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Re: low transverse c/sec with vertical extension From: Geffrey Klein (GK6972@americanmed.com) Mon Jun 29 17:13:55 1998 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: William D. McIntosh, MD: "Re: OB: HSV prophylaxis near term" Previous message: RomeGAgirl@aol.com: "Re: low transverse c/sec with vertical extension" Maybe in reply to: SaraLieb@aol.com: "low transverse c/sec with vertical extension" Next in thread: Marco A. Pelosi, III, MD: "Re: low transverse c/sec with vertical extension" If she were to have a VBAC without any problem it would be the RIGHT decision. If she were to have a catastophic uterine rupture it would have been the WRONG decision. It is hard to tell from the description if the doc cut the uterus upward or it tore downward. If it were the former, then she might have an anchor incision on the uterus. I think that it would be hard to defend the decision to labor if she were to have a serious complication... Geff Klein, MD >---------- >From: SaraLieb@aol.com[SMTP:SaraLieb@aol.com] >Reply To: ob-gyn-l@obgyn.net >Sent: Monday, June 29, 1998 3:58 PM >To: Multiple recipients of list >Subject: low transverse c/sec with vertical extension > >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 > Next message: William D. McIntosh, MD: "Re: OB: HSV prophylaxis near term" Previous message: RomeGAgirl@aol.com: "Re: low transverse c/sec with vertical extension" Maybe in reply to: SaraLieb@aol.com: "low transverse c/sec with vertical extension" Next in thread: Marco A. Pelosi, III, MD: "Re: low transverse c/sec with vertical extension"

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