Document Detail


The fetal-pelvic index has minimal utility in predicting fetal-pelvic disproportion.
MedLine Citation:
PMID:  9822498     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: Our purpose was to evaluate the fetal-pelvic index in our patient population and to determine whether it would be predictive of route of delivery. STUDY DESIGN: One hundred seventy-six patients with a previous history or clinical findings in the current pregnancy suggestive of fetal-pelvic disproportion participated in this Human Investigation Committee-approved study. All underwent fetal ultrasonographic examinations and modified digital radiography before labor. Fetal head and abdominal circumferences and maternal inlet and midpelvic circumferences were determined, and the fetal-pelvic index was calculated. RESULTS: Ninety-one patients fulfilled all aspects of the study, including rigorous criteria pertaining to labor management. Thirty of these patients underwent cesarean delivery and 61 were delivered vaginally. The fetal-pelvic index value for the vaginal delivery group was -5.4 +/- 5.3, as opposed to -2.4 +/- 5.8 in the cesarean delivery group (P <.02). Notwithstanding this difference, the fetal-pelvic index had a low overall ability to predict fetal-pelvic disproportion (0.65) and had associated sensitivity and specificity of 0.27 and 0.84, respectively. Predictive thresholds other than zero were tested, but optimal predictive ability, at a fetal-pelvic index cutoff of 2, was only 70% (sensitivity 0.20, specificity 0.95). CONCLUSION: In our patient population the fetal-pelvic index was only moderately predictive of fetal-pelvic disproportion. Factors other than those assessed by the fetal-pelvic index are probably important in determining the route of delivery. Further studies are indicated.
Authors:
J E Ferguson; Y G Newberry; G A DeAngelis; J J Finnerty; S Agarwal; E Turkheimer
Related Documents :
8822658 - The prospects for vaginal delivery in gestations beyond 43 weeks.
8796778 - Do receptors get pregnant too? adrenergic receptor alterations in human pregnancy.
6624808 - The course of labor in term patients with chorioamnionitis.
10468058 - Differential levels of t helper cytokines in preeclampsia: pregnancy, labor and puerper...
6787188 - Radioimmunoassay of sp1 (pregnancy-specific beta1-glycoprotein) in maternal blood and i...
6445048 - Management of first trimester pregnancy termination failures.
Publication Detail:
Type:  Journal Article; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  American journal of obstetrics and gynecology     Volume:  179     ISSN:  0002-9378     ISO Abbreviation:  Am. J. Obstet. Gynecol.     Publication Date:  1998 Nov 
Date Detail:
Created Date:  1998-12-23     Completed Date:  1998-12-23     Revised Date:  2006-11-15    
Medline Journal Info:
Nlm Unique ID:  0370476     Medline TA:  Am J Obstet Gynecol     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1186-92     Citation Subset:  AIM; IM    
Affiliation:
Departments of Obstetrics and Gynecology, Division of Radiological Physics, University of Virginia, Charlottesville, Virginia, USA.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Descriptor/Qualifier:
Adult
Anesthesia, Epidural
Birth Weight
Cesarean Section
Delivery, Obstetric / methods*
Female
Forecasting
Humans
Labor, Induced
Pelvimetry*
Predictive Value of Tests
Pregnancy
Radiographic Image Enhancement
Sensitivity and Specificity
Ultrasonography, Prenatal*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


Previous Document:  Progression of labor in twin versus singleton gestations.
Next Document:  Maternal serum thromboxane B2 concentrations do not predict improved outcomes in high-risk pregnanci...