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At least 829 records · Page 46Linked to original sources
PubMed1989

Philippino and Vietnamese women--a study of intrapartum differences.

The pregnancies of 140 Philippino women (168 deliveries) and 198 Vietnamese women (250 deliveries) were compared to those of Australian-born women delivered at the Mater Mothers' Hospital, Brisbane over the 5-year period 1980-1984 with the aim of detecting differences in their labour and mode of delivery. The Philippino women were predominantly married to Caucasian men whereas the Vietnamese women were married to Vietnamese men. The study assesses the clinical impression that this difference between the 2 groups affects intrapartum outcome. Birth-weights of the babies of Philippino women followed the same pattern as those of Australian women while Vietnamese women delivered smaller babies. Philippino primiparas had increases in all parameters of labour studied, notably an increased Caesarean section rate, especially those performed in the second stage. Comparable increases were not found in either Philippino multiparas or Vietnamese women. Based on these results 'relative' cephalopelvic disproportion is postulated among the Philippino women.

Adult↗
PubMed1990

Symphysiotomy for the trapped aftercoming parts of the breech: a review of the literature and a plea for its use.

The most dreaded complication of vaginal breech delivery is entrapment of the aftercoming head. When this is due to disproportion, persistent attempts at vaginal extraction are likely to result in a dead or damaged baby. A largely unknown solution in this desperate predicament is to surgically enlarge the pelvis by means of a symphysiotomy. A review of the literature shows that symphysiotomy performed to free the trapped aftercoming head will save at least 80% of babies if the procedure is performed without delay. Every obstetrician should be prepared to perform a symphysiotomy if the aftercoming head is trapped.

Breech Presentation↗
PubMed2000

Successful vaginal delivery in a woman with amyoplasia.

We report on the pregnancy management of a 22-year-old woman with amyoplasia, the commonest type of arthrogryposis multiplex congenita (AMC). Extrapolating from childhood and adult studies, the majority of cases are likely to be ambulatory and live independent lives as adults. Many females, therefore, would be expected to achieve a pregnancy. There have been several case reports on anaesthetic management for Caesarean section delivery in women with arthrogryposis, but no medical literature exists regarding the likelihood or management of vaginal delivery. This is the first reported case of conservative management of a woman with amyoplasia. A multi-disciplinary team was involved in her care. This involved careful assessment of her suitability for vaginal delivery, possible anaesthetic complications and potential difficulties in caring for an infant at home. Induction of labour at 37 weeks gestation resulted in the successful vaginal delivery of a liveborn healthy male.

Activities of Daily Living↗
PubMedDate not supplied

Maternal height, shoe size, and outcome of labour in white primigravidas: a prospective anthropometric study.

A total of 563 white primigravid patients at Raigmore Hospital, Inverness, were recruited in a prospective study to examine the association between maternal height, shoe size, and the outcome of labour. There was a significantly increased caesarean section rate in women of short stature but no association between mode of delivery and shoe size. Babies born vaginally had heavier birth weights with increasing height and shoe size. Babies born by caesarean section were heavier than those born vaginally, but their birthweight showed no relation with either height or shoe size. Shoe size is not a useful clinical predictor for the probability of cephalopelvic disproportion, and, although maternal height is a better clinical guide to pelvic adequacy in labour, 80% of mothers less than 160 cm tall delivered vaginally. A well conducted trial of labour should be considered in all primigravid patients with cephalic presentation irrespective of maternal height or shoe size if no obstetric complication exists.

Anthropometry↗
PubMed1975

The mechanism of genetic predisposition in congenital dislocation of the hip.

The important role of polygenic acetabular configuration and monogenic joint laxity has again been proved in the aetiology of congenital dislocation of the hip. According to the findings reported these two genetic predispositions seem to be unrelated. The time of diagnosis in accetabular dysplasia type and joint laxity type did not differ, thus the neonatal and late-diagnosed cases do not seem to be two clear-cut entities.

Acetabulum↗
PubMed1984

Pelvic dimensions, bodyweight and parturition in rare breeds of sheep.

External pelvic measurements were made in 837 adult ewes of 21 different breeds, the majority of which were rare breeds. The pelvic measurements were the intertuber coxal diameter, the distance between the lateral tuber ischii and medial tuber ischii and the rump length. There was a considerable breed variation with the Soay ewes having the smallest and the Suffolk the largest pelvic dimensions. However when the relationship between pelvic size and ewe's bodyweight was compared, the ratio of the medial tuber ischii:bodyweight and sum of four pelvic dimensions:bodyweight of the Soay was over twice that of the Suffolk ewes. When the size of the pelvis was related to the lamb's birth weight the Soay's was relatively larger. Dystocia caused by feto-maternal disproportion occurred in 19 ewes, all with singletons. In 16 cases involving four different breeds the birth weights of the lambs were significantly larger than those lambs which were born normally.

Analysis of Variance↗
PubMed2000

Pelvic CT morphometry in Down syndrome: implications for prenatal US evaluation--preliminary results.

PURPOSE: To characterize pelvic morphometric differences in patients with and those without Down syndrome by using computed tomography (CT) and to determine useful indexes for ultrasonographic (US) evaluation. MATERIALS AND METHODS: Pelvic CT scans in seven patients with Down syndrome and in 27 patients without Down syndrome were reviewed. Iliac angle, iliac length, sacroiliac joint angle, and anterior iliac wing separation were measured at superior, middle, and inferior transverse sacral levels. The effects of chromosomal status and transverse level were evaluated statistically. RESULTS: Significant differences were found for mean iliac angle (P < .007) and length (P < .005) between patients without Down syndrome (angle, 75 degrees; length, 8.4 cm) and those with Down syndrome (angle, 82 degrees; length, 7.5 cm). Depending on the level of measurement, variations in iliac angle between patients without and those with Down syndrome were as much as 13 degrees and 15 degrees, respectively, and variations in length were as much as 1.6 cm and 0.9 cm, respectively. The greatest differences were at the middle sacral level. Sacroiliac joint angle and the anterior iliac wing separation were not different between groups. CONCLUSION: Patients with Down syndrome had a larger mean iliac angle and a shorter mean iliac length. The most pronounced differences were at the middle sacral level, which suggests that this may be the optimal level for measuring these parameters at prenatal US.

Down Syndrome↗