Assessment of computed tomographic pelvimetry within a selective breech presentation management protocol.
A vital component of selective protocols in term breech presentation management is exclusion of the gravida with borderline pelvic dimensions. Computed tomographic (CT) pelvimetry was employed to evaluate potential candidates for a trial of labor with a breech fetus at term. Thirty-seven of 39 women who underwent labor after this selection had a successful assisted vaginal breech delivery. Adequate pelvic dimensions by CT pelvimetry reliably predicted a safe vaginal delivery in patients managed within a standard breech protocol.
Department of Obstetrics and Gynecology, Baystate Medical Center, Springfield, Massachusetts 01199.
M L
ML
Gimovsky
J P
JP
O'Grady
B
B
Morris
D001946:Breech Presentation; D002985:Clinical Protocols; D036861:Delivery, Obstetric / Q000379:methods; D005260:Female; D006801:Humans; D007744:Obstetric Labor Complications / Q000000981:diagnostic imaging* / Q000453:epidemiology / Q000628:therapy; D010387:Pelvimetry / Q000379:methods*; D011237:Predictive Value of Tests; D011247:Pregnancy; D011256:Pregnancy Outcome; D014057:Tomography, X-Ray Computed / Q000379:methods*; D014219:Trial of Labor