A large percentage of women giving birth vaginally in the United States will receive an episiotomy. The vast majority of these surgeries are unnecessary and preventable. Using only the latest research, Elizabeth Bruce, MA, CCE, shows you how to take responsibility for your own birth. Helpful subjects include: Proven advice for avoiding perineal damage before, during, and after birth; Why a tear is preferable to an episiotomy; Optimal positioning for delivery; The benefits of waterbirth, doulas, and midwives; How to choose a good care provider; Building your confidence to birth. Inspiring stories from real women who have birthed babies, large and small, with their perineums intact!