Children & Babies - Chiropractic Wellness

Expecting Trouble - Thomas H., Jnr Strong

Expecting Trouble - World Chiropractic Today

Book Description

Prenatal care in America does not work and much of it lacks a solid scientific base. We spend more for it and provide more of it than any other nation on earth. Yet in return our prematurity and low birthweight rates are among the worst in the world.

So argues Thomas H. Strong, Jr., a second generation obstetrician whose entire professional career has centered around prenatal care. Expecting Trouble calls into question many of the prevailing assumptions which have driven our country's maternity healthcare for decades.

While the general understanding of prenatal care as crucial to the wellbeing of mothers and their babies is now enshrined in American culture, Strong draws upon scientific research to show that few procedures are actually as helpful as we imagine. Much of what passes for prenatal care is unduly expensive, unnecessarily high-tech, and surprisingly unsupported by medical research. New--and unproven--technologies are adopted by obstetricians seeking to appear "cutting-edge" in order to attract patients while procedures which could potentially detect problems, such as ultrasound, have taken on the status of fads, becoming virtually ubiquitous in obstetricians' offices rather than remaining in the hands of those specialists who have extensive and proper training.

Strong dispels widespread misconceptions about the effectiveness of prenatal care in its current form and explains ways in which mothers themselves can affect their pregnancy outcomes to a greater degree than their obstetricians.

Expecting Trouble exposes the glaring deficiencies of American prenatal care and outlines what can be done to remedy it. In addition, it provides specific questions that parents should be asking their health care providers to ensure that they and their babies receive the best care possible.

About the Author

Thomas H. Strong, Jr., M.D.
, an award-winning speaker and researcher, is a board-certified Obstetrician-Gynecologist and Maternal Fetal Medicine Specialist in Phoenix, Arizona. He is on the clinical faculty at the University of Arizona and the University of California in San Francisco (Fresno) Departments of Obstetrics and Gynecology.

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Editorial Reviews

From Library Journal
Drawing from the literature of medical and epidemiological research, Strong"a second-generation obstetrician"presents compelling evidence that prenatal care in the United States does little to improve birth outcomes. The current trend toward universal prenatal care is fueled not by evidence that it is effective, he argues, but by unexamined assumptions as well as political expediency and economic greed. While stressing that access to prenatal care should not be impeded, Strong recommends that the technology and costs for uncomplicated pregnancies be scaled down, noting that prenatal care for these pregnancies could be shifted from obstetricians to midwives whose care is as effective but less costly. Obstetricians, in turn, could then focus on what they do well"assisting pregnancies with medical complications that respond to treatment"and the routine use of costly, high-tech procedures that do not improve outcome could be halted. In support of his vision, Strong explores a range of medical and public-policy issues currently under debate. Provocative and stimulating, this book performs a valuable service by bringing evidence on this vital issue out of the research literature and into public discourse and providing the tools for a long-needed paradigm shift. Recommended for public and academic libraries."Noemie Maxwell, Seattle Midwifery Sch.
Copyright 2000 Reed Business Information, Inc.

The New England Journal of Medicine, October 12th, 2000
"What makes this book important is its comprehensiveness, its general readability, and the fact that it has been written by a practicing obstetrician."