Jump to ratings and reviews
Rate this book

Your Best Birth: Know All Your Options, Discover the Natural Choices, and Take Back the Birth Experience

Rate this book
The national C-section rate is at an all-time high of 31 percent. Are all these C-sections necessary, or are some of them done simply for the sake of convenience? Inductions seem to be the norm, but are they always needed? Today, expectant mothers are often left feeling powerless, as their instincts are replaced by drugs and routine medical procedures.

What you are about to discover is that you have a choice, and you have the power to plan the kind of birth that's right for you-whether it is at a birth center, a hospital, or at home. In Your Best Birth, internationally known advocates of informed choice Ricki Lake and Abby Epstein inspire women to take back the birth experience, with essential advice Positive and negative effects of epidurals, Pitocin, and other drugs and interventions
Inducing vs. allowing your labor to progress naturally
The truth behind our country's staggering C-section rate
Assembling your birth team and creating your birth plan.

With chapters such as " Finding Dr. Right," " You Haven't Got Time for the Pain," and "Electronic Reading between the Lines," Lake and Epstein will encourage you to consider whatever your doctor, mother, and best friend may suggest in a new light. The book also includes inspiring birth stories, including those from well-known personalities, such as Laila Ali and Cindy Crawford. Packed with crucial advice from childbirth professionals, and delivered in a down-to-earth, engaging voice, Your Best Birth is sure to renew your confidence and put the control back where it with parents-to-be!

"Abby Epstein and Ricki Lake have taken a wonderful and constructive approach to ensuring an optimal birthing experience. Their language creates a 'climate of confidence' for pregnant women and their families, who must make key decisions about where, how and with whom to give birth in a health care system often unresponsive to our needs. This book is like a good friend giving wise counsel." -- Judy Norsigian, co-editor of Our Bodies, Pregnancy and Birth and Executive Director, Our Bodies Ourselves

272 pages, Paperback

First published January 1, 2009

27 people are currently reading
464 people want to read

About the author

Ricki Lake

8 books3 followers

Ratings & Reviews

What do you think?
Rate this book

Friends & Following

Create a free account to discover what your friends think of this book!

Community Reviews

5 stars
340 (29%)
4 stars
463 (40%)
3 stars
281 (24%)
2 stars
48 (4%)
1 star
17 (1%)
Displaying 1 - 30 of 216 reviews
Profile Image for Christina.
368 reviews12 followers
April 14, 2010
I found an interesting quote halfway through this book by a midwife meeting up with friends at a college reunion: "[They:] were divided into two categories: those who had chosen to deliver with a doctor, had had a bad experience, and promised me that next time they were going straight to their local midwife, and those who had done their homework ahead of time and had delivered with midwives."

That quote encapsulates the tone and feeling of this book perfectly. In the author's mind and in their descriptions, there are only two choices for births: a horrible, degrading experience with a doctor, or a beautiful, natural experience with a midwife. Oh, they give lip service about accepting C-sections when necessary and perhaps sometimes pain relief for those who are extra "anxious," but the absolute bias is there from the beginning, when they describe a "typical" hospital birth from beginning to end in such gruesome and awful detail that a naive reader would want to flee to the Himalayas and give birth on a mountainside rather than subject themselves to such indignities. In contrast, the beautiful, lovely experiences of all the home births and birthing center births are just the picture of perfection.

Laying aside the fact that I've had six "typical" births at a hospital, including twins, and have never been treated with half of the interventions or indignities they describe, I felt the book was absolutely insulting to all the good doctors who deliver babies. The message of the book is this: You might, if you are exceedingly lucky, end up with a compassionate, caring doctor who cares about your choices in birth, but most likely, you'll get one so scared of lawsuits and so steeped in the business that they'll force you into one unwanted intervention after another and rob you of the experience of becoming a "birth goddess."

Also, for a book whose sole purpose is to advocate for natural birth, there was surprisingly little information in it about actual labor management and coping techniques. There was a short chapter on some of the options and that was it. I guess they figured it was more important to spend the book advocating for midwives and disparaging doctors.

