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KMID : 0377519810060030361
Chung-Ang Journal of Medicine
1981 Volume.6 No. 3 p.361 ~ p.367
A Study on Correlation of Roentagen Pelvimetry and Mode of Delivery in Korean Primigravida
Song Chi-Ho

Park Soo-Soung
Abstract
Pelvimetry by Colcher-Sussman method was performed in 30 primigravida at Eul Jj Hospital during the period of February 1977 to September 1980. They were divided by mode of delivery retrospectively into 2 groups¡¦:¡¦A group was 99 cases who had vaginal delivery, and B group was 31 cases who have been delivered by cesarean section. The comparison was made between 2 groups by ANOVA test, X^2-test or Fisher¡¯s extact test. The results were as followings. ¥°. The measurements of X-ray pelvimetry for 2 groups. (cm) A group B group 1. Pelvic inlet A-P diameter; 12.80¡¾0.95 12.07¡¾0.95 Transverse diameter; 13.14¡¾0.66 12.58¡¾0.69 Mean diameter; 12.97¡¾0.55 12.33¡¾0.62 2. Mid-pelvis A-P diameter; 12.29¡¾0.86 11.62¡¾0.88 Transverse diameter; 10.18¡¾0.74 9.75¡¾0.76 Mean diameter; 11.23¡¾0.55 10.69¡¾0.57 3. Pelvic outlet A-P diameter; 7.76¡¾1.07 7.68¡¾1.18 Transverse diameter; 10.19¡¾0.79 9.43¡¾0.80 Mean diameter; 8.94¡¾0.73 8.60¡¾0.68 4. Fetal head Average diameter; 10.43¡¾0.38 10.64¡¾0.40 All the measurements described above except for the A-P diameter of the pelvic outlet were significant between 2 groups by ANOVA test(p<0.05) ¥±. The comparison of other fetal and maternal factors between 2 groups. 1. Engagement of fetal head. Absence of engagement of fetal head were 5.1% in A group, and 25.8% in B group. The significance was noted between 2 groups by the X^2-test(p<0.05). 2. Type of coccyx. Slightly anteriorly deviated coccyx were 20.2% in A group, and 29.0% in B group. There was not a single case in A group with markedly deviated coccyx, and it was significant when compared the 2 groups by the Fischer¡¯s exact test (p<0.05). 3. Type of sacrum. Flat sacrum was not seen in A group, but 12.9% in B group, and there was significance between 2 groups by the Fischer¡¯s exact test (p<0.05). 4. Position of fetal spine, sex of fetus, presentation of the fetal head, and body weight of fetus were not significant between 2 groups by X^2-test.
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