![Invisible Labor](/assets/artwork/1x1-42817eea7ade52607a760cbee00d1495.gif)
![Invisible Labor](/assets/artwork/1x1-42817eea7ade52607a760cbee00d1495.gif)
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Invisible Labor
The Untold Story of the Cesarean Section
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- $14.99
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- $14.99
Publisher Description
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 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 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 affect people of color disproportionately. 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 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. She also examines what prevailing maternal and medical attitudes toward C-sections tell us about American culture.
Invisible Labor 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-sectionPain and pain management during childbirthHow C-sections can affect family planningThe valuable role of midwives and doulas in the birth experienceThe 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.
PUBLISHERS WEEKLY
This excellent debut investigation from Somerstein, a journalism professor at SUNY New Paltz, explores the history of and controversies surrounding the C-section. She explains that the operation emerged in the 500s and was usually performed on "dead or dying women in an effort to save," or at least baptize, their babies, few of whom survived. The operation was still considered controversial for imperiling mothers' lives in the 1800s, when American physicians began testing how to reduce its mortality rate by experimenting on enslaved Black women, who received no anesthesia and were said to "not feel pain as deeply as civilized, white women." C-sections became safer by the end of the century and doctors started marketing them to upper-class white women, who "were believed to be delicate and constitutionally unable to withstand" labor pains. Today, C-sections comprise about one in three births in the U.S., despite research showing they're 80% more likely than vaginal births to cause serious complications. According to Somerstein, hospitals overuse the procedure because it's faster and allows more patients to be seen (and charged) per day. The damning history highlights how sexism and racism have shaped women's healthcare for centuries, and Somerstein includes her own harrowing account of having an unplanned C-section while insufficiently anesthetized, an experience that left her with PTSD. This is a must-read.