The book was also poorly presented, using very little research to back up their claims, and I don't recommend it.
Profile Image for Sarah.
109 reviews1 follower
July 23, 2009
I am not pregnant, but I got interested in this book after I saw Lake and Epstein's documentary "The Business of Being Born." The authors do not hide their bias for more woman-centered birth care (for healthy moms carrying normal pregnancies i.e. not breach, multiples, etc.), which almost universally comes from midwives. However, the authors' primary goal is to help each mom discover her best birth for her and how to get it. If that means traditional obstetric care and a hospital birth, they give you the tools to make the most of that experience. This book is exceptionally practical, offering lists of questions for women to ask care providers. It includes great info on the goals/strengths/limitations of different paths to having your kid, and explicitly lays out the cascading effects that can happen with the way most hospitals handle births. It neither deifies moms who choose home births attended by a midwife nor villifies women who choose to have a scheduled C-section in a hospital. If I had a pregnant daughter (or one who was contemplating pregnancy), I'd give this book to her. I can't recommend it highly enough. I hope this becomes the perinatal analog to "What to Expect When You're Expecting."
Profile Image for Holly.
529 reviews70 followers
July 18, 2010
I selected this book while browsing the pregnancy/birth shelf on the strength of the title alone, and I'm so glad I did. It definitely is biased towards natural childbirth - but what birth book doesn't have a bias? Afterall both Ricki Lake and Abby Epstein support homebirth, with Ricki having birthed one of her own sons at home. This was not a problem for me, since my birth philosophy lies along the same lines. I'm not sure if it was the best introductory book to the pros and cons of epidurals, pitocin, and other drugs and interventions, but it may act as a springboard to other, more statistical and study-based childbirth books which present all the choices to you. What I like about Your Best Birth, however, is that it actually is what the title says it is - offering expectant mothers all their options and letting them decide how, where, and with whom they would like to give birth. This is a companion book for the authors' documentary The Business of Being Born, which I can't wait to see.

Noteworthy chapters/passages:

-The forward, who is by renowned OB-GYN Dr. Jacques Moritz, whose own wives delivered at home with midwives.

-Not Your Mama's Birth Plan: particularly the World Health Organization stats and birth in the Netherlands (all healthy, low-risk women see midwives, and can choose they day they go into labor whether they'd like to have their baby at home or in the hospital). I want to have a baby in the Netherlands!

-Obstetricians, Finding Dr. Right, which talks about the legal pressures doctors face, and their residency training, which commonly consists of high-risk pregnancies, and the downside for having so much expertise. Love the analogies here, explaining how OBs "look" for ways to use their cool tools when they may not be needed. Also loved the former World Health Org. director of maternal/child health comparing hiring an OB for normal childbirth like hiring a child psychiatrist as a babysitter. The explanation of this new high-tech, low-touch method of childbearing, even how much is changed in the last 20 years, is enlightening.

-Midwives, Not just for Hippies anymore: Few Americans know the training and knowledge of a midwife. A midwife can do anything a physician can do except C-sections, vacuum or forceps-assisted deliveries, or repairing third or fourth-degree tears. They can arrange for an epidural, adminster pain medications, induce labor, give an episiotomy, or repair natural vaginal tears. Midwives are just plain awesome!

-Doulas: Great chapter for anyone who knows nothing about these labor companions.

-Electronic Monitors, Reading Between the Lines: Illuminating quotes from the inventor Dr. Hon, who's since said electronic fetal monitoring was never intended to be used so routinely and prevalently. Love the analogy that of course you're going to find something "wrong" with someone if you listened to their heartbeat 24 hours beat-by-beat. There are more quotes by OBs that call EFM "an embarassment", since it hasn't decreased cerebral palsy , mental retardation, or seizures after birth, and the C-section rate has only gone up.

-Cesarean Sections and VBAC: I had an non-emergency C-section myself for breech presentation and even I didn't know exactly what the surgery entails: moving bladder, bowel out of the way to get to your uterus after layers and layers of incisions, to have your uterus pulled outside of your body once the baby's out, set on your stomach, examined, and stitched up by the doctor. Eww, ouch. I don't want to have to go through that again.

-Take Back Your Birth: PLEASE see the World Health Organization Recommendations for the Best Birth, and how much they differ from standards and statistics in the U.S. Even though the U.S. spends millions more on health care than any other country, our maternal and neo-natal outcomes are far from the best, and our C-section rate is one of the highest in Western countries.
Profile Image for hadashi.
92 reviews1 follower
August 16, 2013
this should NOT have been the first preggers book i read.
okay, the subtitle for this book is "know all your options, discover the natural choices, and take back your birth experience" but it should be "know that you will have to fight tooth and nail just to have a vaginal birth not lying down in stirrups." at least that is what it felt like.
honestly, this book kinda freaked me out. it presents birth as an epic struggle between managed medical experience (bad) vs. all-natural home experience (good). i get that this still happens, but for me -- at we heart breastfeeding/no nursery hospital, with an OB i like and trust, a lot of this didn't apply. plus no matter what, at the end of the day, i really do just want a healthy, live baby. i fully admit i judgmentally think that the attitude of this book, and that i've seen on doula and natural childbirth websites, is selfish: that MY experience is the most important thing. i get where they're coming from, but seriously. i lost three children already. if having a C-section is what gets me my son in his best health, then fine. yes, lots of good questions to ask the OB and the L&D peeps beforehand, and was a good prep for the L&D class (what to listen for) but also WAY too anxiety-producing about what could be done to me or forced on me or whatever. i get that i'm supposed to feel empowered by having knowledge, but hello i am growing a LIVE HUMAN BEING INSIDE ME and that trumps anything as far as feeling empowered. i don't give a crap about being a "birth goddess." i care about having a healthy baby & then being a decent parent.

