugs. I waited a while to make sure of what I was feeling, then at 5:00 I called Ron to come home. He showed up, took things to the car, and we took off down the road after calling the midwives.

Contractions were steady and strong. Ron clocked them at seven minutes apart. Because I sat as still as possible, they remained unchanged. My back hurt with each contraction, which surprised me. Our drive was a little over two hours, and I was grateful for almost no traffic. Once at The Farm, Ron called Deborah, who came to let us in. I crawled onto the bed, where Deborah checked me. Ron brought things in while Deborah helped me through my labor. Chris had fallen asleep on a nearby fold-down chair. Ron sat down on the bed to help me with my back, which really hurt. Deborah grabbed my thigh while Ron pushed my back. It helped, and I told them so.

I could feel the baby moving down. I remembered Kim, this young woman giving birth on a video that Deborah had shown me. She had been really calm and didn't have a husband to rely on. What a chicken I was, groaning, "Oh, my back!"

Just at transition,* I wailed, "My back is killing me." Then, and it was truly a prayer, "Oh, God, help me." Just then I felt my whole bottom bulge. The midwives commented on how stretchy I was. I pushed, and they could see the head. I pushed again and out came the head. Such a relief. The rest of the body seemed like nothing. Ron got to cut the umbilical cord after it was clamped, and Chris awoke in time to see the cut. A few minutes later I was easily able to push the squishy blob (the placenta) out of me.

I had a beautiful baby boy, born around 11:50 p.m. with hardly any head molding. He wanted to relax before nursing. We looked him over, then gave him to Joanne to weigh and dress while Deborah and Pamela gave me two stitches for a small tear.

I was grateful to have had such an easy pregnancy and that the birth itself was not just a psychosocial event but spiritual as well. I was thankful to have such loving, caring midwives and such a loving, thoughtful husband. I knew that this was the right way to have a baby. I enjoyed how the midwives paid attention to every detail and looked at things intuitively as well as on the surface.

The next day I felt so good. I looked at the clear blue November sky and the brown oak leaves left on the trees and basked in the warmth of the sun. I realized that I was truly blessed, that there really were some things on which technology could not improve—one of those was the billion-year-old evolutionary process of human childbirth. To some it may have seemed primitive; to me it was perfect.

Harley's Birth

By Celeste Kuklinski

Around five o'clock I started feeling unusual cramps. Not wanting to give a false alarm, I didn't say anything. I had my General Education Development (GED) class that night, and I didn't really feel like going. Playing "truant officer," Donna, my mentor and friend, drove me to class. Mary, the teacher, said I was probably just having those fake, practice cramps (Braxton-Hicks). I went home early, unable to concentrate.

The cramps were getting stronger, and I was feeling warm and excited. I still didn't want to call these cramps "contractions" in case it wasn't really happening. I timed them and they were about four minutes apart. Donna asked if I wanted to go see a midwife, but I decided to hold off until I was sure I wasn't getting excited over nothing.

Finally, in the middle of a Star Trek rerun, while my body was positioning itself in contorted ways all over the chair I was trying to sit in, I concluded that I had better see a midwife. Donna and I drove over to Pamela's. She checked me and informed me that I was three centimeters dilated and that I would probably give birth that same night. Surprised and happy, we went home to prepare.

Finally, the moment had come. Pamela soon arrived, followed by Ina May and Deborah. By this time, my ability to converse had deteriorated. I was just trying to deal with what was happening to my body. Things were happening quickly. I didn't try to hold any of the contractions back. I just let them come as fast as they wanted to, knowing that would help the birth happen without delay. It all felt very natural. I just "went with it." I went with taking a bath too, which was very helpful and relaxing. Ina May and my mother gave me support in the bathtub. Ina May showed me how to breathe deeply and slowly.

I tried it, and just then one of the strongest contractions yet overwhelmed me. I had to stand up. Some bloody, gray stuff dribbled and plopped into the bathwater. About this time, I started saying, "Oh, God!" I came out of the bathroom and did what I had to do, whether it was squat, bend over, walk around, say, "Oh, my God," or dance like a whooping crane. The contractions were getting very intense. I hardly had time between them to rest.

