Book Review: Your Pregnancy Week by Week by Glade B. Curtis and Judith Schuler

The front cover of Your Pregnancy Week by Week proudly announces that it is “The only best-selling guide written by a doctor.” The spine contains a medallion announcing “The only best-selling guide written by a doctor.” The back cover proclaims the book to be “The expanded, fully updated edition of the best-selling pregnancy guide written by a doctor.”

So the major selling point of this book is that it is written by a doctor. Glade Curtis is a board certified OB-GYN, which means he’s the perfect guy to walk a woman through every week of her normal pregnancy, right?

Well, that depends a lot on your view of what pregnancy is. Is pregnancy a medical condition to be monitored and controlled (as you would diabetes or heart disease?) or is it a life event to be cherished and enjoyed (as you would an engagement and preparation for a wedding?)

Curtis (and the obstetric community as a whole) tends to think that pregnancy is a medical condition to be monitored and controlled. As such, Your Pregnancy Week by Week consists of telling a woman all the things that might go wrong with her at any given point during her pregnancy, all the tests which might be necessary to make sure that nothing is going wrong, and why she should trust her doctor implicitly and herself not at all during pregnancy.

Okay, someone not quite as passionate about pregnancy and birth as I am might feel that I’m overreacting to this book. Things can go wrong during pregnancy, they might say. Tests are sometimes necessary. You should be able to trust your doctor. Your own instincts aren’t always right when it comes to pregnancy. And, for that matter – pregnancy isn’t simply a life event like an engagement. Things are happening in your body!

And I agree completely, dear not-so-passionate-about-birth-as-I. Things do go wrong during pregnancy – I, of all people should know. I could have died during my pregnancy with Tirzah Mae. Tests are sometimes necessary – the ultrasounds to make sure Tirzah Mae was still growing when my body was no longer functioning as designed, the blood tests that finally told us that my kidneys and liver had stopped doing their jobs – those were necessary (and without the blood tests indicating the need for delivery both Tirzah Mae and I would have died.) It is incredibly valuable to have a caregiver you can trust – which is why I am SO grateful for my midwife, who was alert to normal pregnancy and knew when to refer when my pregnancy became anything but normal. That’s why I’m SO grateful for my OB, who values women and who works with them to help them have as normal a delivery as possible.

Pregnancy isn’t SIMPLY a life event like an engagement. Your body is changing, your hormones are changing. You’ve got extra blood pumping through your veins, an extra body inside your own. Things are happening to your body that you want to understand. You want to know if those changes are normal or if they’re something to be worried about. In some cases, you NEED to know if they’re normal or if you should be worried about them (ten pounds weight gain in one day – that’s not normal. It’s definitely something to be worried about.)

But Curtis and his co-author aren’t simply helping women understand what is normal and what isn’t. They are detailing, every week, another horrible thing that can go wrong during pregnancy (tacking a line at the end about how really only two in a thousand women are going to have this problem, so don’t worry.)

Curtis explains (week after week) why a woman shouldn’t ever be afraid to get a test or a procedure because they only ever help your doctor and you and your baby (and have never been PROVEN to be harmful – the anti-precautionary principle). And he explains (week after week) why a woman should be afraid to drink caffeine, eat sugar, eat artificial sweeteners, take an over-the-counter drug, etc (because it has never been PROVEN to be safe – the precautionary principle.) The doctor is always right and can do no harm. The woman is always to be doubted and will kill her baby if left to her own devices. (Okay, I’m exagerating a little.)

Oh, and don’t even get me started on the unscientific suggestions Curtis has for labor. He encourages enemas (for the patient’s safety and comfort, of course!), fasting during labor, lying down during labor, and episiotomies. Continuous fetal monitoring is necessary for baby’s safety. And if you aren’t sure you want a natural labor? A doula is a bad idea (well, actually, are you SURE you want a natural labor? If I give you this epidural, then you’ll be so much more comfortable and will be so much easier to monitor and won’t try to move around or anything… big plus? you won’t have to hire a doula!)

Yeah. No.

Choose to have a pregnancy and childbirth not defined by fear. Choose to trust that your body is fearfully and wonderfully made. Choose NOT to read Glade Curtis and Judith Schuler’s Your Pregnancy Week by Week.

Rating: 0 stars
Category: Pregnancy
Synopsis: An overmedicalized, fear-based, doctor-is-always-right tome on pregnancy
Recommendation:If you want to be scared out of your mind by all the things that could go wrong in pregnancy and to be convinced that every intervention your doctor might suggest is absolutely the right decision, you’ll want to read this book. If you prefer to learn what a normal pregnancy looks like, how to deal with the normal problems of pregnancy, and to make evidence-based (versus fear-based) decisions for your pregnancy and childbirth – this is not at all the book for you.