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Re: VBACFrom: Garry E. Siegel, M.D. (garrys@mindspring.com)Thu Jan 13 08:06:35 2005
If you have the logistics solved--OR crew in house, anesthesia in house, then I absolutely would offer a VBAC. Have her understand that there is some greater, unspecified risk of rupture due to 2 sections, and compounded by her grand multiparity; that said, her 6 vaginal deliveries AFTER 2 sections are a large testimonial that her chances of success are good. Obviously, you can't give her precise numbers or any guarantees. If she's cool, go for the VBAC and document the conversation. Garry
-- Garry E. Siegel, M.D. Private Practice Roswell, GA
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