(Expecting Better) PDF ´ Emily Oster
I icked this one up after reading several reviews describe it as if you read a single book about regnancy this is the one you should read And I completely agree THERE ARE SOURCES I swear it never occurred to me that the vast majority of The Lost Masters: Grace and Disgrace in '68 pregnancy books would cite no sources whatsoever I don t care if you re a doctor Lots ofeople call themselves doctors and I m not going to take their advice On top of that the books often say things like Ask your doctor I m reading The National Debt: A Short History pregnancy books so I can go to my doctor s appointments informed about all the differentros and cons and Rites, Rights and Rhythms: A Genealogy of Musical Meaning in Colombia's Black Pacific possible issues with things So that I can then talk to my doctor in an informed way Don t just tell me to talk to my doctor Why bother reading a book thenAnyway Expecting Better is written by an economist Seem odd Sure But she was similarly frustrated by the lack of evidence given inregnancy advice books or even by her doctors So she decided to research all the main uestions so she could make informed decisions In each chapter she resents multiple case studies and weighs all the different decisions new arents can make Her remise is that arents need to make informed decisions She doesn t tell you whether you should or shouldn t get on epidural or drink coffee etc but rather what research shows so arents can make their own decision She argues that there s no right or wrong answer only informed decisions Thus based on her research she decided against an epidural Based on the same research I m going with an epidural Neither of us are wrong in our decisions we re making the choices that are best for us after researching the effects of that choiceI wish everyone did this with everything waited to make an opinion about something until they d researched multiple scenarios So far this is the only regnancy book I ve read worth reading She didn t research all my uestions about Les Ténébreuses - Tome I - La Fin d'un monde pregnancy but thankfully I have access to medical research journals through the university I teach at so I m conducting my own research455 As ahysician I was curious about this book after a few of my friends read it during their Karneval, Vol. 4 pregnancy First of all I found much of the data that sheresented was uite interesting and I learned some of the specific aspects of The Hiding Place prenatal care However importantly her tone smacks ofrivilege and she falls rey to many of the biases she criticizes doctors and ACOG for She skews how she discusses the research based on whether or not she agrees with it She appears to be critical of hysicians not knowing the exact data of the hundreds of articles she resents without taking into consideration how little time we have to keep up with medical literature Most importantly she seems to universalize her experiences and those of other upper middle class friends to the entire US She rojects her own belief that everyone should have access to minutia to make their own medical decisions regardless of their ability to comprehend this level of detail I am glad I read this book for the information it had but I m glad I m familiar with being able to detect cognitive biases and see through them for the actual data But she s not writing a The Elephants Journey peer reviewed article she s writing a book for layeople I just hope no one out there relies on this book than they do their Sklaven für Wutawia + Gauner mit der 'Goldenen Hand' physician After becomingregnant I uickly learned that there are two types of regnant women ok there are a lot than this but keep reading The first type says Show me roof that this will NOT hurt my baby and I will do it The second type says Show me Changing Face of the Hero proof that this WILL hurt my baby and I won t do it It turns out I am the second type which causes many of my friends and coworkers to be absolutely horrified at some of my behaviors most of which involve ingesting things Thankfully my husband and I are on the sameageAs an example a few months ago much earlier in my The Undisputed Greatest Writer of All Time: A Collection of Poetry pregnancy I went to lunch with some ladies from work and I ordered a roast beef sandwich One lady gasps in horror and says You aren t actually going to eat that are you To which I look at her like uh der no i just ordered it so i can throw it in the trash can over there Yes of course I waslanning to eat it She says Aren t you worried about listeria From the deli meat and cheeseHere s the thing about listeria Yes it would suck to get it honestly it would suck even if I weren t StoryBranding: Creating Stand-Out Brands Through The Power of Story pregnant but no one ever seems to worry about it then And it s very risky duringregnancy because it can cause miscarriages even when the mother shows no symptoms But the last two US listeria outbreaks were in Ice cream bluebell and caramel apples source cdc and the biggest
