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Pushed: The Painful Truth About Childbirth and Modern Maternity Care

par Jennifer Block

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In the United States, more than half the women who give birth are given drugs to induce or speed up labor; for nearly a third of mothers, childbirth is major surgery - the cesarean section. For women who want an alternative, choice is often unavailable: Midwives are sometimes inaccessible; in eleven states they are illegal. In one of those states, even birthing centers are outlawed.When did birth become an emergency instead of an emergence? Since when is normal, physiological birth a crime?A groundbreaking journalistic narrative,Pushed presents the complete picture of maternity care in America. Crisscrossing the country to report what women really experience during childbirth, Jennifer Block witnessed several births - from a planned cesarean to an underground home birth. Against this backdrop, Block investigates whether routine C-sections, inductions, and epidurals equal medical progress. She examines childbirth as a reproductive rights issue: Do women have the right to an optimal birth experience? If so, is that right being upheld? Block's research and experience reveal in vivid detail that while emergency obstetric care is essential, there is compelling evidence that we are overusing medical technology at the expense of maternal and infant health: Either women's bodies are failing, or the system is failing women.… (plus d'informations)
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currently, I would not recommend this book to first time moms, because it paints kind of an awful picture of OB/maternity care. My first child came into the world in a typically "managed" manner, and I was and still am perfectly happy with the result. I'm interested to see how the rest of the book develops, but I don't expect the tone to be anymore positive toward the current healthcare norms. It's not that she doesn't present a good argument or have a lot of good information and research to back up her claims, but I do tend to be wary of anyone who is this extremely biased on any subject.

I'm fully admitting that I started reading the book while pregnant with my 2nd child and decided to stop reading it as a result of the anxiety I began to feel about my upcoming labor/delivery. I had begun projecting the stories and statistics from the book onto my wonderful OB and clinic staff who have been nothing but caring and supportive to me. I'd like to finish the book one day.
  Annrosenzweig | Oct 15, 2021 |
An eye-opening look at modern pregnancy and childbirth and how it evolved. It is a must read for any pregnant woman and I recommend it to all the women I know who have had or are planning on having children. ( )
  Mootastic1 | Jan 15, 2016 |
_Pushed_ is a sobering look at childbirth as it happens routinely in the U.S. Block includes the perspectives of all sorts of people: obstetricians, nurses, mothers, midwives, doulas, advocates. She doesn't minimize the troubling details that she observes, whether they happen in a hospital or at a home birth, and as a result, many stories are sad ones. Because of this, I don't consider this book to be a polemic that argues for "natural" birth, but you can't read it without thinking that the typical hospital birth could sure stand some improvement. ( )
  iBeth | Aug 11, 2012 |
Incredible. In a word, incredible.

To be sure, Jennifer Block does have a clear stance (or bias, if you prefer) on what she thinks childbirth should be (natural, no drugs, preferably at home). However, Block fills this book with enough well-researched statistics and clear, level-headed arguments, that it is hard to argue that she is merely trying to espouse some kind of feminist rhetoric. Indeed, if there is any great message that I took away from this book, it is this: that we, the consumer, are primarily responsible for our health care. Especially women. I couldn't help thinking to myself throughout this book that 'if this is how the insurance and healthcare industry treats the most natural and basic human process, than how are they treating everything else?' It is up to us to ask the questions, and to educate ourselves so that we know the questions to ask. Just because a doctor tells you that something is "for the best" you must wonder, "best for whom?" Because as Pushed reveals, sometimes it is what's best for the malpractice insurers, and the hospital's budget, rather than the patient's health or well-being.

Definitely a 'must read' ( )
  beatlemoon | May 10, 2009 |
After reading Pushed, you will never watch “A Baby Story” the same way again.

Block makes a convincing case that protocol on labor and delivery wards are driven not by what is best for individual women, but by fear of litigation. The stories that made me the saddest were those about women who expressly declined certain interventions and were given them anyway. The worst was a woman who showed up at the hospital with her baby crowning. Because she had had a previous cesarean, the hospital called in a judge who granted custody of the baby to the hospital and she was forced to have a repeat c-section. The concept of “informed consent” is being eroded day after day by hospitals who view vaginal delivery as a “procedure” to be granted or withheld, rather than as a natural, normal, biological process.

Read the rest here. ( )
  superfastreader | Feb 22, 2008 |
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In the United States, more than half the women who give birth are given drugs to induce or speed up labor; for nearly a third of mothers, childbirth is major surgery - the cesarean section. For women who want an alternative, choice is often unavailable: Midwives are sometimes inaccessible; in eleven states they are illegal. In one of those states, even birthing centers are outlawed.When did birth become an emergency instead of an emergence? Since when is normal, physiological birth a crime?A groundbreaking journalistic narrative,Pushed presents the complete picture of maternity care in America. Crisscrossing the country to report what women really experience during childbirth, Jennifer Block witnessed several births - from a planned cesarean to an underground home birth. Against this backdrop, Block investigates whether routine C-sections, inductions, and epidurals equal medical progress. She examines childbirth as a reproductive rights issue: Do women have the right to an optimal birth experience? If so, is that right being upheld? Block's research and experience reveal in vivid detail that while emergency obstetric care is essential, there is compelling evidence that we are overusing medical technology at the expense of maternal and infant health: Either women's bodies are failing, or the system is failing women.

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