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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Autores principales: 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
Lenguaje:English
Publicado: Sociedad Chilena de Anatomía 2016
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0717-95022016000100043
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spelling 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
institution Scielo Chile
collection Scielo Chile
language English
topic Pelvimetry
Cesarean
Cephalopelvic disproportion
Reformatted CT
Morphometry
Mexico
spellingShingle 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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