Being Pregnant

Reason #482 Why You Should Throw “What To Expect When You’re Expecting” Out The Window

Posted by ceridwen on June 8th, 2011 at 12:41 pm
wte Reason #482 Why You Should Throw What To Expect When Youre Expecting Out The Window

What To Freak Out About When You're Expecting

I’ve long resigned myself to the fact that What To Expect When You’re Expecting is basically a sh*t sandwich we all have to take a bite of, but every now and then I want to stand up and say, THROW THIS BOOK OUT THE WINDOW!

Yesterday, per chance, I opened the bestseller for the first time in years. And I was thrown right back by the very first page. If you scan it quickly these are the words and phrases you might catch, as they’re all in bold:

“WHAT YOU MAY BE CONCERNED ABOUT”

Diagnosing pregnancy

The Blood Test

The Medical Exam…

There’s the Vitamin Reminder where you’re told to “be sure” to take your vitamins. Yikes! Hope it’s not too late.

The one benign headline on the page is “The Home Pregnancy Test” but this segment includes lines like this:  “The major drawback with the home pregnancy tests is that if a test produces a false negative and you actually are pregnant, you may postpone seeing a practitioner and taking appropriate care of yourself.” (My italics).

Welcome to pregnancy.

Do not trust yourself. Do not trust your body, manage it. You need exams, tests and diagnosis. You are sick and in need of immediate MEDICAL ATTENTION.

(Meanwhile, you go to the doctor on Day One and she’s like, What are you doing here? Call me in six weeks.)

The catatonic mom on the quilted cover of this pregnancy guide has been ushering us through an over-medicalized birth culture for decades now. I believe an earlier edition equated eating cake with smoking crack. This may have been a part of the famous “best odds” diet, a nutrition program that made expectant mothers feel like they were rotting fetal brains if they couldn’t stomach 5 servings of leafy greens a day. I once wound up in the hospital, strapped to monitors, after reading the section on counting fetal kicks. Holy cow, don’t even look at that page. My doctor thought I’d lost my mind when I showed up thinking the baby was dead. And then I told her I had been reading What To Expect and she sighed. Even doctors– who are so blatantly worshiped by this nerve-wracking best-seller– often find the book to be completely counterproductive for their patients. The message of the (crucial!) importance of getting prenatal care does not have to be delivered with the message that disaster is imminent.

OK. Vent over. But seriously, throw the book out the window. (The movie version is coming out soon. I’m assuming it will be of the horror genre.)

Any reasons you’d like to throw this book out the window? I’m all ears.

And PS, here’s a previous rant: What To Expect When You’re Expecting AKA Call The Doctor You’re Whole Family Is Dying.

 Reason #482 Why You Should Throw What To Expect When Youre Expecting Out The Window

Go Back To Being Pregnant

33 Comments

I was told by Harvard-affiliated doctors to not get or read this book. I had no idea why – but now I think I do!

Jen commented on Jun 08 11 at 12:44 pm

I think “Heading Home with Your Newborn” was much more helpful.

Sarah commented on Jun 08 11 at 12:49 pm

Agreed! Pregnancy, Childbirth, and the Newborn by Simkin and others is much, much more helpful, and so it Lamaze’s Official Guide to Giving Birth!

Lucy Juedes, Lamaze Childbirth Educator and mom of 3 :-)

Lucy Juedes commented on Jun 08 11 at 1:01 pm

I’d like to throw it out the window. My midwives refuse to even have copies of this book in their library anymore. (They do, however, have a copy of your book there.) It seems to me that it is very alarmist and it represents only one point of view on giving birth and handling pregnancy. I do not like any book that refuses to acknowledge that there are different ways and women have choices. If the book wants to tell me “the only right way,” then I don’t want to read it.

KateTietje commented on Jun 08 11 at 1:05 pm

This book got poor reviews on Amazon, so I didn’t buy it. Instead, I’m reading the Mayo Clinic Guide to a Healthy Pregnancy (for the serious stuff) and The Pregnancy Countdown Book (for funsies). Also, Let’s Panic About Babies is hilarious!

Angelica commented on Jun 08 11 at 1:15 pm

#Angelica– I LOVE Let’s Panic About Babies. Also, have any of you heard of “The Panic-Free Pregnancy” by Dr. Broder? It’s really good but it may be a little out of date.

ceridwen commented on Jun 08 11 at 1:21 pm

@Ceridwen: No, but I just looked it up. I wish I had that book during my first trimester!!!

