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Re: VBAC, Three previous CS.From: Braun, R. Daniel (rbraun@iupui.edu)Mon Jan 31 04:32:35 2000
That was the interspinous that was 9 cm. which is MIDpelvis. One of my old faculty used to say you could get 1 pound through for each Cm. He also had FOS disease. 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: steve [mailto:steve@dhngwe2.db.healthlink.org.za] Sent: Sunday, January 30, 2000 11:44 PM To: Multiple recipients of list OB-GYN-L Subject: VBAC, Three previous CS. 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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