UPDATE: i had a natural, 100% drug-free birth & breastfed my son immediately. In. The. Hospital. my awesome DOCTOR (not midwife) drove in especially to deliver my healthy son. take that, Ricki & co. and big ups to supportive doctors & hospitals...they exist.
Profile Image for Dani.
206 reviews
September 1, 2009
Every pregnant woman should read this for a good introduction to her different options for delivering a baby and why the standard hospital model may not be the best one. The book's conversational style makes it accessible to everyone, but it isn't fluffy. It doesn't vilify hospitals or doctors, but it offers a surprising peek into the way obstetrics is practiced in this country today, and how hard a woman often has to fight to have her baby the way she wants.

It intends to give an unbiased view of all the options, but a natural birth definitely comes out on top. Some reviews here have called that a bias, but the authors don't actively promote one option over the other -- they just discuss how difficult it can be to achieve a natural birth in a hospital setting as well as the risks associated with the standard interventions. These are aspects of a medical birth that simply do not get discussed, and thankfully someone with some star power is making some noise.

One of my favorite lines was that a woman will spend more time researching a stroller than her options in giving birth, an experience she will remember for the rest of her life. Start your research with this book.

23 reviews
October 19, 2009
I agreed to read this book to discuss it with a friend, not because I was drawn to it personally. I saw the documentary a year or two ago and this book is the follow-up to it. I found many of the premises to be really flawed. It was inflammatory, took facts far out of context to paint a very negative picture of childbirth in this country, and in many ways appeared to be a scare/guilt tactic. I think the benefits of the book are to help someone think through what they want their birth experience to be like, though reality isn't likely to perfectly match someone's plans or hopes. I don't think that a home birth is the only way to have a beautiful, fulfilling birth experience, and I fear they don't validate women who make different choices. I would not recommend this book.
Profile Image for Chrisanne.
2,940 reviews63 followers
April 12, 2019
So I am not pregnant.

But my sister-in-law was. And she had a miserable delivery. My neighbor(who I'm still convinced is superwoman) was also pregnant and she also had a terrible experience. Literally traumatizing. So much so that she may never be able to physically have another child.* So I'm becoming a bit of a best birth advocate. Which is why I read this book.

So, let's look at this book. It's definitely biased in favor of natural birth, less intervention, and being able to choose your experience instead of being dictated to by (sometimes) a person who has never and will never have a baby in their life.

That being said, they have plenty of evidence that this might be the best way in most cases. I liked it because it was less hipster than Gaskin, who kinda freaked me out at the beginning of her book, and also because I have seen, as pointed out at the beginning of the review, extreme negative experiences. It was also interesting that there is a spike in c-sections around 4pm and 9pm. Suspicious? Yep.

They are definitely more biased in favor of the patient than they are in favor of natural childbirth (at home, at a hospital, wherever). There were positive stories of hospital births. There were, according to them, valid reasons for going to the hospital, using an OBGYN, etc. ** I felt that they tried to be neutral and definitely wanted the best for their readers. However, the terminology "birth goddess" bugged a bit. Just a teensy bit hippie-ish.

Now I want to watch the film and see if they talk about the billing aspect... If Drs got paid less for a c-section and more for a natural delivery would they still schedule them as frequently?

My personal opinion is that we have become a society that can't deal with pain. I have ancestors who buried multiple children, spouses, left their homes 7 times, never saw their parents or siblings again, were dirt-poor for the entirety of their life. They didn't avoid or block the pain(and, for the records, surprisingly few of them died in childbirth) . For them it was a part of life. Something to be worked through, not buried. We're a little different of a society now. If you can't handle this kind of pain, get that epidural. No shame. But I don't believe that any birth will be 100% pain free. It can't. That isn't the nature of life.




*My husband is compiling a list of physicians I can never see based on our acquaintances' experiences. Who does that? He does, because he rocks.
** Thank you Downton Abbey for a making Preeclampsia education a thing. And thank you Downton Abbey for also making pre-birth jitters more prevalent.
*** Read Lost Connections: Uncovering the Real Causes of Depression - and the Unexpected Solutions and Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick
520 reviews24 followers
August 17, 2009
I finished reading Your Best Birth by Ricki Lake and Abby Epstein. I mostly really loved the book. (I will put the only drawback I found at the end.) Through most of the book I was thinking, this is exactly what I would say if I wrote a birth book!

