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Books, Journals, New Media
March 21, 2001

Prenatal CareExpecting Trouble: The Myth of Prenatal Care in America

Author Affiliations
 

Harriet S.MeyerMD, Contributing EditorDavid H.MorseMS, Journal Review EditorRobertHoganMD, adviser for new media

 

Not Available

 

by Thomas H. Strong, Jr, 234 pp, $24.95, ISBN 0-8147-9767-9, New York, NY, New York University Press, 2000.

JAMA. 2001;285(11):1515. doi:10.1001/jama.285.11.1515-JBK0321-2-1

Dr Strong's little book is an interesting essay on the care of pregnant women prior to labor in the United States. He has written it to give patients and policy makers a realistic view of what prenatal care can and cannot accomplish.

According to the book, the evidence supports that prenatal care decreases maternal and infant mortality but has little or no effect on low birth weight and prematurity. Unfortunately, with best intentions, it has been oversold to the American public as a cure-all for the problems of low birth weight and prematurity. Dispelling this overly optimistic view of prenatal care is one of the major goals of the book, and it is well achieved.

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