Anthropometric measurements in the diagnosis of pelvic size: an analysis of maternal height and shoe size and computed tomography pelvimetric data

Awonuga, Awoniyi O.; Merhi, Zaher; Awonuga, Modupe; Samuels, Terri Ann; Waller, Jennifer L.; Pring, D. W.

doi:10.1007/s00404-007-0370-0

Cited by 26 publications

(19 citation statements)

References 20 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Unfortunately, the risk-approach to reducing maternal mortality and morbidity has not worked in practice because the vast majority of life-threatening obstetric complications arise unexpectedly and cannot be predicted in advance [13-15]. In spite of decades of effort using both high- and low-technology approaches, there are still no screening tools with adequate sensitivity and specificity for routine clinical use that will predict which women will develop obstructed labor in advance of labor itself [16-20]. The most reliable predictor of obstetric outcome is past obstetric history, a fact that is particularly unhelpful for evaluating potential complications during a woman’s first pregnancy [21].…”

Section: Discussionmentioning

confidence: 99%

Overcoming phase 1 delays: the critical component of obstetric fistula prevention programs in resource-poor countries

Wall

2012

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

BackgroundAn obstetric fistula is a traumatic childbirth injury that occurs when labor is obstructed and delivery is delayed. Prolonged obstructed labor leads to the destruction of the tissues that normally separate the bladder from the vagina and creates a passageway (fistula) through which urine leaks continuously. Women with a fistula become social outcasts. Universal high-quality maternity care has eliminated the obstetric fistula in wealthy countries, but millions of women in resource-poor nations still experience prolonged labor and tens of thousands of new fistula sufferers are added to the millions of pre-existing cases each year. This article discusses fistula prevention in developing countries, focusing on the factors which delay treatment of prolonged labor.DiscussionObstetric fistulas can be prevented through contraception, avoiding obstructed labor, or improving outcomes for women who develop obstructed labor. Contraception is of little use to women who are already pregnant and there is no reliable screening test to predict obstruction in advance of labor. Improving the outcome of obstructed labor depends on prompt diagnosis and timely intervention (usually by cesarean section). Because obstetric fistulas are caused by tissue compression, the time interval from obstruction to delivery is critical. This time interval is often extended by delays in deciding to seek care, delays in arriving at a hospital, and delays in accessing treatment after arrival. Communities can reasonably demand that governments and healthcare institutions improve the second (transportation) and third (treatment) phases of delay. Initial delays in seeking hospital care are caused by failure to recognize that labor is prolonged, confusion concerning what should be done (often the result of competing therapeutic pathways), lack of women’s agency, unfamiliarity with and fear of hospitals and the treatments they offer (especially surgery), and economic constraints on access to care.SummaryWomen in resource-poor countries will use institutional obstetric care when the services provided are valued more than the competing choices offered by a pluralistic medical system. The key to obstetric fistula prevention is competent obstetrical care delivered respectfully, promptly, and at affordable cost. The utilization of these services is driven largely by trust.

show abstract

Section: Discussionmentioning

confidence: 99%

Overcoming phase 1 delays: the critical component of obstetric fistula prevention programs in resource-poor countries

Wall

2012

BMC Pregnancy Childbirth

View full text Add to dashboard Cite

show abstract

“…Maternal obesity has also been suggested as a risk factor for CPD [7,24,25]. Rickets is known to be a cause for small or distorted pelvis [20,23]. One study of an immigrant population of women from countries with high rates of malnutrition to the USA, reports that this population had higher rates of CPD following their immigration, probably due to malnutrition during puberty [26].…”

Section: Introductionmentioning

confidence: 97%

“…A meta-analysis investigating the association between short stature and CPD revealed that one of Wve short stature women were referred to caesarian section (CD) for having small pelvises [22]. Nevertheless, short stature is not necessarily an indication for a small size pelvis [23]. Maternal obesity has also been suggested as a risk factor for CPD [7,24,25].…”

Section: Introductionmentioning

confidence: 98%

Risk factors and perinatal outcome of pregnancies complicated with cephalopelvic disproportion: a population-based study

Tsvieli

Sergienko

2011

Arch Gynecol Obstet

View full text Add to dashboard Cite

show abstract

“…Hormonal changes in women may lead to loosening ligaments, and have been suggested to cause an increase in ligamentous tears in female athletes of reproductive age. The increase in specific hormone levels, including Relxain, Progesterone, and Estradiol, which contribute to general ligamentous laxity, may also contribute to arch collapse during pregnancy. It is well known that pregnant and nulliparous women are exposed to different concentrations of hormones, as age, age at menarche, and age at first live birth are used in the GAIL breast cancer calculation.…”

Section: Introductionmentioning

confidence: 99%

Effect of Pregnancy and Obesity on Arch of Foot

Dunn

Habbu

et al. 2012

Orthopaedic Surgery

View full text Add to dashboard Cite

There was neither a change in size between women who had been pregnant and the nulliparous, nor was there a difference between the obese and non-obese. However, there was a statically significant difference between those affected who were both non-obese and nulliparous and those who had been pregnant and who are obese. Individually, the effect of pregnancy and BMI are highly suggestive and clinically relevant.

show abstract

Anthropometric measurements in the diagnosis of pelvic size: an analysis of maternal height and shoe size and computed tomography pelvimetric data

Abstract: Measurements of maternal height, shoe size and weight at the last clinic visit are not useful for the identification of women with inadequate pelvis.

Cited by 26 publications

References 20 publications

Overcoming phase 1 delays: the critical component of obstetric fistula prevention programs in resource-poor countries

Overcoming phase 1 delays: the critical component of obstetric fistula prevention programs in resource-poor countries

Risk factors and perinatal outcome of pregnancies complicated with cephalopelvic disproportion: a population-based study

Effect of Pregnancy and Obesity on Arch of Foot

Contact Info

Product

Resources

About