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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Should Scar Thickness Be 3cm Before A VBAC?

I had a csec last year in june i am due again sep this year. I spoke to.my doc of vbac he was open to.it jus said i hd to wait fr my 38 week sonography. Which Came Out Good. Jus that my lus scar came 0.53cms he said its thin and he wanted 3cms thickness fr attempting vbac.. Jus wanted to.knw is the advice proper from him
Mon, 30 Jul 2018
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General Surgeon 's  Response
Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice.

The minimum scar thickness to go for a VBAC trial is 2 cm. The chances for scar dehiscence is high when the scar thickness is below 2 cm. In your case the thickness is very low so there are high chances for dehiscence and even for rupture. So it is better to go for CS to avoid potential complications.

Wishing you good health.

Thanks
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Should Scar Thickness Be 3cm Before A VBAC?

Hello and Welcome to ‘Ask A Doctor’ service. I have reviewed your query and here is my advice. The minimum scar thickness to go for a VBAC trial is 2 cm. The chances for scar dehiscence is high when the scar thickness is below 2 cm. In your case the thickness is very low so there are high chances for dehiscence and even for rupture. So it is better to go for CS to avoid potential complications. Wishing you good health. Thanks