TY - JOUR
T1 - Breech delivery
T2 - The value of X-ray pelvimetry
AU - Fait, Gideon
AU - Daniel, Yair
AU - Lessing, Joseph B.
AU - Bar-Am, Amiram
AU - Gull, Ilan
AU - Kupferminc, Michael J.
PY - 1998/5/1
Y1 - 1998/5/1
N2 - Objective: The study was conducted to compare maternal and neonatal outcome of two groups of nulliparae with breech presentations, who were selected for vaginal delivery by protocols differing only in their use of X- ray pelvimetry. Study Design: We reviewed all term singleton breech deliveries of nulliparous patients who were eligible for vaginal trial of labour in our Centre between 1992 and 1994. In Group A (n=85) X-ray pelvimetry was performed, and in Group B (n=70) it was not. Obstetric management was otherwise similar. Admission to the two departments was on alternate days. Results: The rate of caesarean section was similar in both groups (Group A, 36.4% vs. Group B, 42.8%; P>0.05), however, the indications for caesarean section differed. Neonatal outcome was similar in both groups. Maternal febrile morbidity was higher in Group B patients, especially those who underwent caesarean section after a trial of labour. Conclusion: X-ray pelvimetry in nulliparae with breech presentation is associated with reduced maternal febrile morbidity, but does not improve neonatal outcome.
AB - Objective: The study was conducted to compare maternal and neonatal outcome of two groups of nulliparae with breech presentations, who were selected for vaginal delivery by protocols differing only in their use of X- ray pelvimetry. Study Design: We reviewed all term singleton breech deliveries of nulliparous patients who were eligible for vaginal trial of labour in our Centre between 1992 and 1994. In Group A (n=85) X-ray pelvimetry was performed, and in Group B (n=70) it was not. Obstetric management was otherwise similar. Admission to the two departments was on alternate days. Results: The rate of caesarean section was similar in both groups (Group A, 36.4% vs. Group B, 42.8%; P>0.05), however, the indications for caesarean section differed. Neonatal outcome was similar in both groups. Maternal febrile morbidity was higher in Group B patients, especially those who underwent caesarean section after a trial of labour. Conclusion: X-ray pelvimetry in nulliparae with breech presentation is associated with reduced maternal febrile morbidity, but does not improve neonatal outcome.
KW - Breech
KW - Neonatal outcome
KW - X-ray pelvimetry
UR - http://www.scopus.com/inward/record.url?scp=0031955341&partnerID=8YFLogxK
U2 - 10.1016/S0301-2115(97)00215-7
DO - 10.1016/S0301-2115(97)00215-7
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AN - SCOPUS:0031955341
SN - 0301-2115
VL - 78
SP - 1
EP - 4
JO - European Journal of Obstetrics and Gynecology and Reproductive Biology
JF - European Journal of Obstetrics and Gynecology and Reproductive Biology
IS - 1
ER -