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Re: VBAC after c/s x5From: PDBurstein@aol.comMon Apr 1 09:27:15 1996
I did a VBAC on a patient with only 4 prior cesarean sections. After getting the records to show that they were low transverse cesarean sections, I let her labor (she was in favor of VBAC-I would not have pressed her to have a VBAC if she did not want to try labor). The first cesarean was done for failure to progress, the second for a breech, the third and fourth done because her last doctor insisted. She delivered without difficulty. This is anecdotal, of course, but in a closely monitored situation with the patient's informed consent and desire to attempt vaginal birth, I do not feel it is unreasonable medically or legally to attempt VBAC after multiple low transverse cesareans. Paul Paul D. Burstein, MD FACOG Clinical Assoc. Professor Univ. of Wisconsin Milwaukee Clinical Campus
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