The Role of Postnatal X-Ray Pelvimetry After Caesarean Section in the Management of Subsequent Delivery

Krishnamurthy, Sarala; Fairlie, Fiona; Cameron, Alan; Walker, James J.; Mackenzie, James

doi:10.1097/00006254-199202000-00011

Cited by 19 publications

(25 citation statements)

References 4 publications

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“…There may be a concern for litigation. Other factors that may contribute to increased cesarean section rates after a pelvic fracture include the question of whether pelvic disproportion exists, obstetrician training and experience, and previous results [3,6,9,10,12,14,15,17,18].…”

Section: Discussionmentioning

confidence: 99%

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Pelvic Fractures in Women of Childbearing Age

Cannada

Barr

2010

Clinical Orthopaedics &Amp; Related Research

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Section: Discussionmentioning

confidence: 99%

“…Even in the obstetric community, there is belief women who have had pelvic fractures cannot deliver vaginally [3,6,10,18]. Many women are not even given a chance for a trial of labor once the obstetrician is aware of the history of pelvic fracture [2].…”

Section: Introductionmentioning

confidence: 99%

Pelvic Fractures in Women of Childbearing Age

Cannada

Barr

2010

Clinical Orthopaedics &Amp; Related Research

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“…2-4 Both Krishnamurthy et al 5 (in a retrospective study in 1991) and Thubisi et al 6 (in a prospective randomized study in 1993) reported that x-ray pelvimetry in women with one previous cesarean section increases the the rate of subsequent delivery by cesarean section, and is a poor predictor of the outcome of labor. Nevertheless, technological advances (CT and MRI) offer simplicity, reduction or absence of ionizing radiation, reliability and accuracy.…”

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confidence: 99%

Value of Computed Tomography Pelvimetry in Patients with a Previous Cesarean Section

Yamani

Rouzi

1998

Ann Saudi Med

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A case-control study was conducted at the Department of Obstetrics and Gynaecology, King Abdulaziz University Hospital, Jeddah, Saudi Arabia, to determine the value of computed tomography pelvimetry in patients with a previous cesarean section. Between January 1993 and December 1995, 219 pregnant women with one previous cesarean section met the criteria for vaginal birth after cesarean delivery. One hundred women had antenatal CT pelvimetry for assessment of the pelvis. One hundred and nineteen women did not have CT pelvimetry and served as control. Fifty-one women (51%) in the CT pelvimetry group delivered by cesarean section. Twenty-three women (23%) underwent elective cesarean section for contracted pelvis based upon the findings of CT pelvimetry and 28 women (28%) underwent emergency cesarean section after trial of labor. In the group who did not have CT pelvimetry, 26 women (21.8%) underwent emergency cesarean section. This was a statistically significant difference (P=0.02). There were no statistically significant differences in birthweight and Apgar scores in either group. There was no perinatal or maternal mortality in this study. Computed tomography pelvimetry increased the rate of cesarean delivery without any benefit in the immediate delivery outcomes. Therefore, the practice of documenting the adequacy of the pelvis by CT pelvimetry before vaginal birth after cesarean should be abandoned.

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“…Les études de qualités sont peu nombreuses mais certaines apportent une réponse : tout d'abord l'étude de Krishnamurthy et al [19] qui retrouve un taux identique d'accouchement par voie basse autour de 70 %, que le bassin soit jugé normal ou rétréci (diamètre promontorétropubien [PRP] < 110 mm, diamètre transverse utile [TU] < 115 mm, diamètre biépineux [BE] < 90) sur la radiopelvimétrie réali-sée systématiquement après la césarienne.…”

Section: Pelvimétrieunclassified

Accouchement avec utérus cicatriciel

et al. 2010

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L'utérus cicatriciel est devenu le premier motif de césarienne itérative. Le risque de rupture utérine est estimé autour de 0,7 ‰, et environ 600 césariennes seraient nécessai-res pour éviter une complication néonatale grave. Parallèle-ment, la morbidité maternelle a augmenté par les anomalies d'insertions placentaires, responsables de complications hémorragiques graves. Il convient de discuter avec le couple de la voie d'accouchement en cherchant d'abord à identifier d'emblée toute contre-indication à la voie basse, puis les arguments favorables au succès de celle-ci. En cas de césarienne prophylactique, on attendra 39 SA pour diminuer la morbidité respiratoire foetale. En cas de déclenchement, il faudra respecter les recommandations de la Haute Autorité de Santé (HAS) et informer la patiente du risque majoré de rupture utérine.Mots clés Utérus cicatriciel · Épreuve du travail · Intention de voie basse · Rupture utérine · Déclenchement du travail Abstract Scarred uterus became the first motive for iterative cesarean. The risk of uterine break is considered near 0.7‰ and approximately 600 cesarians would be necessary to avoid a neonatal serious complication. At the same time, the maternal morbidity increased by the abnormalities of placental insertions is responsible for important haemorrhagic complications. It is advisable to discuss with the couple of the way of delivery by trying at first to identify at once any contraindication for trial of labor and then the favorable arguments for his success. In case of preventive cesarean, we shall wait for 39 weeks to decrease the fetal respiratory morbidity. In case of release, it will be necessary to respect official recommendations and to inform the patient of the risk increased by uterine break.

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The Role of Postnatal X-Ray Pelvimetry After Caesarean Section in the Management of Subsequent Delivery

Abstract: The purpose of this study was to investigate the influence of postnatal x-ray pelvimetry after caesarean section on the management of the subsequent pregnancy. The case records of 331 women delivered by casearean section in their first pregnancy were reviewed. By standard

Cited by 19 publications

References 4 publications

Pelvic Fractures in Women of Childbearing Age

Pelvic Fractures in Women of Childbearing Age

Value of Computed Tomography Pelvimetry in Patients with a Previous Cesarean Section

Accouchement avec utérus cicatriciel

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