Re: Uterine rupture after VBAC**Grand Multip.

From: Jamie (ajfields@pine-net.com)
Sun Apr 30 21:20:05 2006


Is she aware of the increased risk of rupture d/t her parity?

At Sun, 30 Apr 2006, Garry E. Siegel, M.D. wrote: >
>This brings up a recent case.
>
>38-ish year old with 8+ pregnancies and deliveries (may have been
>11--can't remember) was one of our CNM patients.
>
>She was brought in near term for elective induction with cervidil
>overnight, then pitocin.
>
>I found out about it in the AM after cervidil and before pitocin, and
>asked the CNM why this grand multip. was being electively ripened and
>induced.
>
>The answer, "Because she was induced/I induced her the last 2 or 3 and
>all went well."
>
>What say you at this point?
>
>Garry
>
>At Sun, 30 Apr 2006, Babycatchers@aol.com wrote:
>>
>>We just delivered a patient last week who was a G8 P7 who had a section with
>>the first baby.( I have no idea why.) Every one after that was vaginal. She
>>followed our new PRN doc here because the docs in her area wouldn't let her VBAC
>>again.
>>We were all amazed. She did have the 'pooped out uterus' and he did give her
>>some pit to get the labor over with. After 12 hours of s.l.o.w.l.y dilating. A
>>whiff of pit and she delivered an hour later.
>>Vicki
>>
>>Vicki Smith, CNM,MSN
>>West Virginia
>
>--
>Garry E. Siegel, M.D.
>Private Practice
>Roswell, GA
>

--
JFields, RN, BSN




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