PREGNANCY-BIRTH Messages for April, 2000: Re: VBAC AFTER 2 C-SECTIONS

Re: VBAC AFTER 2 C-SECTIONS

From: William F. von Almen, II, MD, FACOG (anonymous@obgyn.net)
Sun, 30 Apr 2000 09:04:00 -0500 (CDT)

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At Sun, 30 Apr 2000, LULU wrote: >
>hI, I AM 36 YEARS OLD AND HAVE HAD 2 C-SECTIONS. tHE FIRST C-SECTION
>WAS BECAUSE I ONLY DILATED TO 4 CENTIMETERS AND THE BABY WAS FLOATING
>AND WOULD NOT ENGAGE IN MY PELVIS. SHE HAD A 141/2 CIRCUMFERENCE HEAD
>AND HER WEIGHT WAS 9LBS 5 OZ. tHE SECOND BABY WAS 8LBS 14 OZ BUT THE
>DOCTOR DIDN'T GIVE ME THE OPPORTUNITY TO HAVE A VAGINAL BIRTH BECAUSE OF
>MY PREVIOUS EXPERIENCE. NOW I WANT TO GET PREGNANT AGAIN BUT ANOTHER
>DOCTOR I HAVE SAYS THAT IT IS GOING TO BE ANOTHER C-SECTION BECAUSE OF
>MY AGE AND 2 PREVIOUS C-SECTIONS. PLEASE LET ME KNOW IF IT IS AS
>DANGEROUS AS HE MAKES IT SOUND.

Lulu Each doctor has his own comfort zone with regard to VBAC. I personally feel that the data is lacking with respect to VBAC after 2 C/S, so I would not offer it. I do not have the exact numbers, but know that the uterine rupture rate does increase with 2 uterine scars (when compared to 1 previous scar). Please remember that your OB is only trying to bring your child into this world as safely as possible. Good Luck

--
William F. von Almen, II, MD, FACOG
Editorial Advisor-Pregnancy and Birth
Private Practice
New Orleans, La.

*Please understand I can not respond to private emails.

*These comments are for educational purposes only.  They are
not meant to take the place of an examination by a qualified
health care provider.  They are not intended to be the start
of a physician-patient relationship.

Next message: William F. von Almen, II, MD, FACOG: "Re: 3hr. GTT and chocolate bars"
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In reply to: LULU: "VBAC AFTER 2 C-SECTIONS"
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