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Re: New Case From: steve (steve@dhngwe2.db.healthlink.org.za) Tue Aug 31 16:02:13 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Barbara Nesbitt, Editor OBGYN.net: "I need a bit of help for Roberta's trip to Zeneca and Hewlett Packard" Previous message: Robert J Woolley: "Re: Failed Resectoscope Myomectomy Perforated Uterus" With all due respect, you can't see a vertical scar in the uterus until you open the peritoneum. A midline incision scar in the abdomen means nothing! However, I agree that this is not the best sort of case for a home delivery, so I think you have to work hard to persuade her that an attempt at vaginal delivery in hospital with all due care and attention is the best you can offer to accommodate her fears. The offer of an epidural (even though this means hospital) should be made. >........ She then showed me her vertical scarred uterus. I asked > why the C/S was done and she said they told her she has a contracted pelvis. I > examined her- She doesn't but she does have a narrow arch . I asked why a > vaginal was so important to her . It seems she was awake and aware but unable > to move or speak during th surgery . She also felt the surgery ! This lady is > intelligent and college educated . But after her experiences she says she > doesnt intend to return to a hospital . She is a more than lousy candidate for > out of the hospital birth . And she has a pelvis that it would take lots of > labor to push a baby through it . I offered to go to the hospital with her. ** -- Steve Raymond Head of O & G Empangeni Hospital SOUTH AFRICA Next message: Barbara Nesbitt, Editor OBGYN.net: "I need a bit of help for Roberta's trip to Zeneca and Hewlett Packard" Previous message: Robert J Woolley: "Re: Failed Resectoscope Myomectomy Perforated Uterus"

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