I love that it is not a book about “natural childbirth” rather it is focusing on educating yourself on your options and choose what is best for YOU. That is my own personal point of view as a childbirth educator and mom. There are a lot of choices out there for birth. This book gives a great overview of many choices and the pros and cons in a very easy to read format.

I usually recommend The Thinking Women’s Guide to Giving Birth and probably still will. But it is definitely geared towards natural childbirth and more technical, so I think most mainstream moms wouldn’t read it. I think most moms would enjoy reading Your Best Birth. I want to buy a copy and give to every pregnant woman I know early in their pregnancy! The sooner you figure out what you want for your birth, the sooner you can see if your care provider is a good match for you.

Here are some of my favorite quotes and my thoughts about them.

Why bother learning about birth. You can’t predict what will happen!

“Even though you can’t predict, you can prepare. You can get to know your body, understand your fears, strengths and values and get familiar with how the medical world might react to all of that and all of you. This book is an attempt to put in your hands all of what we didn’t know when we started to consider the births of our children so that you can give your life with your baby a good start by arranging the best birth possible.”

YES! So true, you can’t predict what your birth is going to be like, but you can prepare to have the best birth possible. I think this book does that.

What is a Best Birth?

“…we feel that the true mark of a “best birth” is when the mother is respected, informed, and treated as a participant in every decision about her pregnancy, labor, and delivery. We have observed that when doctors and midwives treat mothers as active participants in their own childbirths, the mothers always feel empowered, no matter whether their births are natural or surgical.”

YES! Again a mom may have an elective cesarean be her best birth, after researching her options and making a choice to do so. If she chooses to have an elective cesarean because her OB scared her into it, it will not be empowering. It is the same type of birth, but very different experience for the mom.

Choosing Care Providers

“If your prospective caregiver makes you feel uncomfortable, difficult, or stupid sitting in the office, just project forward to how those same feelings will affect you on the day your child is born.”

YES! Choose your Care Provider wisely! This can not be overstated. Also, even if they make you feel comfortable, you still need to know where they stand on certain issues. If they induce most of their patients at 38 weeks, that will be setting yourself up for an induction. ASK questions and listen to the answers and notice how you feel when they are answering them.

Childbirth Classes

“…there is no other area in our lives where we would so easily give over the decision making. “Many peoples spend more time researching the stroller than they do trying to understand the physicality and the emotional-loadedness of getting a baby out of their bodies,” she said. And a good birth class might actually change your mind about some of the things you didn’t consider.”

YES! This is so true and so sad. So many moms don’t take the time to learn about birth. They say, “I will go to the hospital and they will know what to do.” This is crazy to me, the hospital knows how to give institutionalize, one size fits all care. So yes, they will know what to do, but it may not be what is best for you or your baby. Also dealing with your emotions and fears before your birth will help so much during your birth!

“Look for classes that limit enrollment to no more than ten couples and take up fifteen total hours of class time. Erica believes that’s the minimum time necessary to educate couples in all their choices as well as coach them in some effective coping techniques. “Massage is a tool; privacy is a tool; vocalizing, breath work is a tool; visualization is a tool. This is why I don’t believe there is a method. It’s like telling people there is a method for sex.”

YES! I like that they earlier said, “don’t take hospital based classes.” An independent childbirth class is the best place to learn about all your options. Smaller class sizes are better for more individualized instruction. Also I agree there is no “method” to give birth. I teach Hypnobabies, but in the class I am teaching many tools and with their practice at home they are reinforcing those tools. Then during their birth they have a huge bag of tools to pick and choose from!

What I didn’t like.

As a Hypnobabies instructor I was happy to see hypnosis for childbirth mentioned. Moms have different choices when choosing which method to use. Each program offers different tools and information.

From the book, “Some midwives and doulas feel that moms who study HypnoBirthing may derive benefits from taking the course but are often disappointed when they start to experience pain during their labors. These midwives and doulas warn clients not to harbor a false expectation that their births will be painless and then feel discouraged when they are not.”

This is a concern for many midwives and doulas that have only seen HypnoBirthing births. So I wish that they had shared information about Hypnobabies, which is a very different program.

Hypnobabies has medical grade hypnosis (same depth used in dental surgery), 6 post hypnotic cues, and 10 hypnosis scripts on CD to listen to with 3 just for your birthing day. The tools with Hypnobabies are so powerful along with complete childbirth information. I hate to see moms and care providers lump all hypnosis for childbirth methods together.

As the Hypnobabies Yahoo Group Moderator I read many birth stories where mom is completely comfortable for her birth! I have gathered over 200 here and continue to put new ones here.

So overall, I think this is a great book for expecting moms to read. Just remember if you are interested in hypnosis for childbirth, look at all your options!
Profile Image for Jillian.
303 reviews2 followers
June 17, 2022
I'm 37 weeks pregnant with my 3rd and decided I needed to do a little refresher before I give birth any day now. This helped remind me why I've chosen unmedicated births.

