Re: Another Interesting VBAC

From: Efrain Ramirez (eramirez@icepr.com)
Sat Jul 8 15:11:43 2000


At Sat, 8 Jul 2000, Geffrey Klein, MD wrote:

>agree that it is reasonable not to do ECV with prior CS.

But it is not an abslute contranindication

>sloppy. I suspect this means that the cervix was not even dilated
>enough to feel the presenting part.

Having an U/S at LDR helps a lot - any doubt just drop the transducer on the belly.

>Induction of prior cs with cervidil in direct violation of package insert.

As well as terbutaline IV - Cervidil same as Prostin - I believe there is no big problem with that.

>>those candidates who do not require much intervention yet it's a choice I want
>>women to have .

In my hands -- easy VBAC or easy C/S - that's the bottom line.

>still not enough data.. cervical exam, progress, and tracing the
>most important details here...

Absolutely agree

>--
>_______________________
>Geffrey H. Klein, MD
>_______________________
>geffrey.klein@obgyn.net
>200 Medical Center Blvd Suite 103
>Webster, TX 77598
>(281) 332 6723
>
>http://www.geffreyklein.com
>

--
"Do not take life too seriously. You will never get out of it alive."

Marianne Williamson





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