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When Survivors Give Birth: Understanding and Healing the Effects of Early Sexual Abuse on Childbearing Women Paperback – April 1, 2004

by Penny Simkin (Author), Phyllis Klaus (Author)
4.8 4.8 out of 5 stars 198 ratings
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When Survivors Give Birth is written for a mixed audience of maternity care professionals and para-professionals, mental health therapists and counselors, and women survivors and their families. The authors expertly and compassionately address the unusual and distressing challenges that arise for abuse survivors during the childbirth experience.

The first section informs the reader of the impact of early sexual abuse on children, adults, and on all aspects of childbearing. The second section teaches skills in communication, self-help skills, counseling and psychotherapy techniques. The third covers clinical challenges and solutions for doctors, nurses, midwives, doulas, and others. Case histories throughout the book clarify and apply the content.

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  1. Print length
    450 pages
  2. Language
    English
  3. Publisher
    Classic Day Publishing
  4. Publication date
    April 1, 2004
  5. Dimensions
    5.65 x 1 x 8.5 inches
  6. ISBN-10
    1594040222
  7. ISBN-13
    978-1594040221
  8. See all details
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Editorial Reviews

About the Author

Penny Simkin, P.T., is a physical therapist, childbirth educator, doula, counselor, and writer. She is author or co-author of 5 books and numerous articles on childbearing.

Phyllis H. Klaus, C.S.W., M.F.T., a psychotherapist, who specializes in women's reproductive issures. She is co-author of 4 books on childbirth and newborns.

Product details

  • Publisher ‏ : ‎ Classic Day Publishing; 1st edition (April 1, 2004)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 450 pages
  • ISBN-10 ‏ : ‎ 1594040222
  • ISBN-13 ‏ : ‎ 978-1594040221
  • Item Weight ‏ : ‎ 1.21 pounds
  • Dimensions ‏ : ‎ 5.65 x 1 x 8.5 inches
  • Customer Reviews:
    4.8 4.8 out of 5 stars 198 ratings

About the author

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Penny Simkin

Penny Simkin

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Penny Simkin, PT, is a physical therapist who has specialized in childbirth education and labor support since 1968. She estimates she has prepared over 13,000 women, couples, and siblings for childbirth. She has assisted hundreds of women and couples through childbirth as a doula. She is author or co-author of books for both parents and professionals, including “The Labor Progress Handbook;” “Pregnancy, Childbirth, and the Newborn: The Complete Guide;” “When Survivors Give Birth: Understanding and Healing the Effects of Early Sexual Abuse on Childbearing Women;” “The Birth Partner: A Complete Guide to Childbirth for Dads, Doulas, and All Other Labor Companions,” She has developed teaching materials for birth classes and produced several videos for educators, doulas, and families , the latest of which is for siblings-to-be, “There’s a Baby.” She is co-founder of DONA International (formerly Doulas of North America) and PATTCh (Prevention and Treatment of Traumatic Childbirth). Currently, she serves on the editorial board of the journal, Birth: Issues in Perinatal Care, and serves on the senior faculty of the Simkin Center for Allied Birth Vocations at Bastyr University, which was named in her honor. Today, her practice consists of childbirth education, birth counseling, combined with a busy schedule of conferences and workshops. Find out more about Penny at her website: www.pennysimkin.com.

Customer reviews

4.8 out of 5 stars
198 global ratings

Customers say

Customers find the book informative and a good read for survivors of sexual trauma and abuse. They also describe the reading experience as great and well-written.

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ContentReading experienceWriting style
21 customers mention "Content"21 positive0 negative

Customers find the book's content informative, helpful, and important for birth professionals and survivors of sexual abuse. They also say it's an amazing tool that addresses survivor issues and needs. Customers also say the book is a good read for survivors of abuse and sexual trauma.

"...I highly recommend this if you want an empowering, healing birth experience if you are a survivor!" Read more

"This book is so, SO important and valuable to women and their spouse/partner and EVERY person involved with birth work...." Read more

"As a birth doula, the information this book provides is invaluable!..." Read more

"...is very easy to understand and this book is something that is an amazing tool. love that this topic is given the light it needs" Read more

9 customers mention "Reading experience"9 positive0 negative

Customers find the book to be a great read.

"Great book" Read more

"This is an AMAZING book...." Read more

"...If you are a survivor, be careful. This book has some good chapters, but I would only focus on the "self help" parts and stay away from the rest of..." Read more

"Wow, what a fantastic book!! I am a mental health professional, birth educator, and nursing supporter...." Read more

4 customers mention "Writing style"4 positive0 negative

Customers find the writing style of the book well written.

"I am a huge Simkin fan, her writing is very easy to understand and this book is something that is an amazing tool...." Read more

"Such a great book. Well written. Makes you consider all aspects of surviving after assault and how to approach it as a health care provider" Read more

