Index abortion, 18–19 Amish mothers, 26–27 autonomy, (CIMS principle), 8 birth stories importance of, 1–15, 144 Michaela at the Northern New Mexico Birth Center, 208–-209 positive teachings, 10, 178 Teresa at Home, 134–142 See also birth stories at The Farm birth stories at The Farm Charlotte at The Farm, 43– 50 Chloe at The Farm, 102–106 Keri at The Farm, 180– 189 See also birth stories; The Farm Midwifery Center bloodletting, 71, 79–80 bodies. See women's bodies breast implants, 152–161 and autoimmune disorders, 154–155, 159 effects on milk, 157–158 FDA vote on, 159–161 rupture of, 156 and suicide rates, 153 breast surgery, 151-161 breech presentation, 110, 114115, 127, 195, 219 birth, 1–15 breech, 111, 114–115, 127 195, 219 couvade, 11–12 importance of, 1–15, 214 and interventions, 23, 25, 71, 195 medicated, 84–85, 117, 122– 124 need for privacy, 10, 29–31 and rights, 7, 217, 220 and sexuality, 51–61 unmedicated, 23, 54 See also birth care; birth stories; C-sections; hormones; inner primate; maternity care; medication; natural birth; sexuality birth care, 1–6 birth centers, 197–198 different models, 63–67 postpartum home visits, 81, 203–205 societal impact, 1–2, 6, 218– 220 See also home births; maternity care; The Farm birth centers, 197–198, 218 Michaela at the Northern New Mexico Birth Center, 208–209 See also The Farm Midwifery Center birth culture, 27–29 sheela-na-gigs, 17, 55-57 See also birth stories; birth stories at The Farm birth images sheela-na-gigs, 17, 55–57 in textbooks, 79 TV depictions and shame, 51 Birth Registration Act, 75–76 cesarean section. See Csections Childbirth without Fear (DickRead), 13–14 Coalition for Improvement of Maternity Services (CIMS) principles, 8 couvade, 11–12 C-sections, 3-7 and birth process, 211-213 and epidurals, 117 high rates of, 3, 115–117, 161-163 rise in maternal death rates 6, 115, 126–127, 131 1 Index C-sections (continued) risks from, 3, 40–41, 195, 204 safety myth, 5 and time pressure, 3132, 196 See also surgery; technology fathers and birth process, 167–168, 171–173 personal story, 173–178 role after birth, 178–179 fear of birth, 27–29, 54, 59– 61, 78–79 as abnormal, 36, 60 and technology, 4, 144 See also Hodge, Dr. Hugh L.; medical men; pain in childbirth feminism and abortion, 18–19 and birth, 19 second-wave feminism, 17– 19, 69 women-centered ethic, 41– 42 and women’s' health care, 143–146 See also de Beauvoir, Simone; empowerment; motherhood; second-wave feminism; women-centered ethic forceps, 59, 64, 77–78 percent of deliveries with, 21, 61 See also medicalization of birth Deadly Delivery: The Maternal Health Care Crisis in the USA (Amnesty Int'l), 129, 131 de Beauvoir, Simone, 69 do no harm, (CIMS principle), 8 Dutch care system, 71–73 empowerment, 1–2, 19, 42, 143–146 as CIMS principle, 8 from knowledge, 27–29, 146 Safe Motherhood Quilt Project, 127–129 and technology, 107 See also birth stories; birth stories at The Farm; feminism; technology empowerment, (CIMS principle), 8 epidurals, 122–124 and C-sections, 117 side effects of, 123–124 The Farm Midwifery Center birth culture developed at, 27-29 location of, 26 Native American and African American women on, 20 natural birth on, 20-27 See also birth centers; birth stories on The Farm; Gaskin, Ina May Gaskin, Ina May career as midwife, 21–27 Gaskin maneuver, 195 surgery performed on, 21, 24 See also The Farm Midwifery Center Gereb, Dr. Agnes, 216–218 See also human rights 2 Index labor (continued) and medication, 25, 84-85 117, 122–124 reversal