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Birth After Cesarean: The Medical Facts
Bruce L. Flamm

Simon & Schuster, 1992 - 224 pages

average customer review:based on 9 reviews
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   highly recommended  highly recommended



I had a successful VBAC b/c of this book...

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 It is not as outdated as some would say.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!




Easy, informative, factual and SO encouraging!

I am not a huge reader, but I just about ate this book up. I read it cover to cover in 24 hours and feel totally encouraged. Yes, the studies are a bit outdated, but even so the informantion is still completely viable today. All of his facts are backed up and not in a hard to understand or silly way. A lot of the studies he performed himself over many years of research and dedicated study. You can tell he is not biased one way or the other, he just lays it all on the line for you to decide. I wish that Dr.Flamm would consider putting out an updated version of this book with any new discoveries and studies included. This was a way easier read than "Open Season" in my opinion. The book is put together in a very readable fashion so that you can effortlessly flip to any particular information you need should you need it right away. No skimming over chapters to find that one piece of information you are looking for. This book was awesome!!


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Excellent and Informative

I found the information in the book to be very helpful for someone who has had a previous surgical birth. I wish there was an updated version, but the basic premise is not outdated at all, just the specific data regarding percentages and whatnot. (Actually, the percentage of cesarean births is even higher now than when it was written, which is alarming.) Now more than ever we need books like these out there, especially since many doctors lead us to believe that "VBAC is very risky" and c-sections are "generally safe."






A little out dated with SOME things, but Great book

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.


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must read BEFORE your first delivery!

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!!!




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A patient advocacy book, filled with recommendations and support for women who want to deliver normally even when they've had a prior cesarean. In a straightforward question-and-answer format, Dr. Bruce Flamm assesses the conflicting information many pregnant women receive.



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