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Re: VBAC after c/s x5 From: MR R K KAID (PMKAID@swansea.ac.uk) Wed Apr 3 06:44:48 1996 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn D. Montgomery: "Re: pre-term labor...value/lack of ...of toc" Previous message: Rudolf Straka: "Re: "So, what brings you to Houston?"" Maybe in reply to: David Zimmerman: "VBAC after c/s x5" > Date: Sun, 31 Mar 1996 04:21:20 -0600 (CST) > Reply-to: ob-gyn-l@listserv.bcm.tmc.edu > From: fastedy@aloha.net (David Zimmerman) > To: pmkaid@swansea.ac.uk > Subject: VBAC after c/s x5 > 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. > > 1st section done for "CPD" with delivery of 4 lb infant. > 2nd section "elective" repeat. > 3rd section "elective" repeat. > 4th section after failed VBAC. c/s performed after 45' in second stage with > final Dx of "fetal heart rate abnormality and persistent OP" > 5th section performed after pt had experienced 24 hr of ROM without labor > (records indicated hesitancy to attempt induction with four prior > uterine incisions) > > She is VERY motivated to attempt VBAC. My inclination is to go for it, but > I'm not sure about augmentation (even with IUPC) if failure to progress > occurred. > > I'll be anxious to hear your opinions. > > Terri Rosenbaum, M.D. > > "...it's all just a matter of ones and zeroes." > - B. Coffey. > I prefer to do c/s so that i can sleep will,because some times you need do lapratomy after the delivary or you need to do difficult instrumental [forceps or vacum] delivary. Next message: Lynn D. Montgomery: "Re: pre-term labor...value/lack of ...of toc" Previous message: Rudolf Straka: "Re: "So, what brings you to Houston?"" Maybe in reply to: David Zimmerman: "VBAC after c/s x5"

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