In this rare, behind-the-scenes look at what goes on in hospitals across the country, a longtime medical insider and international authority on childbirth assesses the flawed American maternity care system, powerfully demonstrating how it fails to deliver safe, effective care for both mothers and babies. Written for mothers and fathers, obstetricians, nurses, midwives, scientists, insurance professionals, and anyone contemplating having a child, this passionate exposé documents how, in the most expensive maternity care system in the world, women have lost control over childbirth and what the disturbing results of this phenomenon have been. Born in the USA examines issues including midwifery and the safety of out-of-hospital birth, how the process of becoming a doctor can adversely affect both practitioners and their patients, and why there has been a rise in the use of risky but doctor-friendly interventions, including the use of Cytotec, a drug that has not been approved by the FDA for pregnant women. Most importantly, this gripping investigation, supported by many troubling personal stories, explores how women can reclaim the childbirth experience for the betterment of themselves and their children.
Born in the USA tells:
* Why women are 70% more likely to die in childbirth in America than in Europe
* What motivates obstetricians to use dangerous and unnecessary drugs and procedures
* How the present malpractice crisis has been aggravated by the fear of accountability
* Why procedures such as cesarean section and birth inductions are so readily used

Creating Your Birth Plan helps expectant mothers make informed decisions about the assistance they'll require for childbirth. Designed to encourage collaboration between pregnant women and their caregivers, it includes information on:

- What to expect when delivering in a hospital, in a birthing center, or at home
- How to select an advocate to ensure expectant mothers' wishes are honored by their caregiver
- The natural stages of labor in a problem-free birth
- Explanations of various medical or surgical interventions, and potential complications and benefits of each
- Natural alternatives to drugs, technology, and surgery

Nelle nostre società industriali il parto è ormai considerato alla stregua di un'operazione chirurgica: ospedalizzato, sottomesso a una tecnologia invasiva dal costo, umano e sociale, elevatissimo. Una valutazione di questa 'macchina del parto' è stata avviata dall'Organizzazione Mondiale della Sanità, che sul tema ha organizzato tre grandi conferenze internazionali. Il libro ne raccoglie i risultati: delinea il processo storico, mette in evidenza i costi, i benefici e i limiti di questa scelta, suggerisce che cosa fare per attuare un'alternativa valida e praticabile.