Vaginal Birth After Cesarean: The Smart Woman's Guide to Vbac
by Elizabeth Kaufmann
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Book Summary Information
Author: Elizabeth KaufmannEdition: Paperback
Audio: English (Original Language); English (Unknown); English (Published)
Published: 1996-05
ISBN: 0897932021
Number of pages: 210
Publisher: Hunter House Publishers
Book Reviews of Vaginal Birth After Cesarean: The Smart Woman's Guide to Vbac
Book Review: This book tries to talk you out of having a VBAC
Summary: 1 Stars
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The book is also very outdated.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...
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