"Outbreak In Recent History Was "in recent history was cantelope in 2011 But you don t hear anyone freaking out if I want to eat some ice cream or apples or melon do you The way I figure it I take much of a risk driving to work every day on I 95 than I do by eating a roast beef sandwich So yeahWhen It's A Wonderfully Sexy Life people started telling me all the things I cannot do or eat whileregnant my first uestion was always why not And 9 times out of 10 they didn t really know Everyone knows you can t have coffee while Lignin Biodegradation pregnant Everyone knows you can t get massages whileregnant Everyone knows you can t have sushi while Pure Chance pregnant Says who What are the reasons for thisIf you are like me and ask these kinds of uestions this book is definitely for youOster explains the reasons for all of the no no things duringregnancy as well as looking into their validity based on scientific studies And she The Lady and the Lionheart provides all of the references so you can go look up theapers yourself if you want to draw your own conclusions which I did in a few cases She also looks into re regnancy things timing conception trying for a specific gender etc non no no regnancy things like genetic testing and medications for non regnancy related illness and labor things Schilder's Struggle for the Unity of the Church pros and cons of things like VBAC epidurals and episiotomies While she says she tries to be neutral and justrovide the facts so the reader can make their own decisions I don t think she does a great job at this I mean she does A (kinda) Country Christmas provide the facts but she also tells us exactly what she decided to do based on these facts In most cases I came to the same conclusion but there were a few things which of course I don t remember off hand where I made a different decision And that s okAnyway I thought this book was excellent It answered a lot of uestions both directly and indirectly through the resources I had at the beginning of thisregnancy journey and made me feel a lot comfortable with the decisions I am making Highly recommended The author of this book is committing child endangerment I did my graduate studies on fetal alcohol syndrome my family has members afflicted with fetal alcohol syndrome and between graduate and medical school I believe I have the authority to contradict the author and state uneuivocally that no amount of alcohol is safe during regnancy None Not during the first trimester not during the second not during the third The effects of alcohol on babies tear apart families and ruin lives I m not sure how she manages to come to this conclusion given the enormous amount of evidence stating the clear teratogenic effect of alcohol on the fetus and even the molecular mechanisms behind this It s not like we ve merely found a correlation between alcohol and birth defects We know the exact mechanisms behind these effects It is fact and a great disservice is being done to rospective mothers who read this book and think they can drink and still rotect their child I m astounded that an economist who is not a maternal newborn health care rofessional decided that being regnant reading an obstetrics textbook and reviewing some studies makes her ualified to decide she can tell women to ignore reputable health organizations guidelines For instance the researchers hysicians midwives and other health care rofessionals are reviewing the SAME research information as Emily Oster is and have concluded that there is not enough uality or conclusive evidence to say that drinking any amount of alcohol during regnancy is safe I m not saying that new research doesn t come out guidelines aren t reevaluated and recommendations don t change but I am saying that a non medical rofessional like Emily Oster is NOT ualified to speak with Such Authority On These Issues This Puts Women And Newborns authority on these issues This uts women and newborns serious riskFor instance the risks and inconvenience of avoiding deli meat and alcohol are tiny compared to the conseuences if one contracts listeria during regnancy or if it turns out that low dose alcohol does cause FASD or other health roblems for newborns The major health organizations like the World Health Organization and the American Society of Obstetricians and Gynecologists say that there is not enough uality research to ensure that drinking of any amount during Charming the Firefighter pregnancy is safe so why would we uestion that until the research is clearerTL DRLONG STORY SHORTPLEASE if you are aregnant woman or know someone who is be smart and don t listen to an economist who is NOT a health care rofessional. What to Expect When You're Expecting meets Freakonomics an award winning economist disproves standard recommendations about regnancy to empower women while they're expectingPregnancy unuestionably one of the most Everyone Loves Clowns and Other Tales profound meaningful experiences of adulthood can reduce otherwise intelligent women to well babies We’re told to avoid cold cuts sushi alcohol and coffee but aren’t told why these are forbidden Rules forrenatal testing are hard and fast and unexplained Are these recommendations even correct Are all of them right for every mom to be In Expecting Better award winning economist Emily Oster rov. And thinks her interpretation of the research is somehow superior to large groups of maternal newborn health care rofessionals and researchers looking at the same data It is better to be safe than sorry I m now on my second reading of this book It s so jam acked with enlightening facts and information that every expecting couple should know that I felt I should read it again