Midwifery and childbirth in America1997

"The medical model of childbirth emphasizes the pathological potential of pregnancy and birth. An alternative model championed by midwives focuses on the normalcy of pregnancy and its potential for health. This book explains in a comprehensive and authoritative manner the conceptual and philosophical differences between these models and the effects and outcomes of these two different approaches to the care of pregnant women. While acknowledging the role and importance of medical obstetrics, the author persuasively argues that the most sophisticated medical treatment of pregnancy does not reflect the most sophisticated understanding of childbearing as both a physiologic process and an important human experience and transition." "While the book presents and analyzes a vast amount of scientific research on maternity care and childbirth outcomes, it also tells a fascinating story. It will inform and engage anyone who provides, uses, or pays for health care, couples considering pregnancy, and anyone interested in women and families." "The author describes the disparate backgrounds, training,and roles of certified nurse-midwives and lay or direct entry midwives, and explains the contributions of both groups. Both kinds of midwives currently face challenges arising from within the profession and from massive, rapid changes in the health care system. Rooks believes that maternity care and childbirth in America can, and should, be better than it is today, and offers steps to take in that direction."--BOOK JACKET.