Quelle place pour la radiopelvimétrie au XXIe siècle?

Rozenberg, Patrick

doi:10.1016/j.gyobfe.2006.09.028

Cited by 40 publications

(13 citation statements)

References 54 publications

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“…This is not consistent with previous studies, in which pelvimetry was found to be useful only in the case of breech presentation [27,28,29]. Pelvic scanning should be limited to breech presentations, because it increases the likelihood of caesarean section in cephalic presentations [5].…”

Section: Discussioncontrasting

confidence: 69%

Which Foetal-Pelvic Variables Are Useful for Predicting Caesarean Section and Instrumental Assistance

Frémondière

Thollon

Adalian³

et al. 2017

Med Princ Pract

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Objective: To assess the variables useful to predict caesarean delivery (CD) and instrumental assistance, through the analysis of a large number of foetal-pelvic variables, using discriminant analysis. Materials and Methods: One hundred and fourteen pregnant women were included in this single-centre prospective study. For each mother-foetus pair, 43 pelvic and 18 foetal variables were measured. Partial least squares-discriminant analysis was performed to identify foetal-pelvic variables that could statistically separate the 3 delivery modality groups: spontaneous vaginal delivery (SVD), CD, and instrument-assisted delivery (IAD). Results: For the SVD versus CD model, voluminous foetuses and women with a narrow pelvic inlet had a greater risk for requiring CD. The most efficient variables for discrimination were the transverse diameter and foetal weight. The antero-posterior inlet and obstetric conjugate were considered in this model, with the former being a useful variable but not the latter. For the SVD versus IAD model, the most important variables were the foetal variables, particularly the bi-parietal diameter. Women with a reduced antero-posterior outlet diameter and a narrow pubic arch were more at risk of requiring an IAD. Conclusion: The antero-posterior inlet was an efficient variable unlike the obstetric conjugate. The obstetric conjugate diameter should no longer be considered a useful variable in estimating the arrest of labour. Antero-posterior inlet diameter was a sagittal variable that should be taken into account. The comparison of sub-pubic angle and bi-parietal and antero-posterior outlet diameters was useful in identifying a risk of requiring instrumental assistance.

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Section: Discussioncontrasting

confidence: 69%

Which Foetal-Pelvic Variables Are Useful for Predicting Caesarean Section and Instrumental Assistance

Frémondière

Thollon

Adalian³

et al. 2017

Med Princ Pract

View full text Add to dashboard Cite

show abstract

“…La suspicion de disproportion foeto-pelvienne est une indication discuté e [3]. Enfin, le Collè ge national des gyné cologues et obsté triciens français (CNGOF) ne recommande plus la ré alisation systé matique d'une pelvimé trie pour les patientes porteuses d'un uté rus cicatriciel, ni celle d'une cé sarienne ité rative en cas d'anté cé dent de « disproportion foeto-pelvienne ».…”

Section: Discussionunclassified

“…Elle correspondrait à une incompatibilité entre les dimensions du foetus, plus pré cisé ment entre les diamè tres cé phaliques et les dimensions du dé troit supé rieur (bassin osseux maternel), exploré es par la pelvimé trie. Celle-ci reste pratiqué e dans de nombreux centres hospitaliers, mais sa capacité à pré dire l'issue du travail est discuté e [1][2][3][4][5]. Les indications de sa ré alisation sont devenues limité es [6] et certains ne la recommandent plus avant l'accouchement d'une femme porteuse d'un uté rus cicatriciel [7].…”

Section: Introductionunclassified