{"id":20668,"date":"2024-05-04T08:00:00","date_gmt":"2024-05-04T13:00:00","guid":{"rendered":"https:\/\/naturalwomanhood.org\/?p=20668"},"modified":"2024-05-09T14:50:54","modified_gmt":"2024-05-09T19:50:54","slug":"controle-des-naissances-pouvoir-insidieux-compte-rendu-de-lecture","status":"publish","type":"post","link":"https:\/\/naturalwomanhood.org\/fr\/birth-control-insidious-power-book-review\/","title":{"rendered":"Natural Womanhood Book Review : Birth Control : Le pouvoir insidieux des hommes sur la maternit\u00e9\u00a0"},"content":{"rendered":"\n

\u201cEver wonder why childbirth is the most profitable hospital procedure? Or why it is a hospital procedure at all?\u201d So writes Allison Yarrow in her book, Birth Control: The Insidious Power of Men over Motherhood<\/em>. With gripping detail, sympathetic prose, and\u2014 at times\u2014 righteous anger, Yarrow offers a compelling critique of the medicalization of pregnancy, birth, and motherhood  While her approach is lacking in some ways, we cheer on her efforts to showcase the beauty and raw power of birth and motherhood. In this Natural Womanhood book review of Birth Control: The Insidious Power of Men Over Motherhood<\/em>, we cover its strengths and limitations and offer our recommendation on whether to buy, borrow, or pass. <\/p>\n\n\n\n

What\u2019s the author\u2019s background or credibility to teach on this topic?  <\/span><\/h2>\n\n\n\n

Allison Yarrow is an award-winning journalist and has written for outlets such as The Washington Post<\/em>, The New York Times<\/em>, Vox<\/em>, and Elle<\/em>. She has given TED talks and appeared on multiple shows, speaking about birth and other women\u2019s issues.\u00a0 As she notes in the introduction, she conducted extensive research for Birth Control <\/em>over the span of many years, interviewing a wide variety of doctors, midwives, birth workers, and patients. She also draws on her own experience as a mother of three\u2014 two of whom were born in the hospital and the third of whom was born at home<\/a>.\u00a0<\/p>\n\n\n\n

Who is the intended audience? <\/span><\/h2>\n\n\n\n

Birth Control: The Insidious Power of Men Over Motherhood<\/em>\u2019s primary audience is women, although anyone who is interested in women\u2019s issues would find the content in the book to be compelling (granted, some men may be put off by the accusation implicit in the subtitle). Yarrow says she also intended the book for “trans men” and “non-binary people” (i.e., biological women, all).<\/p>\n\n\n\n

What are the main content areas of Birth Control: The Insidious Power of Men over Motherhood<\/em>? <\/span><\/h2>\n\n\n\n

Yarrow\u2019s book is a mixture of historical background, interviews with medical professionals, summaries of research and scientific studies, insights from surveys and interviews conducted with individual women who underwent pregnancy and birth, and her own personal experience. She discusses misconceptions and fears in pregnancy, current medical practices in childbirth<\/a> and why they exist (for example, the mistaken belief that many women\u2019s pelvises are too small to give birth, and hence, why early induction or C-section is often recommended for a \u201cbig baby<\/a>\u201d), difficulties that arise in the aftermath of childbirth, and the beauty of home birth.<\/p>\n\n\n\n

Strengths of Birth Control: The Insidious Power of Men over Motherhood<\/em><\/span><\/h2>\n\n\n\n

Yarrow really shines in her research. She investigates each issue deeply, gleaning evidence from multiple sources and showing again and again how many common medical practices in obstetrics are scientifically questionable<\/a> or carried out in unethical ways<\/a>.\u00a0<\/p>\n\n\n\n

She makes the argument that very few C-sections are medically necessary<\/span><\/h3>\n\n\n\n

I especially appreciated her chapter on C-sections, titled \u201cSurgical Strike.\u201d I was particularly interested in this chapter because I am currently expecting twins, and many twin birth stories end in C-sections. Naturally, I\u2019ve been curious whether the C-section rate for twins is justified, and, more generally, whether the rising cesarean rate<\/a> is really a cause for concern.\u00a0\u00a0<\/p>\n\n\n\n

