Experts estimate that nearly 60 percent of all U.S. pregnancies--and 81 percent of pregnancies among adolescents--are unintended. Yet the topic of preventing these unintended pregnancies has long been treated gingerly because of personal sensitivities and public controversies, especially the angry debate over abortion. Additionally, child welfare advocates long have overlooked the connection between pregnancy planning and the improved well-being of families and communities that results when children are wanted. Now, current issues--health care and welfare reform, and the new international focus on population--are drawing attention to the consequences of unintended pregnancy. In this climate The Best Intentions offers a timely exploration of family planning issues from a distinguished panel of experts. This committee sheds much-needed light on the questions and controversies surrounding unintended pregnancy. The book offers specific recommendations to put the United States on par with other developed nations in terms of contraceptive attitudes and policies, and it considers the effectiveness of over 20 pregnancy prevention programs. The Best Intentions explores problematic definitions--"unintended" versus "unwanted" versus "mistimed"--and presents data on pregnancy rates and trends. The book also summarizes the health and social consequences of unintended pregnancies, for both men and women, and for the children they bear. Why does unintended pregnancy occur? In discussions of "reasons behind the rates," the book examines Americans' ambivalence about sexuality and the many other social, cultural, religious, and economic factors that affect our approach to contraception. The committee explores the complicated web of peer pressure, life aspirations, and notions of romance that shape an individual's decisions about sex, contraception, and pregnancy. And the book looks at such practical issues as the attitudes of doctors toward birth control and the place of contraception in both health insurance and "managed care." The Best Intentions offers frank discussion, synthesis of data, and policy recommendations on one of today's most sensitive social topics. This book will be important to policymakers, health and social service personnel, foundation executives, opinion leaders, researchers, and concerned individuals. May

Many newly pregnant women believe mothering begins after the baby is born. As a result, their pregnancy is spent preparing the baby’s room, buying a crib, and even attending childbirth classes. All of these activities are valuable and help to prepare for this new life, but what about before the baby is born? The Wonder Within You takes you on a journey that weaves scientific studies, dozens of interviews with mothers, and storytelling into a fascinating account of life inside the womb. An obstetrician loads each chapter with advice. A sonographer gives incredible 3 and 4-D snapshots (available online) and stories from her 25 years of watching babies grow in utero. Each chapter includes week-by-week developmental information, findings from recent neonatal studies, and even nutritional advice all designed to nurture a healthy baby. The Wonder Within You also serves as a weekly journal for expectant mothers to chronicle her own baby’s journey to life outside the womb. It’s a keepsake baby book that begins before birth. The Wonder Within You will help moms meet the real needs of the growing pre-born baby. Sonograms, dietary and medical advice, and stories from experienced moms are combined to encourage 40 weeks of prenatal parenting designed with a joy for the journey in mind.

As featured in People magazine: One LGBTQ family’s inspiring, heartfelt story of the many alternative paths that lead to a loving family, with lessons for every parent Trystan and Biff had been dating for just a year when the couple learned that Biff’s niece and nephew were about to be removed from their home by Child Protective Services. Immediately, Trystan and Biff took in one-year-old Hailey and three-year-old Lucas, becoming caregivers overnight to two tiny survivors of abuse and neglect. From this unexpected start, the young couple built a loving marriage and happy home—learning to parent on the job. They adopted Hailey and Lucas, tied the knot, and soon decided to try for a baby that Trystan, who is transgender, would carry. Trystan’s groundbreaking pregnancy attracted media fanfare, and the family welcomed baby Leo in 2017. In this inspiring memoir, Trystan shares his unique story alongside universal lessons that will help all parents through the trials of raising children. How We Do Family is a refreshing new take on family life for the LGBTQ community and beyond. Through every tough moment and touching memory, Trystan shows that more important than getting things right is doing them with love.

The delivery of high quality and equitable care for both mothers and newborns is complex and requires efforts across many sectors. The United States spends more on childbirth than any other country in the world, yet outcomes are worse than other high-resource countries, and even worse for Black and Native American women. There are a variety of factors that influence childbirth, including social determinants such as income, educational levels, access to care, financing, transportation, structural racism and geographic variability in birth settings. It is important to reevaluate the United States' approach to maternal and newborn care through the lens of these factors across multiple disciplines. Birth Settings in America: Outcomes, Quality, Access, and Choice reviews and evaluates maternal and newborn care in the United States, the epidemiology of social and clinical risks in pregnancy and childbirth, birth settings research, and access to and choice of birth settings.

Finalist for the 2022 Pulitzer Prize for General Nonfiction Finalist for the J. Anthony Lukas Book Prize Finalist for the National Book Critics Circle Award for Nonfiction One of NPR's Best Books of 2021 A New York Times Notable Book of 2021 One of TIME's 100 Must-Read Books of 2021 "The scope is sweeping, the writing is beautiful. It’s an epic story worthy of the impact this one case has had on the American psyche." —Michel Martin, NPR "Stupendous…. If you want to understand Roe more deeply before the coming decision, read it." —Peggy Noonan, Wall Street Journal A masterpiece of reporting on the Supreme Court’s most divisive case, Roe v. Wade, and the unknown lives at its heart. Despite her famous pseudonym, “Jane Roe,” no one knows the truth about Norma McCorvey (1947–2017), whose unwanted pregnancy in 1969 opened a great fracture in American life. Journalist Joshua Prager spent hundreds of hours with Norma, discovered her personal papers—a previously unseen trove—and witnessed her final moments. The Family Roe presents her life in full. Propelled by the crosscurrents of sex and religion, gender and class, it is a life that tells the story of abortion in America. Prager begins that story on the banks of Louisiana’s Atchafalaya River where Norma was born, and where unplanned pregnancies upended generations of her forebears. A pregnancy then upended Norma’s life too, and the Dallas waitress became Jane Roe. Drawing on a decade of research, Prager reveals the woman behind the pseudonym, writing in novelistic detail of her unknown life from her time as a sex worker in Dallas, to her private thoughts on family and abortion, to her dealings with feminist and Christian leaders, to the three daughters she placed for adoption. Prager found those women, including the youngest—Baby Roe—now fifty years old. She shares her story in The Family Roe for the first time, from her tortured interactions with her birth mother, to her emotional first meeting with her sisters, to the burden that was uniquely hers from conception. The Family Roe abounds in such revelations—not only about Norma and her children but about the broader “family” connected to the case. Prager tells the stories of activists and bystanders alike whose lives intertwined with Roe. In particular, he introduces three figures as important as they are unknown: feminist lawyer Linda Coffee, who filed the original Texas lawsuit yet now lives in obscurity; Curtis Boyd, a former fundamentalist Christian, today a leading provider of third-trimester abortions; and Mildred Jefferson, the first black female Harvard Medical School graduate, who became a pro-life leader with great secrets. An epic work spanning fifty years of American history, The Family Roe will change the way you think about our enduring American divide: the right to choose or the right to life.

An eye-opening work of investigative journalism that challenges common wisdom about pregnancy, childbirth, and the first year of a baby's life, showing how the family's well-being are often undermined by corporate profit margins and the private interests of the medical community.