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03060aam a22003978i 4500 001 B87810AEA5B811ECBC4A196C2DECA4DB 003 SILO 005 20220317010139 008 210721s2022 iau 000 0 eng 010 $a 2021028013 020 $a 1609388151 020 $a 9781609388157 035 $a (OCoLC)1268543305 040 $a DLC $b eng $e rda $c DLC $d OCLCO $d OCLCF $d BDX $d YDX $d NUI $d SILO 042 $a pcc 043 $a n-us--- 050 00 $a RG940 $b .G73 2022 082 00 $a 362.198200973 $2 23 100 1 $a Grabman, Genevieve Marie, $d 1975- $e author. 245 10 $a Challenging pregnancy : $b a journey through the politics and science of healthcare in America / $c Genevieve Grabman. 264 1 $a Iowa City : $b University of Iowa Press, $c 2022. 300 $a xiii, 194 pages : $b illustrations ; $c 23 cm 520 $a "Challenging Pregnancy is about science and the politics of maternal healthcare in the US, where every woman must self-advocate for her desired outcome of her own pregnancy. I got pregnant with identical twins, whose circulatory systems were connected in a rare condition called twin-to-twin transfer syndrome (TTTS). Doctors couldn't "unfuse" the fetuses because one twin also had several other confounding problems: selective intrauterine growth restriction (SIUGR), a two-vessel umbilical cord, a marginal cord insertion, and, possibly, a parasitic triplet. Ultimately, national anti-abortion politics, and not medicine or my own choices, determined my pregnancy's outcome. At every decision, anti-abortion politics limited the care available to me, the doctors and hospitals willing to treat me, the tools doctors could use, and the words my doctors could say. Although I asked for aggressive treatment to save at least one baby, hospital ethics boards blocked all able doctors from helping me. My twins were born prematurely, and one almost died - twice - in the neonatal intensive care unit. The lessons from Challenging Pregnancy can guide women - and all voters - as they consider how healthcare policy affects each of us. We can determine where to push, where to demand change, what options we have, what choices we need, and how to maintain our sanity and good humor throughout"-- $c Provided by publisher. 504 $a Includes bibliographical references (pages [155]-194.) 650 0 $a Maternal health services $z United States. 650 0 $a Childbirth $z United States. 650 0 $a Reproductive rights $z United States. 650 7 $a Childbirth. $2 fast $0 (OCoLC)fst00854780 650 7 $a Maternal health services. $2 fast $0 (OCoLC)fst01011995 650 7 $a Reproductive rights. $2 fast $0 (OCoLC)fst01745961 651 7 $a United States. $2 fast $0 (OCoLC)fst01204155 710 2 $a University of Iowa Press, $e publisher. 776 08 $i Online version: $a Grabman, Genevieve Marie, 1975- $t Challenging pregnancy $d Iowa City : University of Iowa Press, 2022 $z 9781609388164 $w (DLC) 2021028014 941 $a 1 952 $l OVUX522 $d 20231117020738.0 956 $a http://locator.silo.lib.ia.us/search.cgi?index_0=id&term_0=B87810AEA5B811ECBC4A196C2DECA4DBInitiate Another SILO Locator Search