25 Oct

Book Review: Why Doulas Matter, by Maddie McMahon

I love that near the beginning of Why Doulas Matter, MM points out that “on one level, doulas do not matter.” The invisible but steadfast presence of a doula, and how much difference she can make to the experience of birth, is the most important lesson this book can teach you.

This is a book about what doulas do and how they do it, and it also tells you what they are thinking about while they’re doing it. Maddie’s voice comes through very clearly, and unlike other books in the Why It Matters series, this one is far more personal than political. One exception to this is her mini-rant about the politics of breastfeeding, where the most passionate passion of a very passionate woman is clearly revealed.

Why Doulas Matter contains much useful information about birth and breastfeeding, woven into chapters about labour, meeting your baby, breastfeeding, and the postnatal period. One thing I felt was missing was a little more history of women supporting women during childbirth, setting the question of why doulas matter in the context of the 21st Century western world.

This book would be particularly useful for people thinking about what sort of support they might need during and after birth, whether or not that support comes from a doula. It would also be useful for both new and experienced doulas who want to reflect on their role. It answers all the questions you might have about doulas, and much more.

[Disclaimer: I was sent a free review copy of Why Doulas Matter by the publishers Pinter & Martin. You can get a copy here, with 10% discount using the offer code SPROGCAST at the checkout].

21 Oct

Book Review: Why Human Rights In Childbirth Matter, by Rebecca Schiller

This is a small book that should have a massive impact. Doula and human rights campaigner Rebecca Schiller is a great advocate for this important subject, bringing to it eloquence, experience, and a deep understanding of the issues faced by women in childbirth. She is almost uniquely positioned to present the case for human rights in childbirth.

The book is presented in two sections, the smaller second section being a clear and useful guide to women’s rights in birth, with a FAQ approach and a comprehensive set of information.

The bulk of the book examines the matter in more detail, starting with an exploration of the context in which women give birth, both in developed and developing parts of the world. She provides a very good explanation of the Human Rights Act and how it applies to birth, with several compelling examples. This is the first book where I have ever read every one of the real life quotations.

I found that the chapter on Feminisms of Birth particularly resonated. Schiller’s discussion of the political dilemma of campaigning to improve women’s experience, without polarising people into different camps, was enlightening and helpful. She concludes, of course, that the ultimate aim must be respectful, compassionate and individualised care based on the best available evidence, but trusting every woman to make decisions about what happens to her own body.

If you have ever pondered the real meaning of consent, or witnessed a non-consented procedure, or been asked to consent to something you did not fully understand, this book will be meaningful to you. Absolutely everyone involved in birth needs to be aware of the contents of this book, above all the women heading into the system, whatever that system is in their part of the world. Human rights in childbirth really do matter, and Rebecca Schiller is a hero in her tireless advocacy.

[Disclaimer: The publisher Pinter & Martin sent me a free review copy of Human Rights In Childbirth. You can get a copy here, with 10% discount using the code SPROGCAST at the checkout.]

02 Oct

Book Review: Baby-Led Parenting, by Gill Rapley & Tracey Murkett

From start to finish, this book is thoroughly useful. I loved its measured tone and empowering language, and its clear explanations of how babies’ behaviour has evolved to meet their basic survival needs.

It is clearly divided into chapters along the main themes of meeting baby, feeding, sleep etc: those crucial subjects for a new parent. Particular highlights include p65 on the father’s role during a babymoon period, the excellent baby-centred advice around bottle feeding, and the long list of suggestions to soothe a crying baby.

Throughout, and especially in the chapter on communication, Rapley & Murkett encourage new parents to develop empathy with the baby’s point of view, as well as reassuring them that responding promptly and positively to a newborn’s needs will foster independence, security, and a strong bond between parent and child.

If I had to come up with a criticism, it would be that a glossier, more colourful book, might have wider appeal with new parents. But this really is a positive book full of well-evidenced, practical information, from authors who are well-respected authorities in their field.

09 Sep

Book Review: Birth In Focus by Becky Reed

IMG_20160909_133611 What I love the most about this book is all the different perspectives. We have a collection of personal stories and photographs, mainly – inevitably – of births that take place at home. There are births in water, breech births, twins and a caesarean; and the stories are told both by midwife Becky Reed and by the mother, and then in several cases also by the partner, a sibling, and even a grandmother. It gives such a fascinating, colourful, and relentlessly positive picture of birth, in all its amazing variety.

