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Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean (VBAC) » (New Edition)

Book cover image of Silent Knife: Cesarean Prevention and Vaginal Birth after Cesarean (VBAC) by Lois J Estner

Authors: Lois J Estner, Lois J. Estner
ISBN-13: 9780897890274, ISBN-10: 0897890272
Format: Paperback
Publisher: Greenwood Publishing Group, Incorporated
Date Published: March 1983
Edition: New Edition

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Author Biography: Lois J Estner

NANCY WAINER COHEN co-founded C/SEC, Inc., the first and now the largest cesarean organization in the country, in 1973 and is a consultant and advisor to the Cesarean Prevention Movement. She is a leading authority on VBAC and has counseled thousands of women on the subject since 1972. Her many articles have dealt with VBAC, cesarean prevention, and positive birthing.

LOIS J. ESTNER, formerly an English teacher, is a VBAC mother, La Leche League leader, and counselor on the topics of breastfeeding, childbirth, and cesarean prevention.

Book Synopsis

The bible of cesarean prevention. Wall Street Journal

Table of Contents

Forewordxi
Prefacexiii
Acknowledgmentsxix
Chapter 1Introduction1
Chapter 2The Knife Unsheathed: Cesarean Section in the United States7
The State of the (Obstetric) Union7
A Brief History of Cesarean Section10
Factors in the Rising Cesarean Rate11
Indications for Cesarean Section15
Absolute Indications15
"Gray Area" Indications16
Relative Indications16
The Cesarean Population24
Risks of Cesarean Section to the Mother26
Major Abdominal Childbirth26
Maternal Death29
Maternal Illness and Disability30
Psychological Complications33
Risks of Cesarean Section to the Infant34
Risks of Cesarean Section to the Mother/Infant Relationship37
Costs of Cesarean Section39
Conclusions39
Chapter 3Voices of the Victims (Letters from Cesarean Mothers)41
Chapter 4Grieving ... and Healing59
Grieving? For What?62
Factors Affecting Grieving64
Cesarean Sections: Decisions of Love65
Grieving Responses66
Fathers' Grief67
Identifying the Symptoms ...68
... And Working Our Way Through ...69
... To Healing70
Conclusion74
Chapter 5Of Sound Mind and Belly: Uterine Dependability75
The Uterus and the Cervix78
Uterine Incisions79
Popularization of Repeat Cesarean Section80
The Transverse-Incision Revolution81
The Specter of Uterine "Rupture"83
Iatrogenic Causes of Uterine Instability85
Signs of "Rupture"?85
When Instability Does Occur--Sterilization or Repair?86
Scare Tactics89
Growing Support for VBAC: The Studies92
The 1940s92
The 1950s92
The 1960s93
The 1970s94
The 1980s95
"The Experts" Speak Up ... Sort of96
VBAC: Getting Down to Specifics97
"What If My Pelvis Is Too Small?"97
Failure To Progress99
More than One Cesarean99
VBAC after a Previous Uterine Infection100
Breech VBAC101
VBAC Twins101
A Time Limit for VBAC Labor?101
How Many VBACs?102
How Long between Pregnancies?102
Is It Ever Too Late To Decide on a VBAC?103
If at First You Don't "Succeed" ...103
Forceps103
"Your Uterus Is Paper-Thin!"104
What about Hysterography?104
Fibroids105
"Management" of VBAC Labors105
Manual Exploration of the Uterus106
VBAC with a Vertical Incision107
Inverted-T Incision109
Hysterotomy110
Our Statistics110
Out of 105 Women ...111
... And out of 105 Labors ...112
... Came More than 105 Babies!112
Healed and Healthy113
Chapter 6The Fallacy of Natural Childbirth117
How Natural Is Natural Childbirth?117
Purebirth119
