Book Review: Thank You, Dr. Lamaze by Marjorie Karmel

Marjorie Karmel had no intention of reading Grantley Dick-Reed’s Childbirth without Fear, which a friend had pressed into her hands at a dinner party. Marjorie wasn’t afraid of childbirth. She’d be out, after all.

But when she was desperately seasick on her trip back from New York to France, she picked up the book and started reading, fascinated. The book brought up all sorts of repressed memories (a terrible story of her mom’s delivery of her, a friend who’d told her about her own not-so-pleasant delivery, all previously forgotten) but also gave her hope for another way.

She asked around in Paris, searching for a doctor who’d be willing to let her try a natural childbirth – and found Dr. Lamaze.

Dr. Lamaze practiced a form of “Pavlovian childbirth”, based on Ivan Pavlov’s conditioned reflexes. Apparently, this form of childbirth was popular in the Soviet Union – but Lamaze advanced the technique, adding certain breathing methods and whatnot.

In Thank You, Dr. Lamaze, Marjorie Karmel writes of the wonderful experience she had giving birth to her first child in a Parisian hospital with a monitrice (doula) who’d taught her the Lamaze techniques and Dr. Lamaze attending – and she tells of using that same technique to give birth naturally in a New York hospital with much less natural-childbirth-friendly practices (and practitioners.)

I raced through this memoir, finding it absolutely fascinating.

Why? What was so interesting?

Well, the first is obvious. I love the process of birthing, love learning about the process of birthing. I wanted to be a midwife when I was a kid. I’d still love to be a midwife. It’s amazing.

But beyond that, it was interesting because it was a story of birthing practices at a certain point in time – and was a story that sparked significant changes in how birthing is done in America. It is through Karmel’s “ASPO” (American Society for Psychoprophylaxis in Obstetrics), now called “Lamaze International”, that things like having your husband present during labor and delivery became mainstream in America. Yet some of the aspects of how Karmel gave birth have been rejected by modern natural childbirth organizations, including Lamaze International.

Another interesting aspect was hearing about Karmel’s experience trying out a “natural childbirth course” at an American hospital. The class was led by a facilitator rather than a teacher – and the facilitator kept pointing out how every woman is different (and therefore there aren’t any general principles for women to learn to help them understand the process) and how medications will always be available if needed. The bulk of the class ended up being women talking about their past experiences or expected experiences – with very little learning about the actual process of birth or of ways to deal with it. I thought Karmel’s description was fascinating, because I feel like I’ve heard about that same class – except taught in these days :-)

It’s a short book, an easy read, and interesting to people like me. :-)


Rating:4 stars
Category: Birth Memoir
Synopsis: Karmel shares her story of giving birth naturally in a Paris hospital with Dr. Lamaze’s techniques – and of applying the same techniques in a New York hospital with less aware attendants.
Recommendation: Definitely worth reading for those who enjoy this sort of thing

2 thoughts on “Book Review: <em>Thank You, Dr. Lamaze</em> by Marjorie Karmel”

  1. This does sound interesting. When I was having my kids, the classes offered were “Lamaze classes” rather than “childbirth classes.” I’m very glad she wrote her book so that the childbirth climate changed!

    Reply

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