Re: OB: Those crazy VBACs
From: R. Daniel Braun (rd.braun@gmail.com)
Sat Mar 5 05:24:20 2005
What I was talking about applies to all pregnancies and has nothing to
do with presence or absence of prior C/S.
Dan
On Fri, 4 Mar 2005 18:42:11 -0600, Efrain Ramirez <eramirezt@coqui.net> wrote:
> I was wondering if those rates apply to VBAC's who already had a
> successful vaginal delivery.. ??
>
> >At Fri, 04 Mar 2005, Andrew Folley wrote:
> >
> >Dan
> >uterus with inductin with pitocin or prostaglandins (25 per 1000 VBACs vs 5
> >per 1000 with spontaneous labor). Practically speaking I would break her
> >bag of water and have her walk around for a few hours and induce with
> >pitocin and internals If we are going to be purists... nsts twice a week
> >and US for AFI and let her go through 42 weeks. Then induce with risks or
> >offer section. andy
> >
> >>From: "R. Daniel Braun" <rd.braun@gmail.com>
> >>Reply-To: ob-gyn-l@obgyn.net
> >>To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net>
> >>Subject: Re: OB: Those crazy VBACs
> >>Date: Thu, 3 Mar 2005 21:39:42 -0600
> >>
> >>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
> >
> >--
> >
>
> --
> I think I will do nothing for a long time but listen,
> And accrue what I hear into myself...and let sounds
> contribute toward me.
>
> ~walt whitman~
>
--
R. Daniel Braun
Kinky for Governor
