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The relation of the true conjugate to maternal height and obstetric performance in Ghanaians
Author(s) -
Adadevoh S.W.K.,
Hobbs C.,
Elkins T.E.
Publication year - 1989
Publication title -
international journal of gynecology and obstetrics
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.895
H-Index - 97
eISSN - 1879-3479
pISSN - 0020-7292
DOI - 10.1016/0020-7292(89)90725-x
Subject(s) - cephalopelvic disproportion , medicine , biparietal diameter , conjugate , obstetrics , transverse diameter , calipers , pregnancy , gynecology , gestational age , caesarean section , anatomy , mathematics , mathematical analysis , genetics , geometry , head circumference , biology
The true conjugate was determined intraoperatively with a caliper in 114 Ghanaian women and was correlated with their height, obstetric performance and fetal dimensions. Those patients undergoing cesarean section for cephalopelvic disproportion (Group Ia) were found to have a significantly shorter mean true conjugate (9.54 cm ± 0.63 S.D.) and mean body height (152.68 cm ± 5.46 S.D.) and a smaller true conjugate — fetal biparietal diameter difference (10.93 mm) than those who had no cephalopelvic disproportion (Group Ib) and whose mean measurements were 10.61 cm ± 0.81 S.D., 157.20 cm ± 5.69 S.D. and 21.50 mm, respectively (P = 0.0001). Recommendations for appropriate referral of rural clinic patients and for selection of patients for repeat cesarean sections are based on the above findings.