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VBAC, Three previous CS.From: steve (steve@dhngwe2.db.healthlink.org.za)Sun Jan 30 21:40:17 2000
My opinion is that this patient is best advised not to think about attempting a vaginal delivery. For two reasons: 1. She has a uterus with three scars increasing her risk of rupture 2. The pelvimetry is well outside the guidelines that I would regard as indicating an adequate pelvis. There have been studies showing that the chance of vaginal delivery is markedly reduced with an inlet diameter of <10cm. And the subpubic angle is also too small. The presence of an occipitoposterior in the first pregnancy is a warning to me too.
-- Steve Raymond
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