"Well written book" Read more

"Well written..." Read more

Top reviews from the United States

Amazon Customer
5.0 out of 5 stars Great book for anyone that has experienced sexual abuse
Reviewed in the United States on March 20, 2021
Verified Purchase
I got this book during my 3rd pregnancy. I started therapy after my second child and began addressing things that I had ignored for 2 decades. This book was extremely validating and helped put into words what I experienced in my previous births. I highly recommend this if you want an empowering, healing birth experience if you are a survivor!
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Brittany Knopp
5.0 out of 5 stars Great
Reviewed in the United States on August 1, 2024
Verified Purchase
Great book
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S. Gilliland
5.0 out of 5 stars Abundance of wise counsel for birthing women and those who love and help them give birth.
Reviewed in the United States on December 16, 2017
Verified Purchase
This book is so, SO important and valuable to women and their spouse/partner and EVERY person involved with birth work. Birth can be difficult and challenging, even for physically and emotionally healthy women. Add in prior trauma in the form of sexual abuse/trauma, and it is often beyond imaginable. Penny Simkin is well-known in the birth world, and I hope she becomes better known as a result of this important work. Anybody interested in improving birth can benefit from this book.
3 people found this helpful
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Amy Fogelsanger
5.0 out of 5 stars Birth professional MUST-GET book!
Reviewed in the United States on January 4, 2020
Verified Purchase
As a birth doula, the information this book provides is invaluable! 1 in 4 women have been abused in childhood....which means if you're a doula you'll be working with A LOT of these women. Knowing potential reactions and why will help you serve them better! A MUST-GET book for every birth professional!
2 people found this helpful
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Deroche Family
5.0 out of 5 stars her writing is very easy to understand and this book is something that is ...
Reviewed in the United States on April 19, 2017
Verified Purchase
I am a huge Simkin fan, her writing is very easy to understand and this book is something that is an amazing tool. love that this topic is given the light it needs
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Brandon M.
5.0 out of 5 stars a must have for abuse survivors having a baby
Reviewed in the United States on May 6, 2015
Verified Purchase
This is an AMAZING book. As a survivor myself and having not yet dealt with the past issues it was hard for me but my husband and my mom and mom-in-law all read it. It was SUPER helpful. The labour did not give me issues but the breastfeeding has brought all abuse back and this book has been sooo helpful to my family to help me cope. This baby was my first but I will be reading this book all over again if we ever get pregnant again!
9 people found this helpful
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Elizabeth M. Johnson, MA
4.0 out of 5 stars Excellent guide for understanding impact of CSA on childbearing women
Reviewed in the United States on October 24, 2014
Verified Purchase
I can’t think of many books, of any genre, that I would say are truly revolutionary but When Survivors Give Birth is one of them. This book is a compendium of everything a provider might need in order to deal more effectively and compassionately with a pregnant woman who is a survivor of childhood sexual abuse. From triggers in pregnancy to challenges in the postpartum period with breastfeeding, body image or dealing with the affects of a traumatic birth, the authors have meticulously researched the issue of childhood sexual abuse and how it affects pregnant women and new moms.

Survivors might find themselves in the stories in When Survivors Give Birth. But be aware: the content can be VERY triggering for survivors. But chapters like “How survivors can reduce the risk of a traumatic birth” includes useful advice like, “risks can be reduced if the abuse survivor can identify and express her needs or even resolve some troubling emotional issues before the birth,” (emphasis mine 63) so for some the benefit might outweigh the risk. Careful attention is also paid in helping the survivor understand the positive role that a doula can play in her childbirth experience as well as how to get providers to “recognize the needs and fears beneath the surface,” (139).

One of the strongest pieces in WSGB is the section that focuses on the postpartum period. That’s a time when traditionally, the woman gets little or no attention from providers (“come back and see me in 6 weeks,”) but which is a time of great vulnerability and change for even non-survivors. Simkin and Klaus meticulously explore the connection between postpartum mood disorders, for example, and survivors of childhood sexual abuse. Postpartum mood disorder screening for even non-survivors is abysmal but my hope would be that if more providers were to read this book, they might recognize all the more the importance on appropriate screening AND follow-up.

Two things I'd change as a trauma educator and someone who has worked with survivors for 15+ years:
1) Simkin and Klaus don't spend time making the connection between childhood sexual abuse and intimate partner violence. CSA doesn't happen in a vacuum and I wish that was acknowledged more in this book.
2) the book is limited to impact on *child* sexual abuse survivors. Adult survivors of rape will find themselves and their stories absent. This is a huge, but common, miss. The reality is adult survivors can have as many challenges as child survivors.

Also, this book is now almost 20 years old, it is not "trauma-informed" nor inclusive in its language.

When Survivors Give Birth is a terrific reference for anyone who deals with pregnant women in any capacity: from birth doula to ob/gyn. It's a book that providers can return to again and again, both for basics like statistics, symptoms and practical tips on how to deal more sensitively to the needs of survivors of childhood sexual abuse but also for basics such as creative problem solving, active listening and supportive resources.
36 people found this helpful
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Thomas B Weems
5.0 out of 5 stars Crucial educational material for anyone who works in the birthing world
Reviewed in the United States on March 9, 2020
Verified Purchase
This book has helped me immensely to care and advocate for patients with a background of sexual abuse and trauma. I think this should be required reading material in every nursing and medical school in the country.
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Top reviews from other countries

Anne
5.0 out of 5 stars Everyone should read it
Reviewed in Canada on July 16, 2022
Verified Purchase
Great book... Every one giving birth or in the birthing industry should read it.
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theladyinrouge
5.0 out of 5 stars lovingly written
Reviewed in the United Kingdom on March 19, 2013
Verified Purchase
This has been so useful for my dissertation about SA - sensitively written, with good reference to other literature - a midwife's buddy.
One person found this helpful
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Amazon Customer
5.0 out of 5 stars In excellent condition
Reviewed in Canada on September 24, 2018
Verified Purchase
Great book to help survivors and health professionals.
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Cazza100
4.0 out of 5 stars Powerful stuff although easy to read
Reviewed in the United Kingdom on July 1, 2013
Verified Purchase
I bought this book hoping I would get information for my dissertation. I was concerned that this would be heavy going, but was pleasantly surprised on how easy this book is to read . It has great insight on how women can react to childbearing and opens our eyes as health care professionals on how to recognise and support women who have suffered historic sexual abuse.
2 people found this helpful
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