Re: Delivery mode in a patient with a previous rectovaginal fistula

From: Bernard Cristalli (bcrist@club-internet.fr)
Sun Aug 31 14:17:20 1997


Ronald R Helm wrote: >
> >Indeed that's what you should do in 3rd and 4th degree repaired cases.
> >
> And now we should do Cesarean sections for all previously repaired third
> and fourth degree lacerations according to el. What do others think about
> this indication for Cesarean?
--

If there has been an effective repair of an urinary or fecal incontinence that was previously invalidating I am absolutely *for* a cesarean. In fact it's only a matter of informed consent. So if the informed woman prefers a VD...

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




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