Prospective Randomized Study of X-Ray Pelvimetry in the Primigravida
作者:
MICHAEL PARSONS,
WILLIAM SPELLACY,
期刊:
Obstetrics & Gynecology
(OVID Available online 1985)
卷期:
Volume 66,
issue 1
页码: 76-79
ISSN:0029-7844
年代: 1985
出版商: OVID
数据来源: OVID
摘要:
A prospective randomized study was performed to determine the usefulness of x-ray pelvimetry before oxytocin induction or augmentation. Two hundred primiparous women were entered into this study. Agreement on pelvic size by the clinical and radiologic assessment occurred in 76.5% of the cases. When the total groups were compared, there were no differences in pregnancy outcome. In the induction of labor subgroups there were less forcep deliveries and lower five-minute Apgar scores in the pelvimetry group. In the augmentation subgroups there were no differences. The subgroup of patients diagnosed clinically to have a borderline pelvis, had a higher incidence of cesarean section (P<.05) if they had x-ray pelvimetry. These results suggest that the elimination of x-ray pelvimetry in primigravida women does not lead to a compromise in infant outcome when electronic fetal monitoring is used.
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