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Re: Uterus Didelphys From: J. Hellriegel (jhellrie@pce.net) Wed Jan 31 19:40:49 2001 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Efrain Ramirez: "Re: Preterm labor/transfer" Previous message: Efrain Ramirez: "Re: OB: AFP triple re-calculations" In reply to: ainsron@msn.com: "Uterus Didelphys" Been there, done that. #1 - Right side, vaginal delivery. #2 - Left side, CS. #3 - Left side, rpt CS. -- J. Hellriegel -- At Tue, 30 Jan 2001, ainsron@msn.com wrote: > >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 > -- John Hellriegel, MD, PhD Next message: Efrain Ramirez: "Re: Preterm labor/transfer" Previous message: Efrain Ramirez: "Re: OB: AFP triple re-calculations" In reply to: ainsron@msn.com: "Uterus Didelphys"

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