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Re: VBAC, Three previous CS.From: Braun, R. Daniel (rbraun@iupui.edu)Sun Jan 30 08:18:44 2000
An interspinous of 9 cm. is a little on the small side. A subpubic angle of 68 degrees????? I was taught that 85 was small. Dan R. Daniel Braun, MD FACOG Clinical Professor Department of Obstetrics and Gynecology Indiana U. School of Medicine Indianapolis, IN 46202 OBGYN.net International Representative for United States Certified AllExperts Expert Check out my bio/ratings page! http://www.allexperts.com/displayExpert.asp?Expert=1236 -----Original Message----- From: dpmohen@gateway.net.au [mailto:dpmohen@gateway.net.au] Sent: Saturday, January 29, 2000 7:24 PM To: Multiple recipients of list OB-GYN-L Subject: VBAC, Three previous CS. 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
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