For years birth activists have been saying it: “that doesn’t work, it just doesn’t work.” By “doesn’t work,” they mean the contemporary obstetrical treatment of birth around the world. It doesn’t work. Yes, babies get born and lives that could have been lost get saved through modern obstetrics, but the price in both money and collateral damage to mother and baby is increasingly high. This price shouldn’t have to be paid, because it is based on misinformation and misunderstanding of the normal physiology of birth and how to best support it. It comes from a system that seeks to avoid mortality through the excess application of interventions while failing to recognize that those very interventions when overused cause unnecessary morbidity – and increasingly, even mortality itself –to the mother or baby. Intervention is now associated with increased maternal and perinatal mortality figures due in part to the excess use of cesarean section in many countries; the increased rate of cesareans has become the unwitting accomplice to the mortality this operation is designed to avoid (see below)
As the models described in this volume demonstrate, it is not necessary to “trade off” the morbidity associated with interventions for avoidance mortality – decreasing intervention and increasing support of normal physiological birth both serve to avoid mortality. Indeed, as we will show in these pages, some low-intervention models of birth can demonstrate lower morbidity and equivalent (or lower) mortality than high-intervention tertiary care.
Birth Models That Work…
The models include:
Click here for more information and to purchase the book
Betty-Anne and Robbie are presently working on the second volume, which will have chapters on Afghanistan, Guatemala, Uganda, the Canadian North, potentially Russia, China, the model of unassisted birth in Mexico, new models for breech and VBAC birth, and promising collaboration models between physicians and midwives in North America.
NOW VIEWING PRINTER-FRIENDLY VERSION
CLICK HERE TO RETURN TO APPLICATION