The Thinking Woman's Guide to a Better Birth

The Thinking Woman's Guide to a Better Birth

4.15 of 5 stars 4.15  ·  rating details  ·  1,662 ratings  ·  281 reviews
As an intelligent woman, you are probably used to learning as much as you can before making major decisions. But when it comes to one of the most important decisions of your life--how you will give birth—it is hard to gather accurate, unbiased information. Surprisingly, much of the research does not support common medical opinion and practice.

Birth activist Henci Goer giv...more
Paperback, 384 pages
Published August 1st 1999 by Perigee Trade (first published 1999)
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The Baby Book by William SearsIna May's Guide to Childbirth by Ina May GaskinThe Thinking Woman's Guide to a Better Birth by Henci GoerTaking Charge of Your Fertility by Toni WeschlerThe Complete Book of Pregnancy and Childbirth by Sheila Kitzinger
Books for Expectant Parents
3rd out of 162 books — 82 voters
Ina May's Guide to Childbirth by Ina May GaskinSpiritual Midwifery by Ina May GaskinBirthing from Within by Pam EnglandBaby Catcher by Peggy VincentThe Thinking Woman's Guide to a Better Birth by Henci Goer
Birth Books of Importance
5th out of 74 books — 65 voters


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Community Reviews

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Rachel
This book was so helpful! While Goer clearly states her bias for "natural" childbirth in the introduction (in a very nice, straightforward way), as someone who hasn't ruled out an epidural, I didn't find this book in the least bit alarmist or slanted. In fact, if I was convinced by the end of the book that the fewer medical interventions the better, it was only because of Goer's meticulous research, which appears both in a bulleted summary at the end of each chapter and in a long annotated bibli...more
Crystal
Jan 16, 2009 Crystal rated it 4 of 5 stars Recommends it for: Anyone who will have a baby
The reason this book only gets 3 stars is not because I didn't think it was helpful, but because the subtitle states that it is an "unbiased" view. However, the author is completely biased, and I got the feeling that she believes if you deliver in the hospital you have a high chance of your baby dying, or at least of having a c-section. However, 3 per 10,000 versus 4 per 10,000 is not really a "higher" risk in my opinion. She had lots of research, and I actually agree with most of her arguments...more
Jenna Jenks
Nov 23, 2007 Jenna Jenks rated it 5 of 5 stars Recommends it for: any woman who is currently pregnant or who has questions about her birth experience.
The Thinking Woman's Guide is, in my opinion, one of the best ways to prepare oneself for the choices involved in childbirth. Many women may not realize the draw backs to common birth practices, but this book goes through both pros and cons as well as how to make sure that if you do choose certain interventions that they are done in a way that encourages the fewest possible negatives. An important read for anyone who wants a say in their birth experience or anyone who questions what happened.
Andrea
Mar 30, 2013 Andrea rated it 1 of 5 stars Recommends it for: NO PREGNANT WOMAN EVER!!!
HORRIBLE! Please stay away from this book by all means, as it grossly exaggerates the risks of routine medical interventions during hospital birth while it downplays the dangers of real emergencies like hemorrhaging and shoulder dystocia in a home birth setting: "[...]things that go wrong in labor tend to go wrong slowly[...]" and "(The most common) unpredictable emergencies can be resolved or stabilized for hospital transport by a skilled pair of hands and readily portable medication and equipm...more
Danielle
History: I had a birth where with some minor interventions. Preparing for my second birth, I'm striving to be intervention-free (again), so I'm reading in order to remind myself, rather than taking a birthing class again.

This book isn't for 'thinking' women. It tells you exactly what you should think, and if you don't believe hospitals/doctors are Teh Evil, then you are clearly wrong. I was looking for something more balanced, that takes into account the fact that hospitals/doctors can have a pl...more
Tina
This book has some really great information that makes it a must-read for anyone who ever plans on giving birth in a hospital/under OB care (if you're already fully committed to a natural/home/midwife-attended birth, then much of this doesn't really apply to you and/or you probably already know this stuff). It's also an interesting read for anyone who wants to learn more about birth and the general way it's practiced in hospitals.

The author admits her bias toward natural birth right from the sta...more
Christy Ford
I think I would have had a more favorable impression of this book if it weren't for expectations set by the title.

'Thinking' implies facts. Lots of facts. It does not imply opinions.

