Problems of the Pelvic Passageway

Overview

Thirteen obstetricians from nine countries discuss anatomical and functional aspects of labor in parturients from Europe, Japan, North America and South Africa. With improving socioeconomic conditions, contractions of the pelvic inlet diminish, while those of the outlet remain. To avoid traumatic vaginal deliveries, fetopelvic disproportions must be resolved. In this book, measurements by clinical, X-ray, ultrasound, CT and MRI pelvimetry are presented. Fetopelvic scores for vertex and breech presentations can ...
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Overview

Thirteen obstetricians from nine countries discuss anatomical and functional aspects of labor in parturients from Europe, Japan, North America and South Africa. With improving socioeconomic conditions, contractions of the pelvic inlet diminish, while those of the outlet remain. To avoid traumatic vaginal deliveries, fetopelvic disproportions must be resolved. In this book, measurements by clinical, X-ray, ultrasound, CT and MRI pelvimetry are presented. Fetopelvic scores for vertex and breech presentations can facilitate delivery planning. Management of labor, dystocia and relative fetopelvic disproportion are outlined, as well as features distinguishing primigravid from multigravid labor. The book also deals with trial of labor, forceps and vacuum extraction, and their effects on fetal and maternal outcome. Many other aspects, such as shoulder dystocia, hypoxia, symphysiotomy, premature rupture of membranes, episiotomies, cervical scores and the use of cervical dilators, are discussed in detail.
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Product Details

  • ISBN-13: 9783540182894
  • Publisher: Springer-Verlag New York, LLC
  • Publication date: 11/18/1987
  • Edition number: 1
  • Pages: 192

Table of Contents

Contents: Although better nutrition improved the pelvic inlet the diagnostic challenges of the pelvic outlet have remained unchanged? (Opening).- X-ray pelvimetry.- Ultrasound, X-ray, and CT pelvimetry compared.- The use of Magnetic Resonance Imaging (MRI) in pelvimetry.- Uterine contractility.- Primigravid labor.- Functional analysis of cephalopelvic relation.- Active management of labor.- Some selection factors for breech delivery.- Management of dystocia.- Management of relative fetopelvic disproportion. Shoulder dystocia.- The influence of premature rupture of membranes (PROM) on the course of labor.- Obstetric forceps - past, present, and future.- Instrumental vaginal delivery today: forceps delivery versus vacuum extraction.- Injuries to the soft tissue passageway.- Panel.- Index.
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