Anyone here read “Expecting Better” by Emily Oster? Thoughts on the book?

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She is an economist not a medical provider, so consider that as you read it. She has had more controversial things some out after she wrote this (related to COVID and school closures) so also maybe worth looking at the cliff notes of her larger body of work to see how it aligns with your own philosophies.

I thought it was an interesting read but it didn’t change how I approached any decisions in my pregnancy.

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Yes but she isn’t up front about cherry picking data- hence the controversy….

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I generally thought it was great!

HOWEVER, her recommendations around drinking during pregnancy are reckless and irresponsible at best. I’m not going to write an essay on FB, but the studies she cited didn’t consider how fetal alcohol syndrome appears later in childhood. (I’m an MPH who focused in substance use/misuse in grad school, then worked in birth defects.)

There is no *known* safe level of alcohol consumption during pregnancy. Period. It’s crazy that an *economist* would recommend a drink a day. (And even multiple drinks a day later in pregnancy if I remember correctly?)

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But seriously, I adore her otherwise. 😂

I personally loved it. I recognize she’s not a medical professional but she does share wisdom based on data and she’s highly motivated to remove the stigma of poorly- supported-by- data driven fears. I found it refreshing and follow her IG as a toddler mom. Profemilyoster. Follow her and watch her stories esp on Wed Q&A day and you’ll see what I mean. Not everyone’s cup of tea but she was def mine.

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Interesting, didn't take every single word as gospel but it was very good (in hindsight) to see how advice/memes/"common knowledge" gets distorted from the original science - I liked the framework of how to think through risks more than the actual facts (none of which I can remember anyway)

I think it's interesting that what I considered one of her most boundary-pushing conclusions (that almost THE single biggest risk factor in pregnancy is being a 30/35+ older mom) isn't more widely... controversial? Not that I disagree, but it goes against a lot of cultural narrative about how it's so great that we can choose when to conceive etc

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Actually, I'm thinking of a different book: Debunking the Bump by Daphne Adler (which has a very similar premise)

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Loved it! Helpful heuristics for thinking about risk.

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Loved it! She’s not giving medical advice, just helping understand the research that leads to recommendations, and it was so helpful to feel like I could “return to basics” in a way. It helped me step back from the noise of the internet (especially Instagram!) and form the questions that I wanted to cover with my OB, as well as just remind me that just because I was hearing something often (thanks, algorithm) it didn’t mean that thing was actually true, or better, or right for me. Great book.

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