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Re: VBAC, Three previous CS. From: Malcolm Griffiths (obsdoc@doctors.org.uk) Sun Jan 30 10:06:46 2000 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: charlie chambers: "Re: VBAC, Three previous CS." Previous message: Braun, R. Daniel: "Re: VBAC, Three previous CS." Maybe in reply to: steve: "VBAC, Three previous CS." Next in thread: charlie chambers: "Re: VBAC, Three previous CS." Reply: charlie chambers: "Re: VBAC, Three previous CS." I delivered women with previous CS>1. I have supervised trials in wome with up to five previous CS (never had a delivery vaginally with more tha two CS, but the women who try and fail are happy to have tried. Providing supervision is adequate and you have spontaneous labour I'm happy to try. As with many other listers I have given up pelvimetry (for any indication) years ago. The predictive value of the test is appalling. It simply is the case that if any of the measurments are small then you go for CS - hence small measurements predict CS! As for "el" - where is your sense of infomed choice and consent? -- Malcolm GRIFFITHS, Ob/Gyn E-mail obsdoc@doctors.org.uk Dept of Obs & Gynae +44(0)1582-497533 (Sec) 21, School Lane, Luton & Dunstable Hospital, +44(0)1582-497376 (Fax/me) Eaton Bray, Lewsey Road, +44(0)1525-222849 (Home) DUNSTABLE, LUTON, LU4 0DZ.. +44(0)1525-222643 (Fax) Beds., LU6 2DT.. >----- Original Message ----- From: Braun, R. Daniel <rbraun@iupui.edu> To: Multiple recipients of list OB-GYN-L <ob-gyn-l@forum.obgyn.net> Sent: Sunday, January 30, 2000 3:19 PM Subject: Re: VBAC, Three previous CS. > 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 > Next message: charlie chambers: "Re: VBAC, Three previous CS." Previous message: Braun, R. Daniel: "Re: VBAC, Three previous CS." Maybe in reply to: steve: "VBAC, Three previous CS." Next in thread: charlie chambers: "Re: VBAC, Three previous CS." Reply: charlie chambers: "Re: VBAC, Three previous CS."

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