Angelica commented on Jun 08 11 at 1:23 pm

And @Kate, that’s nice to hear about From The Hips :)

ceridwen commented on Jun 08 11 at 1:25 pm

The same should be said about what to expect the first year .These books are all about scaring you and making you feel bad!

Julia h commented on Jun 08 11 at 1:54 pm

i could not agree with you more if i tried. the begining of pregnancy, after going to all the women in my whole life and none of them remembering pregnancy all that well i went to books and websites. And then shortly after, i went crazy…. that book made me feel like there was everything to fear and everything could hurt me and my baby. it was just WAYY too serious for me!

real Indiana housewife commented on Jun 08 11 at 1:54 pm

The Hubs and I named this book the “Worst Case Scenario Guide to Pregnancy”. We also got more than a few eye rolls from my OB regarding it. Once she even laughed out loud so hard she snorted.

Michelle commented on Jun 08 11 at 1:55 pm

Sing it sister! After reading What to Expect ( I read Your Pregnancy Week By Week first. Really liked it. ) I vowed to never read any more non-humor pregnancy books. I’ve never been a hypochondriac and didn’t appreciate the book trying to convince me to be.
I spent the rest of my pregnancy trusting my doctor who said “your body knows what to do even if you don’t.” and reading books that made me giggle like Belly Laughs, Baby Laughs and I’ll never have Sex with you again.
BTW my doctor was right my body knew what to do and did it well and no amount of reading pregnancy books would have made it do anything better.

Apryl commented on Jun 08 11 at 2:03 pm

AGREED! I hated “What To Expect”. I actually chucked (well, donated) my pregnancy and first year copies after my son was born. All they did was send me into a tizzy about the stupidest things. I really liked “Your Pregnancy Week by Week” for updates on my son’s development, and “Let’s Panic About Babies” for something a littler more light-hearted. Now that my son is here, I use the Baby Center e-mail updates (“Your Baby Week By Week”) for the basics on what’s next with his development. They are informative without being too alarmist.

Sam commented on Jun 08 11 at 2:36 pm

I read Your Pregnancy Week by Week and liked it. The stuff that was “scary”, I asked my doctor about at our next visit but there didn’t seem to be anything in there that was focused too much on the scary stuff (it’s been a couple years since I read it, though). I really like the BabyCenter pregnancy app for my iPhone and used that for this last pregnancy – it’s super portable and had a lot of the same info as the Your Pregnancy Week by Week.

Amanda commented on Jun 08 11 at 2:40 pm

I for one liked the book and thought it was very informative and helpful. But I also know (maybe I am just really intuitive!) that everyone is different and the book is intended as a GUIDE not a recipe for your specific pregnancy – holy sheesh why don’t we worry about more important things. I am all for everyone having an opinion but don’t get so dang worked up over a book – just quit reading it – apparently its not for you!

Lindsay commented on Jun 08 11 at 3:04 pm

Someone let me borrow it, but it was the old version that tells you that cake is the devil. I read the first chapter and promptly abandoned it. I agree with Sam re: “Let’s Panic.” It offers a much needed (for me) dose of humor and perspective, especially when you read those birth boards a little too often and constantly read how many people consider c-sections, epidurals and OB’s to be evil.

Louise commented on Jun 08 11 at 3:06 pm

I hate the puns and trite sayings in every paragraph. But I got my copy for a whole dollar, and since there is some good information in it, I kept it.

Crystal commented on Jun 08 11 at 3:22 pm

I respectfully disagree. I like my copy but it definitely was not the only book I read on pregnancy. I went on to buy the next 2 volumes on 1st year and toddlers. I read a lot so I’ve always taken everything with a grain of salt.

