|
This is a clinical analysis of 219 dystocia patients who received X-ray plevimetry by Colcher-Sussman technique among a total 4663 deliveries at the Ewha Woman`s University Hospital from Jan. 1, 1968 to April 30, 1970. The results were obtained as follows; 1. The occurence of dystocia was much common in primigravidas(77.6%), and less in multiparous woman(22.4%). 2. The majority of fetal presentation in dystocia was vertex presentation(84.5%), and the rest was breech presentation(13.6%). 3. The indications of X-ray pelvimetry in cases of dystocia was most likely unengaged vertex presentation in the early labor(47.5%), and others were breech presentation(13.7%), clinically suspected contracted pelvis(8.7%) and so forth. 4. The types of deliveries in cases of dystocia was mostly Cesarean section(60.3%), and vaginal deliveries(39.7%). 5. The patient with A-P inlet diameter of 10.55cm 0.11cm or with trasverse diameter of ischial spine 88.99cm 0.08cm in our series were considered as an boarderline C.P.D. all requiring Cesarean section. 6. The frequency of fetal morbidity was significantly increased when length of labor prolonged over 24 hours. 7. Perinatal mortality rate was 62.2 per 1,000 live birth. 8. The maternal postoperative morbidity in cases of Cesarean section was 12.6%, and no operative mortality encountered.
|