I'm still nervous that I won't get "lucky" with easy(ish) births and healthy babies 3 times in a row, but I do think a little fear before birth is better than expecting everything to go as planned and feeling like a failure if it does not.
Profile Image for Amanda.
13 reviews4 followers
January 7, 2012
I really liked this book for the helpful lists of questions it provides for you to ask a doula, midwife, etc... Overall the book is very informational.

It is, however, very slanted toward a natural (unmedicated) home birth. Hospitals aren't exactly slammed out right, but the chapters on hospital birth centers and hospital births left me scared and feeling like the only way I would be able to control my birth was if I did it at home. So, the book is slightly emotionally manipulative which is dangerous when you're pregnant and hormonal!

If you choose to read this book, read it with your partner so he/she can keep you balanced and level-headed. It's really important to be informed of all your options, but it's also really important to stay realistic to your situation. While a home birth might be ideal, it just won't work for every situation. Or, you may prefer a birthing center but, like me, they simply don't exist in the area in which you live.

Read the book slowly, take it in, but check it against reality.
Profile Image for Eris.
119 reviews15 followers
April 29, 2009
This book is perfect for those trying to decide what to do with their birth options, and even better for those trying to explain their desire to "go natural" to their friends or relations. It is so sad that in this day, you have to explain and defend your choice to NOT be operated on or filled with hormones - but this book gives very good, concise information to help inform others exactly WHY those options are not necessarily the route you want to take. It does not demonize the hospital birth so much as put it in its (I believe) proper place - a thing that very FEW of us should need, rather than most of us. Everything in its place, including the always debated epidural. It put my mind at ease, having read it a few weeks before getting ready to give birth with my midwife, and helped reaffirm that I did make the right decisions for myself.
Profile Image for Kelly.
86 reviews80 followers
July 9, 2009
I got this from the library thinking "what the hell would Ricki Lake know about the birth experience?" Of course that was kind of stupid of me since she DOES have two children and probably spent a lot of time reading and researching -- just like I am now.

Simply put, this book blew me away. Though some will find fault with the fact that it has an obvious bias toward natural birth away from the hospital environment, it leaves plenty of room to include women who have had all varieties of birth experiences by choice or for health reasons.

The basic message of the book is that all women should be well informed whether they choose a traditional hospital birth or a water birth in their own home. Know your options and ask lots of questions so you can take back the birth experience!
Profile Image for Martha.
279 reviews51 followers
May 7, 2009
Received this in advance of it's publication since we're having a showing of The Business of Being Born....this is the best book to prepare women to birth in an informed and empowered way. Do not read What to Expect When You're Expecting....rubbish...even docs hate that book. They won't like this one either as it reveals the shortcomings of hospital births. Each baby born on a doc's shift is worth extra money to the doc...shocking facts that should steer women away from controlling birth attendants, and to those who respect her wishes and desire to assist rather than control.
Profile Image for Ellis.
1,217 reviews172 followers
November 20, 2014
Why is there so much animosity towards mothers & birth in the medical community? We all had to be born. If my OB ever told me to "shut my mouth & open my legs," I'd kick him in the face.
Profile Image for Rachel.
1,122 reviews1 follower
Read
December 2, 2014
They definitely had an agenda, but I thought the information was useful.
Profile Image for Desiree.
73 reviews
March 23, 2023
I chose this book as an optional reading to do a report on, for my doula certification. Although there are some useful parts, such as lists of questions to providers, checklists, and definitions and explanations of different procedures, most of the book is too biased for me to recommend (besides a lot of the scenarios not being transferable at all to our Canadian situation for childbirth).
The first chapter starts off very well and makes me think that "your best birth" will lead readers to see that each person has a different idea or definition of what best is and that the experience will also greatly differ, but we can still strive to make it our best birth. Beyond that chapter, everything else is sometimes subtly and sometimes abruptly biased towards what the authors see as "your best birth", which is basically the option they are trying to steer you towards: Basically, hospitals are bad and home births or freestanding birth centres with a midwife are the best.
Since I have not had a child or have any on the way, I am not biased in my review due to my experience from the birth I had or desire to have. None here! Simply put, as a doula, I was looking for an open, welcoming, empathetic resource to ask my clients to read and feel good about the many choices there are and the many situations parents find themselves in. It's not this one.
Profile Image for Melanie.
933 reviews66 followers
October 19, 2016
Ugh. I had to skip parts of it.

The book was basically propaganda, but not even the helpful kind. It just went on and on and on about overly medicalized hospital births in the United States, and the alternatives of midwives and doulas, but unfortunately there was scant information about topics like how to manage pain in labor or when to throw in the towel and get yourself to a doctor.

