9780399525179

The Thinking Woman's Guide to a Better Birth

by
  • ISBN13:

    9780399525179

  • ISBN10:

    0399525173

  • Edition: 1st
  • Format: Paperback
  • Copyright: 1999-10-01
  • Publisher: Perigee Trade

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Supplemental Materials

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  • The New copy of this book will include any supplemental materials advertised. Please check the title of the book to determine if it should include any access cards, study guides, lab manuals, CDs, etc.
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Summary

As an intelligent woman, you are probably used to learning as much as you can before making major decisions. But when it comes to one of the most important decisions of your life--how you will give birth--it is hard to gather accurate, unbiased information. Surprisingly, much of the research does not support common medical opinion and practice. Birth activist Henci Goer gives clear, concise information based on the latest medical studies. The Thinking Woman's Guide to a Better Birth helps you compare and contrast your various options and shows you how to avoid unnecessary procedures, drugs, restrictions, and tests. The book covers: Cesareans Breech babies Inducing labor Electronic Fetal Monitoring Rupturing Membranes Coping with slow labor Pain medication Epistiotomy Vaginal birth after a Ceasarean Doulas Deciding on a doctor or midwife Choosing where to have your baby and much more . . .

Table of Contents

Introduction: Obstetric Management: What's Wrong with This Picture? 1(10)
Why the Gap? 3(2)
Why This Book? 5(3)
About the Book 8(3)
1. The Cesarean Epidemic: Obstetrics on the Cutting Edge
11(20)
Myths and Realities Behind the Rise in Cesareans
12(7)
What Determines Your Chance of Having a Cesarean and What Should the Odds Be?
19(2)
The Cesarean Procedure
21(1)
The Bottom Line
22(9)
Benefits and Risks of Cesarean Section
22(4)
How to Avoid an Unnecessary Cesarean
26(1)
Making a Cesarean a Positive Experience
27(4)
2. The Full-Term Breech Baby: Cesarean Section Is Not the Only Answer
31(18)
What's the Problem with Breech Birth?
32(2)
Turning the Baby Head Down
34(3)
The Home Version
34(2)
The High-Tech Version
36(1)
Alternative-Medicine Versions
37(1)
The Bottom Line on ECV
37(3)
Controversies and Trade-Offs of ECV
37(1)
Strategies for Improving the Odds of Success of ECV
38(2)
The Bottom Line on Breech Birth
40(7)
Trade-Offs of Cesarean vs. Vaginal Breech Birth
40(2)
Controversies of Vaginal Breech Birth
42(5)
Safety Factors in Vaginal Breech Birth
47(1)
Gleanings from the Medical Literature
47(2)
External Cephalic Version
47(1)
Vaginal Breech Birth
48(1)
3. Induction of Labor: Mother Nature Knows Best
49(26)
Why Not Wait?
50(7)
Convenience Inductions
51(1)
Suspected Large Baby
51(1)
Prelabor Rupture of Membranes in Full-Term Pregnancy
52(3)
"Overdue" Pregnancy
55(2)
Tests of Fetal Well-Being
57(1)
Cervical Ripening and Induction Procedures
58(2)
The Bottom Line on Labor Induction Generally
60(7)
Avoiding an Unnecessary Induction
60(2)
Pros and Cons of Techniques for Ripening the Cervix and/or Inducing Labor
62(4)
General Advice on Induction
66(1)
The Bottom Line on Labor with a Large Baby
67(1)
Strategies to Avoid Unnecessary Intervention
67(1)
The Bottom Line on Induction for Prelabor Rupture of Membranes
68(4)
General Advice
68(1)
Compare and Contrast Three Approaches to Prelabor Rupture of Membranes
69(2)
Advice for Group B Carriers
71(1)
Induction for Postdates Pregnancy
72(1)
Compare and Contrast Three Postdates Options
72(1)
Gleanings from the Medical Literature
73(2)
4. IVs: "Water, Water Everywhere, Nor Any Drop to Drink"
75(10)
The Illogic of "Nothing by Mouth"
76(3)
The Bottom Line
79(4)
Pros and Cons of Forbidding Food and Drink in Labor
79(1)
Pros and Cons of Routine IVs
79(2)
What Should You Eat or Drink During Labor?
81(1)
Ways to Minimize the Chance of Aspiration
82(1)
Gleanings from the Medical Literature
83(2)
5. Electronic Fetal Monitoring and Cesarean for Fetal Distress: The Machine That Goes Ping!