Ms. Goer, however, has chosen to do our thinking for us. This book clearly has an agenda, and an opinion. The book strongly advocates for low-intervention birth in place of the highly medicalized lawsuit-shy assembly line which has become the norm in the modern US. Honestly, I largely agree with her that this philoso...more
Holly
Jul 18, 2010 Holly rated it 4 of 5 stars Recommends it for: All pregnant women
Recommended to Holly by: Laura Lund
This is the best book I've read so far for educating women about the risks and benefits of where, how, and with whom you give birth.I love the format of each chapter, which gives a bulleted pros/cons list of every drug and intervention you can think of, as well as the advantages and disadvantages of giving birth in the hospital, a birthing center, or at home with a OB, doctor, or midwife. Each chapter also ends with a section called "Gleanings from the medical literature," complete with footnote...more
Jeanna
I enjoyed getting a review of a lot of information I had previously read or learned. However, I am already very converted to her way of thinking and just needed some refresher information to back up my position. I think if I were strongly in favor of the modern obstetrical model of birth, I would be insulted by the assumption that "thinking women" all choose the more natural, midwifery model. If I were sitting on the fence, though, I think this book would give me a lot of reason to go the nonint...more
Mark
A thorough if biased book that describes how obstetricians are prone to treat pregnancy and labor as an illness rather than a natural process through medical techniques such as artificial induction, episiotomies, and cesarean births. The fundamental premise is that doctors often over-diagnose or overtreat women (primarily to cover their own liability) without much evidence to show this treatment has a positive effect, and Goer backs up her point of view with multiple references and summaries of...more
Courtney
The main point the author seems to make is that women who don't know their options end up not having any. The author admits to being biased in her interpretation of research, as she is an advocate of natural birth. However, many in the mainstream United States' medical community tend to also be biased (albeit in the opposite direction) when they inform of the risks/benefits of various birthing options. So become an educated parent, not relying on any one source's statements--this book is just a...more
Michelle
When I first picked up this book as required pre-reading for my studies into becoming a Doula, I thought it would be great. As an educated woman, "The Thinking Woman's Guide" particularly appealed to me.

But this book is last in a series of other readings I've recently done into childbirth (including authors such as Ina May Gaskin, Michel Odent, Klaus & Kennell, Penny Simkin, Janet Balaskas) and the title when finally picking up the book didn't seem to fit. For a "better birth", a mother nee...more
kristin
I read the retarded What to Expect. . . book when I found out I was "expecting" my daughter. It glazed over some pretty pesky, fairly common things to expect while you're expecting. And Murkoff (et al) wasted way too much text on parenthetical cuteness and punning to leave room for instilling confidence on one's body.

The Thinking Woman's Guide cannot be accused of those things. It tells you that a lot of scary shit can go down while you're trying to have a baby, and that there are plenty of way...more
Amanda
This book was meticulously well-researched. Despite being ten years old, it is incredibly relevant and important for anyone thinking about having a baby to read. There are more supporting articles and back-up data in here than any other birth-themed book I've come across, allowing one to really delve into specific subjects if they wish. I especially appreciate the alternative means the author establishes are available before jumping to a traditional intervention. The path to having a baby is not...more
Kendra
Okay, I read this book after reading Pushed. I am pregnant for the second time and am trying to educate myself on childbirth options. This book was informative and thorough, with plenty of sources cited to back up the author's opinions. I did gain some valuable insight into how many unnecessary interventions are entrenched in our current hospital labor and delivery wards, and how difficult it can be to avoid such interventions. It's even encouraged me to decline when offered a routine induction,...more
Mary
Mar 31, 2010 Mary rated it 5 of 5 stars Recommends it for: any expecting parents
Recommended to Mary by: my sister
I loved this book! For me, it was not so much a life-changing eye-opener as I assume it could be for people never exposed to homebirth and so on, but more an affirmation of many of the ideas that I have felt intuitively in my pregnancy. It was nice to have some scientific back-up though since I often feel like a counter-culture hippy with what I guess were extreme views since they didn't seem shared by many people I know. I will say I did learn a lot though. For example, I knew I didn't want an...more
Jeff
Overall this book was informative and worth reading, and while I agree with the overall conclusion, I'm disappointed with the method. The author's premise of presenting the facts so that a thinking (wo)man could evaluate their options was not achieved. There was a clear bias toward natural birth that was evident in the tone, the obscure presentation of data, and the contradictory logic.

