[Clinical use of the birth simulation program "Anapelvis 2.0" for prediction of feto-maternal disproportion].
BACKGROUND
The birth simulation program Anapelvis 2.0 was developed to predict feto-maternal disproportion in order to avoid the unfavourable accompanying phenomena of a secondary caesarean section. -


METHODS
The system was used in 71 patients of the Women's Hospital of the University of Mannheim during the period 01. 01. 1999 to 28. 02. 2001. These women were prone to feto-maternal disproportion according to their obstetrical history or to clinical findings. They were informed about the possibility of a computed birth simulation which was carried out in accordance with a standardized scheme. -


RESULTS
87.3 % of all patients followed the suggestion of the birth simulation in their decision concerning birth planning. In 76.1 % of the evaluated cases the delivery process was correctly predicted. -


CONCLUSIONS
Even though the computed birth simulation has not yet been finally evaluated, it represents a source of important information for birth planning which numerous patients appreciate. It is essential for the acceptance and validity of the procedure to inform the patient comprehensively and to generate exact pelvimetric and fetometric data.
Förster
C
C
Universitäts-Frauenklinik Mannheim, Germany. Claudia.Foerster@gyn.ma.uni-heidelberg.de
Bechtold
I
I
Melchert
F
F
D002585:Cesarean Section; D003198:Computer Simulation; D003658:Decision Making, Computer-Assisted; D003936:Diagnosis, Computer-Assisted; D005260:Female; D005320:Fetal Macrosomia / Q000175:diagnosis; D006801:Humans; D007231:Infant, Newborn; D007744:Obstetric Labor Complications / Q000175:diagnosis*; D010387:Pelvimetry; D011247:Pregnancy; D018570:Risk Assessment; D012984:Software