An incisive yet personal look at the science and history of the most common surgery performed in America—the cesarean section—and an exposé on the disturbing state of women's health and maternal medical care
When Rachel Somerstein had an unplanned C-section with her first child, the experience was anything but “routine.” A series of errors by her clinicians led to a real-life nightmare: surgery without anesthesia. The ensuing mental and physical postpartum complications left her traumatized and searching for answers about how things could have gone so wrong.
In …
An incisive yet personal look at the science and history of the most common surgery performed in America—the cesarean section—and an exposé on the disturbing state of women's health and maternal medical care
When Rachel Somerstein had an unplanned C-section with her first child, the experience was anything but “routine.” A series of errors by her clinicians led to a real-life nightmare: surgery without anesthesia. The ensuing mental and physical postpartum complications left her traumatized and searching for answers about how things could have gone so wrong.
In the United States, one in three babies is born via C-section, a rate that has grown exponentially over the past fifty years. And while in most cases the procedure is safe, it is not without significant, sometimes life-changing consequences, many of which reveal stark racial disparities in healthcare. With C-sections all but invisible in popular culture and pregnancy guides, new mothers are often left to navigate these obstacles on their own.
Somerstein weaves personal narrative and investigative journalism with medical, social, and cultural childbirth history to reveal the operation’s surprising evolution, from its early practice on enslaved women to its excessive promotion by modern medical practitioners. She uncovers the current-day failures of the medical system, showing how pregnant women's agency is regularly disregarded by providers who, motivated by fear of litigation or a hospital’s commitment to efficiency, make far-reaching and deeply personal decisions on behalf of their patients, a reality that demands greater patient advocacy.
Invisible Labor, a powerful medical memoir, lifts the veil on C-sections so that people can make choices about pregnancy and surgical birth with greater knowledge of the risks, benefits, and alternatives, with information on topics including:
VBAC (vaginal birth after cesarean) and repeat c-section
Pain and pain management during childbirth
How C-sections can affect family planning
The valuable role of midwives and doulas in the birth experience
The myths behind “natural” childbirth
How limitations put on reproductive rights impact pregnant people
With deep feeling and authority, Somerstein offers support to others who have had difficult or traumatic birth experiences, as well as hope for new forms of reproductive justice.
This is a deeply moving, science-inflected journey through the modern birth experience, focusing on the role of the C-section. Somerstein explores this using her own horrific experience as a jumping off point, bringing in findings from public health and sociology to detail why the birth experience has taken its modern form and why C-sections have become so common. This gets into what society and the economy values, the influence of social forces on medical interactions, and more. I wish there was more history here, since most of the book is focused squarely on the last few decades, and I was also looking for more background on the development of different technologies/processes enmeshed with birthing. It's still a great read, and especially if you're not interested in those previous topics you'll thoroughly enjoy this book
