christinaskina's review against another edition

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informative medium-paced

4.75


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bronwyn's review against another edition

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informative medium-paced

2.0


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seamoonstone's review against another edition

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informative fast-paced

2.5

"Knowing what the evidence says doesn’t make the decision for you. It just lets you make the decision in an informed way.”

The overall message of Expecting Better is that it’s acceptable for child-carrying people to make well-informed decisions that make the most sense for them, rather than blindly adhering to the limited and often outdated information that we’ve gleaned from media, older generations, rushed medical appointments, etc. This means that everyone can look at the same information and make different decisions and choices. While Emily Oster presents this book as a non-biased, research-based journey through conception, pregnancy, labor and delivery, the topics covered more thoroughly feel specifically relevant to her and may not be the priority to other mothers or pregnant people who might not be well-educated, privileged, white, thin, able-bodied, cis, etc. Thus, the time spent on the topics feels imbalanced, and Oster wraps up each section with her own decision(s), which feels a bit self-indulgent and contradictory to the proposed objectivity. I’m left wondering what information I’m missing, because I only heard about the aspects of pregnancy that were specifically relevant to Oster, such as how much wine she might indulge in and how often she can still go out for sushi. I get the impression that this is the way things are with pregnancy and childbirth—everyone will tell you what they did, whether you ask or not.

Oster claims that, as an economist, she is frustrated by conclusions that lack numerical data, yet reverts to using vague moral statements as to whether something is “good” or “bad” when reviewing those topics that she only lightly touches on. The edition I read used 'sex' and 'gender' interchangeably, and also relied heavily on the idea that BMI is a modern scientific principle, which felt very misleading since it's been determined to be a very flawed (and arguably problematic) metric. Personally, I found her self-insertion deeply irritating—I was frustrated by her lack of empathy or awareness when navigating these choices (to be fair, she’s intending to deal with numbers only), and the portrayal of her husband as unsympathetic and uninterested (sitcom husband vibes), who only participated in the conception part of the process unless emailed re: her research, contributes the occasional BBQed steak, and would probably get tired of taking care of her if she had a difficult pregnancy. Her attempts to be relatable (Where would you even find queso fresco anyway?) came off as deeply unrelatable and frankly cringe-inducing at times, and the “as long as I can have my glass of wine, am I right, ladies?” tone, as if that’s the main concern of all pregnant women, just didn’t work for me. However, Part 5: Labor and Delivery was full of useful insight, considering this part is usually the hardest to talk about and the most inaccurately represented in our media/culture. I found this section to be the most readable, though I think this is due in part to Oster ditching the numerical data and charts for summarizations, generalizations, “more/less likelys” and anecdotes, which goes against her earlier intentions but does make for a more enjoyable reading experience (minus the jabs at her husband).

I get that most of the information we encounter about pregnancy is condescending at best and harmful at worst, and the value of this book—to promote confidence in reviewing the available information and making personalized pregnancy choices—is an important and welcome new way of approaching the incredibly daunting experience of pregnancy and childbirth. Complaints aside, I did learn some things and can appreciate the approach to an overwhelming subject. At the end of the day, this is a pop science book written by a person with a very specific viewpoint, and should be treated as a piece of the puzzle of navigating pregnancy, not a pregnancy bible. Maybe the more recent edition is better. I will be avoiding Oster’s follow-ups on child-rearing by the numbers.

2023 update: The more I learn about Oster's opinions, funded by meta, Peter Thiel and Koch money, the more upset I am that I crossed paths with this book.

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