如果我们不去诚实地谈论生育，整个社会将付出什么代价？
在美国顶尖医学院的资深孕产专家查维·伊芙·卡尔科夫斯基看来，影视和媒体把生育描绘得过于简单和幸福，几乎没有人真正知道怀孕期间、之前和之后会发生什么，没有人知道除了喜悦，怀孕还可能使女性面临尴尬、恐惧、愤怒，甚至生命危险。卡尔科夫斯基认为，大多数女性及其家人对生育完全没做好准备。
孕吐的痛苦如何被忽视？孕检为何成为痛苦的知情权？选择顺产还是剖宫产，做不做输卵管结扎，在多大程度上可以由个人决定？胎死宫内，怎样成为现代产科护理中最深的焦虑，又如何避免？勇敢、严谨、温和，卡尔科夫斯基挖掘多年的一线经验，讲述亲身经历的妊娠故事，揭开产科和产房的厚重帷幕，也揭开笼罩着女性身体和生育文化的迷雾。她既谈论生的喜悦，也谈论死的阴影，既讨论医疗的运作，也讨论生育背后的社会观念、文化背景。
卡尔科夫斯基说，在她的经验中，最常听到的话是“真希望有人告诉过我”。在这本书中，她将所有她认为女性应该知道的事、社会应该理解的事，和盘托出。因为，“女性的健康，就是人类的健康”。
作者简介
查维·伊芙·卡尔科夫斯基（Chavi Eve Karkowsky），母胎医学专家，蒙蒂菲奥里医疗中心妇产科主任，阿尔伯特·爱因斯坦医学院妇产科学系副教授。
卡尔科夫斯基出生于马里兰州，先后毕业于耶鲁大学、西奈山伊坎医学院，曾于波士顿布里格姆女子医院、麻省总医院担任妇产科住院医师。她撰写的有关医学、女性健康和生育政策的文章，散见于《纽约时报》《华盛顿邮报》《大西洋》等。
What is the cost to society if we don't talk honestly about reproduction?
In the view of Chavi Eve Karkowski, a senior maternity expert at the top medical school in the United States, the film and media portray fertility as too simple and happy, and almost no one really knows what happens during, before and after pregnancy, and no one knows that in addition to joy, pregnancy can expose women to embarrassment, fear, anger, and even life danger. Karkowski believes that most women and their families are completely unprepared to have children.
How can the pain of morning sickness be ignored? Why is pregnancy testing a painful right to know? To what extent can the choice of vaginal or cesarean delivery, tubal ligation or not, be decided by the individual? Fetal death in utero, how to become the deepest anxiety in modern obstetric care, and how to avoid? Brave, rigorous and gentle, Karkowski digs into years of front-line experience to tell firsthand pregnancy stories, lifting the curtain on obstetrics and delivery rooms, as well as the fog surrounding the female body and fertility culture. She talks about both the joy of life and the shadow of death, about the workings of medicine, and about the social and cultural contexts behind childbearing.
Karkowski says that in her experience, the most common phrase she hears is "I wish someone had told me." In this book, she lays out everything she thinks women should know and society should understand. "Women's health is human health."
About the author
Chavi Eve Karkowsky is a maternal-fetal medicine specialist, chair of obstetrics and gynecology at Montefiore Medical Center and associate professor in the Department of Obstetrics and Gynecology at Albert Einstein College of Medicine.
Karkowski was born in Maryland, graduated from Yale University and the Icahn School of Medicine at Mount Sinai, and served as a resident in obstetrics and gynecology at Brigham and Women's Hospital in Boston and Massachusetts General Hospital. She has written about medicine, women's health, and fertility policy in The New York Times, The Washington Post, The Atlantic, and elsewhere.
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