Re: CT Pelvimetry/Walk-ins (long story)

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Aug 24 06:15:34 1997


Garry E. Siegel, M.D. wrote: >
> The agreed to the C/S, and it occured uneventfully yielding an 8 pound,
> 1 once baby with a banana head.
>
> Is there a role for performing CT pelvimetry on her *before* the next
> pregnancy to see if she should labor again? I realize that the next baby
> could be smaller, or not OP, but her pelvis may be such that it will be
> OP. Given the 13% sucess rate of VBAC after being completely dilated,
> this is someone in whom I would usually offer a Repeat C/S liberally,
> and not really push a VBAC. However, she is someone who, despite my
> admonitions the next day, might try a home VBAC!
>
--

For us the pelvimetry is a must before a next VBAC. A match between a late US and the pelvimetry helps in the decision making. Cf articles by Magnin on the frequence of VB regarding the pelvimetry.

--
Bernard Cristalli MD CNGOF
AIHP - ACCA
Paris - France
http://www.obgyn.net/corresp/cristalli.htm




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