02 Feb

Book review: Hard Pushed, by Leah Hazard

Hard Pushed is a memoir of midwifery, drawn from Leah Hazard’s years of experience in the NHS. Leah’s words bring the reader right into the maternity ward, sketching her colleagues and the women she cares for with mostly loving detail. This is a very different book from Ellie Durant’s New Walk, but similarly gives a real feel for the pressures and joys of modern midwifery.

Hard Pushed is structured into pairs of chapters, briefly describing a theme, and then illustrating the theme with a story. We have Eleanor the lesbian mother, Star the hypnobirther, the 15 year old mum, the woman being pressured to breastfeed, the trafficked woman: composites and archetypes of the swirling complex mass of human need encountered in a midwife’s world. These women serve to illustrate what it’s like to be a midwife, and the real insight here is very much from a midwife’s perspective. So we see how incredibly hard midwives work, getting through the day on biscuits and coffee, with barely time to go to the loo; and this gives context to the irritation that comes across at the many tiny anxieties expressed by pregnant women, and the dialogue with women in labour that skates over informed consent (“‘We might have to make a wee cut,’ I call brightly.”) For any reader unaware of the overload on our maternity services, this is a very clear picture.

But Leah does write with love, and what comes across is the midwife every woman wants to meet in labour: intuitive, kind, skilled, and willing to bend the rules just enough to personalise care when it matters most. She writes with gentle humour, but doesn’t steer clear of the bleaker stories. And as in real life, leaves many of the vignettes with an unresolved ending, just as these women leave her maternity ward to get on with their own lives, unlikely to be seen again.

This is a book that can be read for easy entertainment, but the subtext is not hidden far below the surface: midwifery is a challenging vocation. It does me good to be reminded of the efforts going on behind the scenes, and to be thankful that there are women prepared to do this work in such trying circumstances.

[Disclaimer: I received a free review copy of Hard Pushed]

27 Aug

Book review: New Walk, by Ellie Durant

New Walk is the first novel of midwife Ellie Durant, and a fitting companion-piece to Alice Allan’s Open My Eyes from the same publisher. It tells the story of Chloe, a Leicester teenager who has been the responsible member of her family in the years since her mother died, and has finally decided to do something for herself, and applies to study midwifery.

The main philosophical theme of the book is that dilemma between selfishness and responsibility: do women have the right to decline medical advice? Or to choose what happens to their own bodies? And who has the power?

Chloe is a likeable character going through some tough times, supported (or not) by a diverse cast. The plot may not twist much, but it is soundly structured, satisfyingly ended, and well decorated with the details of Chloe’s learning about pregnancy and birth. Ellie Durant writes confidently about what she knows, giving this novel a sincere and grounded feel. It’s light reading with some darker tones: great summer lit.

[Disclaimer: I was sent a free copy of New Walk by the publishers Pinter & Martin. Get yours here with a 10% discount at the checkout, using the code SPROGCAST]

31 Dec

A trilogy of book reviews

These are the last three books I have read in 2017, a very satisfying year when it comes to reading. I am not sure how I have managed to find the time, but hope that a less crazy 2018 might mean even more reading time!

A Midwife’s Story – Penny Armstrong & Sheryl Feldman

In this memoir of midwifery among the Amish community, Penny Armstrong reflects on her growth and development as a midwife. It’s fascinating to see her confidence in straightforward birth in a home environment increase through experience. She is well-placed to make the comparison with hospital birth in the 1970s, and it is horrifying to note how little has changed. The vignettes of Amish life are also charming, and this is a well-written memoir – certainly the best story of midwifery I’ve read, thanks to writer Sheryl Feldman’s well-judged turn of phrase. I found it utterly absorbing.

[Disclosure: Pinter & Martin sent me a free review copy of this book; you can get a 10% discount on your copy if you use the offer code SPROGCAST at checkout on their website.]

How To Have A Baby – Natalie Meddings

How To Have A Baby is a doula in a book. It’s nearly a big enough book to fit in an actual doula, and crammed with wisdom (just the “big necessaries,” writes Natalie Meddings) sourced from her own experience and the stories of many mothers. Meddings’ tone, like the ideal doula, is firm but gentle, calm and encouraging.

The book takes the expectant mother through the usual route of pregnancy and planning, into labour, birth and the unexpected, and out the other side to feeding and newborn days. Descriptions are clear and “tips and tricks” are shared helpfully at every stage. Meddings is pragmatic and honest. Birth is discussed in terms of an involuntary bodily function, and how to create the optimal conditions for this to happen. Induction is presented as “a ticket on the intervention rollercoaster” (p116) which is an interesting choice of words, however the pages explaining induction are practical and compassionate, giving a clear idea of what happens and what can help.

