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Re: VBAC, Three previous CS. From: Robert J. Carpenter, Jr. MD (zygote@icsi.net) Sat Jan 29 17:42:00 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Robert J. Carpenter, Jr. MD: "Re: Group B Beta strept screening" Previous message: D.P. Mohen: "VBAC, Three previous CS." In reply to: D.P. Mohen: "VBAC, Three previous CS." Next in thread: Luis Sanchez-Ramos: "Re: VBAC, Three previous CS." > Date: Sat, 29 Jan 2000 18:23:51 -0600 > Reply-to: ob-gyn-l@obgyn.net > From: dpmohen@gateway.net.au (D.P. Mohen) > To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> > Subject: VBAC, Three previous CS. Since I would not/do not labor 3 prior c-sections you question centers on 1) her gestational age and size of baby, i.e., a premie might be okay if she goes into spontaneous labor and dilates. 2) the USC data indicates that the rupture rate is 2.7% with 3 prior c/s. 3) what data do you have from the last c/section as to anatomy/adhesions. If she has much adhesions, if she ruptured your potential for getting a good baby out quickly with everyhing optimally done by all hands would be impaired. 4) do you desire to stress your own coronaries? if so have at it, and post conclusion of the pregnancy, let us know the outcome. > A woman who has had three previous caesarian deliveries, the first > following failure to progress in labour with an occipito posterior > position in labour induced at term for hypertension and the other two > elective, wishes to attempt a vaginal delivery. Xray pelvimetry after > her first showed an android pelvis, with a 9cm interspinous diameter and > a subpubic angle of 68degrees. To what level of risk is she exposing > herself and her child? Is her ambition reasonable? > > -- > dp mohen > R.J Carpenter, Jr. 6624 Fannin, #2720 Houston,TX 77030-2339 713-795-4600 Next message: Robert J. Carpenter, Jr. MD: "Re: Group B Beta strept screening" Previous message: D.P. Mohen: "VBAC, Three previous CS." In reply to: D.P. Mohen: "VBAC, Three previous CS." Next in thread: Luis Sanchez-Ramos: "Re: VBAC, Three previous CS."

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