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Re: Those crazy VBACs From: R. Daniel Braun (rd.braun@gmail.com) Fri Mar 4 13:57:28 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Garry E. Siegel, M.D.: "Re: Those crazy VBACs" Previous message: ainsron: "Re: OB: Upper midline incision" In reply to: ainsron: "Re: Those crazy VBACs" Next in thread: Garry E. Siegel, M.D.: "Re: Those crazy VBACs" Reply: Garry E. Siegel, M.D.: "Re: Those crazy VBACs" That's how I feel about it too. Dan On Fri, 4 Mar 2005 14:09:48 -0600, ainsron <ainsron@sbcglobal.net> wrote: > You're still letting CNMs follow VBACs? > If I were allowing VBACs, I would do a Sonogram as well for AFI and EFW. I > wouldn't induce with pitocin, but might consider amniotomy at this point, > with the understanding that she will need a C/S if no progressive > spontaneous labor. Otherwise, repeat NST in 3d and deliver by 42 weeks by > C/S or amniotomy induction. > > Ronald E. Ainsworth > > -----Original Message----- > From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Garry E. > Siegel, M.D. > Sent: Thursday, March 03, 2005 6:32 PM > To: Multiple recipients of list OB-GYN-L > Subject: OB: Those crazy VBACs > > 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: Garry E. Siegel, M.D.: "Re: Those crazy VBACs" Previous message: ainsron: "Re: OB: Upper midline incision" In reply to: ainsron: "Re: Those crazy VBACs" Next in thread: Garry E. Siegel, M.D.: "Re: Those crazy VBACs" Reply: Garry E. Siegel, M.D.: "Re: Those crazy VBACs"

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