Re: VBAC after c/s x5

From: Roland Armstrong (rjarm@northernnet.com)
Sun Mar 31 17:05:44 1996


At 04:26 AM 3/31/96 -0600, you wrote: >Would be interested in response from the list to a request presented to me
>last week.
>
>The pt is 37 y.o. G6 P5 with five prior low-transverse c/s. Etc. etc. etc.etc.

>I would be hesitant to offer VBAC, but if pt. insisted I would do it under
double setup conditions. Pitocin question same as VBAC question- a "mild" trial of labor without pitocin if needed might not as well even be started. A recent USC study proved VBAC after greater than 1 previous C/S to be MORE dangerous than VBAC after one C/S (2% rupture rate). I've heard that those at USC no longer allow VBAC after greater than one C/S. Is this true? Any trojans out there?

Roland, M.D. Bemidi, MN, U.S.A.





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