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Vaginal Birth After Cesarean: The Smart Woman's Guide to VBAC


by Kaufmann

List Price: $14.95
15 Used starting at: $5.05
Sales Rank: 834546
Studio: Hunter House
Binding: Paperback
Number Of Pages: 210
Publication Date: May 30, 1996
Publisher: Hunter House


CUSTOMER REVIEWS (Average Customer Rating: 3.0 based on 25 reviews)

claims to be balanced but doesn't seem to be  
Hello, I am a doula preparing to support a mother who is trying for a VBAC. I picked up several VBAC books from the library. This one has made me feel very uncomfortable. It seems to be an advertisement for repeat cesarean while simultaneously claiming to be fair and balanced. The anti-VBAC tone makes me wonder whether the statistics and information presented are accurate. I wouldn't recommend this book to a mother who wants a VBAC. I understand that not all women want a VBAC, and that there are pros and cons to trying for one, especially after a traumatic first birth, but I think there are other books that address these concerns in a more balanced way without making women feel afraid of VBAC as this one does.
November 30, 2008

This book tries to talk you out of having a VBAC  
The title of this book is misleading - I thought it was about how to achieve a VBAC, but it seems to warn against them. It claims to be unbiased, but I definitely felt there was a bias in favor of Elective Repeat Cesareans over VBACs! I am preparing for a vbac and was looking for something encouraging. Instead, this book is filled with scare tactics - employed sometimes subtly, sometimes not. Yes, there are risks with vbac that every woman should know about, but the risk of a serious complication is rare, whereas complications from cesareans (most minor, but some serious) are actually common. Although the rate of uterine rupture in VBAC is less than 1 percent, she seems determined to tell you those horror stories rather than the success stories. She also really buys into the idea that true Cephalopelvic Disproportion is very common, and yet that idea is widely disputed these days. The most unforgivable aspect of this book is that it REALLY downplays the risks of repeat elective cesarean section, making it seem like there is little risk for the mother and NO risk at all for the baby, which simply is not true. She examines studies done by doctors who are pro-VBAC, turning their words around and making it sound like those doctors are irresponsible for encouraging it despite the data revealed. And yet, the author is not a doctor or a midwife herself.

The book is also very outdated. She states that there was a nation-wide push to lower the cesarean rate at the time it was written, but I doubt that was really true, since the cesarean rate has in fact risen EVEN MORE since the book was published (25% then vs. the current 31% average, and closer to 40% in some states). She claims that back then women were coerced into trying VBACs against their judgement, when nowadays getting a doctor and hospital to allow a trial of labor after cesarean is usually an uphill battle. New findings have also shown that there are risks to both mother AND baby with cesarean sections that were not known 12 years ago when this book was published. I wonder what the author thinks now about these current trends...
April 30, 2008

Another perspective  
I bought this book because I was thinking about a VBAC and wanted another perspective other than the Ina Mae Gaskin crowd (which, by the way, I don't have a problem with overall--I just wanted hear someone either play the devil's advocate or at least sound somewhat neutral on the issue of RCS vs VBAC).

As other reviewers no doubt have pointed out, the author opted for a repeat cesarean. This book will not tell you that you absolutely must try for a VBAC unless you or the baby's life are in danger. As other reviewers have pointed out, the testimonials at the end are an interesting read from the perspective of women who tried, did not try, or tried and could not complete a VBAC.

One thing this book really goes into is the perineal effects of vaginal births such as tearing and postpartum dyspareunia. I'm glad I read this book, because I happened to have an (atypical) difficult recovery from my VBAC. My recovery from my VBAC was much harder and longer than my cesarean recovery, including more stitches from the nonsurgical birth. This book gave me realistic expectations for a vaginal birth, and I'm still glad that I had my VBAC for lots of other reasons!
April 17, 2008

Not a book for someone who wants a VBaC  
The title makes you think it is provideing you with information but really it is trying to justify elective repeate c/s. If you want a VBaC this book is NOT for you.
July 26, 2007

Misleading Title  
I picked up this book thinking it would be a supportive and informative book on VBAC and how to achieve one. But what I found was a discussion only of the risks of VBAC, and repeated (almost word for word) justifications and support for choosing a repeat cesarean. The author herself talks about her VBAC (which she claims she was somewhat pressured into) and how--though it was successful in achieving vaginal birth of a healthy baby--it was still disappointing and the outcome not as she expected. There's nothing wrong with her honesty, and I'm sure there are other women who had disappointing VBACs. What I wonder is, "Why is *this* woman writing this book?" The whole book just seemed pretty negative towards VBAC and claimed that many women are being pressured into having VBACs they're not comfortable with just because insurance companies and hospitals want to lower costs. Not only is this likely not the main reason for the support of increasing VBACs and decreasing repeat cesareans, but this information is outdated. The "pendulum" (to use the author's word) has swung back yet again. Now we are seeing that many women who want a VBAC can't have one because more and more hospitals and birth centers (all in my area that I am aware of) are refusing to offer them due to fear of lawsuits.

Basically this whole book is an out-dated and now irrelevant argument from an obviously still bitter woman as to why women should not be pressured into having a VBAC.

There's nothing really supportive or uplifting here for women who already know they desire a VBAC. In fact, it left me quite depressed. I give it 2 stars instead of 1 only because I think there *is* value in being aware of the risks and worst-case scenarios (however outdated and exaggerated they are), so that one is not completely ignorant or naive about the birth method one chooses. I did also garner a few facts from this book that led to further investigation into and clarification of my c-section fiasco and why everything happened like it did. This is valuable as it will allow me to avoid such interventions and oversights in the future--and give me room to negotiate with doctors if I need to.

Otherwise, a very disappointing book.
May 18, 2006


SIMILAR PRODUCTS

Birth After Cesarean: The Medical Facts
by Bruce L. Flamm

Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean (VBAC)
by Nancy Wainer Cohen, Lois J. Estner

The Thinking Woman's Guide to a Better Birth
by Henci Goer, Rhonda Wheeler

Ina May's Guide to Childbirth
by Ina May Gaskin

DON'T CUT ME AGAIN! True Stories About Vaginal Birth After Cesarean (VBAC)
by Angela, J. Hoy

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