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Re: pelvic bone and ultrasoundFrom: Allen Worrall (jworrall@alaska.net)Thu Nov 28 09:06:06 2002
You are correct. X-ray pelvimetry used to be a big thing, but it is no longer done. It seems to me that obstetricians do not worry about doing clinical pelvimetry as much as they used to either. Why is this? I think the reason is that if the baby does not fit through the pelvis during labor, one does a C section. X-ray pelvimetry was never that certain anyway. The pelvis is a complex configuration and tends to defy analysis. And of course we could not measure or anticipate the degree of molding of the fetal head, nor the strength of the forces of expulsion. Now that we are pretty comfortable doing C sections, it is better to permit a trial of labor and see what happens. Of course if the presentation is breech that introduces some new problems and different approaches. And for those women for whom the idea of a trial of labor does not sound appealing, we are even moving toward C Section on demand (which would be my option if I had to have a baby). Allen Joseph A Worrall MD RDMS OB/GYN Ultrasound at the Fairbanks Clinic Fairbanks, Alaska, USA jworrall@alaska.net http://www.obgynsono.com
>----- Original Message -----
> Dear pniknafs@hotmail.com, this forum is for medical professionals to
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