of, 29, 31 See also birth; birth stories; birth stories at The Farm; pain in childbirth Labor Among Primitive Peoples (Engelmann), 65, 82–83 legal rights and home births, 90 and midwives, 75–76, 193– 194 See also human rights; maternal mortality rate Leopold's maneuvers, 108, 110 Hodge, Dr. Hugh L. and fear of birth, 59, 79 midwives as competitors, 74, 87 and scare tactics, 74 See also medical men home births, 72, 89–90 importance of surroundings, 39, 214 loss of rights, 90 postpartum care, 203-205 problematic studies on, 91– 98 See also Dutch care system; Teresa at Home hormones adrenaline, 25, 30, 33, 171 beta-endorphins, 34–35, 40, 53 oxytocin, 33–34, 40, 53, 170–171 role of in birth, 25, 33–37, 40, 52–53 See also pain in childbirth hospitals, 81, 75, 114, 200 humanized birth principles, 9 human rights Deadly Delivery: The Maternal Health Care Crisis in the USA (Amnesty Int'l), 129, 131 and birth, 7, 217, 220 women-centered ethic, 41– 42 and women’s maternity care, 6,191–194, 207, 217 See also Gereb, Dr. Agnes; maternal mortality rate maternal mortality rate death certificates, 130–132 lack of infrastructure, 129– 132, 163–164, 198–201 link to C-sections, 3-7, 126– 127 reporting, 129–132, 200201 rising in US, 7, 75, 81 steps to reduce, 201–203 See also Deadly Delivery: The Maternal Health Care Crisis in the US (Amnesty Int'l); medication maternity care, 73–77, 203– 205 anti-midwife arguments, 77 as human right, 191–194 and maternal choice, 72 maternity ward abuse, 85– 86 medicalization of, 3, 108– 113, 126–127 rural areas, 193–194 standards needed, 195–196 See also birth centers inner primate, 37–41 labor, 65, 82–83 beauty of, 24–25 induction of, 58, 121–122 and inner primate, 37–41 2 Index midwives (continued) and apprenticeship, 76 as competitors for fess, 74 early US midwives, 73–77 education needed, 192, 194195 European population, 74, 78, 89, 192 lack of in US, 63, 88–89, 129, 192 and licensing, 76, 81, 193– 194 role of in birth, 22–27, 42 see also Birth Registration Act; birth stories; birth stories at The Farm; Gaskin, Ina May; midwifery mind/body connection, 23, 28–29 mortality rates. See maternal mortality rate motherhood, 17–42, 163–164 Safe Motherhood Quilt Project, 127–129 and second-wave feminism, 17–18 and women’s empowerment, 1–2, 7, 27 See also birth; maternal death rate; mothers; myths; women’s bodies mothers, 6–7 Amish mothers, 26–27 postpartum home visits, 203–205 and society, 1–3, 163–164, 205–207 and unnecessary surgery, 125-127, 151–161 women-centered ethic, 41– 42 See also birth; maternal death rate; motherhood; myths; women's bodies medicalization of birth medication, 84–85, 122– 124, 144–158 midwives marginalized, 74– 77, 212–218 surgery, 125–127, 161–163, 211–220 See also birth; C-sections; maternity care; medical men; technology medical men, 58–61, 77–79 doctors' ignorance, 80–81 focus on tools, 64, 78 and illness model, 63–65, 77 and midwives, 64–65, 81 See also Hodge, Dr. Hugh L. medication, 144–151 dangers of Cytotec, 122 DES and cancer, 146–148 epidurals, 117, 122–124 Gardasil, 149–150 menstruation-suppressing, 150–151 twilight sleep era, 84–85 See also birth: medicated midwifery campaign against, 77, 81, 90-98 denial of services, 88-90 endangered by surgery, 211–220 learning about, 21–27 and noninterference, 23, 25, 71 in Europe, 74, 78 wellness model, 63–64, 71– 72, 220 See also Gaskin maneuver; inner primate; Leopold's maneuvers; midwives; mind/body connection midwives 3 Index myths about natural birth, 6, 21, 27, 38 about