Chapter 7Increasing Your Potential for Normal Birth: Nutrition and Exercise123
Father's Nutritive Role126
A Few Nutritious Tips127
Exercise during Pregnancy131
Reaping the Rewards134
Chapter 8Diagnostic Time Bombs?135
Pregnancy as Pathology135
Informed Consent?135
Women as Lab Rats138
Tests during Pregnancy: Help or Hindrance?139
Estriol Testing140
Ultrasound140
Amniocentesis144
Oxytocin Challenge Test146
Non-Stress Test147
X-Rays147
"Don't Worry Your Pretty Little Head!"150
Ignorance Is Bliss?150
Chapter 9Birth Interventions and Their Consequences153
When To Go to the Hospital154
Upon Your Arrival ...155
"Just a Little Ride"155
Admissions Procedures155
In the Labor Room156
Maternal Position during Labor158
The "Prep"160
Enemas160
I.V.s vs Food during Labor162
Amniotomy and Infection168
Vaginal Exams173
A Breath of Fresh Alternatives175
... Back to the Labor Room176
Induction of Labor176
Electronic Monitoring Devices180
Drugs183
Second Stage187
In the Delivery Room189
Anesthesia189
Forceps190
Episiotomy192
Stirrups196
Birthing the Placenta196
Cord Clamping196
"Welcome to the World, Dear Child": Baby's Own Interventions198
Silver Nitrate200
Vitamin K, Circumcision, and Jaundice202
Going Home ("Hate To Eat and Run ...")205
A Note about Breastfeeding205
Judicious Use of Medical Interventions206
Why Reinvent the Wheel?207
Chapter 10Paternal Perspectives211
Paul's Story211
Martin's Story218
Chapter 11Labor Support223
"The Climb"223
The Climb--with Help225
"No Drugs--Just Hugs!"226
Why Not the Hospital Staff?228
Mates as Labor Assistants?229
Supporting the Laboring Woman233
Choosing a Labor Assistant235
Labor Support: "Where Can I Find It?!"235
Additional Support236
Labor Assistants Are Not Magicians!236
Consumer Power238
Siblings at the Birth239
Preparing Children for the Birth of a New Sibling240
Friend (or Foe?)242
Beyond Labor Assistants243
Chapter 12Mindscapes249
The Body and the Mind250
The Power of Beliefs251
Our Beliefs Influence Our Births256
Identifying Beliefs259
Feeling Safe260
The Pressure To Perform266
Birth, Death, and Pain267
Birth as a Sexual Experience268
Territorial Primacy272
From Daughters to Mothers274
Opening the Heart276
Love: Birth's Most Precious Assistant276
Creating a Cesarean282
"Why Me?"284
"But I'm Due on Tuesday!"285
Chapter 13Planning Your Birth287
Childbirth Preparation288
Traditional Course Content290
Finding the Right Instructor295
Choosing Your Birthplace299
For Those Who Choose a Hospital Birth299
What about Homebirth?307
Roadblocked?309
Breech Presentation309
Herpes314
When Purebirth "Fails"316
Choosing a Physician317
Interviewing an Obstetrician324
Changing Physicians333
Doctors Who Care333
Medical Records334
Reclaiming Responsibility336
Chapter 14In Case a Cesarean Is Necessary339
Prenatal Planning340
Delivery341
Postpartum Planning343
Your Newborn344
Chapter 15Voices of VBAC (Letters from VBAC Mothers)347
Chapter 16Cesarean Deliverance381
Appendices383
ALabor Chart384
BPreventing Unnecessary Cesareans386
CVBAC Classes: Questions for Private Discussion392
DVBAC Classes: Questions for Open Discussion393
EResource Groups394
FSample Affirmations396
References397
About the Contributors427
Index429

Subjects

Health Books, Diet & Fitness Books Health Medical Procedures & Consumer Education
Health Books, Diet & Fitness Books Women's Health Women's Health - General & Miscellaneous
Parenting & Family Pregnancy & Childbirth Pregnancy & Childbirth - Childbirth

 

 

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