low transverse c/sec with vertical extension
From: SaraLieb@aol.com
Mon Jun 29 15:57:04 1998
I recently had a client enter my practice who is a 33 Y.O. G2P1000 ,adopted
her 1st child out at 19 Y.O. She has a c/sec for a footling breech, unknown
weight. Upon reviewing the operative report I found that a 6cm vertical
incision was made because "the head would not fit through the Pfannenstiel
incision".
My question is this - Can I attempt a vaginal delivery or does this absolutely
require a repeat section. This woman is in good health , no present
obstetrical problems, and really desires a vaginal birth.
I'm a CNM and would really like some input on this. My own feeling is that a
6cm extension is fairly small and this occurred 14 years ago. I'd like to
proceed with the V-BAC. What do you think?
Sara Liebling, CNM saralieb@aol.com
407-331-8333
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