Here\u2019s what Yarrow has to say: <\/p>\n\n\n\n

\u201cC-sections are absolutely needed, according to [Neel] Shah, [an OBGYN at Harvard who has performed thousands of C-sections], in a few rare scenarios that endanger mom and baby: placenta previa, when the placenta covers the cervix; vasa previa, when fetal blood vessels move into the uterus, putting it at risk of rupture; and umbilical cord prolapse, when the umbilical cord drops into the vagina and blocks the baby\u2019s exit.  These needed C-sections make up only about 4 percent of the total. The other 96 percent are, by Shah\u2019s definition, unnecessary\u201d (Yarrow, 121). <\/p>\n\n\n\n

Yarrow goes on to discuss how C-sections increase the risks of the leading causes of maternal mortality, and additionally can disrupt mother-baby bonding, make breastfeeding difficult, and cause longer and more painful healing for the mother. She then deftly weaves two stories from individual women into her narrative \u2013 one detailing a more typical traumatic cesarean and one describing a \u201cgentle C-section<\/a>.\u201d I found her description of the traumatic C-section powerful:\u00a0\u00a0<\/p>\n\n\n\n

\u201cLaToya remembers the oxygen mask pressed to her face, occluding her vision, and the shock of being strapped down, then the stupor. Her arms and wrists were glued to the table. Nearly all the women I\u2019ve talked to about their C-sections recount this detail \u2013 being chained to the table \u2013 how powerless and abused they felt, how no one told them about that part before it happened or explained why when it did. LaToya described it as being bound, like on a cross\u201d (Yarrow, 137).  <\/p>\n\n\n\n

She draws on individual birth stories to communicate universal themes<\/span><\/h3>\n\n\n\n

Yarrow is also at her best when she is relating personal stories, like the ones mentioned above or even her own birth stories. The story of her home birth likely will give many women the desire to have an experience just like that, where they \u201cfeel the most power [they\u2019ve] ever felt\u201d (Yarrow, 259) because they are allowed to birth on their own terms and in the peace and comfort of their own home. And this, as Yarrow says at the end, is something she believes all women deserve to experience.  <\/p>\n\n\n\n

Limitations or Blind spots <\/span><\/h2>\n\n\n\n

Yarrow fails to give mothers their due<\/span><\/h3>\n\n\n\n

I knew from the first page I would have some disagreements with the author. First, although she acknowledges that \u201cNot using [the terms] woman<\/em> and mother<\/em> could be considered its own form of misogyny\u201d (Yarrow, ix) \u2013 which I happen to agree with \u2013 she goes on to note how she will use the term birthing people<\/em> to include those who give birth but do not feel like they are women. This decries the very real experiences of those women who see pregnancy, birth, and mothering as the full embrace of their own biological womanhood. I also thought it a non sequitur<\/em> that in the same introduction, she laments the collapse of Roe v. Wade<\/em> as the fall of a \u201cfundamental human right to abortion,\u201d forcing women to relinquish \u201ccontrol\u201d of their bodies (and thus failing to account for the reality of preborn babies\u2019 bodies, or to acknowledge that one person\u2019s rights end where another\u2019s begin). <\/p>\n\n\n\n

Yarrow misses an opportunity to make a connection to hormonal birth control and the broader medicalization of women\u2019s fertility<\/span><\/h3>\n\n\n\n

Yarrow had a prime opportunity to connect the dots between the medicalization of pregnancy and birth, and the broader medicalization of women\u2019s fertility via hormonal contraception. Birth control shuts down a woman\u2019s natural cycles, effectively treating her body\u2019s normal hormonal patterns as public enemy #1. Might a woman who has accepted the premise that fertility must be altered, suppressed, or destroyed with birth control (to paraphrase Leah Jacobson<\/a>) be less likely to push back against insinuations from the same medical experts who prescribed her the Pill that she must have her labor and birth medically managed, too?\u00a0<\/p>\n\n\n\n

Given the title, I expected Yarrow to discuss the birth control pill more deeply and how detrimental it has been to women\u2019s health in the past century. To her credit, Yarrow does spend a few pages relating birth control\u2019s side effects, and she notes how it is overly prescribed with no opportunity for real consent given on the woman\u2019s part. I was also gratified to see a mention of Lisa Hendrickson-Jack<\/a>, with a nod to fertility awareness. But then Yarrow, in describing her college experience, merely labels her previous desire for the Pill as a product of \u201cpatriarchal conditioning.\u201d But how could the pill be exclusively a tool of the \u201cpatriarchy\u201d when it was the brainchild of one woman (Margaret Sanger<\/a>, founder of Planned Parenthood), and bankrolled by yet another woman (Katherine McCormick, who \u201cprovided almost every single dollar necessary to develop the oral contraceptive<\/a>\u201d)? Yarrow fails to unpack any of those questions.<\/p>\n\n\n\n

