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Assessment of computed tomographic pelvimetry within a selective breech presentation management protocol.

M L Gimovsky, John Patrick O’Grady, Brenda H. Morris

Abstract

A vital component of selective protocols in term breech presentation management is exclusion of the gravida with borderline pelvic dimensions. Computed tomographic (CT) pelvimetry was employed to evaluate potential candidates for a trial of labor with a breech fetus at term. Thirty-seven of 39 women who underwent labor after this selection had a successful assisted vaginal breech delivery. Adequate pelvic dimensions by CT pelvimetry reliably predicted a safe vaginal delivery in patients managed within a standard breech protocol.

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Key concepts: Breech presentation, Pelvimetry, Medicine, Breech delivery, Computed tomographic, Protocol (science), Presentation (obstetrics), Vaginal delivery