This book is an excellent resource for birth planning. Meddings is very concerned with consent and human rights, both of which she covers very clearly; and this is her real strength. I much prefer these well-referenced and forthright pages, to the liberal sprinkling of homeopathy etc alongside the useful coping suggestions.

You are waiting to hear what I think of the breastfeeding information, so I won’t keep you in any more suspense. With contributions from Maddie McMahon, the importance of early feeding and skin to skin is discussed, and Meddings describes the newborn feeding reflexes and how to support the baby to self-attach. It is a little surprising when she goes on to describe a rather prescriptive way to hold the baby, which does not support those reflexes so well, given her let-nature-take-its-course-and-things-will-work approach to other aspects of birth and parenting. And sound the klaxon for “breastfeeding granola,” which looks delicious but should correctly be termed “granola,” given that breastfeeding experience is not generally influenced by the consumption of roasted oats and nuts and so on.

Matters are redeemed by the rest of the new-baby/new-mother section, referencing such respected authors as Naomi Stadlen and Deborah Jackson, and with plenty of exhortations to eat cake.

I think this book is jam-packed with stuff that would be useful during labour and birth, and it would set up a new mother nicely for those early days and beyond. Practically speaking, the book is probably a bit too chunky to carry around with you and make notes in, as Meddings suggests in the beginning; in fact I think it would work brilliantly as a loose-leaf binder (or perhaps an app), so the reader can pull out relevant sections as needed (which would facilitate reading whilst feeding). Some websites and numbers are given to access support but there could be a lot more of this. On the whole a very highly recommended book for practitioners and parents-to-be alike.

[Disclosure: Natalie sent me a free copy of her book to review – thank you!]

Eleven Hours – Pamela Erens

The last book I finished reading this year was perfect to follow these two, and I think I may even have bought it myself. In Eleven Hours, Lore is in labour, cared for by Franckline who is also in the early stages of pregnancy. As Lore’s contractions come and go, we learn both women’s sad stories: Franckline’s lost babies, and Lore’s lost love. Franckline’s midwifery is full of empathy and kindness, but this is starkly framed by the harsh restrictions and requirements of hospital policy, and the insensitive words and actions of her colleagues.

Lore arrives in the maternity ward alone, with a five page birth plan. Franckline is the only one to read and respect this, and does her best to steer things back towards Lore’s wishes, even as events keep on sliding off track. The labour progresses slowly, and then takes an unpredictable turn. Gripping fiction, and a great way to wrap up Meddings and Armstrong, and 2017.

09 Mar

Book Review: Open My Eyes, That I May See Marvellous Things, by Alice Allan

My partner Pete, reading it in a damp narrowboat in Bath, UK

Open My Eyes is the first novel from an author whose life experience has provided her with the richest material with which to craft a beautiful story. Mariam is a midwife volunteering in Addis Ababa, where she encounters both her past and her future in ways she does not expect. She finds herself fighting for the life of an abandoned premature baby, using the unconventional methods of kangaroo care and donated human milk. Meanwhile she antagonises hospital management, dates a handsome doctor, and tries to piece together a sense of her own pre-adoption world.

Alice Allan creates a real sense of the colours and dust and smells of Ethiopia, while telling the tale from multiple perspectives, so that each character’s story develops at its own pace. But this is not just a book about falling in love with a baby; we also have a mild thriller smouldering alongside Mariam’s story, although there is little for readers to figure out, and the rest of the book is so strong that this plot is not really crucial.

The biggest strength of the book is the chapters written from the baby’s perspective. I have never read prose that so powerfully captures the sensations of a newborn. If you need a way to convey the baby’s limited, terrifying world, or the importance of skin to skin and comfort, Alice Allan does this with the most poignant and effective insight. I read three pages of this book to a group of colleagues, and the effect was breathtaking.

This is a many-threaded story, and the central thread is that tiny fragile human, buffeted by the needs and the limitations of the adults in her world. It’s really wonderful to read fiction so heartfelt, so accurate, and so moving.

I’m intrigued to chat with Alice Allan for a future edition of Sprogcast (coming out on 25th April 2017), discussing both this lovely novel and her own fascinating life story.

[Disclaimer: I was sent a free preview copy of Open My Eyes. You can buy one from Pinter & Martin here, and don’t forget the 10% discount you can get by using the code SPROGCAST at the checkout.]

19 Sep

Book Review: Theo Gallas Always Gets Her Man, by Kristen Panzer

Theo Gallas Always Gets Her Man – Kristen Panzer

This was a free download, in which a trainee lactation consultant juggles family, a neighbourhood mystery, and voluntary breastfeeding support of an unusually medicalised nature. It is not clear how or when she does her training, but she shares her knowledge readily and always carries a pair of latex gloves with her with which to do a quick mouth exam (not something a fully qualified and experienced NCT Breastfeeding Counsellor is likely to do). Read More