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Study on the cephalopelvic relationship with cephalic presentation in nulliparous full-term Chinese pregnant women by MRI with three-dimensional reconstruction.
- Source :
- Archives of Gynecology & Obstetrics; Aug2018, Vol. 298 Issue 2, p433-441, 9p, 2 Diagrams, 5 Charts, 1 Graph
- Publication Year :
- 2018
-
Abstract
- <bold>Purpose: </bold>To analyze the relationship between fetal head size and maternal pelvis size using magnetic resonance imaging (MRI) with a 3-D reconstruction technique.<bold>Methods: </bold>A total of 301 nulliparous full-term Chinese pregnant women with cephalic presentation were enrolled and received MRI examinations before labor onset. Data were collected and imported into Mimics software to reconstruct the maternal pelvis and fetus.<bold>Results: </bold>Of 301 pregnant women, 212 underwent vaginal delivery and 32 received cesarean section. The body mass index (BMI) was significantly different between the vaginal delivery group and the suspected cephalopelvic disproportion (CPD) group; the larger the BMI, the higher was the risk of CPD. The transverse diameter of the pelvic inlet and the posterior sagittal diameter of the midpelvis were significantly larger in the vaginal delivery group, compared with the suspected CPD group. Fetal weight > 3.5 kg could be used as a diagnostic indicator for CPD.<bold>Conclusions: </bold>BMI is a risk factor for CPD, and fetal weight < 3.5 kg is an important diagnostic indicator for natural delivery in Chinese pregnant women. [ABSTRACT FROM AUTHOR]
- Subjects :
- CEPHALOPELVIC disproportion
PREGNANT women
MAGNETIC resonance imaging
BODY mass index
CESAREAN section
BODY weight
COMPARATIVE studies
DELIVERY (Obstetrics)
HEAD
RESEARCH methodology
MEDICAL cooperation
PELVIMETRY
PELVIS
RESEARCH
RESEARCH funding
THREE-dimensional imaging
EVALUATION research
FETAL development
PARITY (Obstetrics)
Subjects
Details
- Language :
- English
- ISSN :
- 09320067
- Volume :
- 298
- Issue :
- 2
- Database :
- Complementary Index
- Journal :
- Archives of Gynecology & Obstetrics
- Publication Type :
- Academic Journal
- Accession number :
- 130603260
- Full Text :
- https://doi.org/10.1007/s00404-018-4814-5