Another really helpful book--in fact, I would say that this one is the most comprehensive in terms of covering medical, practical, and emotional aspects of birth. If you only read one, I would choose this book for that reason.
There were just a couple things that bothered me about this book. The first was what seemed to me a ridiculous avoidance of the word "pain" in relation to laboring. I understand the intent--most pregnant women (myself included) are inundated with horrific stories of excruciating pain in childbirth and such stories create fears and expectations that only increase painful sensations. So, the Sears' are trying to combat that. But, come on--labor hurts. And I feel like trying to say it shouldn't or it shouldn't hurt very much is more dishonest than helpful. I prefer Birthing From Within's approach to recognizing the painful experience that birthing is and having that be okay.
The other point that bothered me is related to the above. There seems to be a fair amount of emphasis placed on not "losing it" during labor. Again, I understand the rationale ("losing it" usually means lots of fear and tension, which increases pain), but again, I think there are more helpful approaches. Sometimes women need to lose it in labor to get through it, and that's okay too.
Other than that, like I said, it's a very informative read, written from a unique perspective (the married authors are a MD-RN team who have had many of their children at home).