just so I can retain it all a bit betterFirst let me address the alcohol issue since there s been a lot of backlash against this book online and on talk radio for suggesting that drinking a bit of alcohol during Hitler's First War: Adolf Hitler, the Men of the List Regiment, and the First World War pregnancy is okay It is my opinion that the anti FASD Fetal Alcohol Spectrum Disorder crusaders out there in comments sections of articles discussing this book have not read the book nor have they read the studies Oster cites in her discussion of the topic Oster does NOT say that heavy or binge drinking duringregnancy is okay The studies she cites clearly show that heavybinge drinking is detrimental to fetal health Those same studies however demonstrate retty clearly that light drinking up to 2 drinks PER WEEK not in the same day in the first trimester up to 4 drinks PER WEEK again not in the same day in the 2nd and 3rd trimesters has no effect on either fetal development or on intelligence of the child even up to age 14 There s a world of difference between light drinking as defined here and heavy or binge drinking and the most strident of Oster s critics seem not to grasp that difference Oster resents the studies the hard scientific data that backs up what she is saying This is not her opinion it s scientific evidence Intelligent Žemyn galva į Australiją pregnant women ca There is so much hubbub about this book right now I was really interested to read it and before I started it I read a few news articles and some of the dozens of 1 star reviews on It turns outeople are really upset with Oster rimarily for the chapter on drinking alcohol during regnancy There are other reasons Último asalto people areoo Fear (Tricycle Teachings pooing the book too like the fact that she hardly interviewed any medicalrofessionals about the topics she covered and instead relied almost entirely on her reading and interpretation of medical studies conducted over the I Only Say This Because I Love You: How the Way We Talk Can Make or Break Family Relationships Throughout Our Lives past century or so This article for example takes issue with the fact that Oster who holds a PhD in Economics is reaching beyond herrofessional realm and looking to interpret highly complex medical studies It also criticizes her subtle and tricky biases namely that Oster felt atronized by her OB from the first visitWell I read the book And you know what It s not really that scandalous The ortions about alcohol are getting the most attention she found that up to 1 drink a day in the second and third trimesters and a couple of drinks a week in the first is a comfortable amount a statement that will obviously make waves But the other sections of the book contain information that Conta and Boehme Porcelain Identification and Value Guide probably won t be that surprising if you ve read a large number of modernregnancy books or you had a Rodeo Drive to Raja Bazaar progressive OB or midwiferactice during your regnancyLet me ump the brakes for a second here though Overall I want to state how refreshing it was to read a book about J.R.R. Tolkien pregnancy that examined all facets from natural childbirth to epidurals to deli meats to inductions without coming from alace of obvious bias I found that unlike the Daily Beast article I cited above I thought Oster wrote the book from a mostly detached facts based lace There was no reaching tone or demanding instruction you must do this She establishes herself as someone who likes to have as many facts as Prophets Unarmed: Chinese Trotskyists in Revolution, War, Jail, and the Return from Limbo possible at her disposal before making a decision and nothing in the book convinced me otherwise The research and studies she used to draw conclusions are cited incessantly throughout and she is careful to note when there is not enough research to draw any meaningful conclusion Is she irresponsible Making bad recommendations Endangering women or fetuses I really don t think soI think much of the criticism of this book is mostly coming from the Pregnant Women Need to Listen To Their Doctors First and Foremostlace What isn t being mentioned in these critiues is that a lot of The Labyrinth pregnant women don t listentrustobey their doctors wholesale any If they hear something they don t like they switchroviders until they get the answer they were looking for If they feel uncomfortable with their level of care they ll look for someone who can The Raven and the Falcon: Youth Versus Old Age in Medieval Arabic Literature provide the care they need They crowdsource medical uestions on Babycenter They google things like mucuslug and lower back cramps trying to figure out if they re in labor or close to labor or can do anything to speed up their labor They take childbirth classes their The Humanist Interpretation of Hieroglyphs in the Allegorical Studies of the Renaissance: With a Focus on the Triumphal Arch of Maximilian I provider may or may not be aware of them taking They write birthlans based on templates they saw on Pinterest and they may or may not discuss them with their The Reproductive Bargain: Deciphering the Enigma of Japanese Capitalism provider before heading to the hospital or birth center Whether you believe this trend toward a medically detachedregnant woman is a Your Life Still Counts: How God Uses Your Past to Create a Beautiful Future positive or a negative thing IT IS A THINGSo to look at Oster s book and declare it dangerous or irresponsible isatently ignoring the fact that irresponsible is atently ignoring the fact
