As a certified and experienced childbirth educator and doula, I have a lot of concerns about this book. Probably the biggest concern I have is the philosophy of trusting in our current maternity care system that is placing our U.S. infant mortality rate in 32nd place world-wide, rising maternal mortality rates and the risk of leaving the hospital with a cesarean scar - the highest in history (nearly one in every three births). Personally, I will trust the system when the U.S. is in the top 5. For all the money we spend, we should be #1.
When Ms. McMoyler encourages us to learn to navigate the traditional healthcare [maternity care] system and to make "informed" decisions, she is suggesting that we become compliant and...obedient. However, far too often I witness out dated and non evidence-based information given to women regarding their labor, birth and lactation by the "licensed medical professional". This book does not fill that information gap nor, in my opinion, does one six hour class.
Despite the overwhelming research that finds that doulas lower intervention rates (including Cesarean Section) and improve breastfeeding rates as well as birth satisfaction, Ms. McMoyler advises "why I suggest that you don't" hire a doula. She describes doulas as "trendy", apparently forgetting that women supporting women in birth is a centuries old tradition.
I agree with her statement that birth is unpredictable. Not just the first birth, but every birth. Seeing the woman you love in labor can be frightening to most fathers or other companions. It is unrealistic to expect the father to be able to "guide and reassure" when this is the first birth he has witnessed. That fear can be eased by the presence of a doula. The doula acts as a calming factor, offering physical and emotional support, reassurance and information to both the mother and her chosen support person(s).
And...the statement "There's no such thing as a less than satisfying experience. The only objective is a `healthy mom and healthy baby---however you get there'", couldn't be further from the truth. I can attest to that personally and professionally. Just ask one of the thousands of healthy mothers with healthy babies who experienced traumatic births and/or are suffering from postpartum depression due to disempowering birth.
The useful information regarding coping techniques can be found in many other more useful books, which would be better worth your time and money.
Some that I would recommend are:
Pushed: The Painful Truth About Childbirth and Modern Maternity Care
Born in the USA: How a Broken Maternity System Must Be Fixed to Put Women and Children First
The Thinking Woman's Guide to a Better Birth
The Official Lamaze Guide: Giving Birth with Confidence
A Good Birth, A Safe Birth : Choosing and Having the Childbirth Experience You Want, Third Revised Edition
Pregnancy, Childbirth And The Newborn
Mothering Magazine's Having a Baby, Naturally: The Mothering Magazine Guide to Pregnancy and Childbirth