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Re: Uterus Didelphys From: ainsron@msn.com Wed Jan 31 12:02:09 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Marilyn Ringst: "Re: OC costs" Previous message: Jane Helwig, MD: "Re: When does the cervix closes after a complete abortion" In reply to: Griffiths Malcolm: "Re: Uterus Didelphys" Next in thread: J. Hellriegel: "Re: Uterus Didelphys" Actually, it was truly in the lower uterine segment. When I was there, I considered doing a low midline vertical incision, because she had extensive, large venous sinuses beneath the bladder flap. However, I did make a LT incision and it worked out fine, they were not a problem. >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 > -- Ronald E. Ainsworth, MD Next message: Marilyn Ringst: "Re: OC costs" Previous message: Jane Helwig, MD: "Re: When does the cervix closes after a complete abortion" In reply to: Griffiths Malcolm: "Re: Uterus Didelphys" Next in thread: J. Hellriegel: "Re: Uterus Didelphys"

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