The stories are then used to illustrate and provide anecdotal evidence for the final chapter, which all too briefly explores the theory of normalizing birth, giving a good overview of relevant research, and a great introduction to the subject for parents-to-be and birth professionals alike.

This is a book that is both useful and beautiful, and therefore it has a place in every home!

[Disclosure: I received a free review copy of Birth In Focus from the publisher Pinter & Martin. Order yours here, currently with free delivery and 10% off if you use the code SPROGCAST at the checkout]

06 Jul

Book Review: Why Babywearing Matters, by Rosie Knowles

For such a small book, Why Babywearing Matters is an absolutely comprehensive guide to carrying your baby. It is intelligently written, with a solid set of arguments for the biological, psychological, and social importance of babywearing.

Rosie Knowles begins with the theory: how carrying has evolved, and how it has re-emerged as a coping skill in modern times. She outlines the benefits of carrying for the individual baby, for parents, and even extrapolates to society as a whole. She cites studies that demonstrate both that carrying is biologically normal for a newborn baby, and that closeness facilitates healthy neurological development, reduced stress, bonding and healing.

The ensuing chapters give practical information about different types of carriers, how and when to use them, safety, and where to get support.

This is another useful book from the Why It Matters series, and I would strongly recommend it to doulas and sling consultants, as well as expectant and new parents.

[Disclosure: I was given a free review copy, by the publishers Pinter & Martin. For 10% off, use the code SPROGCAST at the checkout].

01 Jun

Book review: The Secrets of Birth, by Kicki Hansard

The Secrets of Birth is a book born out of Kicki Hansard‘s extensive experience of supporting birthing women. This book is intended for pregnant women, and aims to reveal five secrets that will help them during birth and the transition to motherhood.

The five secrets can be sorted into two main themes: the first three tell us that childbirth is a normal physiological process, and the last two that becoming a mother is a major personal transformation. This is useful and interesting information, and Hansard covers important topics including straightforward birth, hormones, skin to skin, and the benefits of a calm, safe environment, very effectively.

She goes on to discuss the transformational process of birth, a time when women have “nowhere to hide,” (p72) and a great opportunity for growth. I would have liked to read about this in greater detail, as few books (Naomi Stadlen excepted) seem to focus on this except in the most superficial way.

Hansard obviously has a wealth of experience with women in the birthplace, however this comes across as being a fairly small section of society, since the first chapter discusses at some length the pros and cons of engaging a private obstetrician; and of course the majority of her experience refers to her own clientele, a self-selecting group of people who hired a doula. There are several parts of the book which read like a manifesto about the state of birth in the UK, which may not be generally useful for expectant parents. The language and concepts discussed are more appropriate for birth professionals. One could argue that this subject matter needs to be more widely talked about (but one cannot then argue, for example, that the NCT is “too academic” (p16) in their approach).

I am always wary of birth professionals who appear to set themselves up in opposition to other birth professionals, and some of Hansard’s secrets seem to imply distrust of obstetricians (p12), midwives (p15), hypnobirthing (p38), and even the father as birth partner (p32). While much of the book is based in the author’s experience and personal opinion, there are some well-referenced and useful points, and good signposting to a range of sources. The short section on natural caesarean is one of the book’s highlights. The final chapters consist mostly of birth stories, supporting the various points made earlier in the book.

While The Secrets of Birth is probably not the first book I would offer a pregnant woman, I think it would be a very interesting read for doulas in training, or anyone supporting a birth or a new mother.

[Disclosure: Kicki sent me a review copy of her book – thanks!]

09 May

Book Review: You’ve Got It In You, by Emma Pickett

You’ve got it in you is a chatty, positive little book packed with very useful information for breastfeeding mothers. In fact it begins with the decision to breastfeed, explaining the importance of gathering your support and doing your research well before the birth of your baby. It then takes a roughly chronological journey through the experience of breastfeeding, starting with the importance of skin to skin and a gentle transition into the world. The contents of the book are so closely aligned to what I would say myself that it’s impossible not to read without nodding constantly, going ‘yes, yes, yes.’ It’s all so very sensible.

Emma Pickett’s friendly (sometimes a little brisk) narrative voice can be heard clearly throughout the book; it might feel like having a kind and experienced breastfeeding counsellor sitting alongside you, giving you both reassurance and information at critical times. I found the switch between “we” and “you” and “they” slightly confusing, and sometimes this gave it a slightly nanny-like tone; but in general the language used is clear and accessible, and this is definitely a book I would offer to a new mother, whether she needed help, or just as a companion.

