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Re: Undocumented uterine scar From: Richard Chudacoff, MD (richardc@bcm.tmc.edu) Fri Aug 30 09:43:18 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Richard Chudacoff, MD: "Re: Norplant Failures" Previous message: Paul Prior MD: "Re: Management of Previous unknown Cesarean scar" Maybe in reply to: CheriCNM@aol.com: "Undocumented uterine scar" Next in thread: DoctorJoe@aol.com: "Re: Undocumented uterine scar" I think LA County/USC did this study about 4 years ago and determined that there was no increased risk of dehiscence with an undocumented uterine scar. In your patient, though,I think I would not augment her labor with the situations you propose, as your variables sound like a c-section looking for a justification. >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? > >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? > >If meconium became thicker and/or variable decelerations ensued would you do >an amnioinfusion? > >Just trying to get a general sense of the way others would handle this type >of situation. > >Cheri Van Hoover, CNM >Kaiser Hospital >Redwood City, CA > -- Richard Chudacoff, MD Asst. Clinical Professor, OB/GYN Baylor College of Medicine Baylor MedCare 1601 Main, STE 505 Richmond, TX tel 713-344-0277 fax 713-344-0288 >From listening comes wisdom, and from speaking, repentance. -Italian proverb Next message: Richard Chudacoff, MD: "Re: Norplant Failures" Previous message: Paul Prior MD: "Re: Management of Previous unknown Cesarean scar" Maybe in reply to: CheriCNM@aol.com: "Undocumented uterine scar" Next in thread: DoctorJoe@aol.com: "Re: Undocumented uterine scar"

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