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Re: Post Caesarean scar From: art fougner, md (evsono@pipeline.com) Tue Jan 12 13:58:10 1999 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Jeff Bradley: "Re: Post Caesarian scar" Previous message: MS GAIL M HART: "Re: Post Caesarian scar" In reply to: MS GAIL M HART: "Re: Post Caesarian scar" Next in thread: Jeff Bradley: "Re: Post Caesarian scar" i HAVE found cases i would worry about - have seen evidence of poor healing of the c-section scar in the nonpregnant state. these cases were total serendipity, with sonos being done for unrelated reasons. one case, a sonohysterogram demonstrated fluid within a wedge-shaped area in the LUS which appeared about one cell layer away from a utero-vesical fistula. perhaps these patients might be well-advised to have elective abdominal delivery for future pregnancy. again, a totally untested hypothesis. Art At Tue, 12 Jan 1999, MS GAIL M HART wrote: > >re<<<on! dunno if anyone has had the nerve to "black box" this. >in other words, measure the LUS and then file it, checking outcomes >laterr>>>> > >I wish someone would! > >RE<< absolutely have no idea what the true incidence of silent >dehiscence of the uterine incision following successful VBAC. >anyone >else have any personal info on this issue?<<< > >Generaly accepted numbers are about 1% -- give or take a half percent > -- for discovery of dehiscense at repeat section (elective or after >trial of labor). > >Not sure if anyone has numbers for incidence of dehiscense after >succesful VBAC. It's usualy symptomless and not discovered unless >routine manual exploration of the uterus is done. And very few folks >do routine exploration. > >Every birth practitioner on the planet would LOVE to find a way to >predict which scars will hold and which will not --- and which ones >will simply "window" and which ones will fail all the way to >catastrophic rupture. Maybe you u/s folks can help??? > >____ >GAIL HART, midwife, Oregon, USA -- art fougner, md SonoScan/Genetic Sciences forest hills, ny evsono@pipeline.com Next message: Jeff Bradley: "Re: Post Caesarian scar" Previous message: MS GAIL M HART: "Re: Post Caesarian scar" In reply to: MS GAIL M HART: "Re: Post Caesarian scar" Next in thread: Jeff Bradley: "Re: Post Caesarian scar"

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