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Ina May's Guide to Childbirth 4.4 out of 5 based on 0 ratings. 85 reviews.
Anonymous More than 1 year ago
The birth stories in the beginning are warm and empowering however all take place on the farm there are no positive stories from elsewhere. The author then dives into the negatives of obstetrics versus the positives off midwifery... in my case there are no midwives around and it made me feel almost like a prisoner of my options. She then delves into birth how you can do it which i found absolutely worth the read! Then however,she falls back into discussing midwifery..telling us about past midwives an their experiences..i felt compelled to skip pages. I did not for fear of overlooking something useful and was dissappointed. The final chapters talk about our faulty obstetrics again and how we should strive to improve. Overall this book had 30% information i wanted 30% babble about multiple midwiferies and their statics 30% absolutely horrifing information about obstetrical intervention and why to not go to them 10% amazingly personal stories of strength and how to have faith in your own body
Anonymous More than 1 year ago
This book has changed my entire view of the birthing process. It has inspired my pregnancy and i look forward to my natural childbirth!
KirbeeN More than 1 year ago
As a first-time mom, this book has been absolutely wonderful in giving me confidence that birth is a natural, normal process, not something to be feared. The first half of the book is entirely birth stories from a huge range of moms, from young to old, high- to low-risk, long and short labors and with babies in a variety of positions. The stories are very comprehensive and helpful for any woman looking ahead to birth. The second half of the book is Ina May's discussion of birth, different birthing theories and positions. I found it especially helpful learning about how much a woman's ability to stay relaxed and comfortable impacts the speed of birthing. It makes so much sense that a woman who feels comfortable in the room and with the people around her is going to have an easier birth experience. Overall a superbly helpful book.
Guest More than 1 year ago
I am a nurse who works in Labor and Delivery who routinely sees unessary c/sections, and see women herded in like cattle for slaughter.I so enjoyed this book that I was screaming with excitement! Here I was reading a book that really can help mom's with childbirth and what an approach! Birth is more than just getting your hair cut. Birth is the begining of a family, a new life, someone to love, someone to nurture, it is not a medical crisis that doctors want you to believe. In Ina May's book a birthing woman can learn to trust her body to do what it has been designed to do. I LOVED IT!!!
Anonymous More than 1 year ago
This is a must-read for pregnant woman everywhere. I highly recommend it also for doulas in training, fathers-to-be, and anyone interested in the safe care of mothers and infants.
lisawall More than 1 year ago
I don't think there is a better pregnancy book you could read! I'm a doula and I buy this book for every single client of mine if they don't already own it :) Ina May Gaskin is a genius, there is so much to be learnt from this wonderful collection of stories! 
VeronikaB More than 1 year ago
I would give this book 10 stars if it was possible, it's an excellent book, and if you are planning for a natural birth and don't like reading, just read this one book, that's enough. I wanted to have a natural birth and this was (and still is) my bible. I have read other books too, such as Bradley method books etc, but they were too strict and had so many rules I got quickly tired of memorizing what to do in such and such moment... This book is life-changing. It's so honest and natural, doesn't force any rules on you, just explains that any way you want to bring your baby to life is the right way. Just do what you feel like doing, what feels comfortable. I had a hospital birth and managed to have a wonderful experience, fully natural birth. I attended no birth class and didn't finish any birth book except this one. So this book was literally the only birth education I got. And it worked. Don't look for anything scientific in birthing, it's very natural. You don't need to spend hundreds of dollars for expensive classes to learn various birthing techniques, because it will all go very differently in the birthing room anyway. For instance, I thought I really wanted to be squatting while pushing, but this happened to be a very uncomfortable position for me, I found "all fours" worked best for me. Or I really wanted my husband or the Doula to do the Bradley massage when I'm in labor, but I couldn't stand anyone touching me. You just don't know what your labor will be like, so just go with the flow and trust your body. This book will teach you that. Highly recommend.
Guest More than 1 year ago
Too much out there about birthing is so disconnected and confusing. I am currently days away (literally) from delivering my third child and the principles in this book were VITAL to helping me have incredibly satisfying birthing experiences. I was compelled to write because other comments here surprised me when they said that the stories were not helpful. I find in life having these stories is how you learn best, just like in business school, for example. I cannot recommend the deep knowledg and love that you can get buy simply reading it. It has helped me give my children the gift of drug-free, happy births that are deeply meaningful and safe to all of us, including my husband.
Guest More than 1 year ago
