Efficacy of the fetal-pelvic index in patients requiring labor induction.
The fetal-pelvic index is a recently described means of identifying the presence or absence of fetal-pelvic disproportion. In this follow-up study, the efficacy of the fetal-pelvic index was evaluated in 49 patients requiring labor induction and was compared with two other methods used to identify fetal-pelvic disproportion (Colcher-Sussman x-ray pelvimetry and ultrasound-derived estimated fetal weight). Twelve of 14 patients who required operative intervention also demonstrated a positive fetal-pelvic index (sensitivity = 86%). Spontaneous vaginal deliveries occurred in 35 patients, all of whom demonstrated negative fetal-pelvic index values (specificity = 100%). Overall the predictability of the fetal-pelvic index was 96%. In comparison, when used alone, neither x-ray pelvimetry nor ultrasound-derived estimated fetal weight accurately detected the presence or absence of fetal-pelvic disproportion in patients requiring labor induction.
D000005:Abdomen / Q000033:anatomy & histology; D002508:Cephalometry; D002585:Cesarean Section; D005260:Female; D005333:Fetus / Q000033:anatomy & histology; D006801:Humans; D007751:Labor, Induced; D010387:Pelvimetry / Q000379:methods; D010388:Pelvis / Q000000981:diagnostic imaging; D011237:Predictive Value of Tests; D011247:Pregnancy; D011859:Radiography; D014463:Ultrasonography