Title: Blank
Lynnette, I was working briefly in our clinic over the last month and saw a petite primip reach term. By 39 weeks the head was still floating over the brim, so I asked our midwife guru who runs the clinic what to do  in terms of pelvimetry etc. She  said what you say, that pelvimetry is limited and that a trial labour is the appropriate way to proceed. Two days later I was back in LW and she presented with the head deeply engaged in good labour. : -)
 
 regards, Robin.
----- Original Message -----
Sent: Friday, October 05, 2001 1:41 PM
Subject: cat scan pelvimetry

I have noticed recently an increase in the use of cat scans to assess pelvic capacity for birthing, generally resulting in the suggestion of a cesarean section on the grounds of cpd, even in women with a history of a previous uncomplicated vaginal birth.
I was of the understanding that pelvimetry was of limited clinical use because of the amazing capacity the pelvis and the foetal head have for accommodating the birth process.
I am interested to find out if this is something occurring more commonly now, or if we just happen to have a creative obstetrician in our area. I'd also like to know how the cost is justified.
Working in midwifery never ceases to amaze me.
Thanks. Lyn.

 

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