ABSTRACT

Facing the polar forces of an epidemic of Cesarean sections and epidurals and home-like labor rooms, American birth is in transition. Caught between the most extreme medicalization — best seen in a Cesarean section rate of nearly 30 percent — and a rhetoric of women’s "choices" and "the natural," women and their midwives, doulas, obstetricians, and nurses labor on. Laboring On offers the voices of all of these practitioners, all women trying to help women, as they struggle with this increasingly split vision of birth.

Updating Barbara Katz Rothman's now-classic In Labor, the first feminist sociological analysis of birth in the United States, Laboring On gives a comprehensive picture of the ever-changing American birth practices and often conflicting visions of birth practitioners. The authors deftly weave compelling accounts of birth work, by midwives, doulas, obstetricians, and nurses, into the larger sociohistorical context of health care practices and activism and offer provocative arguments about the current state of affairs and the future of birth in America.

part One|93 pages

Laboring in Transition

chapter 1|26 pages

Laboring Then

The Political History of Maternity Care in the United States

chapter 2|65 pages

Laboring Now

Current Cultural Constructions of Pregnancy, Birth, and Mothering

part Two|112 pages

Midwives in Transition

chapter 3|58 pages

Becoming a Midwife

Varieties of Inspiration

chapter 4|52 pages

Birth Matters

Practicing Midwifery

part Three|92 pages

Disorganized Labor

chapter 5|41 pages

Women in White

Obstetricians and Labor-and-Delivery Nurses

chapter 6|31 pages

The New Arrival

Labor Doulas and the Fragmentation of Midwifery and Caregiving

chapter 7|16 pages

Conclusion

An Unending Labor of Love