Open AccessThe Pelvic Outlet: A Comparison Between Clinical Evaluation and Radiologic Pelvimetry
Author(s) -
Floberg Jan,
Belfrage Patrick,
Carlsson Monica,
Ohlsen Hans
Publication year - 1986
Publication title -
acta obstetricia et gynecologica scandinavica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.401
H-Index - 102
eISSN - 1600-0412
pISSN - 0001-6349
DOI - 10.3109/00016348609157352
Subject(s) - pelvimetry , medicine , pelvis , radiology , nuclear medicine
A random sample of 798 primiparas was screened with clinical evaluation and radiologic low‐dose pelvimetry of the pelvic outlet. the purpose was to study the accuracy of clinical evaluation in comparison with X‐ray pelvimetry and to determine whether clinical evaluation could reveal any other factor influencing labor. a significant agreement between clinical and X‐ray pelvimetry was found, but the sensitivity of clinical evaluation was low and as many as half the patients with a contracted pelvis, according to pelvimetry, were not detected. Delivery outcomes in two matched groups with similar pelvic outlet measurements but different clinical evaluation did not differ, indicating that clinical evaluation did not detect any other factor not revealed by X‐ray pelvimetry.