Measurement of Obstetrical Conjugate Diameter by USG and its association with mode of Delivery.
Journal Title: IOSR Journal of Dental and Medical Sciences (IOSR-JDMS) - Year 2019, Vol 18, Issue 2
Abstract
Pelvic assessment done by measuring the Obstetrical Conjugate Diameter by transabdominal Ultrasonography at term can provide additional information for assessing the Maternal Pelvis to the clinician and may be helpful in planning route of delivery. Method: Study population consisted of 150 pregnant women divided into four groups. Group one consists of those having OCD less than 10 cm, Group two consists of those with OCD 10-10.9 cm, Group three consists of those with OCD 11-11.9 cm and Group four consists of those with OCD more than or equal to 12 cm. Their modes of delivery were than recorded and data were analysed. Result: Caesarean section performed in the study population was 30.7%.Obstetric conjugate diameter was inversely correlated with the caesarean section rate. OCD measuring less than 10 cm were associated with 100% caesarean section. OCD measuring 10 cm to 10.9 cm was associated with 39.7% caesarean section, OCD measuring 11 cm to 11.9 cm was associated with 18.9% caesarean section and OCD measuring more than or equal to 12 cm was associated with 10 % caesarean section. Conclusion: Decrease in Obstetric conjugate diameter is associated with an increase in caesarean section delivery. OCD of less than 10 cm is associated with 100% caesarean section delivery in this study. The finding will also be useful while considering vaginal deliveries in subsequent pregnancies.
Authors and Affiliations
Dr. Ruma Sarkar, Dr. Chirom Pritam Kumar Singh
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