Re: Uterus Didelphys

From: DoctorJoe@aol.com
Tue Jan 30 19:22:43 2001


In a message dated 1/30/01 6:44:29 PM, ainsron@msn.com writes:

<< 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? >>

You treat her as a poor, deluded young thing (TV quote) and gently convince her of the wisdom of having a nice, elective C/S. Offer to revise her scar or take a little of the panniculus/overhang off (it's easy)...

Joe P.





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