85(14)
How Did We Get into This Mess?
86(4)
How EFM Is Done
90(2)
External EFM
91(1)
Internal EFM
91(1)
The Bottom Line
92(5)
Comparing External and Internal Monitoring
92(2)
Situations When the Medical Literature Supports the Use of Continous EFM
94(1)
Ways to Avoid the Drawbacks of EFM
94(2)
Ways to Avoid Problems with the Baby
96(1)
Gleanings from the Medical Literature
97(2)
6. When Doctors Break the Membranes: If It Ain't Broke, Don't Break It
99(8)
The Amniotomy Procedure
103(1)
The Bottom Line
103(3)
Pros and Cons of Routine Amniotomy
103(1)
Pros and Cons of Amniotomy for Indication
104(1)
Avoiding Amniotomy
105(1)
Gleanings from the Medical Literature
106(1)
7. Slow Labor: Patience Is a Virtue
107(18)
Active Management of Labor
110(4)
Procedures
114(1)
The Bottom Line
115(8)
Benefits and Risks of Techniques for Coping with Poor Progress
115(4)
Strategies to Avoid the Need for IV Oxytocin, Instrumental Delivery, or Cesarean Section
119(4)
Gleanings from the Medical Literature
123(2)
8. Epidurals and Narcotics: A Shot in the Dark
125(24)
Why You Don't Hear About the Downside of Epidurals
126(3)
The Epidural Procedure
129(3)
The Bottom Line
132(14)
What an Epidural Does
132(1)
The Trade-Offs of Epidurals
132(3)
What an Injected Narcotic Does
135(1)
The Trade-Offs of Injected Narcotics
135(1)
The Trade-Offs of Natural Childbirth
136(4)
Strategies to Avoid Pain Medication
140(2)
Questions to Ask When Helping a Laboring Woman Decide Whether to Have Pain Medication
142(1)
Strategies to Minimize the Risks and Side Effects of an Epidural or Spinal-Epidural
143(3)
Gleanings from the Medical Literature
146(3)
9. Episiotomy: The Unkindest Cut
149(12)
Why Are Doctors Still Doing Routine Episiotomies?
152(2)
What Is an Episiotomy?
154(1)
The Bottom Line
155(4)
Pros and Cons of Routine Episiotomy
155(1)
Traditional Indications for Episiotomy
155(1)
Strategies to Protect the Perineum
156(3)
Gleanings from the Medical Literature
159(2)
10. Elective Repeat Cesarean: Just Say No
161(16)
So Why Hasn't VBAC Become Routine?
162(4)
The Bottom Line
166(9)
Pros and Cons of VBAC vs. Elective Repeat Cesarean
166(3)
The Odds of VBAC
169(1)
Factors That Exclude VBAC
169(1)
Factors That Don't Exclude VBAC
170(1)
Factors That Promote Safe Vaginal Birth
171(2)
Factors That Promote a Positive Birth Experience
173(2)
Gleanings from the Medical Literature
175(2)
11. Professional Labor Support: Mothering the Mother
177(10)
Do You Really Need Professional Labor Support?
178(3)
What About the Father's Role?
181(1)
The Bottom Line
182(4)
Pros and Cons of Professional Labor Support
182(2)
Comparison Between Labor Support from a Female Relative or Friend and a Doula
184(1)
Comparison Between a Doula and a Monitrice
184(1)
Choosing a Professional Labor Support Companion
185(1)
Gleanings from the Medical Literature
186(1)
12. Obstetricians, Midwives, and Family Practitioners: Someone to Watch over You
187(14)
The Bottom Line
190(10)
A Guide to the Qualifications of Birth Attendants
190(1)
Pros and Cons of Various Classes of Birth Attendants
191(2)
Interviewing a Caregiver
193(4)
When Choice Is Limited
197(3)
Gleanings from the Medical Literature
200(1)
13. The Place of Birth: Location, Location, Location
201(18)
History Reexamined and a Few Current Facts
202(3)
The Safety of Hospital Births
205(2)
A (Relatively) New Out-of-Hospital Option
207(2)
The Bottom Line
209(8)
Comparing Birth Sites
209(3)
Comparing Direct-Entry Midwives and Nurse-Midwives
212(1)
Interview Questions
213(4)
Advice If You Decide on an Out-of-Hospital Birth
217(1)
Gleanings from the Medical Literature
217(2)
Appendices 219(136)
Literature Summaries 219(102)
Chapter 2 219(8)
Chapter 3 227(12)
Chapter 4 239(5)
Chapter 5 244(6)
Chapter 6 250(4)
Chapter 7 254(10)
Chapter 8 264(12)
Chapter 9 276(8)
Chapter 10 284(7)
Chapter 11 291(4)
Chapter 12 295(12)
Chapter 13 307(14)
Bibliography 321(22)
The Mother-Friendly Childbirth Initiative 343(12)
Resources 355(4)
Index 359

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