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Re: VBAC, Three previous CS. From: art fougner, md (evsono@pipeline.com) Sun Jan 30 07:13:49 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Eberhard W Lisse: "Re: VBAC, Three previous CS." Previous message: Efrain Ramirez: "Re: VBAC, Three previous CS." In reply to: Efrain Ramirez: "Re: VBAC, Three previous CS." Next in thread: Eberhard W Lisse: "Re: VBAC, Three previous CS." obviously the choice is her's to make - if she can handle the risks, then she can go for it. i do feel, however, that this is the place for clinical assessment prior to and again early on in the labor course. should this woman enter labor with the head above the inlet or worse, overrriding the symphysis, probably TOL would not be worth the risk. Of course, that's just my opinioon. i could be wrong. Art At Sun, 30 Jan 2000, Efrain Ramirez wrote: > >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" > -- art fougner, md and what am i gonna do with all this food, bottled water, and gasoline now that armageddon was called off for lack of interest? Next message: Eberhard W Lisse: "Re: VBAC, Three previous CS." Previous message: Efrain Ramirez: "Re: VBAC, Three previous CS." In reply to: Efrain Ramirez: "Re: VBAC, Three previous CS." Next in thread: Eberhard W Lisse: "Re: VBAC, Three previous CS."

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