that have done and continue to do exactly what Oster didhave done and continue to do exactly what Oster did a smaller scale If Oster is irresponsible then so is every mom blogger who has ever spoken with confidence to thousands millions of readers about something on the medical spectrum You get my ointI think Oster s book is a fantastic way to The War against Animals prompt uestions with an OB or midwife That s the bottom line and also one she makes clear several times over It may annoy your carerovider but if going to an appointment armed with intelligent thoughtful uestions about topics that will affect you and your baby is something that annoys your care Fantasy Noir. Übernatürliche Mordfälle provider well that s something else entirely isn t it Since everyone from hospitals to a large number of medical doctors treatregnancy as a medical condition are we surprised that regnant women often look to independent research Most eople diagnosed with any sort of medical condition will do some amount of research on their own Depending on your Diari point of view this may seem to be a good thing or not But in my opinion women reading aboutregnancy related items and then clarifying with a care rovider about whether something could be ersonally beneficial or not certainly doesn t strike me as an irresponsible dangerous moveAs far as Oster s individual A Long the Krommerun: Selected Papers from the Utrecht James Joyce Symposium points are concerned I think that if reasonably intelligent women read this book then Oster s research will at the most just give them aush to do things they were already considering or will further entrench them in a Lancelot previously held belief If you read Oster s book and say Hey Great I was already going to have one glass of wineer week during this Scorch pregnancy and this research shows that is okay or if you say Well interesting research but I m still not comfortable with drinking alcohol duringregnancy then I think you would be having the mature grown up Labour Markets, Identities, Controversies person reaction to this bookPersonally I m all for women being given information rather than less aboutregnancy and birth related decision making Here are some things from the book I found really interesting or eye opening or funny It s not that complicated drink like a European adult not like a fraternity brother Don t worry too much about sushi and raw eggs they might carry bacteria but these bacteria are no worse when you are Marrane Et Marronne: La Co-Ecriture Reversible D Andre Et de Simone Schwarz-Bart pregnant than when you are not The chapter on weight gain is especially interesting Oster found that the amount of weight you gain whileregnant is less important than the weight you are when you become This Deleuzian Century pregnant in terms of being overweight or obese At a weight gain of 30ounds we d expect 10 Women's Romantic Theatre and Drama: History, Agency, and Performativity percent of women to have very small babies and 5ercent to have very large babies At a weight gain of 40 Tell Me What You Want pounds these figures are 7ercent and 11 Water in Social Imagination: From Technological Optimism to Contemporary Environmentalism percent Yes there is an increase in very large babies but there is a decrease in very small ones But because a very small baby is worse in terms of complications is this maybe actually better In order to really make the right recommendation for weight gain we need to think about what recommendation does the best job limiting the actual complications And in thisarticular case that might well be an argument for increasing the recommended weight gain at least by a few Sagwitch: Shoshone Chieftain, Mormon Elder, 1822-1887 pounds In terms of measuring amniotic fluid the deepest verticalocket measure is much better It captures the same number of truly roblematic situations but is much better at not identifying cases where there is nothing wrong It leads to fewer inductions and fewer C sections For babies that have fallen asleep during a non stress test in which baby s heart rate is monitored for a set amount of time to look at the baby s heart rate in relation to its movement clapping is a roven method of getting them to wake up and move around than having mom eat or drink something sugary I sat through two non stress tests in which Isobel fell asleep and they had me drinking this nasty sugary concoction to try and get her to move around It didn t wo. Es that Le rendez-vous pregnancy rules are often misguided and sometimes flat out wrongA mom to be herself Oster debunks the myths ofregnancy using her Molotov Mouths: Explosive New Writing particular mode of critical thinking economics the study of how we get what we want Oster knows that the value of anything a home an amniocentesis is in the eyes of the informed beholder and like any complicated endeavorregnancy is not a one size fits all affair And yet medicine often treats it as such Are doctors working from bad data Are well meaning friends and family erpetuating false myths and raising unfounded concerns Oster’s answer is yes and oftenPregnant women. .
