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Slate Books

Well, Now: Overcoming a Complicated Pregnancy

Slate Books

Slate Podcasts

Arts

3.8 • 546 Ratings

🗓️ 8 May 2024

⏱️ 38 minutes

🧾️ Download transcript

Summary

For many, pregnancy is a time of heightened and joyful anticipation. There are doctor’s appointments, tests, preparation…All with a focus on bringing home a healthy baby.  The other side of pregnancy–the complications–is not readily discussed.  On this week’s episode of Well, Now we discuss all of these potential roadblocks with economist Emily Oster. In her latest book The Unexpected: Navigating Pregnancy During and After Complications, she arms patients with the data they need to advocate for themselves in their appointments. If you enjoyed this episode, check out: How a Former Surgeon General Took on a $5,000 ER Bill Well, Now is hosted by Kavita Patel, MD and Maya Feller, MS, RD, CDN. Podcast production by Vic Whitley-Berry with editorial oversight by Alicia Montgomery. Send your comments and recommendations on what to cover to wellnow@slate.com  Learn more about your ad choices. Visit megaphone.fm/adchoices

Transcript

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0:00.0

A note before we begin this episode.

0:02.1

This week, we're talking about complications relating to pregnancy and childbirth,

0:06.4

which means we'll be discussing miscarriage, preterm labor,

0:09.9

and the sometimes heartbreaking statistics for pregnant people and babies in the United States.

0:15.1

This is a topic that both Maya and I care deeply about.

0:18.2

We also know it's a challenging conversation for some people. So please

0:21.9

take care while listening and seek help if you need it. You're listening to Well Now, Slate's

0:34.0

podcast on health and wellness. I'm Maya Fowler. And I'm Kibita Patel. For many, pregnancy is a time of

0:41.3

so many emotions, heightened, joyful anticipation, lots of doctors' appointments, tests, preparation,

0:48.1

all with a focus on bringing home a healthy baby. The other side of pregnancy, the complications,

0:56.0

the things that are messy, are not readily discussed. Despite being one of the richest nations in the world, the United

1:00.9

States has the highest levels of maternal and infant mortality amongst developed nations.

1:05.6

In 2022, the CDC counted more than 22 maternal deaths per 100,000 live births. That's more than 10 times

1:14.4

the estimated rate for other rich countries like Australia, Japan, and Spain. The statistics get

1:21.5

even worse for black women. With that same CDC data showing we suffered 50 deaths out of 100,000 live births.

1:30.2

That was more than double the rate of maternal deaths for white women.

1:34.3

Black babies are also dying at alarming rates.

1:37.4

They're more than twice as likely to die in childbirth than white babies.

1:41.3

Then there are the myriad of other issues that could arise during pregnancy.

1:45.8

As many as half of pregnant people experience complications such as diabetes, hypertension,

1:51.2

or elevated blood pressure, infections, and unfortunately much more. And while this information

1:56.4

is not new, it continues to impact lives, scores of lives. Maya, you have a very personal story to

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