Also, it was written at about the 8th grade level and came off as overly whiny. I didn't see a lot of solid research or citations.

I have a big issue with the way the authors fail to distinguish between a CPM and a CNM. One (the type that does home births, a Certified Professional Midwife) is the Jill Duggar of midwifery. The other, a Certified Nurse Midwife, actually has a degree in nursing. The difference between the two is 4-6 years of schooling and professional competencies. A CNM is far superior to a CPM.
Profile Image for Jamie.
173 reviews1 follower
April 21, 2019
VERY biased but also informative. It says here and there that this book's intention is just to give you information and then whatever you choose for yourself during labor and delivery is up to you. BUT the information is clearly one sided towards natural birth in all ways. There is a bit of fear mongering about doing otherwise. On the other hand, I do feel that having information empowers you and I don't doubt that the information given is true; just the way that it's presented makes it sound like you would be crazy if you did this or this (unless you had a medically valid reason for it).
1 review
August 13, 2019
This book prepares you for every possible birthing experience; ranging anywhere from conventional hospital births to at home water births and VBACs. Great read if your are thinking about becoming pregnant or currently pregnant. Gives the reader an informed understanding of what’s to come while giving birth. This book is backed by professional research & experienced moms. :)

*Though the book is slightly bias for natural births. The author does remind you that it is YOUR birthing experience which was well appreciated.
270 reviews3 followers
February 24, 2019
Really good overall summary for those looking to decide what kind of birth path they want to take. Best for someone coming into the 'natural' world as it comes with great recommendations but also speaks to the unknowing audience. If u want more in-depth, get another companion. Best for beginners which is not a bad thing! More women need to be informed. One more star if talked about orgasmic birth and more painless birth stories.
Profile Image for Carla "Kar" Schmidt Holloway.
191 reviews5 followers
May 25, 2020
This book is an excellent resource that lays out all your options without being too clinical and without skirting around the spiritual and emotional aspects of birth. I do wish it were not so hetero-normative and cis-normative.
Profile Image for Heather.
19 reviews
May 2, 2018
Almost anti-hospital, but still fairly informative.
34 reviews
June 1, 2025
My first birth book

I read this book when I was preparing for my first birth. It opened my eyes to many things and has helped me prepare for all my 3 births.
Profile Image for Ken.
135 reviews23 followers
August 3, 2009
According to the authors of Your Best Birth, the U.S. tends toward a model of childbirth that is far too focused on the medical, on bypassing the natural process of childbirth in favor of a managed, controlled and clinical production. Childbirth, in the U.S., is an emergency -- a crisis -- requiring constant monitoring and frequent intervention in the form of epidurals, episiotomies and c-sections. Indeed, the c-section rate in this country is much higher than it would be if the operation was performed for lifesaving reasons alone.

In Your Best Birth, we are taken through a "typical" hospital birth as well as several alternative birth experiences. The stories are a mixed bag: some warm memories of a supportive, natural and beautiful experience. And, some regretful looks back at a loss of control over the birth experience in the hospital. Also, a lot of stories that fall somewhere in between, which is probably where most of us end up.

The authors are careful not to vilify doctors, who have the skills to save lives when that becomes necessary. Still, they point out that a healthy fear of malpractice suits leads to a focus on "covering the bases," on opting for intervention when nature is likely to have done just fine.

There is a strong message in this book that a home birth, attended by a midwife who has arrangements with a local hospital -- just in case -- is far preferable to a hospital birth.

The truth is, some hospitals are more enlightened than others. Some are very progressive and have their own birthing centers, support alternative pain management, and avoid c-sections when they can. But many Americans are locked into a particular hospital due to their health insurance. And many Americans can't afford the luxury of hiring their own midwives and doulas. They go where they must go, and receive services from those who happen to be on duty. Even in that situation, though, Your Best Birth has valuable advice about creating a birth plan and deciding in advance just what to insist upon in the hospital. (When is an epidural okay, if ever? Is an IV drip okay, or only one that allows the laboring woman to remain mobile? Is it OK to take the baby away to be weighed and checked out right away? Specify!)

My wife and I thought this was a valuable read, and it helped to balance out the other childbirth books we're reading, in which many of these issues are cast in a much less worrying light. As a result of reading this book, we're checking out all our options: home birth, a doula, a midwife, etc., and we'll make an informed decision.

Only one thing really bugged me about Your Best Birth. I understand that women are the main audience for this book. But in the part of the book where the authors give readers suggestions on how to introduce a male partner to these issues, why oh why don't they recommend that the partner read the book? Instead, the authors throw in a weird comment about some men not liking to read. That wasn't cool. I'm a guy, I read the book, and now I feel prepared to support my wife in a much more informed, grounded way.

