Invisible Labor: The Untold Story of the Cesarean Section

Rachel Somerstein

Book cover for Invisible Labor: The Untold Story of the Cesarean Section
Book cover for Invisible Labor: The Untold Story of the Cesarean Section

Invisible Labor: The Untold Story of the Cesarean Section

Invisible Labor: The Untold Story of the Cesarean Section

Rachel Somerstein

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Description

An incisive yet personal look at the science and history of the most common surgery performed in America--the cesarean section--and an exposé on the disturbing state of maternal medical care

When Rachel Somerstein had an unplanned C-section with her first child, the experience was anything but the "routine" operation her doctor described. A series of errors by her clinicians led to a real-life nightmare: surgery without anesthesia. The ensuing mental and physical complications left her traumatized and desperate for answers about how things could have gone so wrong.

In the United States, one in three babies is born via C-section, a rate that has grown exponentially over the past fifty years. And while in most cases the procedure is "safe," it is not without significant, sometimes life-changing consequences, with its burdens falling disproportionately on people of color. Mothers are often left to navigate these complications alone, with C-sections all but invisible in popular culture, pregnancy guides, and even standard medical advice.

In Invisible Labor, Somerstein weaves personal narrative and investigative journalism with medical, social, and cultural history to reveal the operation's surprising evolution, from its days being practiced on enslaved women to the ways modern medical technology promotes its overuse. And she uncovers the current-day failures of the medical system, showing how pregnant people's pain and agency is often disregarded by physicians who, motivated by fear of litigation or a hospital's commitment to efficiency, make consequential and deeply personal decisions on behalf of their patients.

Candid, raw, and illuminating, Invisible Labor lifts the veil on C-sections so that mothers can navigate future pregnancies and births with more knowledge about surgical birth's risks, benefits, and alternatives--a corrective to the ongoing curtailment of reproductive rights. Writing with deep feeling and authority, Somerstein offers support and camaraderie to others who have had difficult or traumatic birth experiences, as well as hope for new forms of reproductive justice.

Critical Reviews

"A decade after my first C-section, Invisible Labor helped me process wounds I thought were healed. Rachel Somerstein looks directly into our bodies and body politic, revealing the gender and racial power dynamics that make the C-section America's most common surgery. Rigorously and lovingly reported, Invisible Labor is a gift, both long overdue and right on time." -- Angela Garbes, author of Like a Mother and Essential Labor

"Somerstein lifts the surgical drape on the cesarean and explores what it really is, what it has meant for mothers, and how it has been weaponized. The operation affects women most deeply, physically and psychologically, but it ripples out in ways that the ever-expanding literature on modern maternity care has not fully examined and that belie the hidden bikini scar. With fascinating medical history, trenchant cultural analysis, and unflinching personal testimony, Invisible Labor is an important, accessible contribution." -- Jennifer Block, journalist and author of Everything Below the Waist and Pushed

"Rachel Somerstein's Invisible Labor is astonishing for parents--like me--who never even thought to ask questions about the most important experience of their lives. She has done that rare thing that the very best books do: she has made the unseen seen. And if there's any justice in this world, this book will change systems."
-- Rachel Louise Snyder, author of Women We Buried, Women We Burned and No Visible Bruises

"In Invisible Labor, Somerstein uses the C-section to illuminate how broad social issues surrounding reproductive health--from our financialized medical system to inequitable access, from racism to the dismissal of women's pain--shape pregnancy, labor, and birth in ways both small and large. At once vulnerable and incisive, this is a stunning and necessary read." -- Deborah Copaken, author of Ladyparts

"A sharp account of an agonizing experience of childbirth. . . . The author's anger over that traumatic experience infuses her investigation of the medical, social, and cultural history of C-sections and, more broadly, of a medical system that denies pregnant women's autonomy and discredits or ignores women's pain. . . . [Somerstein] draws on considerable research. . . . A hard-hitting critique of a persistent problem." -- Kirkus

"[E]xcellent . . . .The damning history highlights how sexism and racism have shaped women's healthcare for centuries. . . .This is a must-read." -- Publishers Weekly (starred review)

"A sobering and deeply interesting look at the history of and debate around C-sections. . . . A provocative and well-researched book. . . . Invisible Labor also makes clear that we still have a long way to go in adequately supporting women's health, and therefore, it is of value to us all." -- BookPage

"[Somerstein's] expertise as a journalist shines . . . . [A] superb book . . . . persuasive and riveting." -- Science

"This inciting, empowering book shows the clear need not just to improve women's access to health care but also to shift the paradigm about the restrictions placed on reproductive rights." -- Library Journal (starred review)

"A thorough investigation of birthing practices grounded in misogyny, racism, and other forces contrary to the well-being of mothers. . . . Invisible Labor clearly and compassionately blends scientific research and reportage with the personal stories of Somerstein and other women. Childbirth is painful, but with the right care, it can also ground us in our humanity." -- Los Angeles Times

"Invisible Labor makes a compelling case for how the C-section's widespread application in the U.S. reveals troubling patterns across our reproductive-health system--some of which trace back to slavery and eugenics. . . . a testament to the transformative potential of respecting women as authorities on their own bodies." -- Atlantic

Publishing Information

Publisher: Ecco Press
Pub date: 2024-06-04
Length: 320 pages

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