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Re: peat C-section???From: Angela (anonymous@obgyn.net)Wed, 26 Apr 2000 19:03:58 -0500 (CDT)
At Wed, 26 Apr 2000, Lynn D. Montgomery, MD wrote: >Thank-you Dr. Montogomery. My "client,"her partner, and myself are all researching as best as we can to help make sure her consent is truly "informed." She is completely open to a repeat section for any sign of baby being compromised, or a solid medical reason on her part. I truly appreciate your feedback, and will pass it on. >At Wed, 26 Apr 2000, Angela wrote: >> >>I am desperately searching for any (positive) info. regarding an >>unfavorable cervix @ 40 wks. I am a nurse & certified doula, and have a >>client G2 P1, 1 prior C-section for pre-eclampsia (failed induction) who >>has NO cervical change, baby was engaged, and is now floating-no >>softening of cervix on last exam. Dr. seems to want to deliver >>(C-section)ASAP, although NST is fine, fluid levels fine. My client >>would like to wait on any intervention, and desperately wants a >>successful VBAC. Has anyone seen an unfavorable cervix followed by a >>normal spontaneous labor?? >>Last failed induction she only got to 1cm after prostaglandin gel & >>Pitocin for 24 hours. She is patient and positive, but Dr. is not. Any >>info appreciated. Thank-you. > >Your "client" has the ultimate say with regard to intervention. >Obviously if there is concern regarding her well-being or the well-being >of the unborn child, her health care provider is going to recommend what >he/she feels is the best plan. >That said, as long as the fetus is doing well, there is really no risk >in waiting for the spontaneous labor, until 41-42 weeks. Thus far, the >largest and best study regarding post-dates pregnancy suggests that the >risk of bad outcome begins at about 41.5 weeks. If your "client" >reaches 41-42 weeks, then intervention may need to again be >considered... >Lynn > >-- >Lynn D. Montgomery, MD >Director, Maternal-Fetal Medicine >Rocky Mountain Perinatal Center >Missoula, Montana > >**Note: Opinions expressed here are for educational purposes only and, as such, do not constitute a physician-patient relationship. This information is not intended to supplant the need for you to consult with your physician prior to choosing therapeutic options and/or interventions. > >**Private e-mails cannot be entertained due to time constraints, consequently no private e-mails will receive a response. > >**Thank you for your understanding ;-) >
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