Every woman expecting a child here in the U.S. should read this book. The expecting woman's partner should read it, too, in combination with other books on childbirth and pregnancy. Whether you give birth in a hospital, at home, in a birthing center, or on an L.A. freeway at rush hour, you'll be glad to understand the decisions to be made and the choices you have, so they don't overwhelm you when you're already in labor!
Profile Image for Meredith.
4,320 reviews74 followers
March 28, 2011
Caveat to the reader: Your Best Birth is written by and for women who want to reclaim a more natural form of childbirth where medical intervention is relegated to emergency situations rather than instituted as commonplace pratice. It is not for women without a granola streak or who don't possess a single hippieish tendancy.

If your preference is for modern, standard pratice, medically managed chilbirth, you will not like this book. If you feel it is foolish to question the wisdom of labor inductions, enforced time limits on how long a woman can labor before being required to have a c-section, the routine use of labor augmenting drugs such as Pitocin, and the increasing frequency of cesarean sections, then this book will likely annoy you. And in fact, you will probably be offended by its suggestion that laboring and delivering flat on your back while hooked to monitors and numbed by an epidural can be harmful to your body and your baby.

If you don't hunger for a revolution in American maternity care and childbirth, put this book down and walk away. Reading it would be a waste of your time. What this book advocates is a less medically invasion form a childbirth similar to the European model, and it is arguable that its point of view is as biased as the one presented by the medical-industrial complex and endorsed by the American Medical Association. It's the other side to Big Medicine's one-sided story, illustrated by the personal experience of over a dozen mothers as well as doctors, nurses, and midwives.

Your Best Birth is heavy on the personal narrative although it contains relevant facts and statistics. It has a very conversational tone and is reader friendly rather than scholarly. The information in each of the chapters is illustrated by anecdotes from mothers, midwives, doctors, researchers, and medical professionals and include celebrity birth stories. Some of the authoritative sources interviewed in this book are Dr. Jacques Mortiz, OB-GYN, Dr. Marsden Wagner, former director of the maternal and child health division at the World Health Organization, and America's most famous midwife Ina May Gaskin.

Each chapter contains sidebars of additional information and personal stories. I thought the ones in chapters covering labor induction and cesarean sections were the most helpful. They detail good and bad reasons for inductions and c-sections. They also list questions to ask before being induced, c-section myths and risks, and legitimate as well as questionable reasons for having a c-section.

Chapter 2 describes the differences between hospital, birth center, and home birth venues and includes handy lists of questions to ask on a hospital tour, when selecting a birth center, and/or when considering a home birth. There are also lists of questions to ask when selecting an OB-GYN or midwife and when hiring a doula.

The appendix provides a toolkit for crafting a birth plan, and there are resources for further reading and an index.
Profile Image for Amie.
475 reviews2 followers
June 9, 2013
I was given this book when pregnant with my first baby, but couldn't get myself to get past the introduction. For all their good intentions of making sure I "got what I wanted" it felt much more like the friends who had given this to me were pushing me to want what they wanted. I got pretty much the same feeling from this book.

I am now expecting my second and decided to give it another go. If the authors had prefaced the book as wanting to explain why unmedicated labor was desirable I would have been more willing to give it a slightly better rating. Instead this was presented as simply putting information out there so women could make their own decisions.

As another reviewer mentioned, this book is highly biased against Drs and hospital births. While it is true there are Drs out there that push C sections against a mother's will (I have a friend who had this happen to her for a VBAC, and it was very traumatic) it is also completely possible to have a totally natural childbirth at a hospital (a cousin recently did is at the same hospital as the above friend had her experience). I would have appreciated more information on seeking out a good provider, and things to do yourself to prepare for childbirth.

The biggest reason I had to dock stars was that while some studies were mentioned and occasionally cited in the text, I didn't feel that they did a sufficient job of citing exactly which studies they were using. I like to see data, and see what variables existed, how large sample groups were, how long the time period was, who was paying for the research and things like that. I felt like I was at the mercy of their interpretation of the data.

The final issue was, honestly, fairly inconsequential. With the exception of an opening example from the Netherlands, most of the detailed birth stories were from fairly well-off professional women living fairly urban areas. I really have very little in common with women like this. The story of a woman who traveled 45 min to a hospital she liked kind of made me chuckle, as I have lived places where the nearest hospital of any kind was 45 min away, and knew people who were much more rural.

