After reading some of the negative reviews, I felt compelled to write my own. In my first pregnancy, I did find the book hard to follow in some places (and yes it could be organized better), and I did not use it. Now in my second preganacy, and in hindsight I greatly regret not taking the time to actually read it and use it. I have searched for other books, and have found some that seem better organized, however, all of the other books seem based on MS Noble's but less complete, and do not really promote exercises which will not increase pelvic floor problems. This book is designed to protect the pelvic floor, and repair it (instead of surgery). So no, do not expect to break a sweat or find and intense work out (of which high body temp is bady for baby's brain anyway). If you are looking for something with a 5 second simple sound byte for instructions, this is not the book for you. Such as in life, some of the really good things require thorough explanantion and a bit of your time. Ms. Noble's book was one of the first like it, is still the base reference for most others, and will truly teach you how to protect your abdomen and pelvic floor safely. Unlike some other books, which have exercises that will actually increase abdominal recti seams. So, if after pregancny you do not want a saggy abdomen, a uterus hanging down, and not to pee when you sneeze- this is the book for you.

I wish that I had found and read this book before both of my pregnancies, especially since I now have a severe uterine prolapse shortly after my second! (I never even knew this could happen in someone my age- 36!) I will now try to repair some of the damage pregnancy and delivery has wrought on my body by using the exercises in this book, and fully recommend other women do the same to avoid the awful problems I am having!

Although this book has some really interesting points on abdominal exercises (although the other reviewers are right about the poor organization; and, there are typos and visually the pages are very cluttered), it absolutely does not offer an overall fitness program. It's much more like a physical therapy program focussed on abs and pelvic floor. So, if what you're looking for is supplemental exercises to add, it may be fine for you, but I'm going back to the drawing board to find a more all-purpose pregnancy exercise book. Plus, I think I can handle more than three or four crunches (I think she says you can do "up to five").

Also, be aware that the author has a judgmental streak. I may agree with some of her digs at the medical establishment (I was delighted, for example, to hear her pooh-pooh the idea that lying or exercising on your back will cause supine hypotension), but when she aims her barbs at women with bad posture, for example, it seems counter-productive (I could do without the screaming jagged "NO!"s next to the pictures of incorrect posture).