Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age

The Mexican government passed a new reform of article 11 of the General Law in 2014 regarding Women's Access to a Life Free of Violence, which states that a cesarean section may not be performed if a vaginal birth is viable. Cesarean sections are excessively indicated in Northen Mexico, using...

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Main Authors: Vázquez Barragán, Miguel Ángel, Garza Báez, Azalea, Morales Avalos, Rodolfo, Martínez González, Brenda, Jacobo Baca, Guillermo, Pinales Razo, Ricardo, Quiroga Garza, Alejandro, De la Fuente Villarreal, David, Elizondo Riojas, Guillermo, Elizondo Omaña, Rodrigo Enrique, Guzmán López, Santos
Format: Article
Language:English
Published: 2016
Online Access:http://eprints.uanl.mx/14833/1/50%20-%20copia.pdf
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author Vázquez Barragán, Miguel Ángel
Garza Báez, Azalea
Morales Avalos, Rodolfo
Martínez González, Brenda
Jacobo Baca, Guillermo
Pinales Razo, Ricardo
Quiroga Garza, Alejandro
De la Fuente Villarreal, David
Elizondo Riojas, Guillermo
Elizondo Omaña, Rodrigo Enrique
Guzmán López, Santos
author_facet Vázquez Barragán, Miguel Ángel
Garza Báez, Azalea
Morales Avalos, Rodolfo
Martínez González, Brenda
Jacobo Baca, Guillermo
Pinales Razo, Ricardo
Quiroga Garza, Alejandro
De la Fuente Villarreal, David
Elizondo Riojas, Guillermo
Elizondo Omaña, Rodrigo Enrique
Guzmán López, Santos
author_sort Vázquez Barragán, Miguel Ángel
collection Repositorio Institucional
description The Mexican government passed a new reform of article 11 of the General Law in 2014 regarding Women's Access to a Life Free of Violence, which states that a cesarean section may not be performed if a vaginal birth is viable. Cesarean sections are excessively indicated in Northen Mexico, using the diagnosis of cephalopelvic disproportion due to a narrow pelvis. Currently, there is no standardized morphometry of the female pelvis in a Mexican population to establish adequate diagnostic parameter. Our study measures the pelvic diameters of the birth canal using abdominopelvic computed tomography (CT). Two hundred and ninety CT from Mexican women between the ages of 18 and 50 were collected and 3D reformatted in order to morphologically measure the pelvic diameters of clinical relevance. Measurements were conducted by two diagnostic imaging specialists. The mean and standard deviation of the measured diameters were: anatomical conjugate diameter (ACD) 11.65±0.99 cm, the obstetric conjugate diameter (OCD) 11.73±0.98 cm, diagonal conjugate diameter (DCD) 12.49±0.98 cm and Interspinous distance (ISD) 10.41±0.78 cm. Significant differences were found in all four mean diameters in between the 20–29 age groups versus the >40, as well as between the 30–39 groups versus the >40. Our study shows that as Mexican women get older, the mean pelvic diameters become narrower.
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spelling eprints-148332021-04-22T01:20:13Z http://eprints.uanl.mx/14833/ Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age Vázquez Barragán, Miguel Ángel Garza Báez, Azalea Morales Avalos, Rodolfo Martínez González, Brenda Jacobo Baca, Guillermo Pinales Razo, Ricardo Quiroga Garza, Alejandro De la Fuente Villarreal, David Elizondo Riojas, Guillermo Elizondo Omaña, Rodrigo Enrique Guzmán López, Santos The Mexican government passed a new reform of article 11 of the General Law in 2014 regarding Women's Access to a Life Free of Violence, which states that a cesarean section may not be performed if a vaginal birth is viable. Cesarean sections are excessively indicated in Northen Mexico, using the diagnosis of cephalopelvic disproportion due to a narrow pelvis. Currently, there is no standardized morphometry of the female pelvis in a Mexican population to establish adequate diagnostic parameter. Our study measures the pelvic diameters of the birth canal using abdominopelvic computed tomography (CT). Two hundred and ninety CT from Mexican women between the ages of 18 and 50 were collected and 3D reformatted in order to morphologically measure the pelvic diameters of clinical relevance. Measurements were conducted by two diagnostic imaging specialists. The mean and standard deviation of the measured diameters were: anatomical conjugate diameter (ACD) 11.65±0.99 cm, the obstetric conjugate diameter (OCD) 11.73±0.98 cm, diagonal conjugate diameter (DCD) 12.49±0.98 cm and Interspinous distance (ISD) 10.41±0.78 cm. Significant differences were found in all four mean diameters in between the 20–29 age groups versus the >40, as well as between the 30–39 groups versus the >40. Our study shows that as Mexican women get older, the mean pelvic diameters become narrower. 2016 Article PeerReviewed text en cc_by_nc_nd http://eprints.uanl.mx/14833/1/50%20-%20copia.pdf http://eprints.uanl.mx/14833/1.haspreviewThumbnailVersion/50%20-%20copia.pdf Vázquez Barragán, Miguel Ángel y Garza Báez, Azalea y Morales Avalos, Rodolfo y Martínez González, Brenda y Jacobo Baca, Guillermo y Pinales Razo, Ricardo y Quiroga Garza, Alejandro y De la Fuente Villarreal, David y Elizondo Riojas, Guillermo y Elizondo Omaña, Rodrigo Enrique y Guzmán López, Santos (2016) Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age. International Journal of Morphology, 34 (1). pp. 298-304. ISSN 0717-9502 http://doi.org/10.4067/S0717-95022016000100043 doi:10.4067/S0717-95022016000100043
spellingShingle Vázquez Barragán, Miguel Ángel
Garza Báez, Azalea
Morales Avalos, Rodolfo
Martínez González, Brenda
Jacobo Baca, Guillermo
Pinales Razo, Ricardo
Quiroga Garza, Alejandro
De la Fuente Villarreal, David
Elizondo Riojas, Guillermo
Elizondo Omaña, Rodrigo Enrique
Guzmán López, Santos
Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
thumbnail https://rediab.uanl.mx/themes/sandal5/images/online.png
title Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
title_full Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
title_fullStr Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
title_full_unstemmed Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
title_short Pelvimetry by Reformatted Computed Tomography in 290 Female Pelvis: Morphometric Variations Regarding Age
title_sort pelvimetry by reformatted computed tomography in 290 female pelvis morphometric variations regarding age
url http://eprints.uanl.mx/14833/1/50%20-%20copia.pdf
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