The detailed signposting in the book could be extremely useful, however the weblink formatting doesn’t really work in print, and of course there is the danger of going out of date. This is where a QR code or some other way of accessing online references would be useful. Reading this academically, I wanted to see more references to support some of the information given, partly so that I could share it myself with confidence. Some pictures might also be helpful, in the section on positioning and attachment.

In addition to good quality information for breastfeeding mothers, the book also includes a handy little chapter for grandparents, information about safer bedsharing, and even details of how to train as a breastfeeding counsellor yourself. This would have been a great book for me as a new mother, but I also recommend it to anyone supporting new families. It’s one of the best books on breastfeeding that I have read.

[Disclosure: Emma sent me a review copy of this book]

11 Apr

Book Review – Mama: Love, Motherhood and Revolution, by Antonella Gambotto-Burke

Reading Mama is like reading two interleaving books: one collection of vignettes painting a glorious picture of Antonella Gambotto-Burke’s ineffable love for her daughter; and one collection of essays and interviews about parenting in the modern world. There is only the most tenuous connection between the two.

Taking them separately, the vignettes form a profound tribute to love of her family, with whimsical stories of moments when her daughter has made her proud; but also dark tales of her own childhood, displaying a deep resentment of her own emotionally absent parents. The link between the two books, such as it is, is the attempt to explore and understand her own experiences of mothering and being mothered, in the context of the pressures of today’s society. She has learned from her own mother that motherhood has little value in itself, and honestly reports on her realisation of the importance of the slow pace of parenting, that the little things: “kissing, nursing, coddling, caring,” (p60) are really not so little; and yet are perceived by society to be low priorities.

The thesis of the second book is that this society is broken when it comes to parenthood, in that nobody other than a few select parents actually value or appreciate what parenting is, and how it works. This is supported with reference to literature, and interviews with a number of experts who generally make strong statements about how parents (as a generic group) are getting it wrong. Presumably excluding themselves, they largely see parents as a feckless, economically-driven crowd, so welded to their smartphones that they are unable and unwilling to give their children the proper amount of attention. This dysfunctionality is blamed for a range of social and mental health disorders from autism to AGB’s brother’s suicide. There is much handwringing over examples of parenting that have been witnessed by AGB and her interviewees.

Some of the interviewees unfold coherent and interesting arguments demonstrating the feminist nature of motherhood. Stephanie Coontz extends this to argue for the democratisation of care in general. This was the book that I wanted and expected to read, and I was frustrated by the much less coherent inclusion for example of the slow chapter on slow living, and the absolutely harrowing chapter about IVF. Some of the conversations, however, explore the strange and fallacious idea that the world is an unhealthy place, “toxic to children,” (p100), as if there was a time when all childhood was blissful and perfect. Perhaps this was the 1970s; I’m fairly certain that for most of the existence of humanity, children have had to muddle along with the rest of us, taking greater responsibilities at a younger age, subject to real hardship. When the focus shifts to fatherhood, AGB accuses men of “vanishing” (p178) from their children’s lives, yet when in history have fathers been expected to be more hands-on? Steve Biddulph on p83 claims that the children of hunter-gatherers were smarter; how can he possibly know this? And how are modern children even comparable to those whose life expectance was a fraction of ours? Modern concepts of attachment parenting are a very different thing.

AGB is an intelligent writer, and she has had access to some big names in parenting and child psychology. Her feminism rings loud and clear through this book; this is her manifesto for a society that recognises the contribution of mothers. Without the anecdotal chapters, it would be a very earnest book, making some fairly controversial points. Perhaps controversy is necessary to kick-start this important conversation.

After a final chapter on the nature of marriage and what it means to her (a dogmatic view that only marriage – not cohabiting – can facilitate continuity and commitment), AGB bravely completes the book with a heartbreaking epilogue about the horribly ironic end of her own marriage, which must have broken down even as she was writing about her love for her husband. It is hard to read, after some of her strong words (supported by several of her interviewees) about couples not making enough effort to stay together for the sake of their children, and the contribution of divorce to the dysfunctional disconnectedness of society. One wonders where she can go from here, in her thinking and her writing.

