Diagnosis of Clinical Narrow Pelvis by Intranatal Ultrasound
Journal Title: Biomedical Journal of Scientific & Technical Research (BJSTR) - Year 2019, Vol 16, Issue 1
Abstract
Rational management of labor with a narrow pelvis is one of the most difficult sections of practical obstetrics, because narrow pelvis is the main cause of birth trauma and childhood disability. The aim of the study was to determine significance of intranatal ultrasound in the diagnosis of clinical narrow pelvis. On the basis of maternity hospitals of Trans-Baikal Region in the years 2018-2019 was held retrospective and prospective analysis of 60 labor histories, which were divided into 3 equal groups: group 1 - pregnant women with normal sizes of the large pelvis, group 2 - pregnant women with macrosomia, group 3 - pregnant women with a reduced size of the large pelvis. The groups are comparable in age, extragenital pathology and parity of labor. Intranatal ultrasound was performed by a portable high-end ultrasound scanning device MySono U6 Samsung Medison. The study was conducted by a convex sensor with two approaches: transabdominal and transvaginal. The presence of clinical narrow pelvis was evaluated based on assessment of angle labor’s progression (°), degree of head’s configuration in area of swept seam (mm), cross-sectional area of segment of head’s insertion (cm2 ) and ultrasound modification of Vasten symptom. Thus, intranatal ultrasound allows to determine not only clinical narrow pelvis, but also to predict birth injuries.
Authors and Affiliations
MN Mochalova, ViktorA Mudrov, AA Mudrov
Keywords
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- EP ID EP586333
- DOI 10.26717/BJSTR.2019.16.002780
- Views 134
- Downloads 0
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