A lot gets blamed on \u201cthe patriarchy\u201d <\/span><\/h3>\n\n\n\n

This brings me to my last disagreement with Yarrow: the overuse of the term \u201cpatriarchy.\u201d I found the \u201csystemic patriarchy\u201d explanation for everything \u2013 from the birth control pill, to interventions in birth, to shame in breastfeeding \u2013 to be an incredible oversimplification. Frankly, by Chapter 9 (the chapter on breastfeeding), it got repetitive. <\/p>\n\n\n\n

Such a rote explanation leaves no room for discussion of the complex causes behind the many failures in women\u2019s healthcare, such as the rise of hormonal birth control, the emphasis in the feminist movement on women being \u201cliberated\u201d from the home and childbearing, or the couching of abortion as a woman\u2019s fundamental right<\/a>. In reality, all of these have created such a great wedge between the mother and child, that women themselves have become less connected with their basic maternal instincts and more willing to embrace hospital procedures that are often unnecessary or even damaging.<\/p>\n\n\n\n

On a practical note, I found myself wondering how the patriarchy can be completely to blame when the vast majority of obstetricians and birth workers are now women? Yarrow seems to fall short here with this explanation, and I wish she utilized her skills as a journalist and researcher to investigate these deeper issues. <\/p>\n\n\n\n

She might throw the baby out with the bathwater<\/span><\/h3>\n\n\n\n

Yarrow makes a strong case for the manifold ways the medicalization of pregnancy, labor, and birth has been to the detriment of women and their children. At the same time, at present the vast majority of women continue to give birth in a hospital setting. A hospital birth that respects the woman\u2019s body and ability to labor without interventions and on her own timeline is<\/em> possible, but how many readers of Birth Control<\/em> would know that? <\/p>\n\n\n\n

How practical are the author\u2019s suggestions for the average woman? <\/span><\/h2>\n\n\n\n

The main focus of the book seems to be to increase awareness of the issues in women\u2019s health, especially as they pertain to birth, rather than to offer practical solutions for them. Women will find the research and sometimes horrific details of what can go wrong in women\u2019s healthcare and during hospital-based births eye-opening. The average woman who is pregnant or considering pregnancy will likely be made aware of her need to do her own research, to boldly advocate for herself\u2014 particularly in a hospital setting\u2014 and to choose what she truly thinks best for herself and her preborn baby. <\/p>\n\n\n\n

I am not sure that most medical providers would pick up a copy of this book, but if they did, they might receive the most impetus to change what Yarrow calls the \u201cpatriarchal system\u201d in healthcare, and to consider whether the medical model they follow is truly in the best interest of the women they serve.   <\/p>\n\n\n\n

The verdict: to buy, borrow, or skip altogether? <\/span><\/h2>\n\n\n\n

I think Birth Control<\/em> is worth the read for those who are interested in women\u2019s health or for women who are considering pregnancy. It leaves no stone unturned in detailing women\u2019s options during pregnancy and birth. Many women will find it helpful to see the \u201cwhy\u201d behind so many birth interventions, so that they can make truly informed choices for their own health and their babies\u2019 health. I would borrow, not buy, due to the book\u2019s limitations and repetitiveness.\u00a0 Those who want much of the same information without committing to the reading time may do well to just simply watch The Business of Being Born<\/em><\/a>!\u00a0\u00a0<\/p>\n\n\n\n

Additional Reading:<\/p>\n\n\n\n

The 6 things every woman considering a natural childbirth needs to know<\/a><\/p>\n\n\n\n

Traumatic birth experiences are more common than you think: A mental health perspective<\/a><\/p>\n\n\n\n

After 15 years, what have we learned from \u2018The Business of Being Born\u2019 about improving maternal health in the United States?<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"Faut-il acheter, emprunter ou passer 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Elle a obtenu une licence en arts lib\u00e9raux au Wyoming Catholic College, o\u00f9 elle a \u00e9galement re\u00e7u une formation approfondie en plein air dans les cha\u00eenes de montagnes sauvages du Wyoming. L'\u00e9ducation par l'exp\u00e9rience, le dialogue socratique et la vie naturelle ont toujours \u00e9t\u00e9 des passions pour elle, ce qui l'a amen\u00e9e \u00e0 enseigner dans des \u00e9coles classiques pendant six ans et, aujourd'hui, \u00e0 \u00e9crire pour Natural Womanhood. Clare aime lire, perfectionner ses talents de boulang\u00e8re au levain, jouer du piano et \u00eatre \u00e0 l'ext\u00e9rieur. 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