Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
The Mexican government passed a new reform of article 11 of the General Law in 2014 regarding Women's Access to a Life Free of Violence, which states that a cesarean section may not be performed if a vaginal birth is viable. Cesarean sections are excessively indicated in Northen Mexico, using t...
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Sociedad Chilena de Anatomía
2016
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oai:scielo:S0717-950220160001000432016-05-02Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding AgeVázquez-Barragán,Miguel ÁngelGarza-Báez,AzaleaMorales-Avalos,RodolfoMartínez-González,BrendaJacobo-Baca,GuillermoPinales-Razo,RicardoQuiroga-Garza,Alejandrode la Fuente-Villarreal,DavidElizondo-Riojas,GuillermoElizondo-Omaña,Rodrigo EGuzmán-López,Santos Pelvimetry Cesarean Cephalopelvic disproportion Reformatted CT Morphometry Mexico The Mexican government passed a new reform of article 11 of the General Law in 2014 regarding Women's Access to a Life Free of Violence, which states that a cesarean section may not be performed if a vaginal birth is viable. Cesarean sections are excessively indicated in Northen Mexico, using the diagnosis of cephalopelvic disproportion due to a narrow pelvis. Currently, there is no standardized morphometry of the female pelvis in a Mexican population to establish adequate diagnostic parameter. Our study measures the pelvic diameters of the birth canal using abdominopelvic computed tomography (CT). Two hundred and ninety CT from Mexican women between the ages of 18 and 50 were collected and 3D reformatted in order to morphologically measure the pelvic diameters of clinical relevance. Measurements were conducted by two diagnostic imaging specialists. The mean and standard deviation of the measured diameters were: anatomical conjugate diameter (ACD) 11.65±0.99 cm, the obstetric conjugate diameter (OCD) 11.73±0.98 cm, diagonal conjugate diameter (DCD) 12.49±0.98 cm and Interspinous distance (ISD) 10.41±0.78 cm. Significant differences were found in all four mean diameters in between the 2029 age groups versus the >40, as well as between the 3039 groups versus the >40. Our study shows that as Mexican women get older, the mean pelvic diameters become narrower.info:eu-repo/semantics/openAccessSociedad Chilena de AnatomíaInternational Journal of Morphology v.34 n.1 20162016-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000100043en10.4067/S0717-95022016000100043 |
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Pelvimetry Cesarean Cephalopelvic disproportion Reformatted CT Morphometry Mexico |
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Pelvimetry Cesarean Cephalopelvic disproportion Reformatted CT Morphometry Mexico Vázquez-Barragán,Miguel Ángel Garza-Báez,Azalea Morales-Avalos,Rodolfo Martínez-González,Brenda Jacobo-Baca,Guillermo Pinales-Razo,Ricardo Quiroga-Garza,Alejandro de la Fuente-Villarreal,David Elizondo-Riojas,Guillermo Elizondo-Omaña,Rodrigo E Guzmán-López,Santos Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age |
description |
The Mexican government passed a new reform of article 11 of the General Law in 2014 regarding Women's Access to a Life Free of Violence, which states that a cesarean section may not be performed if a vaginal birth is viable. Cesarean sections are excessively indicated in Northen Mexico, using the diagnosis of cephalopelvic disproportion due to a narrow pelvis. Currently, there is no standardized morphometry of the female pelvis in a Mexican population to establish adequate diagnostic parameter. Our study measures the pelvic diameters of the birth canal using abdominopelvic computed tomography (CT). Two hundred and ninety CT from Mexican women between the ages of 18 and 50 were collected and 3D reformatted in order to morphologically measure the pelvic diameters of clinical relevance. Measurements were conducted by two diagnostic imaging specialists. The mean and standard deviation of the measured diameters were: anatomical conjugate diameter (ACD) 11.65±0.99 cm, the obstetric conjugate diameter (OCD) 11.73±0.98 cm, diagonal conjugate diameter (DCD) 12.49±0.98 cm and Interspinous distance (ISD) 10.41±0.78 cm. Significant differences were found in all four mean diameters in between the 2029 age groups versus the >40, as well as between the 3039 groups versus the >40. Our study shows that as Mexican women get older, the mean pelvic diameters become narrower. |
author |
Vázquez-Barragán,Miguel Ángel Garza-Báez,Azalea Morales-Avalos,Rodolfo Martínez-González,Brenda Jacobo-Baca,Guillermo Pinales-Razo,Ricardo Quiroga-Garza,Alejandro de la Fuente-Villarreal,David Elizondo-Riojas,Guillermo Elizondo-Omaña,Rodrigo E Guzmán-López,Santos |
author_facet |
Vázquez-Barragán,Miguel Ángel Garza-Báez,Azalea Morales-Avalos,Rodolfo Martínez-González,Brenda Jacobo-Baca,Guillermo Pinales-Razo,Ricardo Quiroga-Garza,Alejandro de la Fuente-Villarreal,David Elizondo-Riojas,Guillermo Elizondo-Omaña,Rodrigo E Guzmán-López,Santos |
author_sort |
Vázquez-Barragán,Miguel Ángel |
title |
Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age |
title_short |
Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age |
title_full |
Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age |
title_fullStr |
Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age |
title_full_unstemmed |
Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age |
title_sort |
pelvimetry by reformatted computed tomography in 290 female pelvis: morphometric variations regarding age |
publisher |
Sociedad Chilena de Anatomía |
publishDate |
2016 |
url |
http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000100043 |
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