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Re: VBAC and External VersionFrom: dahmd@gate.netFri Apr 12 07:12:54 1996
In article wfunk@hanfs03.ha.osd.mil (Wendy.Funk) writes:
>So, the group has been discussing VBAC for some time. What are
>I know of 1 study in this area (Flamm). The results were very Wendy: I think this is yet another area where we have to tell patients "we could go either way on this, and while the medical journals seem to support this, there is not really enough information to say for sure." I will do external cephalic version (ECV) on patients with prior c/sections, but only in a motivated patient after good informed consent. I schedule them at 37 weeks, to decrease the possiblility of immature lungs should a c/section be necessary, and give consent that an emergent c/section may be necessary. My not very scientific take on this is that if an ECV disrupts the uterine scar, then labor would almost certainly be worse. Here's another question to add to yours: If list members do ECVs on patients with prior low transverse scars, would they feel comfortable doing them under an epidural, rather than no analgesia? Some studies show better results with epidural, but I know some OB's who feel excessive maternal pain is an indicator to stop. Thanks, Ashley Hill D. Ashley Hill, M.D. dahmd@gate.net Orlando, FL
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