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Re: VBAC after c/s x5 From: Paul Prior MD (pprior@fast.net) Sun Mar 31 19:07:06 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: David Nagey: "Re: AIDS testing" Previous message: David Zimmerman: "Re: VBAC after c/s x5" In reply to: Roland Armstrong: "Re: VBAC after c/s x5" Next in thread: David Zimmerman: "Re: VBAC after c/s x5" On Sun, 31 Mar 1996 18:17:33 -0600 (CST), you wrote: >>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? There was a study in the green journal last year that looked at VBAC at 3+ c/s and found no contraindication for TOL - I don't know if they stratified those with 5 sections however. This is of personal interest to me as I just screened a patient with 5 sections myself and her belly was rather, shall we say, tired? :( I think this is an area where previous op notes, if done correctly would guide me - if there is note of a significantly thin LUS then I'd think hard before proceeding. -- Paul Prior MD pprior@fast.net Home deliveries: PGY-II Ob/Gyn ok for pizzas TRHMC-Reading, PA not for babies Next message: David Nagey: "Re: AIDS testing" Previous message: David Zimmerman: "Re: VBAC after c/s x5" In reply to: Roland Armstrong: "Re: VBAC after c/s x5" Next in thread: David Zimmerman: "Re: VBAC after c/s x5"

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