Document Details Document Type : Article In Journal  Document Title : X-ray pelvimetry-reappraisal X-ray pelvimetry-reappraisal   Subject : Obstetrics and Gynecology  Document Language : English  Abstract : Antenatal erect lateral X-ray pelvimetry was performed for 116 primigravidas and 53 multigravidas because of suspected cephalopelvic disproportion (CPD). Multigravidas were further subgrouped into 4 gravidas and greater than 4 gravidas. In the primigravidas, there was no statistical difference in the mean value of the anteroposterior diameter of the pelvic inlet (APD) of the elective (10.4 cm, +/- 0.6 SD) and the emergency (10.5 cm, +/- 0.9 SD) caesarean section group. In the multigravidas, the mean value of the APD showed a statistically significant decrease with increased parity. In this group, the chances of delivery by caesarean section were 74%, when the APD was less than 10.5 cm, and 12% if the APD was greater than 11.5 cm. It is concluded that cephalopelvic disproportion in primigravidas should only be diagnosed after adequate trial of labour with adequate uterine contractions. In multiparous patients, especially grand multiparas, X-ray pelvimetry is recommended in cases of suspected CPD before a trial of vaginal delivery is conducted, since the mode of delivery seems to depend primarily on the pelvic capacity  ISSN : 0390-6663  Journal Name : Clinical and Experimental Obstetrics and Gynecology  Volume : 18  Issue Number : 1  Publishing Year : 1411 AH 1991 AD  Article Type : Article  Added Date : Sunday, April 3, 2011  Researchers Researcher Name (Arabic) Researcher Name (English) Researcher Type Dr Grade Email حسن نصرت Nasrat, Hasan Investigator Doctorate   Files File Name Type Description  29511.pdf pdf   Back To Researches Page