A groundbreaking journalistic narrative, Pushed presents the complete picture of birth in America from the frontlines. Crisscrossing the country to investigate all sides of the issue, and witness to several births-from a planned Caesarean to an underground home birth-Jennifer Block examines childbirth as a reproductive rights issue, exploring the implications of the widely held assumption that routine C-sections, inductions, and epidurals equal medical progress. Block's research and experience show that while medical intervention certainly has its place, there is compelling evidence that we are overusing medical technology at the expense of maternal and fetal health: Either women's bodies are failing, or the system is failing women.
According to writer and editor Block (Our Bodies, Ourselves), "the United States has the most intense and widespread medical management of birth" in the world, and yet "ranks near the bottom among industrialized countries in maternal and infant mortality." Block shows how, in transforming childbirth into a business, hospitals have turned "procedures and devices developed for the treatment of abnormality" into routine practice, performed for no reason than "speeding up and ordering an unpredictable...process"; for instance, the U.S. cesarean section rate tripled in the 1970s, and has doubled since then. Block looks into a growing contingent of parents-to-be exploring alternatives to the hospital-and the attendant likelihood of medical intervention-by seeking out birthing centers and options for home-birth. Unfortunately, obstacles to these alternatives remain considerable-laws across the U.S. criminalizing or severely restricting the practice of midwifery have led the trained care providers to practice underground in many states-while tort reform has done next to nothing to lower malpractice insurance rates or improve hospital birthing policies. This provocative, highly readable expose raises questions of great consequence for anyone planning to have a baby in U.S., as well as those interested or involved in women's health care.
Copyright (c) Reed Business Information, a division of Reed Elsevier Inc. All rights reserved.
-- PUBLISHERS WEEKLY.
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Da Capo Press
April 30, 2007
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