women's feelings, 59, 61 safety of C-sections, 5 vagina becomes ruined, 3536 obstetrics (cont.) surgery; technology pain in childbirth, 38–41, 5354 fear and lack of knowledge, 13, 39 medicated labors, 25, 39, 84–85, 122–124 reduction of and hormones, 13, 39–40, 52-53 sphincter law, 169–170 See also Childbirth without Fear (Dick-Read); hormones; medication postpartum home visits, 81, 203–205 pregnancy diagnosing by palpation, 108 diagnosing by X-rays, 119 and ultrasound, 119-121 See also Leopold's maneuvers pregnancy, terminated. See abortion privacy need for in birth, 10, 29–31 See also sphincter law Native American women, 1415, 20 natural birth, 2, 20-27 education needed about, 220 fear of, 4, 36 myths about, 6, 21, 27, 38 See also inner primate; midwifery; natural birth movement; The Farm natural birth movement and Coalition for Improvement of Maternity Services principles, 8 and Humanized Birth principles philosophy of, 8–9 normalcy, (CIMS principle), 8 nurse-midwives, 87–88 nurses, obstetric creation of, 78–79 deficiencies in education, 110–112 overwork of, 112 responsibility, (CIMS principle), 8 Safe Motherhood Quilt Project, 127–129 second-wave feminism de Beauvoir, Simone, 69 view of motherhood, 17–19 sexuality and birth, 51–61 kissing during labor, 52 orgasm in birth, 35, 54 and western mind, 58–61 sheela-na-gigs, 17, 55–57 obstetrics and deterioration of skills, 81, 110–112 establishment of, 59 future of, 211–220 and surgery, 211–213 revision of education, 194– 195 role of nurse, 78–79, 110– 112 and technology, 118–121 See also nurses, obstetric; 4 Index US women’s health care (continued) brutal practices, 77-80, 8485 ignorance of doctors, 80–81 lack of midwives, 63, 88-89 129, 192 history, 63–98, 145–163 See also birth care; maternal mortality rate; maternity care US Standard Death Certificate, 201–202 societal impact of birth, 1-2, 6, 218- 220 See also surgery; technology sphincter law, 29–32, 169–170 and reversal of labor, 29 and privacy, 10, 30 surgery, 211–220 breast, 151–161 cost of, 125–127 rates of, 3, 115-117, 161 spread of C-sections, 161163, 211 surgical birth, 125–127, 161–163 See also C-sections; technology surroundings, importance of, 39, 214 Wax Study, 93–98 errors in, 96–98 position against home birth, 94 and unethical studies, 98 Western thought flawed philosophy, 67–71 and Nature, 69–70 medicine, 58–61, 64, 66–67 See also medical men; medicalization of birth; technology; women decision-making power of, 3, 6, 74 and human rights, 6, 41, 191–194 Native American, 20 power from birth, 1–2, 5354, 143 See also empowerment; feminism; motherhood; mothers; women-centered ethic; women's bodies; US women's health care women-centered ethic, 41–42 women's bodies, 23, 54, 69 female pelvis, 21, 66–67 mind/body connection, 28–9 as mothers, 1-3, 6-7 respect for, 144 TV and shame, 51 technology and deterioration of skills, 113–116 electronic fetal monitoring, 116–118 and empowerment, 107– 108, 127-129 and infrastructure, 129-132 overuse of, 125–129 reliance on ultrasonography, 109, 119–121 use of X-rays, 118–121 See also medication; surgery traditional cultures Amish mothers, 26-27 Native American Women, 20 sheela-na-gigs, 55–57 women as caregivers, 2 twilight sleep era, 84–85 US women’s health care Birth Registration Act, 75– 76 5 Index women’s bodies (continued) vagina as birth organ, 21, 35–36, 51 See also birth; breast implants; breast surgery; labor; mind/body connection; mothers; myths; US women's health care Yoshimura, Dr. Tadashi, 214– 216 6