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The rhetoric of choice is much used in UK health policy and home birth is one of the three options that women are entitled to choose between when deciding where to have their baby. However, many women making this choice run into considerable opposition from the maternity service. Home Birth: the politics of difficult choices focuses on the experiences of women whose choices were opposed by health professionals during their pregnancy journey. It confronts why and how women are being denied home birth and raises some challenging issues for current midwifery practice. Using ten women's narratives, this important volume explores why women might want to give birth at home and considers ideas of risk and informed choice in pregnancy and birth. The book includes chapters on communication and language; fear and stress; advocacy and autonomy; fathers' experience of contested place of birth and free birthing. Pointers to best practice are presented whilst the text incorporates women's narratives throughout, making this a practical and relevant read for midwifery students as well as practising midwives and childbirth educators, all of whom have a duty to make home birth a real option for women.
Mary L. Nolan is Professor of Perinatal Education at the University of Worcester, UK. She is also Senior Tutor at the National Childbirth Trust.
1. Policy - does it mean what it says? 2. Choosing Home Birth Against Medical Advice 3. Fear and Risk 4. Choice, Bullying and Coercion 5. Communication and Language 6. Avoidance, Subversion and Confrontation 7. Stress in Pregnancy and Birth 8. Men's Experience of Home Birth Against Medical Advice 9. Free Birth: the end of the choice continuum 10. Advocacy, Empathy and Autonomy 11. The Dialectic between Possibilities and Limits
