Re: VBAC after c/s x5

From: Dr Eberhard W Lisse (el@lisse.na)
Sun Mar 31 10:20:54 1996


At 3:23 PM 31/3/96, R. Daniel Braun wrote: >A contraindication to pitocin is a contraindication to contractions. If you
>are willing to allow spontaneous contractions, then what is wrong with
>oxytocin induced contractions ? A contraction is a contraction. The only
>diference is that you are doing something to bring about the contraction
>with the oxytocin. If properly administered and watched, there should be
>no more problem with pitocin induced contractions.

But you are interfering with the normal course of events and then if somethign goes wrong you have to accept responsibility.

>With this patient, if I were to allow her to labor or to be augmented, I
>would be there with my hand on her abdomen and probably watching
>the Intrauterine pressure monitor as well..

I notice that you didn't write how you would deliver.

Here she would get an elective Vaginal Bypass and we'd really strongly try and convince her to sign for T/L.

el

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