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Re: OB: Those crazy VBACs From: R. Daniel Braun (rd.braun@gmail.com) Thu Mar 3 20:38:34 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Cheri Van Hoover: "Re: Exam lights" Previous message: R. Daniel Braun: "Re: OB: Upper midline incision" In reply to: Garry E. Siegel, M.D.: "OB: Those crazy VBACs" Next in thread: Andrew Folley: "Re: OB: Those crazy VBACs" Reply: Andrew Folley: "Re: OB: Those crazy VBACs" At 41 weeks the section rate gets to be nearly 40% if you induce and about 43% if you just follow them with NST's. Several RCT's in the literature showing that. Also a Meta-analysis by Hannah from Toronto. On Thu, 3 Mar 2005 20:31:51 -0600, Garry E. Siegel, M.D. <garrys@mindspring.com> wrote: > I won't have the 100% right, but good enough for fun. > > 36 YO P3003, CNM patient, in the office at 41w3d for NST, which is > reactive, on Wednesday. > > 1st delivery--LTC/S for pushing, OP. Forgot the weight--sorry. > > 2 VBACs afterwards--easy 8-ish pounds. > > Now 41w3d, 2-3 cm./70%. > > I happened to see this chart in the door and reviewed, and felt > obligated to put in my $0.02 to the CNM and have a face to face chat > witht the patient. > > What would you tell the patient? BTW, she said she's always late and her > kids have always been OK. > > Garry > > -- > Garry E. Siegel, M.D. > Private Practice > Roswell, GA > -- R. Daniel Braun Kinky for Governor Next message: Cheri Van Hoover: "Re: Exam lights" Previous message: R. Daniel Braun: "Re: OB: Upper midline incision" In reply to: Garry E. Siegel, M.D.: "OB: Those crazy VBACs" Next in thread: Andrew Folley: "Re: OB: Those crazy VBACs" Reply: Andrew Folley: "Re: OB: Those crazy VBACs"

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