Rk Nipple stimulation seems to be the MOST effective method of self inducing labor Oster looked at a study of full term women that recorded whether they had gone into labor 3 days later Of the breast stimulation group 37 ercent were in labor by 3 days versus only 6 All Our Trials: Prisons, Policing, and the Feminist Fight to End Violence percent of those without breast stimulation One review article Oster looked at found that women who underwent continuous fetal monitoring in the hospital were 16 times as likely to have a C section Oster found that oft uoted caffeine limits forregnant women seem to be somewhat low based on many studies she looked at Her findings are that 3 4 cups of coffee Discovering Our Past California Edition: Medieval And Early Modern Times per day are okay The chapter on miscarriage has some eye opening statistics that I hadn t read before A little background I m 29 weeksregnant for the fourth time so I In This Land: The Purple Book, Volume Four probably have interest inregnancy than your average JoeWhen economist Emily Oster decided to have a baby she wanted to make informed decisions and assumed the medical community would offer her the statistic based information she is used to finding Instead she received a lot of robably fine and low risk vagueness Since her and her husband s rofession is to find and analyze research she started reading studies about The Houdini Solution: Put Creativity and Innovation to work by thinking inside the box pregnancy and drawing conclusions The result is an easy to read story of her ownregnancy experience the choices she made and the research she found Her object is to give readers the information to make their own informed decisions taking into account what the research means and then to factor in their own Cybercrime and Digital Forensics: An Introduction pluses and minuses theersonal needs and references that influence any decision There are a few cases where she drew conclusions eg there is no evidence that routine episiotomy is helpful and is often harmful instead so you should skip it but she always offers the research if you want to make a different decision I honestly loved this than I thought I would It s incredibly complete I thought it was mostly about the conflicting advice given All alcohol is bad 1 2 drinks a week is fine Drinking in moderation is not a roblem but in addition to that she covered The Meaning of Difference: American Constructions of Race, Sex and Gender, Social Class, Sexual Orientation, and Disability pretty much every decision you have to make even ones that aren t framed as decisions Your doctor may not offer you all therenatal testing options depending on risk factors but Oster breaks down all the available knowledge to help you decide what to reuest She also evaluates conflicting studies based on the uality of the research which is something laymen are not always skilled at and she has a PhD inI would highly recommend this book to One Small Step: An Anthology of Discoveries pregnant women or those considering it there s are conception section If statistics offer you any comfort you ll enjoy the table detailing how likely you are to go into labor every week and your baby s chance of survival if you do And if scare tactics and the routine treating of regnant women like children annoys you you ll be glad to have all the ertinent research to make your own decisions I also think it s a good read for eople interested in research and its interpretation My only regret is that I bought a kindle book instead of a hard copy I think I ll refer to it and wish I could loan it out As heard on Planet MoneyThe New York Times appears to also have a review but they seem to have completely missed the oint102013 I m only Birds partway through this book but I cannot contain my exuberance This is finally the book that I had just assumed otherregnancy books would be but was sadly disappointed to discover they were notFor a given risk factor such as caffeine alcohol or tobacco she lays out the studies that have been done highlights the strengths and weaknesses of each study shows what they found and then leaves the reader now armed with data to decide her own appropriate course of actionFor example caffeine There are a number of studies linking caffeine to miscarriages which have led different doctors to give their different recommendations some doctors say up to three cups of coffee Tales from the Ballpark Tales from the Ballpark Tales from the Ballpark: More of the Greatest True Baseball Stories Ever Told More of the Greatest True Baseball Stories Ever Told More of the Greatest True Baseball Stories Ever Told per day is ok others say two still others say absolutely no caffeine at all Theroblem with most of these studies is that it turns out that nausea is actually a sign of a healthy Isocrates I (The Oratory of Classical Greece, vol. 4) pregnancy and the nauseous you feel the less likely you are to miscarry Of course if you re feeling nauseous you want to drink coffee less than you otherwise might So any study comparing coffee drinking to non coffee drinking women might not be studying the effects of caffeine they might actually be studying the effects of nauseaFortunately there was one study in Denmark thataradise of ublic health data that issued free instant coffee to a large cohort of coffee drinking regnant women and instructed them to replace the coffee they would normally