The Unexpected

February 19, 2024
Oster (The Family Firm), an economics professor at Brown University, teams up with obstetrician Fox to provide a thorough primer on preeclampsia, fetal growth restriction, miscarriage, and other pregnancy difficulties. In each chapter, Oster details recurrence rates and care options for a condition, and then Fox describes how he treats patients experiencing it. For instance, Oster explains that gestational diabetes, which can occur when “the hormones of the placenta affect processing of blood sugar,” has a roughly 48% chance of recurring in future pregnancies and is typically treated through diet and exercise. Fox then assures readers that for most people, gestational diabetes is a “nuisance... but not a dangerous one” and can usually be kept in check by eating fewer carbohydrates and increased protein. The authors demonstrate a keen awareness of how the pregnancy following a previous complication can cause psychological distress, as when Fox reports that pregnancies after a stillbirth often revive feelings of grief. To cope, he recommends patients “assemble a strong support system,” which might include a psychologist, support group, or loved ones. Oster’s cogent presentation of scientific data manages to be informative but not dry. It’s a valuable resource for parents who have experienced pregnancy complications. Agent: Suzanne Gluck, WME.