The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Written for graduate students and professionals in the fields of midwifery, women’s health, and public health, this book explores the freestanding birth center model in the United States from its conception by pioneering midwives and others in the early 1970s to the present day. Compared to the hospital-based birth model, the freestanding birth center offers a well-documented, healthier, more cost-effective, and more humane way to care for women and newborns, consistent with the goals of the Affordable Care Act. This rapidly expanding model of care has many positive implications for high-quality, individualized care and birth outcomes across the United States. Written by U.S. leaders in midwifery, Freestanding Birth Centers: Innovation, Evidence, Optimal Outcomes offers a comprehensive guide to the evolving role of birth centers, clinical and cost outcomes, regulatory and legal issues, provider and accreditation issues, and the future of the birth center model. Woven throughout the text are descriptions of "exemplar" birth centers representing diverse geographical, business, and service models. These cases illustrate the possibilities for expansion and replication of this model of care. Key Features Provides a thorough history of the birth center movement from its inception through future expansion of the model Serves as an essential resource with up-to-date evidence on clinical and cost outcomes Includes case studies linking the unique service focus of individual birth centers to the associated sections of the book Provides practical and comprehensive coverage of all issues involved in running a U.S. birth center

Describes different approaches to childbirth and their advantages and disadvantages, including midwife delivery and birth centers.

Birth as every woman would like it to be • Recommended by Lamaze International as one of the top ten books for pregnant women and their families • Includes a 45-minute DVD of six live gentle births • More than 32,000 copies sold of the original edition New parents are faced with a myriad of choices about pregnancy, labor, and birth. In Gentle Birth Choices Barbara Harper, renowned childbirth advocate, nurse, former midwife, and mother of three, helps to clarify these choices and shows how to plan a meaningful, family-centered birth experience. She dispels medical myths and reimagines birth without fear, pain, or violence. Harper explains the numerous gentle birth choices available, including giving birth in an independent birth center, at home, or in a hospital birthing room; finding a primary caregiver who shares your philosophy of birth; and deciding how to best use current technologies. She also provides practical advice for couples wishing to explore the option of using a doula or water during labor and birth to avoid the unwanted effects of drugs and epidurals. The Gentle Birth Choices DVD blends interviews with midwives and physicians and six actual births that illustrate the options of water birth, home birth, and vaginal birth after a prior Cesarean section. The DVD clearly reveals the strength of women during childbirth and the healthy and happy outcome of women exercising gentle birth choices. It is a powerful instructional tool, not only for expectant parents, but also for midwives, hospitals, birth centers, and doctors.

An international collaboration of lecturers, practitioners and researchers. Each chapter considers a topic relevant to normalising maternity care. Topics include: routine interventions - epidurals - physiological third and fourth stages - longer labours and approaches to monitoring / intervention - most effective models of care - birth centres - home birth - mental health - doulas - reasons for intervention - links between research and practice - harmonising models of birth - caseload midwifery - including 'normality' on medical training courses - the symbolic value of birth - developments in China, the UAE, Brazil and other countries where dramatic changes are taking place (e.g. in sub-Saharan Africa) - the 'natural' caesarean - individual agents for change - intrapartum best practice - ways of supporting women labouring without pharmacological pain relief - water birth - VBAC - the role of regulatory bodies - ways of publicising your work - communication for best results - review of progress and pointers for future research. Questions and extracts provide stimulating reflection and seminar material. For midwives, obstetricians, GPs, doulas and other maternity caregivers. "I strongly recommend this book to midwives, obstetricians, doctors and hospital administrators. It carefully reviews the scientific data." Marsden Wagner-who was director of Women's and Children's Health at the World Health Organization for 15 years, before his retirement. Questions and extracts provide stimulating reflection and seminar material. For midwives, obstetricians, GPs, doulas and other maternity caregivers. "I strongly recommend this book to midwives, obstetricians, doctors and hospital administrators. It carefully reviews the scientific data." Marsden Wagner-who was director of Women's and Children's Health at the World Health Organization for 15 years, before his retirement

