Re: Undocumented uterine scar

From: Paul Prior MD (pprior@fast.net)
Thu Aug 29 22:40:41 1996


On Thu, 29 Aug 1996 17:04:16 -0500 (CDT), you wrote:

>How would you manage labor and delivery plans for the following patient?
>
>36 year old G3P2 with 2 previous C/sections in Mexico in 1984 and 1986 for
>average sized babies. Patient does not remember why first section was
>performed, but reports it was done "in a hurry". Second section was a
>planned repeat. Surgical records from the sections are not available, but
>the skin incision is vertical.
>
>Would you offer this patient a trial of labor?

Yes. Data from the UC system has reviewed this issue extensively.

>If so, and PROM with light meconium at term was followed by widely spaced
>contractions and non-progressive labor after many hours, would you offer
>Pitocin augmentation?

Yes, as with any VBAC.

>If meconium became thicker and/or variable decelerations ensued would you do
>an amnioinfusion?

Yes, as with any VBAC.

--
Paul Prior MD   pprior@fast.net      Home deliveries:
PGY-III Ob/Gyn                          ok for pizzas
TRHMC-Reading, PA                        not for babies




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