PREGNANCY-BIRTH Messages for June, 2002: Re: 2nd pregnancy

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Re: 2nd pregnancy - need advice

From: Garry E. Siegel, M.D. (anonymous@obgyn.net)
Mon, 24 Jun 2002 20:47:48 -0500 (CDT)

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In reply to: anonymous@obgyn.net: "2nd pregnancy - need advice"

At Mon, 24 Jun 2002, anonymous@obgyn.net wrote: >
>I just found out that I am pregnant w/ my 2nd child due early next year
>and went to my 1st obgyn work up visit. My first child was born by
>c-sec 9 mos ago due to failure to progress. I am 34 yrs old. Please
>advise: at this first visit, the dr. made no hesitation in recommending
>i consider a scheduled 2nd c-sec b/c of my situation: pregnancies too
>close together for recovery of uterus and does not recommend VBAC. Is
>it true that preg should be at least 1 year after the birth of 1st child
>to allow recovery time in considering a VBAC? Also dr. stated that size
>of pelvis seemed questionable as to the success of a VBAC.
>
>I was disappointed in hearing this and feel that i should get a 2nd
>opinion on this. how should i proceed? I would want to try to have a
>VBAC but would like some additional advice/thoughts on this. Is it
>possible for VBAC and what are my chances of coming across problems such
>as uterine rupturing etc. Thank you for your advice.

I believe that 9 months are enough to do a VBAC.

Pelvic size by clincal exam isn't too accurate, but there really isn't a good way to determine in advance whether a baby will fit or not.

Overally, VBAC success is around 66%, but if done for lack of progress, without more detail, the success rate is around 50%.

How to proceed--talk to your doc.

VBACs are falling out of favor due to: 1. Recognition that complications are a bit more common than thought. 2. Recognition that a repeat section, scheduled, is rather safe, too. 3. Increased liability in VBACs. 4. Etc.

The pendulum has swung from VBAC all (in the early 90s) to VBAC some.

Good luck.

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA

Advice herein does not constitute a physician/patient relationship.
Always consult your own doctor as you see fit.
No private emails.

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