PREGNANCY-BIRTH Messages for August, 2002: Re: 34 weeks....bad weekend!

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Re: 34 weeks....bad weekend!

From: Samir Fouad Aziz MD (anonymous@obgyn.net)
Mon, 5 Aug 2002 05:42:58 -0500 (CDT)

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In reply to: bm: "34 weeks....bad weekend!"

At Mon, 5 Aug 2002, bm wrote: >
>Started on Fri night. I went to the hospital where I'm supposed to
>deliver (the medical system here is different) with a letter from my
>obgyn refering me there. Since baby is breech and I've already had 1
>c-section due to fetal pelvic incompatibility, my ob said they would
>have to eventually schedule a c-section if baby does not turn. First of
>all there were no drs on service at 3:00 p.m., only nurses duing stress
>tests, so the nurse I spoke to booked my stress test which was supposed
>to be at 36 weeks for 38weeks and 3 days, I'm almost sure I won't make
>it that far, then proceeded to tell me that a breech baby doesn't mean
>they will perform a c-section, they could try a vaginal birth first!
>After my history, I asked? I'm not willing to take the risks. So she
>said its the dr who will decide when you come in for labor. I'm not
>waiting until labor to know what to expect, so today I'm going sit there
>with DH until a dr will talk to us and I want to know what the policy
>will should I go into labor and baby is still breech. If they will try
>a vaginal birth, I'm going to have to find another option, such as a
>hospital out of my area. So I was super stressed and crying on Fri
>night and on Sat I was so dizzy all day that I spent the afternoon in
>bed! Even with my eyes closed the room was spinning! At least today I'll
>have DH with me for support. Drs. what are the risks of a breech VBAC?

Fetal asphyxia and trauma are the major potential hazards of breach delivery to the baby and maternal trauma and emeregency anaesthesia leads to major morbididty to the mother. In your case with previous caesarean section, rupture uterus is another risk.Also your previous saesarean was because cephalopelvic disproportion which indicate saesarean section even if the baby is cephalic presentation.Elective caesarean section is indicated in your situation.

-- Samir Aziz MD Assist.Professor Ob.Gyn Al-Azhar University-Egypt Editorial advisor Obgyn.net, Pregnancy and birth & Gyn.Oncology

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 intervention.

Next message: Samir Fouad Aziz MD: "Re: QUESTION ABOUT GETTING PREGANT"
Previous message: KRISTEN: "QUESTION ABOUT GETTING PREGANT"
In reply to: bm: "34 weeks....bad weekend!"

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