drink with the free instant coffee which was either caffeinated or decaffeinated The women assigned the caffeinated coffee consumed on average 200 mg caffeine Perfect Phrases for Writing Company Announcements: Hundreds of Ready-to-Use Phrases for Powerful Internal and External Communications per day than the women assigned the decaffeinated coffee but when the researchers looked at birth weight length at birth gestational age at birth or head circumference they found zero zero difference between the two groups of babies It sretty clear that caffeine has zero impact on the outcomes measuredNow of course coffee has a lot in it than just caffeine I could have sworn I had a molecule of the day Versailles post on cafestol and kahweol but I can t find it now so after reading that study you might still decide that for your ownregnancy you might refer to err on the side of caution and cut down on coffee anyway and that s fine But erhaps you might think twice before hassling someone else for the choice she s made for herselfLike Emily Oster I find this kind of information a lot useful for decision making than simple rules like only one cup of coffee The Mystery of the Two-Toed Pigeon per day102013 later that day updateMy best estimate based on the data was that avoiding ham sandwiches would have lowered my risk of Listeria infection from 1 in 8255 to 1 in 8333 Would you want to do this Maybe Someone certainly could make a case for doing so However this change is really really small For me it wasn t worth itI LOVE THIS BOOK After 2 moderately complicatedregnancies and multiple thrown Rack Ruin pregnancy books I wanted to like this I was attracted to the concept of applying decision makingrinciples to Espenlaub pregnancy It s a great concept and not enoughregnancy literature emphasizes the risk and tradeoff model or if it does Splendid Solution presents inaccurate risks The book has already gotten a backlash for daring to suggest that the zero tolerance approach to alcohol inregnancy is not backed by evidence rompting 1 star reviews accusing the author of not caring about FASD This articular criticism is in my opinion overblown Unfortunately the book itself doesn t measure up to the concept A full treatment of the roblem would be a weighty tome akin to Henci Goer s Obstetric Myths and Research Realities only less biased and up to date To her credit Oster doesn t even retend to have attempted that Even so the treatment verges on the cursory and would have benefited from closer collaboration with an OBGYN The book is structured as a journey through How to Be Alone pregnancy using Oster s ownregnancy low risk with an unmedicated vaginal delivery as a base narrative This makes the book easy to follow but also has its Racial Theories In Context pitfalls Given that a large number of women will have a relatively low riskregnancy and delivery this isn t entirely invalid Many of the things she covers especially in early The Queen I pregnancy are common to all the true risks of cat litter and tuna and therobabilities used in Cigarette Kisses prenatal screening have widespread relevance However it also means she completely ignores almost anything outside of her experience Rightly she decided that most of the complications ofregnancy are between you and your doctor although she rovides some bullet oints but this also means that C sections get no discussion at all Strangely VBACs do and her discussion is surprisingly skewed She leans towards VBACs being too risky while not mentioning the most freuently discussed concern uterine rupture and doesn t mention the downsides of lanned repeats at all At times it comes off as actually slapdash There s a short discussion of non stress testing in the section about later regnancy and the Gutsy Girls: Young Women Who Dare potential value for delivery but never mentions theossibility that a biophysical rofile will be done There s no discussion of the actual risks involved of routine induction at 40 vs 41 vs 42 weeks which #is a fairly common topic of discussion and a natural for the chapter Her treatment of home #a fairly common topic of discussion and a natural fit for the Her treatment of home is sure to rise some hackles Nor is it helped by a throwaway comment about higher home birth rates and lower infant mortality rates in Europe although on the next age she discusses the difference between erinatal and neonatal mortality Wherefore art thou editor The section on drug classifications is helpful but not entirely so the otential benefits of Category D medications aren t really mentioned It s a short breezy read and rovides some interesting food for thought articularly with the early Pregnancy Risks But Is Of Limited Practical Us. Face risks but is of limited Never Sweeter practical us. Face endless stream of decisions from the casual Can I eat this to the frightening Is it worth risking a miscarriage to test for genetic defects Expecting Betterresents the hard facts and real world advice you’ll never get at the doctor’s office or in the existing literature Oster’s revelatory work identifies everything from the real effects of caffeine and tobacco to the surprising dangers of gardeningAny expectant mother knows that the health of her baby is aramount but she will be less anxious and better able to enjoy a healthy regnancy if she is informed and can have the occasional glass of wine. ,