“In this important book, historian Laura E. Ettinger sets out to explain how nurse-midwifery, the mainstay of maternity care in many European countries, has been unable to fulfill its promise in the United States….[T]his is a must-read for historians and students of medicine, health care, women’s studies, and the professions.”
--Ellen S. More, American Historical Review
“Ettinger meticulously researched her subject, and this rich and textured study provides fresh insights into the profession. Through carefully argued analysis, Ettinger uses nurse-midwifery as a lens through which to understand much larger issues of maternity health care. Although not a nurse-midwife, the author displays an impressive understanding of the essence of nurse-midwifery, providing what reads like an insider’s view of the profession. Nurse-midwifery advocates and policy makers would be well advised to read this book in order to inform debates on maternity care practices and resource utilization today.”
--Anne Z. Cockerham, Nursing History Review
“In this meticulous and fascinating historical study, Ettinger details the emergence of American nurse-midwifery and analyzes the trends to the present. The author argues that nurse-midwives across the country who completed advanced education in the 1920s were simultaneously in alliance with and antagonistic to the medicalization of childbirth. Early nurse-midwives served low-income people and lost astonishingly few mothers at a time when maternal mortality was high. However, when childbirth moved from the home to the hospital, nurse-midwives were forced by politics and the hospital hierarchy to accommodate physicians, and thus lost autonomy. The roadblocks that this accommodation created for nurse-midwives are recognizable barriers today. Ettinger argues that nurse-midwives have been and are currently misunderstood and ignored; they continue to face opposition….This well-researched, well-written book is an enjoyable read.
--Diane B. Hamilton, Choice: Current Reviews for Academic Libraries