=?UTF-8?B?UkU6IHBvbGw=?

From: =?UTF-8?B?R3JpZmZpdGhzIE1hbGNvbG0gKFJDOSkgTHV0b24gJiBEdW5zdGFibGUg?= =?UTF-8?B?SG9zcGl0YWwgVFI=?= (Malcolm.Griffiths@ldh-tr.anglox.nhs.uk)
Mon Mar 19 10:22:34 2001


I know I'm late following up on this one. 100% through the lower segment is different to 99% through the upper segment though!

-----Original Message----- From: Steve & Eryl Raymond [mailto:eryl@intekom.co.za] Sent: 17 March 2001 16:54 To: Multiple recipients of list OB-GYN-L Subject: Re: poll

In C/S you go 100% through myometrium and mucosa; in this case it is a lesser distance through. For previous caesars VBAC is an acceptable option, but everyone wants to do a caesar in this case - illogical.

"Griffiths Malcolm (RC9) Luton & Dunstable Hospital TR" wrote:

> I've never really understood the logic of saying that going through 95% of
> the myometrium is just like there's no scar but suddenly 100% of the way
> through is really dangerous. Surely there's more of a continuum anyway.
>
> -----Original Message-----
> From: Larry Glazerman [mailto:l.glazerman@rcn.com]
>
> Did he mean that he didn't go full thickness through the myometrium? Even
> so, having had multiple procedures, I'd be very worried about the
integrity > of the myometrium during labor. I'd recommend C-section, and if she pushes
> too hard, at least treat her as a VBAC.
>

Dr. S.H. Raymond Department of Obstetrics & Gynaecology Empangeni Hospital Private Bag X20005 Empangeni South Africa 3880 Ph. (+27) (035) 7721111 Fax (+27) (035) 7922596

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