Lenz emphasizes the importance of respecting the autonomy and rights of pregnant individuals. She argues that societal and legal systems often undermine these rights by prioritizing the fetus over the pregnant person, leading to harmful consequences. This idea is central to understanding the need for a shift in how we view and legislate pregnancy.

The book explores how cultural and historical myths about pregnancy have influenced modern perceptions and treatment of pregnant people. Lenz highlights how these myths perpetuate harmful stereotypes and expectations, which can lead to discriminatory practices and policies. Understanding these myths is crucial for challenging and changing them.

Lenz reflects on her own experiences to discuss the pressures and expectations placed on mothers. She critiques the narrow roles of "wife" and "mother" that society often imposes, arguing for a more inclusive and supportive understanding of motherhood. This theme underscores the need for societal change to support diverse experiences and identities of mothers.