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Re: Uterus Didelphys From: Griffiths Malcolm (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk) Wed Jan 31 02:37:47 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Griffiths Malcolm: "Re: AFP triple re-calculations" Previous message: Peter V. Weston, M.D.: "Re: Lunelle/contraception coverage" Maybe in reply to: ainsron@msn.com: "Uterus Didelphys" Next in thread: ainsron@msn.com: "Re: Uterus Didelphys" Reply: ainsron@msn.com: "Re: Uterus Didelphys" I think I would be hesitant to advise VBAC in this case. The incision in the gravid horn tends to have to be fairly high and often in the upper segment rather than truly in the lower segment (which is usually too narrow). I would not feel that this uterine scar would have the same integrity of other LS CS scars. -----Original Message----- From: ainsron@msn.com [mailto:ainsron@msn.com] Sent: 31 January 2001 00:43 To: Multiple recipients of list OB-GYN-L Subject: Uterus Didelphys 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 ********************************************************************** This email and any files transmitted with it are confidential and intended solely for the use of the individual or entity to whom they are addressed. If you have received this email in error please notify the system manager. This footnote also confirms that this email message has been swept by MIMEsweeper for the presence of computer viruses. ********************************************************************** Next message: Griffiths Malcolm: "Re: AFP triple re-calculations" Previous message: Peter V. Weston, M.D.: "Re: Lunelle/contraception coverage" Maybe in reply to: ainsron@msn.com: "Uterus Didelphys" Next in thread: ainsron@msn.com: "Re: Uterus Didelphys" Reply: ainsron@msn.com: "Re: Uterus Didelphys"

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