What prenatal tests and down syndrome reveal about our reproductive choices
When Alison Piepmeier—scholar of feminism and disability studies, and mother of Maybelle, an eight-year-old girl with Down syndrome—died of cancer in August 2016, she left behind an important unfinished manuscript about motherhood, prenatal testing, and disability. In Unexpected, George Estreich and Rachel Adams pick up where she left off, honoring the important research of their friend and colleague, as well as adding new perspectives to her work.
Based on interviews with parents of children with Down syndrome, as well as women who terminated their pregnancies because their fetus was identified as having the condition, Unexpected paints an intimate, nuanced picture of reproductive choice in today’s world. Piepmeier takes us inside her own daughter’s life, showing how Down syndrome is misunderstood, stigmatized, and condemned, particularly in the context of prenatal testing.
At a time when medical technology is rapidly advancing, Unexpected provides a much-needed perspective on our complex, and frequently troubling, understanding of Down syndrome.

"Asks questions such as, what is the line between illness and disability, and how can a parent deal with uncertainties? … Shares rarely heard stories from parents and prospective parents who have confronted challenging decisions about a fetus with Down syndrome … provides insight into a segment of the population rarely explored." - Library Journal

"A thought-provoking book at the value of all human life … This book should reassure parents who choose to skip genetic testing or decide not to terminate pregnancies after learning their fetus may not be 'normal.' Like Piepmeier and her coauthors, they may well find unexpected joys in happy, loving kids." - Booklist