Book Review: Ina May Gaskin vs. Milli Hill

With Little Baby constantly reminding me of her imminent arrival by hearty kicks and punches, it makes sense that I’d devote a portion of my summer reading list to books on parenting and childbirth.

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Us having a drink at 32 weeks



The first book I tried was one I’d been encouraged to read by several sources. I was even handed a free copy of it on my first visit to the midwives, but ended up giving it back because I already had a copy sitting on my bedside table at home. It was Ina May’s Guide to Childbirth by Ina May Gaskin.

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I actually purchased my copy of this book before I even got pregnant. As someone who was terrified of the process of pregnancy and labor, I’d seen and read many places that it was important to fill my mind with positive birth stories to combat my negative notions. This book was recommended so consistently that I bought myself a copy and eagerly began to read, hoping it would allay my fears when I finally got my positive pregnancy test.

The first half of the book is all personal birth stories from women that gave birth on “the Farm” which is the birthing center that Gaskin set up. They are meant to encourage and inspire women towards the beauty and bliss of natural home births with a midwife. But for me, these “positive birth stories” were completely ineffectual. It seemed like many of these women had some kind of complication, some nearly emergent complication, going on during their labor. They all ended up giving birth to happy healthy babies without medical intervention. That, I believe, was the point of them telling their stories. Look what I did without a doctor. I mean, it was touch and go for a while, but it was all fine! Yes. Right. Lovely! But instead of reassuring me, these stories just set me on edge and gave me a longer list of “what ifs” for my still unknown labor and delivery story. *shakes head* I call that a fail at positive birth stories.

Gaskin’s book read to me like a three hundred page advertisement for why you must have a home birth with a midwife and avoid hospitals and doctors. I skipped over the chapters at the end that warned me about the probably hidden mortality statistics for pregnant women giving birth in hospitals. I needed encouragement, not more reasons to fear. And while I highly respect Gaskin for the trail she blazed promoting better childbirth options in this country, I really could have done without reading her book. Especially when taken in conjunction with another book I read, The Positive Birth Book written by Milli Hill.

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This book, seriously, was an absolute sleep-saver for me! It opened up with the author explaining how desperately she wanted to be pregnant, but how utterly terrified she was once she saw the positive pregnancy test. Everything about her emotional state echoed mine. She compared it to sky diving. You’re in the airplane, looking down over the distant ground, and you know you have to jump eventually; it’s too late to turn back. You feel guilty for telling people you’re terrified now that you’re actually pregnant. You’re supposed to be happy. Meanwhile, everyone is laughing themselves silly for the look on your face after they’ve told you about all the horrors that await you through pregnancy into parenthood.

This inspired Hill to start The Positive Birth Movement out of which grew her book. It walks through all the stages of labor, the most common complications, the ins and outs of cesareans, and tips on adjusting to the early days postpartum. All of it was told with an upbeat candor that truly brought peace to my thudding heart. This could happen, but this is why it will still be okay. 

Another aspect of the book that I loved was how she shied away from the common idea of 3 stages in labor. She described it in 14 stages to make it all as clear as possible, a method I found a lot more beneficial than how Gaskin addressed it in the second half of her book. She also mathematically broke down the average percentage of time that most women are actually in terrible pain during natural childbirth. The average woman is in labor 8 hours and only 23% of that time is spent having contractions. Even if I don’t turn out to be average, just reading that lessened my fear of labor by leaps and bounds.

The whole of that book had that effect on me. I loved it, and if I could recommend any one birth book to a new mother, it would absofrigginlutely be this one.

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