Former talk show host Lake, producer of the documentary The Business of Being Born
, joins with Epstein, the film’s director, to further probe the subject of birth in America. Asserting that the “high tech, low touch” trend in medicalized births has usurped parents’ sense of power and choice, the authors present a detailed examination of the birthing experience, beginning with their own personal accounts. Employing the premise that although one can’t predict what will happen during birth, one can prepare, they present options that women should consider, including home birth and the use of a midwife or doula. Lake and Epstein point out that while 99% percent of births in the U.S. take place in hospitals and one-third are cesareans, the vast majority of births are not high risk and may not require medical intervention. But the fear of pain combined with unnecessary hospital protocols cause many couples to narrow or relinquish their options. The authors discuss the pros and cons of such interventions as episiotomies, epidurals and electronic monitors, and encourage women to carefully question their practitioners and hospital personnel. Above all, the authors advocate a safe and empowered birth, whether one chooses a hospital, home or birth center. (May)