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Uterus DidelphysFrom: ainsron@msn.comTue Jan 30 17:40:34 2001
As I was doing a C/S last night on a 40 1/2 week patient with uterus didelphys, who had an unfavorable cervix and non-reassuring FHR tracing, I thought of a question I hadn't previously considered. The next time around, if she requests vaginal delivery, do you treat her as a VBAC only if the pregnancy is in the same horn as this pregnancy? Obviously, she is at high risk of preterm labor and breech, whichever side it is on, but unless she gets pregnant in the same side of the uterus again, I wouldn't personally consider her to be a VBAC. It does have some relevance, now that you have to consider ACOG guidelines and department protocols that "encourage" immediate availability of the obstetrician.
-- Ronald E. Ainsworth, MD
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