Meticulously documented, Optimal Care in Childbirth: The Case for a Physiologic Approach pulls back the curtain on medical-model management of childbirth. Written for those who want to practice according to the best evidence, assist women in making informed decisions, or advocate for maternity care reforms, Optimal Care in Childbirth provides an in-depth analysis of the evidence basis for physiologic care as the standard of care. The book examines:
- why the research shows so little benefit for physiologic care and so little harm from medical-model management
- what’s behind the cesarean epidemic
- what the research establishes as optimal care for initiating labor, facilitating labor progress, guarding maternal and fetal safety, birthing the baby, and promoting safety for mother and baby after the birth
- the true, quantified risks of primary cesarean surgery, planned VBAC versus elective repeat cesarean, instrumental vaginal delivery, and regional analgesia
- how the organization of the maternity care system adversely impacts care outcomes
About the Authors
Henci Goer, award-winning medical writer and internationally known speaker, has made it her life’s work to analyze and synthesize the maternity care research in order to determine what constitutes safe, effective, satisfying care in childbirth. An independent scholar, she has become an acknowledged expert on evidence-based maternity care. Her first book, Obstetric Myths Versus Research Realities, to which this book is the successor, was a valued resource for childbirth professionals. Wanting to give pregnant women and their families the same access to the research evidence and therefore the ability to make informed decisions about their care, she followed it with The Thinking Woman’s Guide to a Better Birth.
Amy Romano has worked in the maternity care field as a clinician, research analyst, educator, and consumer advocate since 2001. In 2010, she joined Childbirth Connection, where she directs the Transforming Maternity Care Partnership, a national effort to improve maternity care quality in the United States. Prior to joining Childbirth Connection, she practiced midwifery in the home, birth center, and hospital settings and taught in the nurse-midwifery program at the Yale School of Nursing. She also spent six years as a perinatal research and advocacy consultant to Lamaze International, where she analyzed, summarized, and critiqued research for the Lamaze community and launched the award-winning research blog, Science & Sensibility. Romano was also a member of the editorial team for the 9th edition of the landmark women’s health book, Our Bodies, Ourselves, released in 2011. She received her undergraduate degree from the University of Michigan and both a certificate and masters’ degree in nursing at the Yale School of Nursing. Romano was the 2012 recipient of the Kitty Ernst Award, one of the American College of Nurse-Midwives’ highest honors.