Cut It Out

Theresa Morris is Associate Professor of Sociology at Texas A&M University, where she teaches courses on Organizations, Gender, Reproduction, and Research Methods.She is the author of Cut It Out: The Cesarean Section Epidemic in America (NYU Press, 2013).

"By looking at the power structures of the medical, legal, and professional organizations involved, the politics that devalue women, the organizational arrangements and protocols of hospitals, and the professional standards used in medicine and the insurance industry, she discovers a culture that avoids risk and encourages planning to avoid adverse outcomes...A useful addition to health sciences and academic library collections." (Library Journal) "Must Read! Anyone riveted by Rick Lake's documentary The Business of Being Born should snag a copy of Cut It Out." (Fit Pregnancy) "It is thoroughly researched, cogently argued, and elegantly expressed given the level of detail it provides medical professionals, decision makers in the health sector, and of course actual and potential mothers and fathers who could all benefit from the information it provides." (New York Journal of Books) "Birth by Caesarean section is expensive and carries a higher risk of medical complications than vaginal birth. Yet in 2011, 33% of US births were by Caesarean. To investigate why, sociologist Theresa Morris crunched the numbers and interviewed more than 100 medical staff and mothers. The culprit, she concludes in this excellent and detailed study, is a risk-averse US medical culture that favours heavily managed birthssuch as the overzealous use of fetal heart monitors, which restrict the mother's movementand that frowns on women having vaginal births after Caesareans." (Nature) "Perhaps the most important of all is that Theresa Morris provides lists of things we can actually DO to lower the cesarean section rate. Did I cheer when the first thing she mentioned was recommend that women take an independent birth class? Maybe a little. Morris solutions were more than just for women but for their providers, for insurance companies and policy makers. Cut It Out: The C-Section Epidemic in America, is an important book and one I would strongly encourage anyone who seeks change in childbirth to carefully read." (Mama Birth) "In Cut It Out, she refreshingly steers clear of the home-birthing-good, hospitals-bad dogma that tends to dominate this conversation, instead encouraging empathy with all involved...Morriss impressive research, as well as the solutions she offers to women, providers and policy planners, makes the book an important contribution to the C-section debate." (New York Times Book Review) "Morris provides a thorough analysis of how this epidemic developed and suggests ways that this problem might be ameliorated.Her book is the clearest and fullest sociological analysis of the C-section epidemic that I have seen to date." (American Journal of Sociology) "A Trinity College professor, inspired by her own experiences, takes a critical look at Caesarean sections in her new book, Cut It Out: The C-Section Epidemic in America." - William Weir (The Hartford Courant) "Engagingly written, rigorously researched, and compellingly argued, this book [is] a must-read not only for womens health advocates and scholars of reproduction, but also for those engaged in health care policy." - Susan Markens,author of Surrogate Motherhood and The Politics of Reproduction "In this thoughtful and engaging study, Morris demonstrates how hospitals, insurers, and professional societies have defined cesarean surgery as best practice, even when it is not in the interest of either the mother or her baby. In doing so, she illustrates the importance of organizational context in understanding contemporary medical procedures underscoring how these processes are not necessarily good for patients." - Beth Mintz,author of The Power Structure of American Business "Theresa Morris calls the C-section epidemic a paradox: doctors don't like it, women don't like it, and we know it's a danger to our health. Yet like a bad habit, we can't seem to stop doing more and more cesareans. Why? Morris demystifies the paradox in clear, accessible terms: rather than & patient choice or doctors' convenience, it is our systems and institutions driving this addictive behavior. Morris takes you inside those systems and institutions with a critical eye as well as a compassionate ear for the human beings caught in them, and offers concrete solutions to address this major threat to women's and babies' health." - Jennifer Block,author of Pushed: The Painful Truth About Childbirth and Modern Maternity Care "Cut It Outserves as an important resource to understand the complex birthingparadox currently at the root of the increasing C-section rate in the United States." (Sex Roles) "The authors suggestions include changing insurance rules to compensate women and children with poor birth outcomes independent of fault; encouraging the use of doulas, midwives, and out-of-hospital care; counting C-section rate as a hospital quality measure; and loosening policies that reduce physician choice. Morriss powerful book deserves the attention of policymakers." (STARRED Publishers Weekly) "A major strength in this book is that Morris examines an assortment of data sources and thus achieves a multifaceted research approach for analyzing the increasing number of C-sections being performed." (Sociology of Health & Illness) "Cut It Outis a compelling examination of the risks associated with cesarean surgery, the reasons for the rise in the cesarean surgery rate, and solutions to address the problem." (The Family Way Publications)

• Acknowledgments Introduction Part I. The Root of the Problem1 The Liability Threat in Obstetrics Part II. Control Systems Embedded in Hospitals2 The Tyranny of the Rules 3 Too Much Information: How Technology Raises the Stakes Part III. The Effects of Organizational Constraints4 The Big Kahuna: Repeat C-Sections 5 Women's Lack of Choice in Labor and Birth Conclusion: A Roadmap for Change Methods Appendix NotesReferences Index About the Author