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- W2030492023 abstract "X-ray pelvimetry is a method that not only allows exploring the pelvic inlet but also would partially explain the fetal-pelvic disproportion. The aims of this study are to estimate this capacity to actually explain the aforementioned disproportion, assessing as well its influence on the follow-up of later pregnancies.A retrospective study was performed in Angers' hospital, France. We went back over 11 years and included 90 nulliparous patients, all of whom had a C-section due to fetal-pelvic disproportion. We defined a specific sub-group for arrest of labor.Only 55.5% of the patients had an unfavorable Magnin's index (<23 cm) and 47.8% were, according to it, in the uncertainty - or dystocia - zone. Labor arrest was explained by mechanical obstruction (72% of the patients had pelvic abnormalities) and by dysfunctional patterns (40% due to a posterior position of the occiput, 18% because of hypotonic labor). An important number of elective C-sections (55 cases) was recorded for subsequent pregnancies. Reasons were bound to X-ray pelvimetry (35 cases), the patients' wish (two cases), to maternal pathology (four cases), to a hydramnios (three cases) and to the suspicion of fetal distress (five cases).The term fetal-pelvic disproportion should be carefully used. Some authors used it in case of arrest of labor during two hours, a normal dynamic pattern, sufficient cervical dilation and, for many, an occipoanterior position." @default.
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- W2030492023 date "2011-01-01" @default.
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- W2030492023 title "Disproportion fœto-pelvienne et radiopelvimétrie" @default.
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- W2030492023 doi "https://doi.org/10.1016/j.gyobfe.2010.11.004" @default.
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