Re: Clincial Pelvimetry

From: Garry E. Siegel, M.D. (garrys@mindspring.com)
Sat Aug 5 22:18:01 2006


CT Pelvimetry was touted as better than Xray, and less radiation, I believe, a while back. There was even some ratio of head circumference by ultrasound and CT of the pelvis to predict success of delivery.

Denise, you mentioned 5500g EFW as a cutoff for C/S without labor.

Many people say 4500g for a non-diabetic, 4000g for a diabetic.

If we section for macrosomia to avoid, say, a shoulder dystocia, we have to section hundreds to avoid permanent injury (or some large number), as shown by John Owen and colleagues at the University of Alabama-Birmingham.

Garry

At Sat, 5 Aug 2006, Efrain Ramirez wrote: >
>???? Some of the messages are "truncated" -- Web site
>
>Ef
>
>At Sat, 5 Aug 2006, DoctorJoe@aol.com wrote:
>>
>>In a message dated 8/5/06 6:47:50 PM, eramirezt@coqui.net writes:
>>
>>> X-Rays is useless - far, far usesless than clinical pelvimetry, cost a
>>> heck of a lot less..  and -- you can go on and on....  - but a good
>>> point..
>>>
>>n
>
>>elevators, about 1/2 of them were complete.
>>
>>Joe P.
>
>--
>“ The greatest obstacle to knowledge is not ignorance,
>it is the illusion of knowledge.” Daniel J. Boorstin - Historian
>

--
Garry E. Siegel, M.D.
Private Practice
Roswell, GA




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