Role of antenatal radiography in the management of breech deliveries

Abstract

A retrospective study was made of 228 mature singleton breech deliveries occurring over a 2 year period to determine the role of antenatal radiography, in particular, of pelvimetry. M a n y (65%) had abdominal radiography. Where antenatal pelvimetry was performed (38%) the infants were in significantly better condition during the neonatal period; this was most marked with parous women. There was no significant difference in the neonatal condition of 25 infants born vaginally of women with favourable pelvimetry compared with 3 1 infants born by elective caesarean sections.

Term Breech Delivery

“…2,69,87,91 Conventional pelvimetry has in many places been replaced by computerised pelivimetry with lower radiation doses, and possibly greater accuracy 113−116 or by MRI, which has been shown to reduce the number of CS in labour compared to no pelvimetry. 2,69,87,91 Conventional pelvimetry has in many places been replaced by computerised pelivimetry with lower radiation doses, and possibly greater accuracy 113−116 or by MRI, which has been shown to reduce the number of CS in labour compared to no pelvimetry.…”

Modern management of breech presentation at term

“…Although radiological information about the bony pelvis has been advocated, 39,40 the value of X-ray pelvimetry in the assessment for vaginal breech delivery is not without risk. Fetal exposure to radiation increases the risk of malignancy before the age of 10, and this is dose-dependent.…”