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Re: VBAC after c/s x5 From: dahmd@gate.net Sun Mar 31 22:27:44 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Previous message: dahmd@gate.net: "Re: Subtotal Laparoscopic Hysterectomy" Maybe in reply to: David Zimmerman: "VBAC after c/s x5" In article David Nagey <dnagey@c3p0.ab.umd.edu> writes: >I would give her her trial - it's so rare to see someone motivated after >so many repeat cesareans. I would use epidural and oxytocin as indicated. Good >Luck! I agree with Dr. Nagey. I admit, however, that there are no good data to support either decision. When confronted with similar patients, I discuss the benefit of VBAC with regards to 1 or 2 prior c/sections, and tell the patient that there really are no data with this many c/sections. We discuss the risk:benefit profile, and I'll do whatever she wants. In this situation, I can't argue with her choice for a repeat c/section, and I likewise can't argue if she wants a VBAC. I would consider a pressure monitor if you use oxytocin, and if I saw bradycardia or significant variables I admit that I would probably head for the OR. Please let us know how things turn out. Ashley Hill D. Ashley Hill, M.D. dahmd@gate.net Previous message: dahmd@gate.net: "Re: Subtotal Laparoscopic Hysterectomy" Maybe in reply to: David Zimmerman: "VBAC after c/s x5"

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