In No Perfect Birth: Trauma and Obstetric Care in the Rural United States, Kristin Haltinner examines the institutional and ideological forces that cause harm to women in childbirth in the rural United States. Interweaving the poignant and tragic stories of mothers with existing research on obstetric care and social theories, Haltinner points to how medical staff’s lack of time, mother’s need to navigate and traverse complex spaces, and practitioner’s reliance on well-trodden obstetric routines cause unnecessary and lasting harm for women in childbirth. Additionally, Haltinner offers suggestions towards improving current practices, incorporating case models from other countries as well as mothers’ embodied knowledge.