The tone of the book was very negative on hospital births, with repetitive statements about the dangers of givi...more
Inder
Ah, the politics of childbirth. There is a lot of good information here, and I largely agree with the author, but found her aggressive polemics to be a turn-off at times. If you are looking for an indictment of the "obstetrical mindframe," this is your book. This book does a more-than-adequate job of telling you what you don't want when it comes to childbirth. But if you are looking for helpful hints on how to manage labor naturally (that is, what you do want), look elsewhere (specifically, you...more
Melissa Wilkinson
I started at the back of the book because I was anxious to read about OBs vs midwives and the chapter on "location location location", which is fine, but I wouldn't recommend doing if you can start reading it earlier on in the pregnancy (I’d recommend right away; alongside when you're choosing your caregiver at square one). Especially if it's one of your first books, or you're just starting to 'educate'... It gets a bit overwhelming with the position they take (the back of the book says it's har...more
Julia
I think its fascinating that women have such different opinions about childbirth...ranging from it is the worse pain you will ever feel to it is easy and a beautiful experience. I like this book because it is research based and she includes all the research at the end of the book. Its amazing that all the interventions that supposedly save a baby from distress can at the same time cause extreme distress for a laboring mother and result in c-sections and other drastic interventions. I think this...more
Lauren
I read this book on the recommendation of one of my good friends. And despite the three stars, I really kindof liked it. Most of the books I've come across for this phase of life seem to be pretty biased. A few haven't been. This one struck me as especially so, and the title was nearly insulting to those who disagree, which is why I hesitate to give it more than three.

That being said, it was helpful for me to more fully understand the home/natural/anti (at times) medical view, and at least the a...more
Ami Vincent
This was recommended reading by my doctor which I enjoyed. (As much as you can enjoy a book that is full of research and statistics and citations!) It's a very well researched book to a give women a resource that clearly says 'here are the pros and cons to all the choices you are given in childbirth'. So when making decisions along side the caregiver, women can really give 'informed consent'. At the end of each chapter is a section that lays out in a list form the pros and cons of everything dis...more
Doreen
Clear, comprehensive overview of modern birth practices and how they work to the advantage/detriment of laboring women. I'd started this book first of the pile of "natural birthing" books a friend loaned me, and found the tone somewhat strident... and then I hit pause and read the other books and found this the most thoughtful and least grating of the bunch. Ms Goer has clearly done a lot of research on the subject and I do feel myself more educated for it. I don't know if it would necessarily c...more
Ashley
This book is amazingly full of all the research and information about how to understand all that goes into obstetrics and childbirth processes in hospitals (I say hospitals because it only contrasts home-births from hospital births in general). It helps you understand your choices and options and all the stuff that doctors and nurses don't have time to inform the expecting mother about. This book plus Husband-Coached Childbirth are the two books I'm grateful to have read to prepare me for childb...more
Alisha
This book blew my mind and I have read the bulk of books about birth that are currently circulating.

The way it is organized is fluid and allows for easy key points review, which was beneficial the first time, but will be even better as I am getting quite a few calls about natural birth lately.

Basically, this book makes it undeniably clear that homebirth is good and frankly preferable, and it is explained through the statistics. It doesn't hurt that the last 3rd of the book in an appendix of the...more
Michelle
This was the last book I needed to read for my doula certification, and is another fabulous resource. The only reason I gave it four stars is because having been published in the late 1990's, some of the hospital policies are outdated. However, the research and information is still very much relevant on the things that today's laboring mother will come up against. The pros and cons and risks and benefits of things like epidurals, inductions, repeat cesarean and artificial rupture of membranes is...more
Tom Panning
I only made it through the introduction and a sampling of two other chapters to see if the tone of the book changed; I just didn't want to wade through that much negativity. In this book, Henci Goer is on the attack. The text on the back cover points out how hard it is to find unbiased in formation on childbirth, and if you're looking in this book, that's certainly true. To be fair, Henci Goer points out in the introduction that she is biased, and I don't hold that against her. But the contents...more
Mimi
First, this book is exceptionally researched, and in the back of the book (taking up over one hundred pages!), you can find literature summaries, a bibliography, charts, and an index. It was very impressive. I enjoyed that while she admitted a few times in the book that she obviously has her own opinion, the vast majority of the book is merely a retelling of the intensive research she has conducted.

And while some books will only list pros to medical interventions at childbirth and others will li...more
Anna
Love the concept of this book, but I think it falls short on delivery.

First and foremost, the organization is off-putting. Rather than relegate supporting evidence to an appendix of sorts, the exercise would have been far more productive with coordinating end notes. As a reader, I would like to know exactly which studies are referenced on one page vs another.

Secondly, I appreciate (and often agree with) Goer's bias toward natural childbirth. Nevertheless, this book has more than one sin of omi...more
Brittany
“The typical obstetrician is trained to view pregnant and laboring women as a series of potential problems, despite the fact that pregnancy and childbirth are normal and physiological processes that are no more likely to go seriously wrong than, say, digestion.”-Henci Goer

The blessing of having this book recommended to me came in my second pregnancy, not my first. I had planned on having a home birth completely removed from all of the medical procedures that I eventually had to make decisions ab...more
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The Thinking Woman's Guide to a Better Birth (Kindle Edition)
The Thinking Woman's Guide to a Better Birth (ebook)
The Thinking Woman's Guide to a Better Birth (ebook)
The Thinking Woman's Guide to a Better Birth (ebook)
The Thinking Woman's Guide to a Better Birth (ebook)

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