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Book and Media Reviews
April 18, 2007

Born in the USA: How a Broken Maternity System Must Be Fixed To Put Women and Children First

Author Affiliations

Book and Media Reviews Section Editor: John L. Zeller, MD, PhD, Fishbein Fellow.

JAMA. 2007;297(15):1717-1722. doi:10.1001/jama.297.15.1718

Marsden Wagner is a pediatrician and epidemiologist who served as Director of Women's and Children's Health at the World Health Organization for 14 years. In Born in the USA, he takes on the obstetrical establishment.

Born in the USA has several recurring themes: obstetricians are greedy and afraid of women; the use of misoprostol for cervical ripening and labor induction was and is a terrible crime; physicians never criticize their colleagues; and peer review occurs behind closed doors to hide medical mistakes. According to Wagner, the answer to virtually all of these problems lies in a combination of home birth, along with the increased use of midwives.

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