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Birth After Cesarean: The Medical Facts Paperback – January 1, 1992

3.3 3.3 out of 5 stars 14 ratings

Traces the history of cesarean sections, answers questions about its procedures and risks, and describes the success rate for natural childbirth after a cesarean section
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Product details

  • Publisher ‏ : ‎ Fireside (January 1, 1992)
  • Language ‏ : ‎ English
  • Paperback ‏ : ‎ 224 pages
  • ISBN-10 ‏ : ‎ 0671792180
  • ISBN-13 ‏ : ‎ 978-0671792183
  • Item Weight ‏ : ‎ 8.8 ounces
  • Dimensions ‏ : ‎ 5.5 x 0.5 x 8.25 inches
  • Customer Reviews:
    3.3 3.3 out of 5 stars 14 ratings

About the author

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Bruce L. Flamm
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Customer reviews

3.3 out of 5 stars
3.3 out of 5
14 global ratings

Top reviews from the United States

Reviewed in the United States on August 8, 2007
I loved this book! Dr. Bruce Flamm should be given an award for his no nonesense view of VBAC. He is the reason I left my doctor at 6 months pregnant so I could pursue a doctor who didn't want to cut me open just because I had a c-section the last pregnancy!!

You need to buy this book if you are looking to do a VBAC!! It is not as outdated as some would say. It still applies today!
4 people found this helpful
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Reviewed in the United States on July 30, 2010
While I'm happy with the sellers service, this book is awful. The information is outdated and inaccurate. It focuses too much on unsubstatiated risk. VBAC Companion, by Diane Korte or Caesarean by Odent are much better choices for more accurate information.
3 people found this helpful
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Reviewed in the United States on December 4, 2009
Great book all and all. SOME of the things, are a little out dated, like the updates on, yet again, another revision of the ACOG's statement on VBACs. Also, I am against routine IVs and EFMs, the author states that VBAC carries little risk to baby, so my question is, why routine EFM, just because you are a VBAC? Also, according to new studies, a laboring woman burns over 800 calories an hour. If this is the case, a laboring woman will need more than ice chips and juice. Do your research on "routine" procedures, couple that with this book and you are set to go. I also recommend "The Thinking Woman's Guide to a Better Birth". It has the same concept of getting the FACTS across and not so much opinions of individuals.
3 people found this helpful
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Reviewed in the United States on November 14, 2014
Finally! All the information I need in one book! I love the way the book is organized, so that I don't have to read from beginning to end, but I can hop around to answer the specific questions I have. Thank you, Dr. Flamm!
One person found this helpful
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Reviewed in the United States on December 29, 2008
I so wish I had known with my first pregnancy what is in this book. After now having had an unfortunate four c-sections, this book gave me the courage to say NO to the knife and look for alternatives. I am now planning my first VBAC and have no fear! The most impressive thing is that this book is written by an actual OB and is a compilation of all the studies, which I would never be able to read or even know what to make of them. The only objections I have is 1) his statement against homebirthing VBACs. In my situation, I have no choice but to have a home birth. I am afraid some women after reading that may have the idea that it is safer to have a c-section then a home birth, which is not the case. When he wrote the book it was easier to find a dr willing to do a VBAC, but sadly most hospitals and drs no longer allow them, particularly after more then one section. 2) his statement that breech pregnancies due to a malformed uterus is not good for a vbac- in my experience as well as that of author of Natural Childbirth after Caesarean, it is entirely possible to have a properly positioned baby even with a malformed uterus, if you know what to do!!!
One person found this helpful
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Reviewed in the United States on February 14, 2011
The book is completely outdated. It will still leave you with a few questions, but it does have a few things to offer. Like, what really happens when your uterus ruptures and things like that.
Reviewed in the United States on November 30, 2013
This book is simple, straightforward, and I believe is the baseline book on the topic. I was unable to locate a copy of Michel Odent’s work on the topic, which I am sure is superb, but this book was readily available at my local public library, so I’m glad to know I can recommend it. This book is also written by an OB/GYN so will have credibility with most any expectant parent as well as their care-giver. He recommends VBAC across the board, except in the case of a classic, J or T-shaped incisions (While I would not rule out VBAC even in those cases, they are very rare in our day & age anyway.). He makes a very clear case for the advisability & superiority of VBAC to repeat section, and rightly critiques the term “elective c-section” when most women aren’t given a choice in the matter at all. After reading this book I’m shocked at some of the reasons I’ve heard women give me for why their doctor insisted upon a 2nd cesarean… including a fear of hemorrhage or difficulty with blood clotting—when a c-section involves far greater blood loss than a vaginal birth! Another myth I had heard as fact was that c-section scars grow stronger over time, so repeat incisions are preferable when pregnancies are closer together than 3 years. Scars are apparently at their strongest within weeks of healing.
One critique I have of the author is his assumption that bigger babies are harder to birth, when history (and my own personal experience—10lbs 6 oz in 6 hrs, 11 min from transition to birth, no tear) is plain that fetal position, not size, is the determining factor in how hard babies are to birth. His recommendations to moms to not overeat and thus have smaller babies is not a bad one, but he shows his bias towards desiring to control birth as a fearful thing in his belief that big babies are more dangerous. The author also recommends VBAC patients be monitored around the clock. I can see how this is not a bad idea, especially if the care-giver is strongly convinced of the advisability of VBAC; however since continuous monitoring has such a high false positive rate, and usually impedes the mother’s freedom to move freely and be comfortable, I would consider it unnecessary, especially if labor is progressing naturally (no drugs).