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Re: High risk pregnancyFrom: Braun, R. Daniel (rbraun@iupui.edu)Thu Apr 18 11:56:04 2002
Better to be lucky than to be good. R. Daniel Braun, MD There are strange things done in the midnight sun By the men who moil for gold; The Arctic trails have their secret tales That would make your blood run cold; The Northern Lights have seen queer sights, But the queerest they ever did see Was that night on the marge of Lake Lebarge I cremated Sam McGee. Robert W Service -----Original Message----- From: PELLIS45@aol.com [mailto:PELLIS45@aol.com] Sent: Thursday, April 18, 2002 11:10 AM To: Multiple recipients of list OB-GYN-L Subject: Re: High risk pregnancy In a message dated 4/18/02 11:39:51 AM Eastern Daylight Time, evsono@pipeline.com writes: and how would you characterize pregnancy in a 42 year old woman with 6 children, three prior cesareans, with a placenta previa and suspected placenta accreta? not philosophy - just saw this woman in consultation. art In my previous posts I referred to normal, healthy women with no pre-existing conditions as NOT being high risk. As opposed to autmatically making *every woman high risk. My assessment (lol) of the above woman would be that, of course, this woman is high risk. My additional question would be to ask the reason for the primary section. This section may have doomed her chances for future vaginal births in light of today's protocol for VBACs. Was this a classicial incision ? The subsequent sections put her at risk for placental problems due to scar tissue. Her age I don't have a problem with nor her mutigravida........perhaps that's because I had four in my forties (40,41,42, 44 1/2, conceived without fertility aids), delivered all four with no meds (VBACs), all four were between 10-11 lbs and the last was a delightful homebirth. So perhaps I am a bit biased when it comes to geriatric moms.........I could be wrong .......... Pam Ellis Doula
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