Re: VBAC, Three previous CS.

From: Efrain Ramirez (eramirez@icepr.com)
Sun Jan 30 07:02:01 2000


Well - I haven't done an x-ray pelvimetry in about 23 years so I can't comment on that other that it is not helpful -- maybe so in rare circumstances. Luis is right -- she can decide for a TOL if you and your institution are committed with the new guidelines. She must understand that TOL has more risks for her baby than for her.

At Sat, 29 Jan 2000, D.P. Mohen wrote: >
>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
>

--
"The things you learn after you know everything are the important ones"




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:43:29 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.