All this said, there was a lot of good information and it did make me think a little harder about going without pain medication, as well as some other elements. I would probably recommend this book, but only if someone asked for a starting place for learning about natural childbirth.
Profile Image for Ashley.
223 reviews1 follower
January 10, 2013
There are not many books or movies that I watch that stick with me for a year after I watch them. Of course at the time they are amazing but I often continue living the same way afterwards. But one movie has ��� The Business of Being Born. Sandra encouraged me to watch it while i was pregnant (Okay, maybe it���s been two years) and it completely changed what i thought about giving birth. It is funny how much i had read about being pregnant, and then raising children, but i just figured that for the birth I would go to the hospital and the doctor would take care of me. I didn���t realize that I had other options. Well, I was at the library last week and picked up a copy of the new book ��� Your Best Birth ��� which is meant to be an in depth accompaniment to the movie. I read it in two days and I reminded me of how amazing the movie was. To summarize ��� they empower you to be in control of your birthing experience. Whether in the hospital, at a birthing center, or at home. I like it because they want to educate women on birth so that they can make choices for themselves. It does have a bias towards unmedicated birth, but it was nice to read something that covers all your options.

My favorite part of the book was on interventions. I personally wouldn���t have someone amputate my leg unless i had read all about the procedure and knew that it was absolutely necessary. And yet people schedule C-sections as if they were just brushing their teeth! Maybe that sounds dramatic but in 1970 in the US the C-section rate was 5.5 percent and in 2006 it was 31.1 percent!! WOW. Almost of third of all deliveries will be C- sections this year. That is terrifying to me. (Many C-sections save mothers and babies lives, i do not have a problem with necessary ones!)

Anyways, If you are pregnant or thinking about becoming pregnant I would call the book/movie a must read. Even if you don���t agree, i think it is important just to know what the interventions will do to your body and your baby.
Profile Image for Courtney.
68 reviews1 follower
September 14, 2009
This is a very informative book that tells you all the things your doctor doesn't care to tell you. I have many friends who have gone through the exact circumstances that this book teaches you how to avoid. They have been induced for no medical reason (just because the doctor says they "are ready" to have the baby) then they end up with a c-section because the baby was "stubborn". Babies aren't too slow, babies aren't stubborn to come into the world (well, usually). Pregnancy, labor, and delivery is a perfect design that will work FOR you if you know what is supposed to, or isn't supposed to happen, and if you let your body take charge in an environment where you feel loved, respected, and powerful.

The most important thing is for a woman to be informed of her choices. I don't think many of my pregnant friends have realized their many choices; and almost all of America is extremely uneducated when it comes to childbirth. I even live in Alabama, where a midwife attended home birth is ILLEGAL! That's right. You can shoot guns out your backyard and make moonshine in your basement, but don't even think about trying to have a natural birth the way God intended! Even this does not limit my choices as I will just travel across the Tennessee border to get the care that I feel is right for me. Never allow anyone to put a limit on what you feel is right for your body.

Movies and television has bred a society fearful of labor and birth, and almost everyone is terrified of "something going wrong" when most of the time the things that go wrong are brought on by unnecessary procedures and interventions. This book outlines exactly what is considered high-risk (which honestly, isn't many pregnancies) and what are situations in which proceedures may be necessary. Knowing the facts, a woman can know the right questions to ask, and know the choices she is making are right for her, individually. We need to take a huge step back and look at the medical community for what it is - a business.
Profile Image for Erin.
712 reviews19 followers
October 2, 2016
I've been reading a ton of baby/birth books (unsurprisingly, as I'm due in a few months), and I was pretty surprised (maybe unfairly so) that Ricki Lake was responsible (in part) for it. Lake herself says that after an upsetting birth experience of her first child in a hospital, she was driven to research the birth history and process in this country, and personal experience is as good a reason to become an "expert" in a topic as any other.

I heard a recommendation for it on a parenting blog, and also that they did the documentary "The Business of Being Born" which was very well reviewed. So I finished this in a few days, and then my husband and I watched the doc. Both the book and the documentary were terrific. This review is about the book--it's definitely biased in favor of midwives/home birth, but they do a good job of explaining all the options of birth. I think a lot of women (myself included) assume hospitals/doctors will "take care of us" but if you don't know what your options are and what the side effects of those options are, then how can you interpret what they're telling you is a good choice for you? I've been fascinated by the natural birth "movement" (it's the way women have done it for thousands of years, but because it's been slowly phased out for hospital/medicalized birth, it seems radical) and loved reading about birth from a more natural perspective. I think the doc was a little tougher on the doctors/nurses who work in the hospitals--this was slightly more balanced (But still pretty biased). If you're looking for less bias, the work by Penny Simkin seems to be a better choice. But the authors include research, stats, and studies to back up their claims and their goal is to give you information on all sides, and not just the default, which is the hospital birth. Eye opening and very interesting to read, and I especially liked some of the highlights of the women who've given birth (mostly famous) and some women who have changed the birth narrative (including Ina May Garten) to show more focus on natural birth.
Displaying 1 - 30 of 216 reviews

Can't find what you're looking for?

Get help and learn more about the design.