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ATTENTION: road construction at our Spokane Valley location.
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Once a C-section, Always a C-section?

By Mark Schemmel, M.D.

Patients often ask if having had a cesarean once means that they will always require a cesarean.  The fact is that most women who have had a single prior cesarean are candidates for what we call TOLAC, or a trial of labor after cesarean. Many of these women have a high likelihood, 60-70% or better, of succeeding in achieving a VBAC (vaginal birth after cesarean). Individual likelihood of success is variable depending on a number of factors. This can be determined through consultation with your obstetrician as part of an overall discussion of the pros and cons of TOLAC.

When discussing chances of vaginal deliver after cesarean, your doctor will consider the reasons for having had a prior cesarean as well as medical conditions and disorders, gestational diabetes, and current pregnancy complications.  There is always a risk associated in attempting a vaginal delivery after cesarean.  Risks to the mother include having another unsuccessful labor leading to repeat cesarean.  Risk to the baby (and mother) include uterine rupture.

Your obstetrician will assist you in consider all of this information and deciding whether or not TOLAC is the best choice for you.

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Construction Notice

The City of Spokane Valley is improving the Pines & Mission Intersection near our Spokane Valley location. 

Starting April 15th, 2024, most of the work will happen between 8:00 PM and 6:00 AM, with some daytime work too.

They’ll try to limit traffic disruptions, keeping the intersection open and businesses accessible but please plan accordingly when visiting our Spokane Valley office.

Click below for more details:

We can expect minor traffic changes mostly around the northeast and southeast corners of the intersection. This involves digging for the wall, upgrading traffic and pedestrian signals at Pines & Mission intersection, and improving its northeast and southeast corners.

Traffic revisions involve closing westbound Mission Avenue and the northwest shoulder of Pines Road near the 190 offramp, with ongoing modifications to traffic signals, retaining wall construction, sidewalk improvements along northwest Mission Ave, and prep work for repaving Pines Road and Mission Ave.

Traffic changes will close westbound Mission Avenue and part of the northwest Pines shoulder, limit center lanes on the east side of Mission and the south of Pines, pave parts of Mission Avenue and Pines Road, and reconstruct the traffic island at the Pines Road and Mission Avenue intersection.

Mission Avenue will be fully closed from the Pines intersection westbound to just before Applebee’s parking lot’s west driveway, with center lane restrictions on eastbound Mission. The project involves grinding existing asphalt, paving new asphalt, adding traffic islands, installing new road markings and signs, and landscaping the northwest quadrant of Mission and Pines.

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