Re: low transverse c/sec with vertical extension

From: Joe Cutchin (forcep@shore.intercom.net)
Mon Jun 29 19:58:21 1998


This requires CS.I'll bet the vertical incision was even larger than 6 cm.

SaraLieb@aol.com wrote:

> 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

--
Joseph H. Cutchin MD FACOG   http://www.penobgyn.com
314 West Carroll Street      410 546 3125
Salisbury,MarylAND 21801     FAX 546 3128




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