CDN Mummy commented on Jun 08 11 at 4:41 pm

@Lindsay– You’re totally right and it is just a book and moms are smart enough to figure that out, but since it’s been such a huge influence and on the best seller list for however many hundreds of consecutive weeks, I wonder if it’s (arguably alarmist) influence is maybe a bit out of proportion? Nevertheless, I appreciate your comment and @CDN Mummy’s– it is certainly a matter of opinion and grains of salt must be involved in all of these things. @Louise– Those birth boards, though coming from an entirely different angle– can scare you, too!

ceridwen commented on Jun 08 11 at 4:47 pm

THANK YOU! I’ve had so many clients say this book scared the crap out of them and I agree! Wrote a similar article on it just a few days ago.

http://www.empoweredbirthdoulas.com/blog/2011/06/05/Whats-so-wrong-with-What-to-Expect.aspx

Emily commented on Jun 09 11 at 1:51 am

I bought and read many many books. I came to Babble in part because I loved “From the Hips” so much more than most of the others. WTE is basically TOTALLY EVIL. Every chapter tells you so many terrible things, and gives so little relevant information! Ugh. Also, the TONE. it’s terrible. I hate it.

Jenny commented on Jun 09 11 at 1:36 pm

Wow. Thanks for the love of From The Hips (& the Babble week-by-week I contributed to). We really wanted to write a book that reflected the many ways one can be be pregnant/become a parents. It’s amazing to get feedback! Now I am inspired to write a post now about the books I love, because there are so many of them. Some mentioned here, so thanks and stay tuned.

ceridwen commented on Jun 09 11 at 1:50 pm

Speaking as a first timer in pregnancy, I don’t have a problem with this book. And here’s why: I made conscious decisions about what kind of birth I wanted, and did plenty of research on my own before I even became pregnant. The alarmist attitude has been exaggerated in this blog. I find the book to be helpful on the everyday interesting things that happen to a body through pregnancy. I’ve even gone through the ‘miscarrage and horrible complications’ section, and found it rather reassuring since they explain the likelihood that a pregnancy will fall into these categories is rather low.

I am still interested in reading other books as well, because one really can’t be educated enough as long as one has one’s head on one’s shoulders. Since I am planning on a natural birth for my child, I plan on looking into some resources for that approach, but I wouldn’t throw ‘What to Expect…’ out the window. I personally like the month-by-month summaries, and while the ‘fathers are expectant too’ section at times gets a little feminista, it is a nice touch.

Thanks for the thought-provoking blog, though. I’ll check into some of the other books I see recommended here. In the end, we all want the same thing: a healthy and happy birth of a healthy and happy child. I just think throwing out a resource because one is easily excitable is a shame.

Amanda commented on Jun 10 11 at 12:36 pm

As a mother of three and expecting the fourth. I learned early on that this book was just not right. In my first pregnancy almost every page of it gave me a new reason to worry. I freaked out and called my doctor at least once a week. You have the first signs of pregnancy and the wonderful do’s and donts, then its all this about what should be happening and how you should be feeling all that fun stuff, you soon start to question OMG am I doing everything that is best for my baby, or is my baby going to get everything him/her needs. If I cant care for them now how will I ever care for them. Its was scary!! My OB no longer gives this to patients, no longer even has it in his office, and tells all moms this is not a good book for them to read. So many women take this book and use it as their guide through pregnancy, but really its a guide to a break down/ nut house. If someone can read this book and not fear every choice they make I envy them. I do have to say after having all three of my girls I do however read back through this book, because one it reminds me of how much I freaked out and everything with my first and its a constant reminder I can do this and everything is ok no matter what this book tells me.

Chelsea Kimble commented on Jun 10 11 at 4:43 pm

I’m completely in agreement with Amanda’s comment. I’m nearly ashamed to admit that I like this book! I’ve really balanced it out with some of Penny Simkin’s books and about a dozen others, so I feel well-rounded (I wouldn’t want it to be my only reference), but I have found it helpful at times. I think we’re sometimes scared to face the fact that things can go wrong in pregnancy, and we just don’t want to hear about complications. I actually found it comforting and informative, when I had weird symptoms. I made the mistake of Google-searching my issue and then went into a panic over what some sites said might be the cause. WTE actually calmed my nerves!!

Bromley commented on Jun 10 11 at 4:44 pm

I read it and enjoyed it. I found it informative mostly about the stages of pregnancy and fetal development. I definitely felt the “scare” vibe they were giving off, but I didn’t let it get to me. I knew it was just a guide and I took it as that. You do have a point though, too many women have tried to follow it word for word and been scared to death when their baby didn’t move as much as it should or as often. Sadly for me WTE was the only book I had at my disposal and only learned of other humor based pregnancy books after I didn’t need them anymore. I also like the daily emails from ivillage.com about pregnancy.
I found the WTE the First Year to be useless though. That one would send even a seasoned vet into a panic. Besides, who has time to read a book when they have a newborn at home?!

