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Re: Scanning the lower UT segment post prior C-section to evaluate VBAC From: Allen Worrall (jworrall@alaska.net) Mon Oct 27 07:50:27 2003 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Wolfgang Moroder, M.D.: "Re: Computerized Reporting Packages" Previous message: art fougner, md: "Re: Computerized Reporting Packages" Maybe in reply to: Rich Dempsey RDMS/RVT : "Scanning the lower UT segment post prior C-section to evaluate VBAC" You might also contact Niavikar Dahiya MD nirvi@satyam.net.in He is an online acquaintance of mine and I believe he has done some work on this subject. He is in Coimbature, Tamil Nadu, India. If that email address does not work try nirvi@vsnl.com. Allen >----- Original Message ----- From: "art fougner, md" <evsono@pipeline.com> To: "Multiple recipients of list ULTRASOUND" <ultrasound@dns.obgyn.net> Sent: Monday, October 27, 2003 4:43 AM Subject: Re: Scanning the lower UT segment post prior C-section to evaluate VBAC > Rich > > the best time to evaluate the healing lower segment is prior to the next > pregnancy. Using TVS, a wedge - shaped defect in the area of the > Cesarean incision suggests a potential problem. This finding, however, > has not been subjected to randomized trial of VBAC to evaluate its > predictive value for uterine rupture. > > art > > At Sun, 26 Oct 2003, Rich Dempsey RDMS/RVT wrote: > > > >Does anyone have experience evaluating evaluate the lower uterine > >segment (myometrial thickness) over a C-section scar ? The circumstances > >involved a near term pregnancy with a prior C-section. The physician > >wanted to know if there was thinning of the myometrium in the LUS, prior > >to deciding on trial vaginal delivery; that is, an attempt to judge the > >risk of uterine dehiscence prior to committing to trial labor). > > > >There are a number of articles in the non-American OB literature on the > >topic , and nothing in the Radiology literature. The OB literature > >reports a full-thickness measure (via transabdominal scanning) of >3.5 > >mm as having high negative predictive value. > > > >Does any one have experience with this? > > -- > art fougner, md > ich bin ein New Yorker Next message: Wolfgang Moroder, M.D.: "Re: Computerized Reporting Packages" Previous message: art fougner, md: "Re: Computerized Reporting Packages" Maybe in reply to: Rich Dempsey RDMS/RVT : "Scanning the lower UT segment post prior C-section to evaluate VBAC"

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