Determining the Incidence of Gynecoid Pelvis Using Three-Dimensional Computed Tomography in Nonpregnant Multiparous Women
| Autor: | Sultan Salk, Meral Cetin, Ali Cetin, Ismail Salk |
|---|---|
| Přispěvatelé: | [Salk, Ismail] Cumhuriyet Univ, Fac Med, Dept Radiol, TR-58140 Sivas, Turkey -- [Cetin, Meral -- Cetin, Ali] Cumhuriyet Univ, Fac Med, Dept Obstet & Gynecol, TR-58140 Sivas, Turkey -- [Salk, Sultan] Sivas State Hosp, Dept Obstet & Gynecol, Sivas, Turkey, Cetin, Ali -- 0000-0002-5767-7894, Salk, Ismail -- 0000-0002-5156-6923 |
| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
medicine.medical_specialty Birth weight Pelvic inlet broadcast Pelvis 03 medical and health sciences Android pelvis Young Adult 0302 clinical medicine Imaging Three-Dimensional broadcast.radio_station Platypelloid pelvis Multidetector Computed Tomography Medicine Humans 030212 general & internal medicine Three-dimensional computed tomography Aged Retrospective Studies Original Paper 030219 obstetrics & reproductive medicine business.industry Incidence (epidemiology) Cephalopelvic disproportion Multiparous women Retrospective cohort study General Medicine Gynecoid pelvis Middle Aged Pelvimetry medicine.disease Labor dystocia Pelvic type Anthropoid pelvis Parity medicine.anatomical_structure Pelvic outlet Female Radiology business |
| Zdroj: | Medical Principles and Practice |
| ISSN: | 1423-0151 1011-7571 |
| Popis: | WOS: 000368075600009 PubMed ID: 26334957 Objectives: To determine the incidence of gynecoid pelvis by using classical criteria and measured parameters obtained from three-dimensional computed tomography (3D CT) pelvimetry in nonpregnant multiparous women who delivered vaginally. Subjects and Methods: Our hospital's picture archiving and communication system was reviewed retrospectively. All adult women who had undergone CT examination with routine abdominal protocols were identified. In the pelvic inlet, midpelvis, and pelvic outlet, classical criteria and measured parameters, both alone and in combination, were used to determine the presence of gynecoid pelvis. Results: 3D CT pelvimetry was performed on 226 women aged 23-65 years without any history of cephalopelvic disproportion and who had at least one delivery of an average fetal size (>2,500 g). The median parity was 4, and the mean (+/- SD) birth weight was 3,700 +/- 498 g. Compared to the classical criteria, measured parameters and their combined use with the classical criteria significantly reduced the frequency of gynecoid pelvis (51.3 and 47.8%, respectively, vs. 71.6%; p = 0.001); however, there was no significant difference between the measured parameters and their combined use with classical criteria with regard to the frequencies of gynecoid pelvis (p > 0.05). Conclusions: With the use of measured parameters of 3D CT pelvimetry, the incidence of gynecoid pelvis reduces to a more acceptable level (51.3%) in accordance with obstetric knowledge. Since there is no considerable decrease with the addition of classical criteria, 3D CT pelvimetry alone has merit for determining a woman's pelvic capacity for obstetric needs after the improvement and standardization of measured parameters. (C) 2015 S. Karger AG, Basel |
| Databáze: | OpenAIRE |
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