I dont recommend reading the book in order. It is best to read some birth stories then some facts and insight, some more birth stories-mix it up. But ulimately, Ina May's book let's you know what your birth experience could be- that there is more to the midwife model than being called a midwife- and helps one recognize the philosophies to help you have the birth you want. I really appreciate the emphasis on the mental aura of the birth room and very much trusted the information relayed throughout the book. The Farm's statistics speak volumes to the book's credibility.
rfewell on LibraryThing More than 1 year ago
great inspiration for natural childbirth
rbtwinky on LibraryThing More than 1 year ago
This is a great book for women who want to have a positive natural birth experience. Gaskin provides wonderful stories followed up by seemingly well-researched practical information. The book is full of inspiring stories and you-can-do-it attitude. As Gaskin herself states, this is not always easy to find in the language our society uses regarding birth.At times I felt as though Gaskin was talking to a fellow healthcare professional (or trying to convince me to become one). Frequently Gaskin came in on the extreme hippy side of things. She advocates a meatless diet and no ultrasound despite there being no evidence of any detrimental effects after decades of use. I would say the book's biggest downfall is that it is becoming obsolete. The statistics seem current to 2000, which is almost a decade past at this point. If Gaskin doesn't come out with a new edition soon, she may loose her audience.
damsorrow on LibraryThing More than 1 year ago
To be honest with you, after I finished reading this book, I took out my IUD in hopes that I'd get knocked up and have the opportunity to meet Ina May.
lorin77 on LibraryThing More than 1 year ago
This is a fantastic book! My husband and I are in the planning stages of parenthood, so even though I am not there yet, my sister gave me her old baby books. This was in there and I am really happy I read it.What I loved about this book was part 1 - the stories by women who had a natural childbirth and are happy about it. So often (as Ina May says in the beginning of the book), when you are pregnant, people seem intent on telling you the worst horror story possible about child birth. Just reading these stories (even if you are undecided about natural child birth yourself) makes you realize that those bad stories are the minority and what a wonderful thing having a baby is! I would recommend this book to any woman who is pregnant or planning on getting pregnant.
Wosret on LibraryThing More than 1 year ago
If there was one book I could get everyone to read, it's this one. Whether you're planning to have a baby, are pregnant, or if you give two hoots about the care that pregnant women and babies receive in North America. I read it as part of my Doula training and wish that I'd read it while I was pregnant.The first half of the book is birth stories, usually written by the mother giving birth. They are moving, amazing, intimate peeks into one of life's biggest adventures. So many of them start out with: "I had my first kid(s) in the hospital and it was awful. There has to be a better way! So I went to The Farm for this one. " They definitely don't have to be read in order. I found it useful to open the book at random and read the story I found there.The second part of the book is more scholarly. There are references to statistics and studies that show how different pregnancy and baby care is in North America compared to the rest of the world. I was quite alarmed to learn about some things, such as stitching up a uterus after a Cesarean birth in one layer rather than two, and Ina May's experience that this practice dramatically increased dangerous hemorrhaging during subsequent labours. Stitching up in one layer is done to save time, and is one of many examples in which time and money has come to take precedence over maternal and baby health.This book made me want to buy a bunch of land and build my own hippie commune.
meganparenting on LibraryThing More than 1 year ago
The best part of this book is the wealth of stories. Each of the personal narrative describes a different birth story, and most of them are positive. In a culture where we tend to limit our tales to the frightening and the painful, I hope this book would provide some positive mental preparation.
hipdeep on LibraryThing More than 1 year ago
I had the opposite reaction to the first review. The birthing stories struck me as repetitive and predictable, and I skipped most of them. What helped my mental preparation was Ina May's persuasive and rational argument for midwifery. Her research appears solid and should be read more widely. For me, that was the best part of the book.
kellyholmes on LibraryThing More than 1 year ago
If you're already sold on the idea of natural childbirth, I highly recommend this! It talks about some things that I hadn't read about or heard about yet--like there being a direct correlation between relaxing your jaw and relaxing during birth. However, I wouldn't recommend this to someone who isn't already sure of the natural childbirth option. Ina May is very knowledgeable and obviously excited to share what she knows about birth. But a few times, the anecdotes or birth stories strayed so far from what is mainstream in the U.S. that I have a feeling they would set off some people's "weirdness" radar and they would dismiss the whole book, which would be a shame.
Anonymous More than 1 year ago
Anonymous More than 1 year ago
Changed my life
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Anonymous More than 1 year ago
This is a great resource for anyone considering having a natural labor and delivery.  It was very encouraging to read about the personal stories. I liked the way it described the birth process as something our bodies do naturally - it's not a medical problem! This definitely helped to prepare me mentally for a great natural labor and delivery, with no epidural!
Anonymous More than 1 year ago