Re: Am I taking big chances? prominent sacral promontory and...

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At Thu, 29 May 2003, Kathleen wrote: >
>I am 39 years old at 38 weeks pregnant and this is my second baby. My
>first baby was c-section due to fever with group b strep (after 12+
>hours ROM)and failure to progress past 8 cm. She never came all the way
>down (was a bit tangled in cord and posterior). I felt I was really
>rushed into that c-section and was never told how high the fever was
>(and was it really due just to the epidural). Baby was totally fine.
>I want to vbac, yet here are the things ONE of the docs of my group (the
>ultra conservative founder) is really concerned about-he really wants me
>to have a c-section:
>"Risk" factors:
>*group b strep positive again
>*vbac-risk of uterine rupture
>*had incarcerated uterus which was repositioned at 14 weeks
>*have a prominent sacral promontory
>*baby still high at 38+ weeks, and always is posterior
>*have history of sacro-iliac instability due to old back injury
>
>Do you see my history and current condition as that which strongly
>indicates a high risk for vbac delivery? I guess I am focused now on the
>sacral promontory issue-will that make me more likely to rupture due to
>uterus having to work any harder to get baby to negotiate the birth
>canal? I searched the archives and can find almost nothing regarding
>this issue. I can not sleep for worrying about having another c-section
>that may be unnecessary.
>
>Thanks so much!!!!!!

--
Alicia M. Lapidus M.D.
Director Obgyn.net Latina
Chief of Staff Obstetrics, Hospital J. A. Fernández
Buenos Aires
Argentina
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• In reply to: Kathleen: "Am I taking big chances? prominent sacral promontory and..."