Expecting Better: Why the Conventional Pregnancy Wisdom is Wrong - and What You Really Need to Know

“...I'm not crazy about the implication that pregnant women are incapable of deciding for themselves- that you have to manipulate our belief so we do the right thing. That feels, again, like pregnant women are not given any more credit than children would be in making important decisions.”

“So why did my conclusions differ from theirs? At least two reasons. One is overinterpretation of flawed studies. But the bigger thing, I think, is the concern (which was expressed to me over and over again by doctors) is that if you tell people they can have a glass of wine, they'll have 3 (or one giant "bowl-o-wine"). Even if one isn't a problem, three are. Better to say you can't have any, as that rule is easy to understand.”

“Let’s say you are 31 and you undergo the cell-free fetal DNA screening. With a good result on this, the baby’s risk of having Down syndrome is around 1 in 100,000. The risk of miscarriage from the amniocentesis or CVS test is around 1 in 800. What you need to decide for yourself is whether having a baby with Down syndrome unexpectedly would be more than 125 times worse than having a miscarriage (that is, 100,000 divided by 800). If yes, then skip right to the invasive test—probably CVS given the timing. If no, then stick with the noninvasive screen.”

“In reality, pregnancy medical care seemed to be one long list of rules. In fact, being pregnant was a lot like being a child again. There was always someone telling you what to do. It started right away.”