Mama presents some important ideas, though none of them are particularly new. I am frustrated and conflicted by this book, which comes out of a deeply personal self-exploration: AGB’s discovery that motherhood should not, after all, be a lesser status; and her shock that the rest of society has not yet figured this out. Because the state of motherhood does include vulnerability, and sacrifice, and menial work; but that does not mean that it wrecks our lives or that we are lesser people for doing it. In many ways, the motherhood she discovered lives up to her own expectations, but she is able to recognise the strengths that mothers must find to fulfil this role in the face of society’s judgement, and the lack of support from the community:

“At the most vulnerable time of their lives, mothers are repeatedly failed by the community.” (p24)

This disconnected, tech-obsessed world is the one we have, and I would rather read a manifesto for the future than a polemic moan about the state of the present, suffused with nostalgia for a rose-tinted past. This is an interesting, challenging read, which left me with much to reflect on.

[Disclosure: I was sent a free review copy of Mama by the publishers Pinter & Martin]

17 Mar

Book Review: The Psychology of Babies, by Lynne Murray

Lynne Murray is a Professor of Developmental Psychology at Reading University, and this is her second book. Her first book, The Social Baby, is an essential tool for most antenatal teachers, and really useful for parents too. The Psychology of Babies is a very detailed text on psychological development from birth to the age of 2, richly illustrated with photographed sequences showing interactions between babies and their parents.

Subtitled “How relationships support development,” the central focus is on how sensitive parenting supports a range of developments in the areas of social understanding and co-operation, attachment, self-regulation and control, and cognitive development. The book provides an academic level of information and is extremely well-referenced. It would certainly be useful to anyone studying child development or working with families and children. It may well also be interesting to parents, however there are more accessible texts such as What Every Parent Needs To Know, which I would be inclined to suggest as an alternative.

As a general read, I found it a bit heavy, and would be more likely to dip into particular sessions. In some places the photographs are too small for any useful detail to come across, although they are all captioned with explanations.

The chapter on self-regulation covers infant sleep, however there is a real contradiction in the way Murray writes about attachment, promoting sensitive parenting (see pages 74 and 78, for example), and the advice to discourage reliance on the parent when it comes to bedtime; and she fails to address the “ethical questions of whether it is acceptable to leave babies to cry for any length of time” (p164), in any meaningful way. It’s clear that despite her comments in the Independent interview linked above, she subscribes to the notion that babies shouldn’t rely on their parents to settle at night.

There is a very interesting section on supporting babies to settle into childcare settings, which could be useful and reassuring for parents in this situation. This includes discussion of research into the effects of childcare on social and emotional development, and the importance of high quality care.

The section covering the introduction of solid foods is disappointing, with its limited focus on spoon feeding, starting from five months, and nothing on developmental signs of being ready for solids, which arguably would fit the remit of this book.

The final part that I want to mention is the pages covering TV and books in relation to cognitive development. This is something that could be usefully and effectively shared with parents, particularly in light of the huge force of commercialism pressuring parents to buy Stuff to entertain and educate their children.

I enjoyed leafing through this book, and will take some ideas into my work, but it would not be the first book that I recommended for new parents to read.

15 Mar

Book Review: Why Perinatal Depression Matters, by Mia Scotland

This is the first of the Why It Matters series that I have read, and I am deeply impressed that so much insightful information is packed into this densely thoughtful little book, although I feel that it may have the wrong title. I feel this because any new parent or parent-to-be could learn a huge amount about what they might feel or be feeling, why this happens, and many strategies to protect against or cope with it.

Psychologist Mia Scotland creates a very vivid picture of what perinatal depression is, for those who have never experienced it, and then sets it firmly in its cultural context. The central theme here is support, the concept of the village that it takes to raise a child, and how hard it is in these modern times to manage without this. Her writing style is strong and clear, and she includes a great explanation of research and evidence, and the limitations of applying these to individual circumstances. I found the whole book to be excellently evidence-based and sensible, and at the same time striking a mother-centred and deeply feminist tone.

Even though the section on actual therapy for perinatal depression is quite small, the book offers a range of preventative strategies that would certainly be useful for most new parents. Rather than simply exhorting the mother to seek support or take care of herself, Scotland has plenty of practical ideas about how she can do this, and how other people can help.

This is a sensible, informative book, which I would recommend to parents, expectant parents, and people who work with parents: an absolute must-read.

[Disclosure: I was sent a free review copy of Why Perinatal Depression Matters, which you can obtain from the publisher’s website here.]