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Re: VBAC after classical c-sectionFrom: art fougner, md (evsono@pipeline.com)Wed Nov 12 10:28:11 1997
At Tue, 11 Nov 1997, Evelyn wrote: > >I am tyring to locate up-to-date stats for VBAC after a vertical uterine >incission. > >Are there any OB.'s that would allow a TOL in a woman who has had a >classical incission in a controlled environment. hi a case of ruptured uterus involving a trial of labor with a previous low transverse incision was just presented in our hospital - a tertiary facility. the patient labored in a "controlled" environment; but despite prompt response to a sudden onset of fetal distress, the outcome was very sad. i would suggest that in a patient with a classical uterine incision, labor in any environment is contra-indicated and elective repeat cesarean delivery as soon as fetal lung maturity is documented should be the rule. art
-- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com
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