title: [Is pelvic clinical evaluation still relevant?].
abstract: OBJECTIVE
  Establish specificity, sensibility of clinical pelvimetry using X-ray pelvimetry as the reference exam; Assess reproducibility of clinical pelvimetry comparing two physicians' findings.
  
  
  METHODS
  During a longitudinal study of 29 months, we compared clinical clinical pelvimetry findings of 114 patients with results of X-ray pelvimetry. Reproducibility was assessed comparing pelvic measures performed by two physicians for 40 patients. Based on caesarean ratio of 7% due to cephalopelvic disproportion in our department, the required size of sample was estimated between 114 and 200 patients. Statistics tests used were the independent test of Chi-2, the Kappa coefficient, the T-test and discriminant analyze. A p-value of 0.05 was considered as significant.
  
  
  RESULTS
  The sensibility of clinical pelvimetry was found at 83.7%, specificity at 88.9%. Positive predictive value was 97.6% and negative predictive value founded at 50%. Best concordances were obtained for the measures of vertical diameter of Michaelis, Trillat diameter and assessment of sciatic spines and inominated lines. Clinical pelvimetry was reproducible with a kappa value of 0.62.
  
  
  CONCLUSIONS
  Clinical pelvimetry, due to his good specificity and satisfactory reproducibility is still relevant in case of unavailability of X-ray pelvimetry as it happens in Africans ressourceless countries.
authors.affiliation: Clinique Gynéclogique et Obstétricale-CHU Le Dantec, BP 22394 Dakar Ponty, Senegal. phmoreira66@yahoo.fr
authors.forename: P
authors.initials: P
authors.lastname: Moreira
authors.forename: M
authors.initials: M
authors.lastname: Ba Guèye
authors.forename: I
authors.initials: I
authors.lastname: Moreira
authors.forename: M
authors.initials: M
authors.lastname: Mbaye
authors.forename: T
authors.initials: T
authors.lastname: Dieng
authors.forename: E H O
authors.initials: EH
authors.lastname: Faye
authors.forename: A
authors.initials: A
authors.lastname: Diouf
authors.forename: J C
authors.initials: JC
authors.lastname: Moreau
mesh_terms: D000293:Adolescent; D000328:Adult; D005260:Female; D006801:Humans; D008137:Longitudinal Studies; D010387:Pelvimetry / Q000379:methods / Q000706:statistics & numerical data*; D011237:Predictive Value of Tests; D015203:Reproducibility of Results; D014057:Tomography, X-Ray Computed; D055815:Young Adult