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Pelvimetry: changing trends and attitudes.

机译:骨密度测定法:变化的趋势和态度。

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摘要

Review of the literature regarding pelvimetry shows conflicting views as to its value. This study shows the decline in the use of pelvimetry in a teaching hospital obstetric unit over two time periods (1993 and 199798) and the change of views of the clinicians working in this unit. The number of pelvimetries performed fell from 56 per 1000 births to 4 per 1000 over this period. Most pelvimetries in 1993 (55.3%) were performed postpartum following caesarean section. However, in 199798, the majority (over 75%) were performed antepartum in breech presentation. The trend towards a more reluctant use of pelvimetry was mirrored by changes in clinicians' views. Recent publications and RCOG guidelines have effected a dramatic change in the use of pelvimetry over the last decade, largely restricting its use to a small selected group of patients.
机译:有关骨盆测量的文献回顾显示,其价值存在分歧。这项研究表明,在两个时间段(1993年和199798年),教学医院的产科部门使用骨密度测定法的人数有所减少,并且在该部门工作的临床医生的观点有所改变。在此期间,进行的骨盆测量术的数量从每1000胎56个下降到每1000胎4个。 1993年大多数骨盆测量(55.3%)是在剖腹产后产后进行的。但是,在199798年,大多数(超过75%)的臀位表现是在产前进行的。临床医生观点的变化反映出人们更愿意使用骨密度仪的趋势。在过去的十年中,最近的出版物和RCOG指南在骨盆测量仪的使用方面发生了巨大变化,很大程度上将其使用范围限制在少数患者中。

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