The sites, spaces and subjects of reproduction are distinctly geographical. Reproductive geographies span different scales - body, home, local, national, global - and movements across space. This book expands our understanding of the socio-cultural and spatial aspects of fertility, pregnancy and birth. The chapters directly address global perspectives, the future of reproductive politics and state-focused approaches to the politicisation of fertility, pregnancy and birth. The book provides up-to-date explorations on the changing landscapes of reproduction, including the expansion of reproductive technologies, such as surrogacy and intrauterine insemination. Contributions in this book focus on phenomenologically-inspired accounts of women’s lived experience of pregnancy and birth, the biopolitics of birth and citizenship, the material histories of reproductive tissues as "scientific objects" and engagements with public health and development policy. This is an essential resource for upper-level undergraduates and graduates studying topics such as Sociology, Geographies of Gender, Women’s Studies and Anthropology of Health and Medicine.

Your complete guide to having a healthy, happy pregnancy This updated and expanded third edition of Pregnancy ForDummies offers mothers-to-be practical advice and expert guidance on every stage of their pregnancy — and beyond! Understand what's happening with your baby and your body, and be guided through what to expect from labour, birth and becoming a new parent. Follow your baby's development — understand the changes you and your baby go through during all three trimesters Research your birth options — make informed choices that best suit your needs Care for your baby before birth — eat well and keep active during pregnancy Prepare for the birth of your baby — know what happens before, during and after labour Look after your newborn — find advice on breastfeeding and bringing your baby home Keep up with current issues —identify issues facing mothers today, such as returning to work or having children later in life Get expert advice on special situations — meet the challenges of multiple births, problems during pregnancy or miscarriage Open the book and find: Ways to increase your chances of getting pregnant Clear illustrations of how the body changes during pregnancy Advice for managing pre-existing conditions during pregnancy Discussion about complementary and alternative therapies Simple explanations of your birth options Information about parental leave entitlements Websites to access further support

With the increasing risk of litigation in midwifery, there is often a move to err on the side of caution and classify women as 'at risk' even if they present with only a hint of a problem. Reflecting the need for global professional standards, this unique book presents the available evidence on normality in childbirth and proposes new approaches and paradigms for future research and practice. Covering a variety of subjects, international contributors present evidence-based, practical expertise on normal birth to help readers become aware of the wide parameters of "normal" in order to practice effectively and safely. Explores the nature and implications of normal childbirth as opposed to birth with medical intervention. Challenges the fundamental assumptions underpinning current beliefs and attitudes surrounding normal birth. Synthesizes evidence to provide different ways of seeing normality and interpreting its meanings. Provides a highly applicable reference for readers with an interest in the multiple aspects of normal birth. With 18 expert contributors

The main aim of this practical Handbookis to strengthen counselling and communication skills of skilled attendants (SAs) and other health providers, helping them to effectively discuss with women, families and communities the key issues surrounding pregnancy, childbirth, postpartum, postnatal and post-abortion care. Counselling for Maternal and Newborn Health Careis divided into three main sections. Part 1 is an introduction which describes the aims and objectives and the general layout of the Handbook. Part 2 describes the counselling process and outlines the six key steps to effective counselling. It explores the counselling context and factors that influence this context including the socio-economic, gender, and cultural environment. A series of guiding principles is introduced and specific counselling skills are outlined. Part 3 focuses on different maternal and newborn health topics, including general care in the home during pregnancy; birth and emergency planning; danger signs in pregnancy; post-abortion care; support during labor; postnatal care of the mother and newborn; family planning counselling; breastfeeding; women with HIV/AIDS; death and bereavement; women and violence; linking with the community. Each Session contains specific aims and objectives, clearly outlining the skills that will be developed and corresponding learning outcomes. Practical activities have been designed to encourage reflection, provoke discussions, build skills and ensure the local relevance of information. There is a review at the end of each session to ensure the SAs have understood the key points before they progress to subsequent sessions.

Anna and Daphne have combined their many years of experience, producing an interesting and well written book based on fact rather than opinion, covering conception to postnatal. Most expecting mothers will not be seen by the NHS until around 12 weeks of pregnancy, and this book provides the advice and reassurance needed during this time. It also features a 'read your week of pregnancy', which offers mothers the opportunity to monitor symptoms that can indicate different things at different stages of the pregnancy. Issues broached in the book include: conception difficulties, what tests to opt for, how to break the news at work, when to tell an older child, taking your partner to the scan, opting for a caesarean.