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Re: Cesarean Rates in South FloridaFrom: Robert J. Woolley (wooll005@tc.umn.edu)Wed Dec 31 06:58:51 1997
In message <v03007800b0cff64281dc@[208.2.63.52]> writes: > > Ah, yes... Coming in in the morning for check-out.. > > "We have a 42 y/o G6P5 with 5 prior cesareans. Four are documented low > transverse. We couldn't document one one them. They were all for CPD at > term, so we figured it must have been a low transverse incision.. Anyway, > she is 42 weeks and the baby might be a little big.. Well, it scans to > 4300g. Oh, forgot to tell you, she is breech. We convinced her she > should get a trial of labor. Well, have a nice day. I am going home to > bed.." One possible response: let her have one good contraction. Then say, "Well, the baby didn't come out, so you failed your trial of labor. Let's get the section room prepped, please." ACtually, I don't know that I would shortchange her TOL, but it's because I have no knowledge of the research (if any) on whether a greater number of previous secitons increases the risks of a TOL. What is known about this? ---------------------------------------------------------------------------
--------------------------------------------------------------------------- Bob Woolley -- --------------------------------------------------------------------------- St. Paul, Minnesota
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