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Re: 2nd post-? about platypoid pelvis

From: Thomas (anonymous@obgyn.net)
Mon, 12 Oct 1998 02:17:58 -0500 (CDT)


>Now the questions: Is it possible for someone with my shaped pelvis to deliver vaginally?

Possible but improbable with a platypelloid pelvis. The average anterio-posterior (front-to-back) diameter of a platypelloid pelvis is 8.5cm. The diameter of a fetal head is about 9.5 cm.

> Should the baby's head be certain way?

A babies head presents with the smalles diameter when fully flexed. It is less likely to be fully flexed if facing the wrong way round. Abnormal shaped pelvises predispose to the baby's head being the wrong way round.

>How can I know for sure that this is what I have? are there any tests for it (x-ray-mri)?

Pelvic shapes were classified by 2 doctors called Caldwell & Mol0y in 1938. The shapes were defined by x-ray. The more modern version would be CT or MRI however, a number of women's pelvises do not classically fit any of the 4 shapes defined by Caldwell & Moloy

>Is it possible that more walking during labor, or a position other than on my back could have helped?

This is disputed amoungst doctors and midwives. Past evidence suggested may be. A more recent study suggests that it has no effect. I'm afraid the answer to this is that we still don't know.

>Since my scar almost ruptured once, am I more likely to have it happen again if I go into labor or try a vbac?

Yes

--
Dr Thomas Ind MB BS MD MRCOG
St George Hospital
Kogarah
Sydney
NSW 2217
AUSTRALIA



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