| View previous topic :: View next topic |
| Author |
Message |
Hopeful
Joined: 03 May 2007
Posts: 49
|
 Posted: Mon Apr 14, 2008 12:53 pm Post subject: previous 2 c/s now wants vd |
 |
|
| how will u counsel a woman with 2 prev c/s now wants a vaginal delivery |
|
| Back to top |
|
 |
Hopeful
Joined: 03 May 2007
Posts: 49
|
| Posted: Thu Apr 17, 2008 8:35 am Post subject: |
|
|
this is an actual exam station
i think answer will be to tell her all complications of vbac (relatively higher in previous 2 c/s) and benefits of vaginal delivery and she will make an informed choice
can antbody guide please |
|
| Back to top |
|
|
rpwalavalkar
Teale Fenning Administrator
Joined: 20 Jul 2006
Posts: 946
|
| Posted: Thu Apr 17, 2008 10:45 am Post subject: |
|
|
don't you want some history first???
what happened with pr 2 preg and details about the lscs?
what's this preg been like, baby's growth?
reasons for wanting VBAC?
| Quote: | | complications of vbac (relatively higher in previous 2 c/s) |
the march 08 patient info draft document by the college says vbac may be offered if 2 previous uncomplicated lscs. if previous 2 c/s chance of successfull vbac is 70-75%. it only says success rate is less but not that complications are higher. BUT... this is still in draft though.
u need to discuss all of the following, benefit and complications of vbac and benefits and complications of rpt lscs. Nick has a formula for this, that he teaches on the osce course.
go on give this a try again.
_________________
Dr Miss. Raj Walavalkar MBBS MRCOG
TealeFenning Administrator
SR O&G Wessex Region |
|
| Back to top |
|
|
|
FAQ
Search
Memberlist
Usergroups
Register
Profile
Log in to check your private messages
Log in