Kim T. commented on Jun 10 11 at 6:01 pm

I like WTE. I took four home pregnancy tests within a two week span that either came back negative or inconclusive. But I went to see a doctor anyways because I was having symptoms as described in WTE. Turned out I was 6 weeks along. I read from the book every month to catch up on my sons’ development. The month to month chapters are enjoyable to read. I don’t mind reading about miscarriages and ectopic pregnancies. It’s a reality some women have to live through and it helps to recognize the signs.

Tania commented on Jun 10 11 at 6:31 pm

I actually enjoyed reading what was happening to the baby week by week, but never read more than that. Glad i didnt!

Katt commented on Jun 10 11 at 9:32 pm

HAHAHAHA Ceridwen I like you! :D

I never read What to Expect for pregnancy but I did start going through it for the first year – only to find a multitude of things that even as a brand new mom I knew were just stupid (apparently cloth diapering and babywearing are bad ideas, and you should have your baby on a schedule ASAP. Those are just a few of the gems I remember offhand).

Happy to see you’re passing on the message to throw ‘em out the window!

BecomingCrunchy commented on Jun 10 11 at 10:57 pm

I’m not ashamed to say I like WTE and the other two books. It presents some realistic information about what can take place during those times. As someone who likes to be prepared for both the good and the bad (as well as the very bad), I didn’t find the book over the top. I didn’t follow it word for word of course (following a specific diet while pregnant?! HA!), but it was one place I referenced when looking into something on top of other sources, and I weighed WTE’s information with those other sources before making a decision of what to do. But at the same time I had been a dancer in my younger years, and do yoga, so I already had a natural awareness of my body and trusted it, so maybe that’s why WTE didn’t (and doesn’t) freak me out. But even with the other two books, I didn’t freak out. My son had a speech delay and I read the information in the toddler book over and over, but I didn’t overreact to the whole situation. I simply spoke to his doctor at check ups and followed her advice. But each to their own!

Alicia commented on Jun 10 11 at 11:00 pm

Just like anything– take it with a grain of salt. I wanted (and had) a natural birth but if I only would have read literature from that movement I would have been a nervous wreck for all they make you think about seeing a doctor and considering a hospital birth! Birth is not always rainbows and butterflies and neither is healthcare all about overreacting to everything. Read the book and read abou 12 other things along with it and in there you will find where you fall.

http://running4two.blogspot.com/

Rachel (Running4Two) commented on Jun 21 11 at 1:37 pm

My main problem with What to Expect is that it doesn’t give incidence rates. So, sure, you could eat uncooked lunchmeat or cookie dough and potentially get food poisoning, but what are the odds? How often does that happen? What is the likelyhood that it will actually injure your child? So, sure, it’s “low” risk, but what does that mean? It happens to 10 women per year and their kids have yellow teeth because of the antiboitics mom had to take? It happened to a mom once and she lost the baby?

Give some real data about the risks and let mom make the choice. Don’t just give a list of proscribed foods/activities/whatever. That doesn’t empower a woman to make the choices that are right for her, even if there is some risk involved. It tells her that she doesn’t know enough to make her own choices, so the authors will tell her how to behave. Life is full of risks how we manage them is up to us. Some of us are comfortable with more risks, some are comfortable with fewer. We each get to choose what is best for ourselves and the only way to do that is with real information, not with a list of “thou shalts”.

Jen commented on Jun 22 11 at 12:39 am

I threw this book out when I read the chapt – scratch that – FIRST PARAGRAPH about postpartum weight loss. I don’t have it in front of me (see above), but it went something like this: “Most women lose their baby weight in the first two months after baby is born by eating a healthy diet and taking walks with her newborn. However, If you OVERINDULGED (judgement) and gained MORE THAN THE APPROPRIATE 15-25 pounds (judgement) it could take you a year or more (judgement) to regain your pre-baby body. Seriously? This was written by a woman?? My son is 2.5 and sure, the number on the scale is about where it was pre-baby, but this is certainly NOT my pre-baby body. And it took me 18 months to get back to that number – but you know what? I had more important things to do than worry about getting to a number in 2 months time. Screw you, What to Expect!

(man, I’ve been looking for a public forum to voice that opinion for a while.)

I guess I "overindulged" commented on Jul 01 11 at 9:34 am

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